Kevin Mowll

Kevin Mowll

Executive Director of RISE

Chair of the Executive Committee of the Board

Chair of the RISE Association Advisory Board 

Kevin is responsible for building up the RISE association, creating a better value for our members, enhancing member education and content, as well as expanding and enhancing our conference offerings.

Prior to joining RISE, Kevin was Vice President for Senior Products with the Tufts Health Plan in Boston, responsible for sales, marketing, product development, business performance and strategic planning for the senior products business unit. Kevin has a diverse background and an expertise in Medicare health plans. His expertise focuses on:

  • Consumer-driven product design and value segmentation
  • Growth-oriented product development and implementation
  • Market-based sales team development and execution
  • Strategic and business planning
  • Financial performance management and business plan execution
  • Optimization of sales channel distribution models

Kevin was previously Vice President for Senior Products with the Tufts Health Plan in Boston. He was responsible for sales, marketing, product development, business performance and strategic planning for the strategic business unit. Kevin has a diverse background and an expertise in Medicare health plans.

Earlier, Kevin was the Vice President, Medicare Products, for Capital District Physicians’ Health Plan in Albany, New York, when the Medicare Advantage membership grew from 12,000 to 30,000, including both individual and group retiree business.

Originally, from Southern California, Kevin worked for PacifiCare Health Systems and CIGNA Healthplans. At PacifiCare (which was acquired in 2005 by United Healthcare) Kevin led the development and launch of multiple products and conducted service area expansions for health plans, led a multi-functional franchise team for start-up Medicare health plans, and ran provider network management.

A speaker at national conferences on Medicare Advantage business themes, Kevin has also chaired several events. He founded a professional social networking group on LinkedIn called Medicare Advantage Healthplan Colleagues, focused on educating and sharing best practices by developing a virtual community with shared interests and concerns. The group attracted over 11,000 members from across the country.

Kevin is married and has three adult children, and now lives in Santa Cruz, California.

Tags: Kevin Mowll, RISE, Board

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Unraveled: Prescriptions to Repair a Broken Health Care System

A book review by Kevin Mowll, Executive Director, The RISE Association Drs. Willam Weeks and James Weinstein authored a book whose stories come straight from the office practice histories of two seasoned and concerned physicians. The anecdotes serve to make concrete the doctors’ illustrations of what is currently wrong with the U.S. healthcare system. These stories anchor the analysis and recommendations in human and empathetic terms, making it clear what gets lost in “wonkish” policy debates, and instead, bring it down to real people: patients, families, doctors, and caregivers. In this story-telling mode, nothing is lost in the acute description of the malfunctioning system, outdated incentives, perverse outcomes, and holistic view of what needs to be done to put things back on track. The insights captured in this book were acquired at a high personal cost. In some cases, the painful experiences were borne by the authors themselves. Yet their eyes remained focused on arriving at powerful diagnoses of the systemic ...
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The Whole is Greater Than the Sum of its Parts

By April Gill, Vice President of Analytic Solutions, Welltok When it comes to risk adjustment and quality, we have long known there is valuable information sitting in silos across the healthcare ecosystem – within EMRs, in various point solution databases such as care management or disease management service providers and even inside the often disconnected departments of America’s health plans. The ever-present challenge is to bring it all together in a meaningful way. And now, with the continual shifts in the political and regulatory environment including the move from fee-for-service to value-based care and incentivized or bundled payment models, it is more important than ever to solve for this and invest in a comprehensive and integrated approach. Let’s explore how 5 key disciplines – when strategically merged together – can help your organization learn and improve over time and, ultimately, drive enhanced long-term success....
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