Rochelle Pleskow, MHSA
Managed Care, Integrated Healthcare Delivery Systems, Insurance Industry Expert

Rochelle is a healthcare industry consultant with over 20 years experience. She is the former Director of Business Architecture at Blue Shield of California and Executive Director of Palm Medical Group IPA, an affiliate of Tenet Healthcare. She was also a Medical Delivery Consultant with Blue Cross and Blue Shield of Georgia. She is fully versed in all aspects of the managed care claims management cycle and integrated health delivery system operations. 

As a senior health care professional with industry experience encompassing the clinical, operational and technological perspectives of medicine, clinical practice protocols and physician profiling report cards have been developed and revenue streams have been created as a result of contract negotiations and technology infrastructure implementations. Additionally, Health Care REITs and Ambulatory Surgical Center development have been aligned, due diligence with factoring receivables has been mastered, as well as creation of a start-up dot com providing physicians a single place to outsource all of their non-medical functions; revenue cycle management. By developing clinical practice protocols at a 2000 physician IPA, negotiating contracts for a national PPM in the ER and Hospitalist arena, developing a 500 Physician IPA with a national hospital system, which included conducting all negotiations and revenue cycle management and directing materials management in the acute care arena, medicine and business have been brought together. Additionally, GPO relationships have been created and various software technologies have been implemented in the acute, ambulatory and provider arenas.

Rochelle brings over 20 years of healthcare industry experience encompassing acute care hospitals, ambulatory centers, health plans and physician groups. Clinical practice protocols have been developed along with physician profiling report cards. A dotcom was created whose premise was front and back end revenue cycle management, technologies have been implemented and contracts have been negotiated from all perspectives creating revenue streams.

Rochelle has focused additionally on medical real estate, claims processing, payer relations, physician practice management, and created alignments with health care REITs and developed ambulatory surgical centers and medical office buildings.  She resides near San Francisco and serves Mercury Healthcare as a member of its Advisory Board.


Special Interests
Revenue Cycle Management
ASP model
National supply chain/GPO contracts
Clinical Practice Protocols
National Managed Care Contracts
Patient Scheduling and Throughput
Eligibility Verification
Medical Transcription Systems
Coding, Claims processing and payment
Data warehousing
Electronic connectivity and fund transfer
Factoring of receivables
Ambulatory Surgery Center Management
Medical real estate/joint ventures
Independent Practice Association and Management Services
REITs
Physician profiling report cards
Epic, HBOC, Facets, McKesson, IDX, Phamis, Advantix
Fee For Service and Capitated Reimbursement Planning
Physician Credentialing