Colleagues and Associates

Richard Nicholas

A seasoned industry veteran having four decades of executive experience in the self-funded, managed care and outsourcing sectors, Richard has been known to beat royal flushes with two jacks. He has owned and held leadership positions with national TPAs, BPOs and MCOs; represented 200+ TPAs at hearings before the U.S. Congress and been trusted (with his long-time colleague, Nick Cole) to facilitate more TPA mergers and acquisitions than anyone.  Mr. Nicholas served on the ASTM International committee than created the new barrier face covering standard. An innovator, author and newly-minted “social entrepreneur”, Richard created the Research Consortium to undertake vital payor-focused translational research on emerging medical technologies and health innovations and to facilitate smarter and less costly medical research.  Richard has a BA with distinction from Boston College and an MBA from Duke University’s Graduate School of Business.

Gary Case, JD

Gary Case has been serving labor union and multi-employers health and welfare funds since 1972 when he began his law career which was focused on labor law and the emerging body of laws regulations known as ERISA.  In 1978, Gary joined Associated Administrators, Inc. as General Counsel and later become its President and CEO.  AAI, founded in 1961, was one of the nation’s first and largest administrators of union plans; it later became an operating unit of Blue Cross Blue Shield under Mr. Case’s leadership.  Gary went on to found a boutique consultancy that focused on Taft Hartley benefit plans.  He remains an active member of the International Foundation of Employee Benefit Plans, Society of Benefit Plan Administrators and other regional professional groups.  Gary resides in Bend, Oregon.

Michael Shine

Michael Shine has been at the forefront of commercial health plan management for more than five decades.  Beginning his career at the Continental Assurance Company of North America (CNA) he ultimately assumed responsibility for the more than 1,000 employees who administered the medical plan for the 500,000 members of the National Postal Mail Handlers Union (at the time, one of the largest health benefits programs in the country).  Mike was the Sr. Vice President of Operations for Alta Health Strategies (the nation’s largest and most advanced TPA at the time); Chief Operating Officer of Benefit Concepts, Inc. and CBSA PERFORMAX; President of INDECS, Inc.; and Chief Executive Officer of cost management innovator Premier Healthcare Exchange (PHX).  Mike has remained active within the TPA, payor and provider communities as a seasoned advisor, trusted industry consultant and highly-regarded executive liaison. 

 

Paul Kyrychenko, Ph. D

Paul Kyrychenko, Ph. D is an expert in health economics outcomes research (HEOR) and pharmaceutical, clinical outcome and epidemiological research, having more than 20 years of hands-on experience in research design, risk stratification tools, modeling and statistical analysis utilizing complex healthcare data from diverse sources (e.g., medical and Rx claims, EMR, disease registries).  During his career Paul has served as an executive scientific advisor to a $150 billion integrated pharmacy provider where he led collaborations with pharmaceutical manufacturers to ensure consistency of drug utilization, adherence and compliance and provide ROI, cost-effectiveness and clinical outcomes insights re: product specific programs.  He has developed and validated microsimulation and economic models that replicate the impact of pharmacogenomic testing on provider prescribing patterns; and simulate the impact of integration of EMR data on acceleration of the prior authorization and healthcare risk even identification process.  Paul has considerable experience working with health plans, large employers and government payors.  An author and contributor to many peer-reviewed journals, he hold several degrees (including three doctoral degrees) from the Weill Medical College of Cornell University; the SAS Institute; the University of Alabama at Birmingham, School of Public Health; and the Institute of Epidemiology and Infectious Diseases, Ukraine Academy of Medical Science. 

  

Barbara Krasner

Barbara Krasner has two decades of experience helping organizations across the U. S., in Europe and Africa create and successfully fund programs in healthcare, pharmacogenomics, software development, education, etc.  A former academic professor, Barbara has served as a consultant to, and officer of, private and public organizations for which she has raised $20+ million.  She is skilled at creating high-level collaborations between non-profit organizations, government entities, for-profit companies and funding institutions and has worked successfully in this regard with the Cleveland Clinic Foundation, the Robert Wood Johnson Foundation, the Army National Guard and the American National Red Cross (where she restructured and managed its long term grants program).  Barbara holds an undergraduate degree from Johns Hopkins University and a MA and Ph.D. from the University of North Carolina.