Mai Pham

Dr. Pham is the Vice President, Provider Alignment Solutions at Anthem Inc. and responsible for developing and refining Anthem’s provider payment models that reduce the cost of care while rewarding improvements in quality and access. Additionally, she is focused on developing new products and networks built on a foundation of value-based care, and overseeing Anthem’s Enhanced Personal Health Care initiative, a program that focuses on patient-centered care and reimburses doctors for value-based, rather than volume-based, performance.

Prior to joining Anthem in 2017, Dr. Pham was a founding official at the Center for Medicare & Medicaid Innovation (CMMI), where she served as Chief Innovation Officer and was responsible for implementation of the alternative payment model provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) and other multi-organizational initiatives for the Center. Mai’s earlier work at CMMI included responsibility as the Director of the Seamless Care Models Groups, overseeing the design and testing of models on accountable care organizations and advanced primary care, including the Pioneer and Next Generation ACO Models and Comprehensive Primary Care Initiative. Previously, she was senior health researcher and co-director of research at the Center for Studying Health System Change and Mathematica, an independent health policy organization.

 A general internist, Dr. Pham has published extensively on payment policy issues, including care fragmentation and coordination, and also practiced for several years at safety net clinics in the Washington D.C. area. Mai received her undergraduate degree from Harvard University, her MD from Temple University, and her MPH degree from Johns Hopkins, where she was also a Robert Wood Johnson Clinical Scholar.

 

Contributed To

Executive Committee
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