Scott Filiault

Scott Filiault Pulse8

Scott Filiault
Chief Revenue Officer, Pulse8
Member of Executive Committee of RISE
Chair of ACA Marketplace Advisory Board
 
Scott Filiault is the Chief Revenue Officer of Pulse8, a cutting-edge healthcare technology and
data analytics company focused on delivering the highest financial impact by providing an
unprecedented view into risk adjustment for health plans with Commercial, Medicare Advantage
and Long-Term Care populations. Scott leads Pulse8’s sales efforts by focusing on new business
development, and assists in the company’s business strategy and future channel opportunities.
 
Prior to joining Pulse8, Scott served as Vice President of Sales for Matrix Medical Network, the
nation’s leader in prospective assessments. He was instrumental in the company’s growth and
is recognized as one of the Industry’s leading executives.
 
In addition to his Managed care experience, he has led and developed sales and marketing
strategies for the Medical Device field and the Institutional/Hospital markets. He is also
credited with improving health plan performance and profitability through effective, stateof-
the-art care management programs, risk adjustment services, and data-driven strategies.
 
Scott has served as National Director of Sales, working with both HIX and Medicare
Advantage plans. He helped develop and deliver the marketing strategy for a predictive
modeling company and the identification and stratification of members for case and disease
management. In addition, Scott planned and implemented the Managed Care Training
Program for the New York City Managed Medicaid initiative.
 
Scott has international experience where he helped develop and market software programs that
measure cognitive function for neurological conditions such as Alzheimer's and Parkinson's
diseases, MS, and schizophrenia.

Tags: Scott Filiault, Pulse8, Board

Log on to Your Rise Account

Forgot your password?
Create an Account

Association Sponsors

Latest Posts

Keep M.E.A.T. on Your List for a Healthy Audit

By Jeanmarie Loria, Advize Health, LLC If you’re reading this article, chances are you already know what HCC Coding is – but we’ll give you a refresher anyway. Hierarchical Condition Category (HCC) and Risk Adjustment Coding is a CMS-mandated payment model. This model works to identify those with chronic and other serious illnesses and prescribes a risk factor score to each patient, taking into consideration their ailments and other demographics. With every payment model comes a specific set of audit and review requirements that must be met to maintain the integrity of the system, and this is where MEAT (Monitor, Evaluate, Assess/Address, Treat) comes in handy. In a face to face visit M.E.A.T. maybe found in the chief complaint, history of present illness, review of systems, physical exam, assessment and/or plan....
Read More

Getting It Right: True North in Healthcare Reform

The movement to repeal and replace "ObamaCare" created so much political noise that clear thinking has been hard to come by. The 2010 legislation that created the marketplace for individuals and small business (the Affordable Care Act or ACA), has almost evolved into a political Rorschach test. The more that politicized options and alternatives to repealing, replacing, or repairing it were discussed, the harder it was to put into focus the original problems the legislation was designed to address. Nevertheless, the rancorous divisions over what needs to happen to fix problems in the individual insurance market remain a distraction from the real issue at hand: the cost of healthcare weighing down the economy and what we need to do to fix it. With all the intense debates swirling around this topic, an impression emerges that “solving the ObamaCare issues” is something that must be accomplished as an isolated matter, discrete and independent of other problems. The heated debates concentrate on the mechanics and tactics required to solve the "uninsured problem", the "under-insured problem", and for some, the federal budget problems created by the subsidies for low-income enrollees in these plans. This single-issue mono-vision obscures a reality that must be addressed. This perspective completely misses the fact that something is going on that is far more corrosive to the wellbeing of all of us as consumers of health care, as taxpayers, and as a nation: something that overshadows the tug ‘o war over ObamaCare. The critical and overlooked issue is that health care expenditures in the U.S are at least twice as expensive as other nations, which consume so much of the national economy...
Read More

Upcoming Conference

 

Qualipalooza: The 2nd Annual RISE Quality Leadership Summit 

This unique event incorporates three conferences presented side-by-side: the Star Ratings Strategic Planning Forum, the HEDIS Forum, and the CAHPS, HOS & Member Survey Forum. Register for one conference for an in-depth examination of a single area, or design your own event by opting for the all-access pass and choosing the sessions from each conference which correspond exactly to your interests.

More

Upcoming Webinar

Successful and Meaningful Techniques for Integrating Risk and Quality Interventions

Quality measurement and risk adjustment regulations are increasing and the financial impact upon health plans is progressively driving accountability and influencing profitability through payments, penalties, and bonuses. To improve performance and optimize risk and quality payments, Health Plans need to streamline processes, employ best practices for data capture, and focus on strategic interventions that use a member-centric approach.  

Connect With Us

Copyright © 2014 Resource Initiative & Society for Education. All rights reserved.