W. John Semmens - Healthcare Management Consultant MDCurrent responsibility John is a healthcare management consultant in the Indianapolis office of Milliman. He joined the firm in 1996. Experience John has over 30 years of experience in various aspects of both private practice and managed care. He practiced internal medicine in Phoenix, Arizona, from 1972 to 1997. He is a founder of a primary-care-based multi-specialty group that grew to a 50-physician practice under his leadership. John was also co-founder of an HMO that was subsequently acquired by United Healthcare of Arizona, and he served as National Medical Director of disease management at United Healthcare prior to joining Milliman. John's special interests include managing both capitation and fee-for-service through efficient use of clinical resources, development of disease management programs, evidence-based guideline implementation, and physician change management. He has extensive experience in evaluating the efficiency of healthcare delivery at the hospital and physician provider level. Evaluation of healthcare delivery includes extensive experience doing clinical chart reviews to evaluate the efficiency, resource use, quality, and appropriateness of care in the inpatient and outpatient setting. At the health plan level, John has extensive experience in assessing medical management, making recommendations for change, and assisting in the implementation of those changes. John has held appointments as an assistant professor of medicine at the University of Minnesota School of Medicine and clinical instructor of medicine at the University of Arizona School of Medicine. Affiliations John is board certified by the American Board of Internal Medicine and is licensed to practice medicine in Arizona. Education BS, Montana State University MD, Northwestern University Medical School Internal Medicine Residency, University of Minnesota Affiliated Hospitals Nephrology Fellowship, University of Minnesota Affiliated Hospitals. |