Michael C. McMillan
Michael C. McMillan
mcmillion

Executive Director, Market and Network Services for the Cleveland Clinic

The Wennberg Variations: Tapping the Opportunity through Direct-to-Employer and Bundled Payment Approaches



Brief description:

Healthcare quality is inconsistent and costs are unsustainable.  Healthcare reform has presented a solution, with its triple-aim of improving cost, quality and access.  However, PPACA also presents challenges.  This discussion will focus on Cleveland Clinic's innovative relationship with Lowe's Home Improvement.  Specifically, it will present:

  • How the relationship came to be and how Lowe's recognized Cleveland Clinic's value proposition for heart care;
  • How Lowe's implemented benefit design changes to incent employees in need of heart care to travel to Cleveland Clinic;
  • How Cleveland Clinic bundled the cost of the service, and why bundled payment supports an accountable healthcare delivery model; and
  • Some early lessons learned for both Lowe's and Cleveland Clinic.
Michael McMillan is the Executive Director of Market and Network Services for the Cleveland Clinic, a 5 billion dollar healthcare system with operations in Ohio, Florida, Nevada, and around the globe.  He is accountable for all aspects of the business relationship with health plans and employers, including managed care business development, network management, contracting and direct sales for the Cleveland Clinic’s world class products and services.  Mr. McMillan is also the President of the Cleveland Clinic Community Physician Partnership, which is a network of independent community based physicians. 

In addition to his extensive experience in Managed Care, Mr. McMillan has held senior marketing and strategic planning positions with organizations across the country. 

Mr. McMillan serves on the Board of The Diversity Center of Northeast Ohio.  He is also a member of Leadership Cleveland.

In 2007, he was on the cover of Managed Healthcare Executive magazine; an article entitled “Face Value”.  In this article Michael shares his focuses on outcomes and value to improve quality and expand national access. 

Mr. McMillan earned his undergraduate and graduate degrees from Columbia University in New York.