Holly Michaels Fisher
Health Management Associates
New York, NY
Holly Michaels Fisher is an accomplished healthcare executive, consultant, and thought leader specializing in Medicare, Medicaid, Special Needs Plans (SNPs), Medicare integration for dual eligibles, and Medicaid long-term services and supports and home and community-based services. She has deep industry experience in many areas including but not limited to Medicare/Medicaid managed care product innovation and development, Medicare bid and product strategy, and clinical program/product planning and operational design
Holly has a successful track record of building and leading SNPs, pioneering innovative specialized home and community-based services and managed care products; building, leading, and/or consulting to Medicare and Medicaid health plans; developing strategies to improve care management of Medicare and Medicaid members, impact Medicare Advantage Star and Medicaid quality performance; and developing and executing network design and contracting strategies to impact financial and clinical outcomes.
Most recently, Holly was the architect of Aetna’s significant DSNP expansion, expanding from two states to 30 states and from 20,000 members to more than 180,000 in less than four years. Prior to this, she was a managing director with PricewaterhouseCoopers where she provided management consulting services to national and regional Medicare and Medicaid health plans, specializing in operations and performance improvement related to medical management, clinical program design, network strategy, and Stars/quality.
Holly held a number of positions with UnitedHealth Group including executive director for Evercare in New York and New Jersey and as vice president and managing director for OptumInsight. At Evercare, a Medicare Advantage Institutional Special Needs Plan, she led a product turn around and managed the skilled nursing home network for all UnitedHealth Care lines of business. While at OptumInsight, Holly helped build and co-manage a consulting practice focused on Medicare, Medicaid, Special Needs Plans, Stars, and care management and utilization management programs for complex populations.
Holly has held leadership positions in several Medicare and Medicaid managed care plans in New York State including EmblemHealth, Universal American, Centerlight, and the Visiting Nurse Service of New York (VNS). At EmblemHealth she led the carrier’s Medicare and Medicaid lines of business. At Universal American, she led a subsidiary organization that worked for states providing care management services for complex Medicaid beneficiaries, was president of a newly acquired Medicaid plan, and managed Medicare for the northeast region. At Centerlight, Holly was CEO for what was then the largest PACE organization in the country with 14 locations and more than 2,300 members. With VNS, among other accomplishments as the vice president for Long Term Care and vice president for Program Development, she founded the first managed long-term care program in New York State (VNS CHOICE) for which she served as the first executive director from its founding in 1998 until 2005.
Holly earned her undergraduate degree in nursing and master’s degrees in public health administration and urban planning, all from Columbia University.