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Specializing in clinical program implementation and operational process improvement, Missy Garrity transforms healthcare delivery for complex populations. With more than 25 years of healthcare experience in Massachusetts, Missy executes large, cross-functional projects related to the development of new health plan care models, care management systems, quality and cost trend reporting systems, and all-payer claims databases. Missy has extensive knowledge of change management approaches – utilizing strategic planning and organizational redesign to promote success for her clients.
Missy advances new healthcare quality and utilization metrics. She has designed and developed HEDIS reporting systems and has achieved targeted improvements in both HEDIS and pay-for-performance (P4P) quality measures for a number of health plans. Her accomplishments include developing reporting systems to target PCPs with gaps in care and introducing “robocalls” to increase compliance with preventive screenings.
Missy joined HMA most recently from Commonwealth Care Alliance (CCA), where she managed several projects fundamental to the Dual Demonstration Medicare-Medicaid program, including identifying and implementing improvements to meet requirements for PCP attribution and completion of comprehensive assessments within timeframes required by the contract. She also structured and directed an organization-wide strategic initiative which resulted in successfully increasing revenue and reducing PMPM costs.
From concept to conclusion, Missy translates strategic plans into operational solutions. She has an established business planning and implementation approach and applies proven practices for project initiation and tracking that assures the effective selection and completion of strategic initiatives.
Prior to her role with CCA, Missy led initiatives as an independent consultant at local health plans and for state governments. Missy spent over 20 years with Tufts Health Plan where she held several project management and department leadership roles. She supported the design of a select network of providers based on cost and quality measures by building new measurement tools and instituted a sophisticated medical case management system to improve quality of care for highest risk member populations. Missy established the first project management office (PMO) to enhance the effectiveness of organizational initiatives at both CCA and Tufts Health Plan.
Missy earned her MBA from Northeastern University and her bachelor’s degree from Regis College. She is certified as a Project Management Professional (PMP) and currently serves as chair of the Hallmark Health Patient and Family Advisory Council.
A murder mystery aficionado, Missy has watched every episode of Forensic Files and enjoys solving crimes “alongside” Paula Zahn and Joe Kenda.