An accomplished physician executive and experienced NCQA surveyor, Bob Kritzler, MD, has successfully led efforts to improve quality of care and its delivery throughout his career.

Dr. Kritzler has extensive expertise in the areas of quality and accreditation, population health, value-based care and payments, and integrated systems. His experience includes working with academic systems, establishing and improving provider-plan interfaces and advancing health equity.

Prior to joining HMA he owned and operated an independent consultancy providing a variety of services related to utilization, general management, quality, population health service, senior physician and executive mentoring and team development. His clients included payers, health systems, pharma and device companies, and employers.

As executive leader, senior medical director at Aetna Medicaid, Dr. Kritzler led teams charged with creating and implementing the inclusive population health programs for all Aetna Medicaid plans. During his time with Aetna Better Health of Illinois, he co-founded the Duals Center of Clinical Excellence and served as chief medical officer for all the duals plans in Illinois, Ohio, Michigan, and Virginia and advised the D-SNP plans.

During his career, Dr. Kritzler has led small Chicago safety net health plans (Medicaid and Medicare Advantage) to successful accreditation, spearheaded medical management strategy for the health plans owned and managed by Johns Hopkins Medicine and maintained a pediatric endocrine clinical practice. He spent more than 20 years at Kaiser Permanente Mid-Atlantic, where he had several positions including vice president for quality resource management and clinical chief operating officer of the Mid-Atlantic Permanente medical group. In that last role, he co-led the implementation of both an EMR and “advanced open access” scheduling.

Dr Kritzler served on the board, culminating as chair, at The Center for Health Value Innovation, one of the key national organizations promoting and funding value-based health plan strategy, from 2006-2014.

Dr. Kritzler earned his Bachelor of Arts from Johns Hopkins University and his Doctor of Medicine from Columbia University, College of Physicians and Surgeons. He completed his pediatric residency at Babies Hospital of New York, (now Morgan Stanley Children’s Hospital) and was a fellow in pediatric endocrinology at The Johns Hopkins University School of Medicine. He also received a certificate for completing the Kaiser Permanente-Stanford University School of Business Executive Program.

A father of two and grandfather of four, he enjoys woodworking, sailing, gardening, and traveling.