Fractional Chief Medical Officer (CMO)
Expertise
Value-Based Payment Models & Risk-Bearing Strategy
Navigating the transition from volume to value requires a sophisticated command of the financial and clinical architecture underlying modern healthcare. My expertise centers on the design and oversight of high-stakes, risk-bearing structures, including Medicare Shared Savings Program (MSSP) ACOs, the Program of All-Inclusive Care for the Elderly (PACE), and diverse pay-for-performance arrangements. By integrating compliant risk adjustment frameworks with innovative shared savings and incentive compensation models, I help organizations align their clinical delivery with financial sustainability, ensuring they achieve their fullest potential within an ever-changing regulatory and payer environment.
Population Health & Complex Care Management
Driving excellence in population health management requires a proactive, evidence-based approach to the entire care continuum. I focus on scaling clinical programs that close gaps in care, enhance patient safety, and master the orchestration of complex care for chronic conditions. By optimizing care transitions, patient safety, and the integration of palliative care with advance care planning, I enable organizations to manage high-cost, high-need populations with precision. This holistic approach reduces unnecessary utilization while fostering a culture of high-quality, patient-centered care.
Inter-Professional Engagement & Integrated Operating Models
True clinical transformation is driven by the human element: the alignment and engagement of the provider workforce. I develop comprehensive strategies to bridge the gap between management and clinical teams through integrated operating models and enhanced provider communication. By embedding performance management into the organizational fabric—utilizing balanced scorecards and transparent team-building initiatives—I foster a unified culture of accountability. This ensures that every member of the inter-professional team is motivated and empowered to meet the enterprise’s strategic value-based goals.
Clinical Analytics & Technology-Driven Transformation
In a data-rich environment, the competitive advantage lies in the ability to turn information into actionable point-of-care insights. My work leverages integrated data and predictive modeling to identify and prioritize gaps in care for providers, aligning with performance benchmarking and strategic priorities. By leading technology-driven transformations—including the integration of clinical decision support within EHR workflows, the expansion of telemedicine, and the deployment of mobile documentation—I ensure that digital tools serve to streamline care rather than complicate it. This approach transforms clinical analytics from a retrospective reporting tool into a proactive engine for organizational change.
About Richard A. Feifer MD, MPH, FACP
As a physician executive with broad healthcare industry experience, Dr. Rich Feifer helps organizations achieve their fullest potential in an ever-changing environment. Equally comfortable as a healthcare business leader and as a clinical leader, areas of expertise include population health management, value-based payment models, clinical analytics, technology driven healthcare transformation, and inter-professional provider engagement strategies. Dr. Feifer brings a rare combination of medical expertise and business acumen.
Dr. Feifer has dedicated his career to improving the quality and efficiency of healthcare and the health of populations served. His focus involves helping providers and innovators succeed within value-based payment models, achieving the Quadruple Aim, through better leveraging of data and technology.
As a board member, senior advisor, and fractional chief medical officer, Dr. Feifer currently supports early and growth stage organizations, and their investors, as they navigate the healthcare system.
Dr. Feifer previously served as chief medical officer at InnovAge, a multi-state provider of PACE programs, serving frail dual-eligible seniors by delivering comprehensive patient-centric care, enabling them to age independently for as long as possible. At InnovAge, he had direct responsibility for all medical, nursing, behavioral health, dental, in-home, and pharmacy services, in addition to population health, risk adjustment, and clinical quality.
Prior to joining InnovAge, he was executive vice president at Genesis HealthCare, one of the nation’s largest skilled nursing, rehabilitation, and long-term care providers. While at Genesis, Dr. Feifer served as president of Genesis Physician Services, a $70m subsidiary, as well as chief medical officer of the Genesis HealthCare Accountable Care Organization (LTC ACO), the first national ACO focused on nursing home patients. During his time at Genesis, Dr. Feifer also led the fight against COVID, both internally and across the healthcare industry, with significant media and government relations responsibility.
Before Genesis, Dr. Feifer was Aetna’s chief medical officer of National Accounts. He led Clinical Consulting, Strategy, and Analysis, which helped our nation’s largest employers improve the health and productivity of their members. He also previously served as vice president of Clinical Program Innovation and Evaluation at Medco, where he was responsible for the organization’s portfolio of care enhancement programs.
Dr. Feifer’s experience extends to various boards and committees, providing strategic and fiduciary leadership. He currently is a director at the Accreditation Commission for Health Care, one of the largest healthcare accreditors.
A graduate of Brown University and the University of Pennsylvania School of Medicine, Dr. Feifer is a board-certified internist with experience in population health, primary care, geriatrics, and urgent care medicine at the Fallon Clinic. He received his MPH in Health Services Management from Columbia University, and is currently an Assistant Clinical Professor at the University of Connecticut.