Ali Khan
Ali Khan, MD, MPP, FACP is a practicing general internist and Chief Medical Officer, Value Based Care Strategy at Oak Street Health, a value-based healthcare company focused on the delivery of transformative primary care to vulnerable Medicare and Medicare-Medicaid enrollees in 202 centers in 25 states across the United States. As Chief Medical Officer, Ali leads efforts in managed care strategy, medical management, clinical design, workforce development and public policy. Ali joined Oak Street Health in 2019 as Executive Medical Director of the eight-state, 60+-center Heartland Division and continues to practice general internal medicine on Chicago's West Side.
Prior to Oak Street, he served as CareMore Health's Clinical Design Officer and in leadership roles at Iora Health.
Ali serves on the faculty of the Yale School of Medicine and Northwestern's Kellogg School of Management, on the Harvard Kennedy School Healthcare Policy Leadership Council and as a Director on the American Board of Internal Medicine’s Internal Medicine Specialty Board, the American Board of Internal Medicine Foundation and America's Physician Groups. Ali was recognized as one of Modern Healthcare’s Top 25 Emerging Leaders in 2021, Crain's Chicago Business' 40 Under 40 in 2022 and Crain’s Chicago Business’ Notable Executives of Color in Health Care in 2022. He is a fellow of the California Health Care Foundation and Leadership Greater Chicago.
Ali completed his residency at Yale-New Haven Hospital. He is a graduate of the Harvard Kennedy School and VCU’s Medical College of Virginia, earning joint M.D. and M.P.P. degrees as a Harvard Public Service Fellow, and VCU’s B.S./M.D. Guaranteed Admissions Program in Medicine. He is an alumnus of the California Health Care Foundation Leadership Fellowship at the University of California, San Francisco.
A native of Fairfax County, Virginia, Ali lives in Chicago with his wife Asima Ahmad, a reproductive endocrinologist and global health entrepreneur, and their four children. Together, they seek out adventure wherever it may be.
Managing Health Care Services in a Value Based Setting (HCAKX-951-0)
Healthcare services have long existed in a fee-for-service world where providers could maximize profits through the provision of a great quantity of services. Existing institutions blunted incentives to provide high quality care or care that resulted in a downstream reduction in the use of healthcare services. This world is changing - with many providers and payers moving towards a value-based regime where firms can earn profits when patients receive higher quality care thereby reducing downstream utilization, often of acute, specialty, and post-acute care. In response to this new reality there is a growing number of new entrants attempting to manage the care of enrollees in both public and private health insurance plans in a variety of value-based payment models. Additionally, many incumbent firms are modifying their strategies for this new paradigm. Success in a value-based world requires firms to develop and/or acquire new assets and implement new operating models. This course is a study of the systems necessary to succeed in this new world with a focus on the finance, strategy, marketing, and economics of care delivery in a value-based model. Our objective is to understand how the healthcare system is organized (or not) and managed (or not) so that we can create and capture value through the delivery of care. A large focus of the course will be about how smaller players and new entrants engage with the large and powerful incumbents that are central to the existing system.
Managing Health Care Services in a Value Based Setting (HCAK-951-5)
Healthcare services have long existed in a fee-for-service world where providers could maximize profits through the provision of a great quantity of services. Existing institutions blunted incentives to provide high quality care or care that resulted in a downstream reduction in the use of healthcare services. This world is changing - with many providers and payers moving towards a value-based regime where firms can earn profits when patients receive higher quality care thereby reducing downstream utilization, often of acute, specialty, and post-acute care. In response to this new reality there is a growing number of new entrants attempting to manage the care of enrollees in both public and private health insurance plans in a variety of value-based payment models. Additionally, many incumbent firms are modifying their strategies for this new paradigm. Success in a value-based world requires firms to develop and/or acquire new assets and implement new operating models. This course is a study of the systems necessary to succeed in this new world with a focus on the finance, strategy, marketing, and economics of care delivery in a value-based model. Our objective is to understand how the healthcare system is organized (or not) and managed (or not) so that we can create and capture value through the delivery of care. A large focus of the course will be about how smaller players and new entrants engage with the large and powerful incumbents that are central to the existing system.
