Tessellate works with health plans and physicians to improve revenue integrity and quality of care. Our provider-centric, non-abrasive solutions are designed to be implemented quickly, delivering maximum value whether you’re new to Medicare Advantage or simply looking to improve an existing program.
Improved risk adjustment accuracy and Star ratings are achieved through the in-person delivery of CDI Alerts, in-depth medical record reviews, and an emphasis on provider education.
Our integrated approach promotes accurate reimbursements and reduces RADV audit risks while enhancing experiences for both patients and providers.
Using advanced analytics, comprehensive reporting and more, meaningful strategies are developed and executed to maintain or improve HEDIS scores and Star ratings.
Tessellate President Jamie Wells ensures the delivery of market-leading solutions and exceptional client service, as well as strategically executing proven risk adjustment, quality and provider engagement programs.
Leveraging his years of experience in the healthcare industry, Jamie played an integral role in the creation of Tessellate and its sister company Visiant.
"We are operating in an exciting marketplace,” he said. “We’ll continue to execute our growth strategy to position ourselves as strong competitors in the Medicare Advantage, Medicaid and Commercial ACA markets," he said.
In his previous role as president of Data Driven Delivery Systems, Jamie was responsible for leveraging strategic opportunities to drive revenue growth. He also served as president of Verisk Health's revenue and quality intelligence division. While there, Jamie improved operational efficiency, helped achieve an annual revenue growth of more than 50 percent, and contributed to a customer retention rate of 98 percent.
He also served as president of Verisk Health's revenue and quality intelligence division. While there, he improved operational efficiency, helped achieve an annual revenue growth of more than 50 percent, and contributed to a customer retention rate of 98 percent.
Gerri Cash serves as Tessellate's vice president of quality programs, overseeing quality strategy, operations, and performance management; operational communications; and process engineering. She's a founding member of the Tessellate team and an integral part of the executive core team.
Before the creation of Tessellate, Gerri showcased effective leadership in multiple roles during her 18-year tenure at Blue Cross Blue Shield of Michigan, including director roles for the Stars program, project and portfolio management, project implementation, and various leadership roles in IT and customer service. Gerri's leadership in the Stars program resulted in continued 4-star performance for BCBSM. In 2015, Gerri received the peer-nominated Leader of the Year award through the National Management Association.
Gerri's many accomplishments through her various roles at BCBSM contributed to the founding of Tessellate, including the implementation and execution of key programs with partner plans throughout the nation. These flagship partnerships, and the significant improvement in risk adjustment and quality performance, were instrumental in developing Tessellate and positioning it for growth.
One of the biggest contributors to Gerri's success is the passion she has for her team members. Not only does she bring out the best in her colleagues, but she also invests in their development.
"Tessellate's most valuable asset is its people," she said. "We've faced change and found success. That wouldn't be possible without such hard working and dedicated employees."
The only thing that equals Gerri's love for her team is her passion and support for the safe treatment and rescue of dogs. She's a longtime supporter of Midwest Boston Terrier Rescue and has two adopted Boston Terriers, Thor and Nola. Whether it's the protection of animals or the development of her employees, Gerri's passion breeds success in everything she touches.
Gerri earned a bachelor's degree in public communications and marketing, as well as a master's degree in business administration from Central Michigan University.
Eric Cormier's role as senior vice president, chief operating officer goes beyond ensuring the company's operational excellence and seamlessly delivering risk adjustment products and services. He fulfills promises.
Medicare programs are Eric's prime focus. Before joining Tessellate, he managed risk adjustment operations as the chief operating officer for Data Driven Delivery Systems. While there, Eric was instrumental in developing the Provider Engagement Coordination Program, and leading all client implementations as the company grew from 25,000 members to more than 300,000 in less than three years.
Eric previously served as a regional general manager for Aetna's Medicare and individual businesses, in addition to holding various finance positions. He was responsible for all aspects of Medicare Risk Adjustment Revenue.
Eric is extremely dedicated to his community. In addition to volunteering for a number of organizations, he served as the PGA Tour Tournament co-chair for the Canon Greater Hartford Open; treasurer of the Homeward Bound Foundation, which supports people living with complex disabilities; treasurer of the U.S. Junior Chamber of Commerce and president of the Greater Hartford chapter.
"I've taken great pride in helping my community ever since I was a Boy Scout," Eric said. "That ties into why I love my job so much. We're reducing premiums and increasing benefits through products Medicare beneficiaries can't get anywhere else. I'm very excited for the opportunity to continue our growth and effectiveness on their behalf."
A certified public accountant, Eric holds a bachelor's degree in accounting from the University of Connecticut.
Susan Crowley, Tessellate's managing director, business operations and supplemental data, oversees a diverse set of functions including finance, client implementation, business readiness and regulatory analysis.
Prior to joining Tessellate, Susan held various leadership roles at Blue Cross Blue Shield of Michigan. She most recently managed the data and innovative solutions team for the company's Center of Excellence. In that role, Susan and her team led multiple efforts to solidify the acquisition and management of more than 300 data sources, in addition to acquiring new data to strengthen the delivery of risk adjustment and quality support functions.
In 2016, a year of significant change for the business, Susan also led a number of Center of Excellence teams, such as risk adjustment analytics, regulatory and HEDIS.
Susan began her tenure with BCBSM after finishing high school and held numerous positions in a variety of business areas – from membership and billing to claims – before pursuing a bachelor's degree in business. She has a long history of reducing risk and cost by leveraging her deep knowledge of the business, as well as drawing on her extensive experience in operations and customer service.
Growing up with 12 brothers and sisters, there was little focus on individuals in Susan's home.
"My dad always told us, 'don't tell me what you've done, show me what you can do,'" she said. "My family was a big team. Watching each of my siblings find success helped me stay focused and build a solid work ethic. It also taught me to value the people around me, which is why I have such a deep appreciation for my talented coworkers today."
Susan earned a bachelor's degree in business from Michigan State University.
As managing director of product management, Sue Kuypers oversees Tessellate's product portfolio. She brings a fresh perspective to product development, focusing on designing and deploying products that address customers' needs and achieve their goals.
Sue held various leadership roles throughout her more than 16 years with Blue Cross Blue Shield of Michigan. Most recently, as director of enterprise risk adjustment, she was accountable for strategy development, initiative execution and submissions for about 350,000 Commercial ACA members and 380,000 Medicare Advantage members.
In addition, Sue was responsible for HEDIS submissions, Medicare Part D operations, finance, data management and other senior market segment functions. She also helped the company realize $260M in revenue annually from prospective and retrospective risk adjustment programs.
Sue previously worked for ANR Pipeline Company and Dialogue Marketing.
Sue holds a master's degree in finance from Walsh College in Troy, Michigan, and a bachelor's degree in accounting from the University of Michigan-Flint.
Marc Lucas serves as Tessellate's vice president, risk adjustment strategy, analytics and performance management. He's responsible for managing tailored risk adjustment strategies for more than a million members and beneficiaries nationwide.
Drawing on his health care experience and actuarial background, Marc creates algorithms that pinpoint risk adjustment inefficiencies. From there, he's able to design and deploy creative solutions, integrating with quality and care management.
As vice president of risk adjustment for Blue Cross Blue Shield of Michigan, Marc was responsible for managing all aspects of the risk adjustment program, including the development of products and services that supported the corporate growth strategy and reduced audit risk.
He previously worked for Evolent Health as senior director of health plan performance, working with health plans on risk adjustment, quality and care management.
A qualified naval nuclear engineer, Marc served as a lieutenant commander in the U.S. Navy working on submarines in the Adriatic Sea, Arabian Gulf, and Atlantic and Pacific Oceans.
"My naval experience taught me that ‘you get what you inspect, not what you expect,' and that anyone can make a difference," Marc said. "After 20 years in the Navy, I still feel like I'm serving my country. Using data, my team works to find efficiencies within the health care system and make changes that contribute to the productivity of our country."
Marc earned a master's degree in applied mathematics from George Washington University and a bachelor's degree in mathematics from the United States Naval Academy. He is also an Associate of the Society of Actuaries.
Chief Information Officer Larry Moncol is responsible for fitting together the product development and information technology services pieces of Tessellate's puzzle, with each piece supporting the company's operations and growth strategy.
Larry has spent the majority of his IT career in the health care industry. He knows how to build talented teams, manage successful acquisitions and lead technical integrations.
Before joining the Tessellate team, Larry served as the chief information officer for Data Driven Delivery Systems where he led the development and integration of technology products and platforms to support company growth.
Larry also held the role of chief information officer at Verisk Health in the revenue and quality integrity division. In addition to managing product and platform integration programs, he oversaw more than 100 internal and external team members. Similar to his current role, Larry was responsible for quickly scaling an IT organization to support revenue growth from $25M to $162M in three years.
"I have been fortunate to work with incredible teams that get the job done, and my Tessellate family is no exception," Larry said. "Everything we accomplish is a team effort."
In addition to caring for two dogs of their own, Larry and his family are involved with FETCH a Cure, a nonprofit that aims to improve the quality of life for pets. He's also a proponent of trying new things. He and his eldest daughter are currently learning to play the guitar together.
Larry holds a bachelor's degree in political science from James Madison University.