2023 Hospital @ Home Leadership Summit Speaker Bio
David Brumley, MD, MBA, Senior Vice President and Chief Medical Officer, Fallon Health
David Brumley, M.D., MBA is Fallon Health’s Senior Vice President and Chief Medical Officer. In his role as CMO Dr. Brumley is responsible for ensuring quality and cost-effectiveness of health care services to Fallon members, overseeing all activities and operations within Fallon’s Care Services department, and fostering strong relationships with Fallon’s provider partners.
Dr. Brumley has been with Fallon Health since early 2017. Prior to that, Dr. Brumley was the Senior Medical Director for health plans including Tufts Health Plan and Blue Cross Blue Shield of Rhode Island, and Medical Director of Health Management at Blue Cross Blue Shield of Massachusetts.
He earned his Doctor of Medicine degree from the St. Louis University School of Medicine following the successful completion of his Bachelor of Arts degree from the University of Missouri-Columbia. Dr. Brumley completed his residency in Family Medicine also from the University of Missouri-Columbia as well as a Master’s degree in Business Administration from New Hampshire College. He is an Instructor in the Department of Family Medicine and Community Health at the UMass Chan Medical School.
He is board certified by the American Board of Family Medicine and holds a medical license in Massachusetts.
Session(s)
Panel: Tuesday, June 6, 2023 - 2:30pm – 3:15 pm
The Payer’s Perspective: A Broader Definition of Value (PANEL) : While healthcare challenges in the first wave of COVID-19 sparked interest, the value proposition of in-home hospitalization alternatives is fueling the model's momentum as we move out of the public health emergency. Although, early in the pandemic, large academic medical centers and health systems adopted the shift through the government's Acute Hospital Care at Home waiver, payers are increasingly leaning into strategies that include high acuity healthcare in the home. However, to create sustainable reimbursement mechanisms, we first need a better definition of the value provided by this model of care. This panel presentation will explore the considerations from the perspective of a payer including how to clinical comfortability (quality and safety), member experience of care, and figuring out mundane logistics like billing procedures.