Gaurav Nagrath, ScD, MBA
Managing Principal
Health Management Associates
Denver, CO
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A strategic and operational health system leader, Gaurav Nagrath has expertise in aligned multi-payer value-based payment models, broad stakeholder engagement, and payment contract structures. He leads significant projects across multiple states impacting and advancing payment reform, population modeling, provider engagement, ROI, risk analysis and sustainability, data strategy, information governance and related policies, and outcomes-based performance analytics. Dr. Nagrath has extensive experience working within disparate healthcare environments, including integrated delivery systems, national payer organizations, state, and federal level Medicaid and Medicare agencies, behavioral health organizations, patient-centered medical homes, FQHCs, mLTSS, and managed care organizations.
Before joining HMA, he held various principal roles with Cerner Corporation (now Oracle Cerner), a $28 billion multinational healthcare technology, population management, and payment consulting firm, where he spearheaded value-based care and risk solution efforts. He managed and facilitated numerous system-wide transformation initiatives, including solutions and strategies to advance data-driven population health management, boost value-based payment contracting strategies, and drive operational and clinical accountability within health systems. He has worked to implement knowledge-driven initiatives to improve clinical and operational efficiencies, including data-centric strategies to identify and manage person- and population-level risk empirically and sustainably.
In the post-Hurricane Katrina Greater New Orleans area, Dr. Nagrath led and oversaw an integral component of the complex and coordinated build of the primary care and behavioral health network – the infrastructure, EHR adoption, community-wide health care utilization, and clinical measurement, all of which aided the larger effort aligned with progressing the regional primary care medical home framework. A $100 million federal award, the Primary Care Access Stabilization Grant, enabled the work and paved the way for innovative, aligned, and sustained healthcare transformation across Greater New Orleans and the state of Louisiana.
Dr. Nagrath previously served as the principal investigator and oversaw the progression of IT-enabled clinical and operational improvement aligned within the healthcare space and related policy initiatives for Beacon Communities, a US Department of Health and Human Services-funded initiative with a budget of $14 million from a federal award. He spearheaded systems integration, governance strategy and management, business processes, data-sharing agreements, legal and regulatory framework, and provider, payer, and patient collaboration for this public and private sector healthcare transformation project for the Greater New Orleans area.
Dr. Nagrath earned a Doctor of Science degree in global health management and policy from the Tulane University School of Public Health and Tropical Medicine, a master of business administration degree in international business, and a bachelor of science degree in computer science.