- Mr Keane is a health care consultant whose areas of expertise include health care payment policy and methods, health care data analyses and payment negotiations involving health care providers, health plans and other purchasers. Mr. Keane served as a senior official in the hospital rate setting programs in Massachusetts and Maryland and co-founded a company that built PPO plans in sixty markets throughout the U.S.
- As HSCRC commissioner helped design the “Maryland Total Cost of Care Model,” for the entire continuum of care for all hospitals, including physician practices currently viewed as a model for healthcare in the US
Director health care payment policy and methods, health care data analyses and payment negotiations
ACO design: Mr. Keane was centrally involved in the design of a primary care based, ACO-type model that provided strong incentives for the delivery of coordinated, high quality care—supported by nurses and other personnel—in an efficient manner to CareFirst BCBS members. The model was implemented for all of CareFirst BCBS’s members throughout Maryland, the District of Columbia and Northern Virginia.
- Policy design and data analysis : His clients include—or have included—CareFirst BCBS, the BCBS plan for the Maryland, D.C. and Northern Virginia markets; the National Benefits Fund/1199, a self-insured Taft Hartley union group with approximately 350,000 members in the New York City market; Anthem/WellPoint BCBS, a company that operates 13 BCBS plans covering approximately 35 million members, which he has assisted in nine states; the Beth Israel Deaconess Physician Organization (BIDPO), an organization encompassing 1,700 affiliated physicians including 800 members of the Harvard Medical Faculty; the North Carolina State Employees Health Plan; Excellus BCBS in Rochester, NY; Independence BCBS, the BCBS plan for the metropolitan Philadelphia area; Massachusetts BCBS;
- State policy design and implementation: Appointed by Governor O’Malley, reappointed by Governor Hogan as commissioner on the Maryland Health Services Cost Review Commission (quasi-gov’t agency that sets reimbursements for all of Maryland’s 53 hospitals in a fixed global budget/accountable care model)