Carole Taylor serves as the Vice President of Managed Care and Population Health at Regional Health, where she plays a pivotal role in shaping the managed care landscape across a diverse healthcare system that encompasses five hospitals, home health services, hospice care, durable medical equipment...
Carole Taylor serves as the Vice President of Managed Care and Population Health at Regional Health, where she plays a pivotal role in shaping the managed care landscape across a diverse healthcare system that encompasses five hospitals, home health services, hospice care, durable medical equipment (DME), and a network of 240 healthcare professionals. With a robust background in developing and leading managed care strategies, Carole has successfully spearheaded initiatives that align with MACRA guidelines, focusing on value-based reimbursement and contracting. Her expertise in population health management and integrated delivery networks has been instrumental in driving practice transformation capabilities that enhance patient outcomes and operational efficiency.
In her current role, Carole is responsible for cultivating and managing strategic relationships with payors and local employers, ensuring that contract performance meets the evolving demands of the healthcare market. She oversees various value-based initiatives aimed at improving payor reimbursement, which is critical in today’s shifting healthcare environment. By developing a comprehensive managed care department, she has positioned Regional Health to effectively navigate the complexities of healthcare management, while also enhancing revenue cycle processes and medical billing practices.
Carole’s skills in network development, contract negotiation, and healthcare informatics enable her to lead with a data-driven approach, ensuring that clinical and financial objectives are met. Her commitment to fostering collaboration among physicians and healthcare providers not only strengthens the organization’s network but also promotes a culture of continuous improvement in patient care delivery. Through her leadership, Carole Taylor exemplifies the integration of managed care principles with population health strategies, ultimately driving the success of Regional Health in a competitive healthcare landscape.
