Richard J. Gilfillan, MD, MBA

  • Editorial Board

    Founding Director of the Center for Medicare and Medicaid Innovation, USA


  • Richard J. Gilfillan, MD, MBA, is the Founding Director of the Center for Medicare and Medicaid Innovation. Previously, he served as Director of the Centers for Medicare and Medicaid Services' performance-based payment policy staff and was responsible for overseeing accountable care organizations and value-based payment initiatives. In addition, he also served as President and CEO of Geisinger Health Plan and Executive Vice President for System Insurance Operations at the Geisinger Health System. While at Geisinger, he helped design a bundled payment, episode of care reimbursement system that rewards surgical and medical care providers for high quality outcomes. Gilfillan has held several leadership positions in health care management including Senior Vice President for National Network Management at Coventry Health Care, General Manager of IBC's AmeriHealth New Jersey managed care subsidiary, and Chief Medical Officer for Independence Blue Cross. Gilfillan received his undergraduate and medical degrees from Georgetown University and his master's degree in business administration from the University of Pennsylvania.

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