Douglas S. Arnold, MBA, is the Executive Director of Medical Professional Services, Inc. Mr. Arnold is also the President of the Medical Professional Services Foundation, Inc.
Mr. Arnold received a BA in Liberal Arts from the University of Illinois and an MBA from the Wharton School of the University of Pennsylvania, where he concentrated in Health Care Systems Management. Mr. Arnold was recently re-elected to the Board of Directors of the Wharton Health Care Management Alumni Association.
Mr. Arnold has over 20 years experience in healthcare management and consulting. The focus of much of his career has been the organization, development and management of large networks of physicians and hospitals and their relationships with managed care organizations.
During that time Mr. Arnold served as the CEO of a number of IPAs, PHOs, and physician networks. He also manages his own healthcare consulting company where his clients include IPAs, PHOs, physician networks, physician group practices, physician practice management companies (PPMCs), and managed care organizations and healthplans in the Northeast and Midwest.
Prior to joining MPS, Mr. Arnold was the CEO of a 700-physician IPA in northeast Indiana and its joint venture PHO with a six-hospital system. He was a consultant to the largest single-specialty PPMC on the East Coast and to a major New England PHO.
From 1993 to 1998 Mr. Arnold was the CEO of the ConnectiCare Physicians Network (CPN), a network of 2,000 physicians in Connecticut that had full-risk managed care contracts for over 120,000 persons and whose risk-based revenues exceeded $125 million per year.
Previously, Mr. Arnold was a VP with a healthcare consulting firm that focused on physician-hospital integration and managed care strategies. He also has additional experience as the CEO of a large IPA in Illinois for five years, as well as various hospital management positions, such as CFO.
Over the course of his career, Mr. Arnold has negotiated dozens of managed care contracts with many local and national managed care organizations (HMOs, PPOs) and self-funded employers. He has negotiated both risk and non-risk based contracts for global (physician/hospital/ancillary) services and for physician services and hospital services. He has extensive experience negotiating capitation rates, fee schedules for physician and hospital services, and other reimbursement arrangements, both for primary care physicians and specialists, as well as for hospital and ancillary services. He has negotiated a number of “carve-out” arrangements for specific services, i.e. mental health and laboratory services.
Mr. Arnold was recently elected to serve as a member of the Board of Directors of eHealthConnecticut, the state-wide health information exchange.