University of Massachusetts – Amherst, MBA
University of Massachusetts – Amherst, BA, Psychology
Pam Coleman’s expertise is in Medicaid integrated managed care, including the implementation of programs for complex populations with need for home and community-based services. Pam is a frequent presenter at national conferences on complex care populations and integrated delivery systems.
Pam has also worked with the team on projects involving health care delivery system redesign and transformation. She supports states and health plans with strategies for serving new Medicaid and exchange populations and in implementing innovative accountable care approaches to service delivery and payment reform. She has also provided support for the strategic review of legislation impacting various provider and health plan groups.
Some of Pam’s accomplishments include a comprehensive review of Medicaid Managed Care in Texas focusing on access to services, quality of care, health care innovations, and cost. She also assisted health plans with preparations for the Texas STAR Kids program serving children receiving SSI. She identified health plan gaps in operations and staffing and assisted them with developing a proposal for an integrated service delivery model.
Prior to joining Sellers Dorsey, Pam was the Senior Vice President at Optum, working with state and federal officials to implement creative, cost-effective initiatives to transform health care delivery systems. She worked on proposals for demonstrations, pilots, and new programs to service seniors and persons with disabilities.
Pam served as the Deputy Medicaid Director for the Texas Health and Human Services Commission from 2006 until 2010 administering the Managed Care Operations Department. She was responsible for the management of the state’s Medicaid and CHIP programs serving over 3 million Texans. Pam also led the development of the STAR+PLUS managed care model that provides integrated acute care, behavioral health and long-term services and supports for seniors and persons with disabilities. This successful program is now statewide in Texas with over half a million enrollees.