SOUTHWESTERN HEALTH RESOURCES - Key Persons

Job Titles:

• Vice President
• Vice President, Medical Economics and Contract Performance

As Vice President of Medical Economics and Contract Performance, Christy Cawthon oversees the organization's actuarial services, provider compensation, regulatory administration and medical economics. Bringing 20+ years of advanced analytics experience to her role, she laid the foundation for informatics and strategy at SWHR, leading interactions with regulatory value-based contracting with government agencies such as Centers for Medicare and Medicaid Services (CMS), providing critical feedback related to risks and concerns connected to ACO model performance and process improvement opportunities. Responsible for the strategic design and administration of physician compensation programs, she oversees overall performance of operational clinical and quality outcomes and the financial success of delegated contracts. Within her role, she oversees medical loss ratio (MLR) and forecasting revenue projections, including: Development of efficiency models using actuarial concepts to compare physicians, network and facilities for ACO utilization. Creation and management of payment mechanisms for incentive awards to the provider population. Designing employer dashboards to facilitate monitoring of utilization and expense trends. Leading teams responsible for data integrity, customer service and support for population health management. Her achievements include implementation of the first regulatory program for SWHR as part of 2014 Medicare Shared Savings, as well as subsequent ACO transitions, maintaining SWHR as a top-performing ACO with over $158 million in shared savings since 2017. In addition, Cawthon developed strategic recruitment models for the extended network with ancillary providers and physician specialists. She is a graduate of Texas A&M University, earning a bachelor's degree for applied mathematics in actuarial science.

Job Titles:

• Vice President of Finance

As Vice President of Finance, Harvey Birch is instrumental in supporting the efforts of Southwestern Health Resources (SWHR) to be a fiscal leader in value-based care and transforming community health. An accomplished leader with more than 17 years of finance and accounting experience, Birch was previously the AVP of Financial Planning and Analysis for the Marketplace business at Molina Healthcare, Inc. of Long Beach, California, a Fortune 500 company providing managed healthcare services for Medicaid, Medicare and state insurance marketplaces. With expertise in healthcare analytics, performance metrics and operations, Birch brings a wealth of talent to complement SWHR strategic goals. His experience in healthcare insurance and managed care are invaluable as our organization continues to build alliances designed to transform patient care across North Texas. Birch started his career in public accounting for a firm that had a focus in the healthcare industry. He saw an opportunity to make an impact not only to how healthcare is provided, but also to people's lives. Birch holds a bachelor's degree in accounting from Texas State University - San Marcos.

Job Titles:

• Chief Information Officer

Mac Marlow leads Southwestern Health Resources (SWHR) Technology, representing a strong combination of information technology and analytics expertise. This team has an eye toward strengthening the technology relationship with Texas Health Resources and UT Southwestern Medical Center to optimize current systems and accelerate value-based care, while increasing the clinical efficiency for physicians and clinicians across the network. Before joining SWHR, he served as vice president for software applications at Lehigh Valley Health Network. While there, he led several important initiatives, including the implementation of electronic medical records across contracted and acquired entities, the rationalization of the software application portfolio and the development of new lines of business. With 30 years in IT and more than 15 years in IT and analytics leadership roles, Marlow knows how to quickly respond to technology trends and the evolving needs of a growing organization like SWHR. Marlow earned his undergraduate degree from Virginia Tech, a master's of business administration (MBA) from Averett University and completed the leadership and management program at The Management Institute at Roanoke College. In addition, he is a certified healthcare chief information officer (CHCIO), a certified project management professional (PMP) and a certified scrum master (CSM).