QVH Systems

Technology Consulting Analytics
Clinically Empowering
About QVHS
Founders
The QVHS Difference
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About QVH
QVH Systems is dedicated to maximizing Quality, Value and Health in all delivery systems by following the most efficient path toward that goal - providing an affordable way for physicians and other health care professionals to achieve and maintain clinically satisfying and financially rewarding practices in the rapidly changing payment environment, regardless of their mode of practice.
Our Mission
To help physicians and other health care professionals in all modes of practice achieve a clinically satisfying and financially rewarding transition to new payment models by providing affordable health information technology and consulting expertise customized to leverage each local group's existing competencies and resources. To give the local physicians and other clinicians control and accountability for the leadership, management and governance of the health care delivery system in their communities and provide a means to participate with other entities, including local health plans and other entities that share the same goals.
About QVHS
Our Vision
The achievement of the Triple Aim - higher quality, lower costs and better health through optimized patient-clinician relationships in community-focused, physician-led, clinically integrated delivery systems which respect the professionalism of their health professionals and prioritize the provision of meaningful data at the point of care.
  • Respectful of physicians and other health professionals.
  • Tools focused on supporting clinician at the point of care.
  • Affordable.
  • Flexible-able to accommodate local variation, multiple EHRs, etc.
  • Local control.
  • Clinical integration.
  • Clinical integrity and financial success.
  • Clinician and patient satisfaction.

The achievment of the Triple Aim - higher quality, lower costs and better health through optimized patient-clinician relationships in community-focused, physician-led, clinically integrated delivery systems which respect the professionalism of their health professionals and prioritize the provision of meaningful data at the point of care.


About QVHS
Michael Sexton M.D.
Chief Executive Officer
Dr. Sexton brings his 40 years of experience as a physician practicing accountable care and physician leader at the state and national levels to lead QVH Systems. Dr. Sexton understands the need for innovative, affordable solutions for physicians and other health professionals faced with the transformation to value-based payment.
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Michael Sexton M.D.
Chief Executive Officer
Dr. Sexton brings his 40 years of experience as a physician practicing accountable care and physician leader at the state and national levels to lead QVH Systems. Dr. Sexton understands the need for innovative, affordable solutions for physicians and other health professionals faced with the transformation to value-based payment. He is excited to lead the QVH Systems team in its development and deployment of the QVH Systems products and services to empower physicians and other health professionals to achieve clinically satisfying and financially rewarding practices.

Dr. Sexton’s experience working as an Emergency Physician in the Kaiser Permanente Health Care System provided him with a deep understanding of what it takes to successfully practice medicine in the accountable care environment, including the skills and behaviors that lead to successful cross-specialty coordinated care. His long service on the California Medical Association’s Executive Committee, culminating in his Presidency, and on the American Medical Association’s Council on Legislation, culminating in his service as Chair, have positioned Dr. Sexton as one of the leading experts in health care delivery and regulation, and evolving trends affecting medicine in the United States.

Dr. Sexton is experienced in engaging physician and executive thought leaders, helping them to understand the imperative of the new alternative payment models and facilitating their entry into and successful participation in accountable care. Dr. Sexton is also skilled in helping ACO governing boards develop and implement the processes and procedures necessary to facilitate success.
About QVHSCatherine Hanson J.D. Chief Strategic Solutions
Officer

Catherine Hanson is a past president of the California Society for Health Care Attorneys, a past president of the American Society of Medical Association Counsel , a member of the American Health Lawyers Association, the American Bar Association Health Law Section, and the American Association of Medical Society Executives.
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Catherine Hanson J.D.
Chief Strategic Solutions Officer
Catherine Hanson is a past president of the California Society for Health Care Attorneys, a past president of the American Society of Medical Association Counsel, a member of the American Health Lawyers Association, the American Bar Association Health Law Section, and the American Association of Medical Society Executives. She is a Phi Beta Kappa graduate of the University of California, Berkeley. She obtained her J.D. degree from Boalt Hall School of Law at University of California, Berkeley. Hanson is the author of numerous publications and a sought after speaker.

Considered one of the nation's premier experts in healthcare law, Hanson has provided advice and counsel to physicians, medical associations and other health care related organizations throughout her 30 year career. Most recently, she has focused on health care delivery and payment reform, including the impact of ACOs, new payment models, clinical integration and evolving physician employment arrangements, and physician practice automation, including the implications of the HIPAA Privacy, Security and Transaction Rules.

Prior to joining QVHS Hanson served as vice-president of the American Medical Association's (AMA) state and private sector advocacy unit. Her state sector successes included obtaining National Association of Insurance Commissioners (NAIC) support for AMA positions related to critical state ACA implementation and health insurance market reform issues. She also led a successful effort that secured National Conference of Insurance Legislators (NCOIL) model bills regulating rental network PPOs and calling for transparency for out-of-network benefits.

On the private sector side, Hanson's advocacy team developed the National Managed Care Contract and database, the only complete compilation and analysis of every managed care law and regulation in the country. She also led the development of AMA's National Health Insurer Report Card (NHIRC), the first objective look at the claims processing activities of the nation's largest health insurers. Hanson also served as vice-president and general counsel for the California Medical Association (CMA) from December 1986 through June 2007. During her time with CMA, she led the development and publication of the 4000+ page California Physicians Legal Handbook, a comprehensive health law treatise, which she published annually with her CMA Legal Center staff from 1990-2007.

About QVHS
Brad Cost
Chief Operations Officer
Brad Cost became the chief executive officer, president and owner of Infinedi, LLC in 1999. Mr. Cost is a highly knowledgeable and credible source within the healthcare and data analytics industry. Mr. Cost has an impressive work history proving his success and owns various companies including: an electronic data interchange consultant firm, an interactive software development firm, an innovative software system and many more.
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Brad Cost
Chief Operations Officer
Brad Cost became the chief executive officer, president and owner of Infinedi, LLC in 1999. Mr. Cost is a highly knowledgeable and credible source within the healthcare and data analytics industry

Mr. Cost has an impressive work history proving his success and owns various companies including: an electronic data interchange consultant firm, an interactive software development firm, an innovative software system and many more.

Mr. Cost’s primary focus is in the development of cutting edge electronic data technology as it relates to the big data analysis of medical and health data. Prior to his role at Infinedi, Mr. Cost was the senior systems engineer at Oklahoma State University, his alma mater.

Mr. Cost travels across the nation presenting about electronic data interchange and technology. He is the primary data partner for the American Chiropractic Association, many state chiropractic associations, the American Medical Association. Mr. Cost is very active in training and educating providers about big data analytics on a national level. He currently sits on the board of governors for OSU and the associate’s board for the OSU Spears School of Business.
About QVHS
David Ginsberg
Chief Compliance Officer
David Ginsberg is co-founder and President of PrivaPlan Associates, Inc. He has more than 25 years of experience in the healthcare industry. His prior experience includes serving as co-founder and Executive Director of the Colorado Physician Network, a statewide network of 2,500 physicians that provided a physician managed collaboration with a regional HMO.
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David Ginsberg
Chief Compliance Officer
David Ginsberg is co-founder and President of PrivaPlan Associates, Inc. He has more than 25 years of experience in the healthcare industry. His prior experience includes serving as co-founder and Executive Director of the Colorado Physician Network, a statewide network of 2,500 physicians that provided a physician managed collaboration with a regional HMO. Mr. Ginsberg was also Vice President of Intellectron/Medcobill, a large regional physician practice management and billing company providing services to over 1,000 physicians in California, during which time he implemented the second Medicare electronic claims transmission program of its kind and pioneered an EDI solution for Medicaid.

Mr. Ginsberg has expertise in managed care operations, IPA development, and physician-hospital strategic planning. Mr. Ginsberg has provided practice management consulting and outsourced services to hundreds of physician and allied health professional practices in his career and has a practical real time knowledge about the realities of compliance in the physician/provider sector. Additionally he has maintained an active practice in compliance audits and consulting as well as electronic medical and health records selection, readiness assessments and implementation. Mr. Ginsberg is a designated HIPAA and electronic health records consultant to the Colorado Rural Health Center and widely considered an expert in the area of electronic health records and rural health delivery.

Mr. Ginsberg is a co-chair on the WEDI-SNIP Privacy and Security Workgroup.
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IMRA
MIPS
Medicare is changing the way it pays physicians and most other healthcare professionals. Depending on their performance in 2017 on quality, resource use, clinical practice improvement activity and use of health information technology, these clinicians will receive an adjustment to their fee schedule payments in 2019 that may range from a penalty of 4% to a bonus of up to 22%. Over the next several years, this impact will increase dramatically.
PMRA
IMRA/PMRA
The IMRA tool calculates the risk any individual patient has of costing more or less than the "average" it takes to provide medical care to a patient for a year.
The PMRA tool calculates and supports accurate RAF adjustment in much the same fashion as IMRA. Physicians who are not in risk-based contracts have a different but still important financial imperative to know the risk score of the patients in their practice.
CCM
CCM
The CCM tool is comprehensive and highly responsive to the need to have a functional tool that comports with CMS guidelines and aims to reduce admissions and readmissions. The CCM tool proactively utilizes evidence-based risk indicators or factors to evaluate a patient's admission risk. At QVH we are introducing a new and innovative way to handle a high-risk problem.
ACO Portal
ACO Portal
The ACO Portal provides information physicians, Medical Directors and other members of the care team need at the point of care for optimizing treatment We use data and analytics to allow clinicians to better manage their patient population.
Learn more about Dr.Sexton
Learn more about Dr.Sexton
Learn more about Dr.Sexton
Learn more about Dr.Sexton

Thank you for contacting QVH Systems! Someone will respond to your inquiry within 24 hours.
Contact QVHS
Contact Us
1437 South Boulder Avenue, Suite 1030
Tulsa, OK. 74119-3116

Main Office: 918-858-0166
Customer Service: 844-459-7847
Fax Number: 918-249-4460