Lili Brillstein, MPH, CEO

Lili Brillstein is a healthcare pioneer with payer-provider expertise and a global reputation for advancing value-based models of care that meet all four pillars of the Quadruple Aim. The strategic force behind one of the largest and most progressive Episodes of Care models in the US, Lili has a proven ability to build programs that advance patient care, lower costs and improve outcomes. She’s a collaborative and imaginative leader, with an expansive network of relationships across the healthcare industry, who’s able to navigate complex and conflicting business priorities while fostering collaborative relationships among former adversaries. 

As the Founder and CEO of BCollaborative, Lili provides advisory services to a diverse and growing number of healthcare organizations.

Lili began her career in public health, with early roles as an HIV-AIDS Advocate and Administrator for the North Shore-Long Island Jewish Health System (now Northwell Health) in New York, and as a board member of the AIDS Center of Queens County. She went on to roles at Emblem Health and United Healthcare, where she oversaw facility, ancillary and disease management contracts and partnerships, and managed a national Medicare Advantage program that reduced unnecessary hospital readmissions. 

Later, as Director of Specialty Care Value-Based Models at Horizon Blue Cross Blue Shield of New Jersey, Lili championed a progressive Episodes of Care initiative that became one of the largest and most collaborative programs of its kind in the US. The initiative, which grew under her leadership from a pilot for hip and knee replacements to include more than 26 procedural, acute and chronic conditions, showed a definitive improvement in patient outcomes and satisfaction while saving more than $50M a year in unnecessary medical expenses. It has been heralded for its innovative and collaborative spirit, and for being the first to create pilots that include such innovations as yoga instruction for patients with low back pain and behavioral health therapies for patients with inflammatory bowel disease and substance use disorder. Lili’s work for Horizon laid the foundation for innovative models studied and implemented around the country today. 

Lili is a guest lecturer on Episodes of Care/Bundled Payments at the Harvard Business School and the Rutgers School of Pharmacy. She has served as an Advisor to the Centers for Medicare & Medicaid Services (CMS) on bundled payments and is on the Advisory Boards of the US Women’s Health Alliance and the Quality Cancer Care Alliance, national coalitions focused on advancing value-based care. She is also  a member of the Board of Directors for the NJ Coalition to End Domestic Violence. 

Lili has a Master of Public Health and a Bachelor of Science in Business Administration.

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Amita Rastogi, MD, MHA, MS, FACHE

Amita Rastogi is an experienced medical professional with emphasis on creating new solutions for Payment Reform, Value Based Care, Care Redesign and Process Re-engineering. She has a passion for “clinical performance improvement” and administrative excellence amongst providers.

Until recently, she served as VP and Medical Director Commercial Lines, Signify Health. In this capacity she was the subject matter expert in implementing value-based programs across the healthcare spectrum.  She accomplished this through 1) innovative payment programs centered around episodes of care that had built-in incentives for providers to remove the waste within their practices, 2) Developing meaningful provider performance reports to bring in transparency and actionability to help providers identify areas to target, 3) Developing real-time decision support tools and care redesign clinical levers to help providers identify areas of opportunity at the point of care.

Underlying all these efforts is a strong focus on provider quality and patient safety that forms the foundation of many of these efforts. Dr. Rastogi is adept in the use of statistical models and risk-adjustment methodologies and has extensive experience in the use of episodes-of-care for cost and unwarranted variation analysis, and using evidence-based-medicine guidelines for quality evaluations.

Prior to joining Signify Health, Dr. Rastogi was chief medical officer at HCI 3 where she was actively engaged in redesigning the New York State Medicaid DSRIP program and incorporating cutting-edge thought leadership for healthcare payment and delivery reform. Before that, Dr. Rastogi served as senior director of the Physician Performance and Quality Programs at Ingenix (now Optum).

Dr. Rastogi is a Mayo-trained cardiac surgeon, certified in heart and lung transplantation, and has over 30 years of experience in the clinical arena as well as in health services research. She received her Masters degree in Health Administration from the Martin School of Public Policy and Administration at the University of Kentucky and her Masters in Health Studies (Biostatistics & Epidemiology) from the University of Chicago.

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Jim Humphrey, MHA – Senior Consultant

Jim Humphrey is a seasoned healthcare executive with deep experience in the healthcare industry. Highly skilled in designing and developing value-based care programs, Jim brings provider and payor contracting and operation experience to client collaboration efforts. His extensive knowledge of the healthcare marketplace and innovative approaches to improving health care, allows client partners to accelerate the achievement of positive and sustainable change.

Prior to partnering with BCollaborative, Jim led the development of value based programs at Cigna across $1 billion in specialty spend. He developed and implemented the first and largest national payor episode of care program in the country covering thirteen episode types across six different specialties. In addition, he directed the development of the first oncology medical home program in alignment with CMS’s Oncology Care Model,
successfully connecting the program with fourteen of the largest oncology practices in the country. Jim also spearheaded the completion of the first national ESRD incentive program with DaVita and Fresenius, achieving significant savings within the first year. He also steered efforts across internal and external partners in building a prospective risk program for orthopedic bundles in alignment to employer-customer incentives to drive affordability, predictability and simplicity.

Jim has held various contracting and healthcare operation positions across provider and payor organizations in Tennessee, Colorado and California. His roles included Vice President, Network Operations for Healthspring; Director Corporate Contracting for Principal Financial Group; Director of Contracting for Cigna; PHO Operations Director, Banner Health Colorado; Associate Administrator, San Dimas Community Hospital, Tenet Healthcare; Director of Managed Care, Corona Regional Medical Center; PCP Clinic Administrator/Plan Manager, FHP Healthcare, Southern California.

Jim has a Master of Health Administration degree from Washington University in St. Louis and a Bachelor of Health Science degree in health service management from the University of Missouri/Columbia. He is also military veteran of the United States Army and currently resides in Franklin, TN with his wife Loraine.

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