Principal and founding member of Glenridge HealthCare Solutions, Terry has more than thirty years of healthcare experience. She directs significant planning and implementation projects, with a particular focus on managed care programs, Medicare products, large-scale medical management program development, managed care contracting and risk management initiatives. Clients benefit from her broad range of operating experience in managed care program development and implementation including contracting; physician and hospital partnerships; technical aspects of network development and administration; and financial modeling of payment and reimbursement methodologies.
Prior to forming Glenridge, Ms. Spoleti was Senior Vice President of Managed Care Products and Services at a $150 Million Medicare and commercial risk contractor, where she directed the company’s payer contracting, network development and managed care product development initiatives. Under Ms. Spoleti’s leadership, the company built one of the largest physician-driven, full-service provider networks in the region. Ms. Spoleti has also served as Executive Director of Physician Alliances for a regional medical center, with responsibility for implementing the hospital’s managed care strategy and building an integrated provider network. During that time, she established one of the first Management Services Organizations (MSO) in the region; created and managed a 125-physician primary care IPA; assisted in the acquisition and management of primary care practices; developed a PHO and implemented its first full risk contracts; and represented the institution in negotiation and implementation of a statewide hospital / PHO alliance. Before joining the medical center, Ms. Spoleti was a healthcare management consultant with KPMG Peat Marwick in New York City, and was an independent consultant in the Baltimore-Washington area, primarily serving the financial and managed care needs of physicians, hospital systems and faculty practice clients.