Thomas Duncan attended Florida A & M University, School of Business, graduating Magna Cum Laude with an MBA. He began his healthcare career at a small community based hospital in Detroit, Michigan. Using analytics and metrics he built a stellar interdisciplinary team which created two profit centers for the hospital; a multi-specialty clinic serving over 10,000 patients and a 68 bed mental health unit. The mental health unit became licensed and JACHO certified within 9 months serving almost exclusively uninsured patients. Building on his success in team building serving the uninsured he then developed a company to serve the underinsured. Through analysis of patient utilization patterns with and without care management and personal coaching, Thomas developed an initial approach to changing patient health behaviors utilizing partnerships with their providers. His next entrepreneurial venture was Care Compensation Specialists which specialized in Medicaid, TANF, ABAD, and SSI enrollment. This venture was immediately successful and resulted in a sale to Accretive Health. He managed Medicaid revenue of just under $1B for over 45 hospital reimbursements previously uncovered.
Thomas M. Duncan is convinced that Medicaid based Managed Care Organizations not only have the opportunity but the responsibility to substantively improve the health outcomes of each of its members. Through years of experience Duncan has developed a model for managed care organizations to drive results by changing health behaviors using analytics, metrics and community based, personal outreach. In 2011, Mr. Duncan developed Trusted Health Plan.
Trusted Health Plan from its inception has been infused with the idea that we can only make a difference if we are located where our enrollees live, interacting and increasing awareness about the benefits of prevention and health lifestyles. To that end, all Trusted’s programs are modeled after an enrollee-centered care concept that focuses on interactions with the enrollees in an effort to change behavior. Trusted Health Plan began serving approximately 30,000 members in Washington, DC on July 1st, 2013.
Chief Information Officer
As the Chief Information Officer for Trusted Health Plan, Douglas Redd is responsible for the technological direction and data management of the organization. He oversees the information systems and communication infrastructure. In addition, Redd is responsible for all aspects of medical and regulatory reporting, and HIPAA IT security compliance. Prior to joining Trusted, he served as Director of Healthcare Informatics for a Medicaid health plan in the District, where he managed the company’s data analysis, strategic planning, cost containment and profiling management career. Earlier in his career, Redd managed the Claims Department at CareFirst Blue Cross Blue Shield.
Chief Financial Officer
As the Chief Financial Officer of Trusted Health Plan, Cleveland Slade is responsible for managing all fiscal affairs. His Corporate responsibilities also include Finance Operations, Corporate Development and Transaction Services, Strategic Planning and Financial Analysis and Decision Support Services. Prior to joining to Trusted, Slade was the CEO of KeyMIC, Inc. where he provided financial consulting to a variety of major healthcare companies focusing on cost control, planning, organizational leadership, budgeting, cash flow optimization, auditing and SEC reporting.
Dr. Margaretia Jackson
Chief Medical Officer & Chief Quality Officer
As Chief Medical Officer and Chief Quality Officer of Trusted Health Plan, Dr. Margaretia Jackson is responsible for all components of Medical Management operations. She is experienced in both commercial and conventional Medicaid, as well as Special Needs Medicaid for pediatric and adult patients. Dr. Jackson is the former Chief Medical Officer and Vice President of Medical Affairs for the DC Healthcare for Special Needs comprehensive programs. In this capacity, she was responsible for developing programs and initiatives for children with special needs and their families.
As General Counsel to Trusted Health Plan, Chikadibie Duru’s primary role is to keep the company compliant with federal, state, and local statutes and regulations applicable to Health Maintenance Organizations. He manages the company’s adversarial proceedings, negotiates and drafts the company’s contracts with its various business associates and oversees all operational legal matters. Before joining Trusted Health Plan, Duru worked as an Attorney Advisor to the U.S. Department of Health and Human Services and served as a litigator for a global law firm.
Director of Development and Outreach
As Director of Development and Outreach for Trusted Health Plan, Robin Barclay provides visionary leadership to the executive team to assure continued growth in the managed care arena. She is also responsible for developing and implementing innovative programming to enhance the health care outcomes for Trusted members. Barclay continues to create paths to strengthen Trusted’s market position in the District. Barclay brings nearly thirty years of executive Medicaid managed care experience to Trusted Health Plan.
Vice President of Provider Services
As the Vice President of Provider Services for Trusted Health Plan, Kenny Greene has the primary responsibility of overseeing all provider related activities, which includes the provision of a robust provider network. He also monitors and manages relationships with practitioners, healthcare executives, support vendors and regulators. Greene has thirty years of experience as a national and international healthcare administrator, which includes twenty years of work directly with Washington D.C. Managed Medicaid.
Dr. Jose Diaz-Luna
Director of Pharmacy
As Director of Pharmacy for Trusted Health Plan, Dr. Jose Diaz-Luna coordinates all pharmacy related functions including oversight of Trusted pharmacy benefit manager, Meridian Rx. Dr. Diaz-Luna is a proud veteran of the U.S. Army Medical Corps. He has over twenty years of clinical and management experience and is a member of the American Association of Consultant Pharmacists.
Senior Director of Quality and Accreditation
As Senior Director of Quality and Accreditation for Trusted Health Plan, Patricia Miles provides executive leadership for all quality functions, and oversees Trusted’s compliance with state and federal requirements related to clinical quality. She serves as the organizational and resource coordinator for NCQA, HEDIS, and External Quality Review (EQR), and collaborates with Trusted’s Compliance Officer and Legal Counsel to perform internal monitoring activities. Miles also facilitates Trusted’s quarterly Quality Executive Committee meeting. Miles has over twenty years of healthcare experience, specifically within the Medicaid and Medicare markets.
Director of Utilization Management
As Director of Utilization Management for Trusted Health Plan, Ernestine Johnson is responsible for the day to day management of both utilization review and case management. This involves oversight of both in-patient and out-patient authorizations as well as case management and care coordination of services needed before and after service utilization. Johnson has held leadership positions in acute and long-term care for more than twenty years.
Director of Operations
As the Director of Operations for Trusted Health Plan, Felicia Sears is responsible for directing the operations for all non-clinical departments. Her primary role is managing enrollment services, member services and the claims department. Ms. Sears has over twenty-five years of health care administrative experience.
Senior Director of Clinical Programs
As the Senior Director of Clinical Programs for Trusted Health Plan, Judith Hinton is responsible for developing and managing the clinical programs under Medical Management. She also oversees the utilization and case management programs. Hinton has an extensive background in health care management and data management and analysis.
As the Chief Compliance Officer for Trusted Health Plan, George Aloth oversees the Corporate Compliance Program, which functions as an independent and objective body that reviews and evaluates compliance issues and concerns within the organization. Mr. Aloth’s objective is to ensure that Trusted’s Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies; that company policies and procedures are being followed, and that behavior in the organization meets the company’s Standards of Conduct. Prior to joining Trusted, Mr. Aloth led compliance audits of Medicare plans for CMS.