Carol McCall

Carol McCall
Chief Strategy Officer, GNS Healthcare

Website | @CarolMcCall

Carol McCall is a health actuary with a background in innovation, predictive analytics and health services design. Her specialties are creating novel computational approaches that leverage ‘big data’ in healthcare, and designing services and business models that expand the traditional notions of health, care, community and sustainability.

Carol is the Chief Strategy Officer for GNS Healthcare, a Big Data Analytics company whose industrialized knowledge discovery platform extracts cause-effect relationships directly and at scale from observational data. Her personal goal is to leverage these capabilities to redesign the entire notion of ‘evidence’ and ignite a true learning system in the healthcare system.

Prior to joining GNS Healthcare, Carol was Chief Innovation Officer for Tenzing Health, a subsidiary of Vanguard Health Systems, where she merged creative analytic approaches with human-centered design. Building team-based care models whose approach extended into the community, these approaches were shown to materially improve health, dramatically reduce costs and open new opportunities in a community’s economic sustainability.

At Humana, Carol led their R&D efforts in their Innovation Center where she pioneered using sophisticated analytics to build a diverse portfolio of prediction, knowledge discovery and simulation models. She also launched Humana’s innovations in personalized medicine, led Humana’s Health Services Research Center (HSRC), and helped launch Green Ribbon Health, LLC, a Florida-based company with innovations in health support services for seniors, later serving on its Board of Directors. In other roles at Humana, Carol served as their Chief Information Officer and as VP, Pharmacy Management.

Outside of Humana, she served as EVP of Managed Care Business Development for Allscripts Healthcare Solutions and as an actuarial consultant for Milliman, where she helped fashion novel risk-sharing arrangements and implement risk adjustment methodologies.

In policy and advisory roles, Carol served a four-year term as member of the nation’s National Committee on Vital and Health Statistics, served as an advisor to the HRP Scientific Program Board, and was a member of the HSRC’s governing board. She currently sits on the advisory board of Keas, a consumer health company.

Carol is a fellow of the Society of Actuaries and a member of the American Academy of Actuaries.

Sessions

Keynote
Location: Grand Ballroom B
Carol McCall (GNS Healthcare)
Average rating: ****.
(4.00, 8 ratings)
To address the issues we face in healthcare we must be able to be wrong. We must quell our (false) certainties and, rather than “look for what we’re looking for”, allow ourselves to be surprised. How can we prepare to be surprised? Read more.

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