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The CVInfosys Leadership Team

Experts in Medicare Advantage and Risk Adjustment

CVInfosys (Clear Vision Information Systems, Inc.) is a Health IT company specializing in Risk Adjustment. It was founded in 2006 by four managed care risk adjustment experts. CVInfosys provides software tools and services for health care companies that serve Medicare Advantage members. Its founders (Tom Peterson, Pam Klugman, Donovan Ayers and William Harbit) are recognized industry experts who understand the unique challenges these plans present to the companies that offer them. Collectively, they have over 90 years of experience working with health plans, physician groups and hospitals.

Tom Peterson, President and CEO
Pam Klugman, Vice President and COO
Donovan Ayers, Vice President of Regulatory Compliance
Barbara Grant-Gould, Vice President of Business Development
Kathy Young, Director of Account Management

Tom Peterson, Presidnet & CEO  

Tom Peterson
President and CEO
Tom has more than 20 years of experience working with data for health care companies and the Medicare Program, from both the FFS and managed-care perspectives. Prior to co-founding CVInfosys, he held several key positions: in IT at Blue Shield of California, as a Medicare Auditor for Blue Cross of California, and as a Reimbursement Specialist for Cedars-Sinai Medical Center. Tom has an extensive background in clinical data related to risk adjustment, including system design and analysis, provider outreach and training program development. Tom has chaired a variety of team activities for the Industry Collaboration Effort (ICE), and has participated in the development of many training forums and best-practice presentations on risk adjustment for the industry.

     
Pam Klugman, Vice Presidnet & COO  

Pam Klugman
Vice President and COO
Pam has more than 20 years of experience in health care and Medicare, with both providers and health plans. Prior to co-founding CVInfosys, Pam was manager of IT, Medicare Revenue Improvement and Recovery, for Blue Shield of California. She has also held roles as Senior Medicare Auditor for Blue Cross of California, Reimbursement Specialist for Cedars-Sinai Medical Center, and Finance Coordinator for Northridge Hospital. Pam has worked on many system development and data analysis projects, including the optimization of tracking and reporting of encounter and claims data used in compiling submissions under the CMS risk adjustment model. She is also very experienced in contract utilization data, HIPAA compliance and risk settlements. Pam has been active in ICE since its inception in 1998, and has co-chaired the ICE Risk Adjustment Data Acquisition and Reporting (RADAR) team for several years. Pam has given best-practice presentations for ICE and has presented information to CMS. She is considered to be an industry expert on risk adjustment.

     
Donovan Ayers, Vice President of Regulatory Compliance  

Donovan Ayers
Vice President of Regulatory Compliance
Donovan has more than 20 years of experience working for health plans, a management company, and an ERISA self-insured employer group plan. He developed focused Medicare compliance expertise working on Medicare risk activities at three health plans prior to starting the Medicare Advantage consulting division for CVInfosys. Donovan is certified in health care compliance, and has been very influential in regulatory reform and in setting direction for compliance and operational activities, on both the health plan and employer sides. He was the Medicare Compliance Officer for Blue Shield of California for eight years, and also filled the role of General Manager, with sales and profit/loss responsibility, for state programs. Donovan worked with CMS to develop and rollout various compliance training programs for health plans and provider groups in California. In addition, he testified at HHS subcommittee hearings on the compliance burden placed on plans and providers due to provisions in the Balanced Budget Act, and has prompted regulatory reform and changes related to the Medicare appeals process. Prior to Blue Shield, Donovan was Director of Statewide Provider Operations, and Ancillary and PPO Contracting, for Prudential HealthCare. Donovan also held management roles at Health Net, Southern California Edison and Maxicare, and worked in provider contract administration at PacifiCare and SelectCare Management Company.

     
Barbara Grand-Gould, Vice President of Business Development  

Barbara Grant-Gould
Vice President of Business Development

Barbara Grant-Gould has successfully marketed "leading-edge" software and technology services for start-ups and corporate giants for more than 29 years. As VP of Business Development for CVInfosys, she represents risk adjustment IT tools and services to the Medicare Advantage industry. Over the past two years, Barbara has lead CVInfosys in creating new business. She has been effective in partnering with health care clients to define emerging needs and trends in Medicare Risk Adjustment. Consequently, she has played a key role in developing new CVInfosys products and services. By creating strategic, collaborative partnerships with MA industry organizations and clients nationwide, she has helped to establish CVInfosys as an industry leader.

     
Kathy Young, Director of Customer Care  

Kathy Young
Director of Account Management
Kathy brings 25 years of customer service, administrative and office management experience to CVInfosys. As member of the Mergers & Acquisitions and Financial Planning & Analysis Departments, she has performed extensive research and analysis projects for public utility companies. She specialized in facility operations and records management, and served as Site Administrator for various schools in Southern California. As part of the CVInfosys team, Kathy is responsible for customer service development, account management, service coordination, customer satisfaction, and day-to-day client operations.