Joel Shalowitz, MD, MBA
Physician, Business Consultant, Teacher.
Joel Shalowitz, MD, MBA
Physician, Business Consultant, Teacher.
Dr. Shalowitz combines many years in clinical practice and management with academic experience in both business and medical schools. He has decades of experience with utilization review for inpatient care and appropriateness for outpatient services. Much of that experience was for Medicare managed care plans. He also served as medical director for a Medicare certified home health agency.
As a board-certified internist he practiced medicine and was managing partner of a primary care medical group with six locations in the north and northwest Chicago. The group was the core of a several hundred physician IPA which successfully participated in dozens of full-professional risk, capitated contracts, including three Medicare products. He gained experience in contracting with payers, specialists and facilities (including hospitals and surgicenters); managing quality compliance activities; adjudicating and paying claims (up to $3M per year); and overseeing two hospital joint ventures. During this time he served for seven years on the board of Alexian Brothers Medical Center (Elk Grove Village, IL), where he was founding chair of its subcommittee on quality and compliance.
Dr.Shalowitz was also a professor and Director of the Health Industry Management Program at the Kellogg School of Management for 28 years. In addition to his academic administrative activities, he taught courses on the US and international healthcare systems. In addition to his business school teaching, for 30 years Dr. Shalowitz taught the core health care systems course for Northwestern’s MPH degree program where he has been a professor of internal medicine and then preventive medicine at the Feinberg School of Medicine. Since 2006 has also taught courses in Northwestern’s Master’s Program in Healthcare Quality and Patient Safety.
He is currently a Fellow with BDO’s consulting practice serving as a healthcare content expert.
MBA: Kellogg School of Management, Northwestern University
Resident in Internal Medicine: Northwestern University Graduate School of Medicine
ScB, MD: Brown University School of Medicine
AWARDS and HONORS
Fellow, American College of Physicians
Beta Gamma Sigma
2004- Fulbright Scholar, Schulich Business School, York University, Toronto, Canada
2007- Fulbright Senior Specialist, Visiting Professor, Keio University, Tokyo, Japan
2011- Fulbright Senior Specialist, Visiting Professor, Scuola Superiore Sant’Anna, Pisa, Italy
2013- Named to List of 100 Great Health Administration Professors by MHA Guide, an independent online publisher focused on healthcare administration careers and degree programs.
2016- American College of Healthcare Executives Service Award
2016- Northwestern University Program in Public Health- Teaching Excellence Award
2016- Program in Healthcare Quality and Patient Safety- Teaching Award
Shalowitz, J: The U.S. Healthcare System: Origins, Organization and Opportunities Jossey-Bass Publisher. In press.
Raine Hermans, Morton Kamien, Martti Kulvik, Alicia Löffler, and Joel Shalowitz: Medical Innovation and Government Intervention. Taloustieto Oy Publisher. ©2009
Philip Kotler, Joel Shalowitz and Robert J. Stevens: Strategic Marketing for Health Care Organizations. Jossey-Bass Publisher. © 2008.
ARTICLES (Samples since 2012)
-Opinion: 5 things Trump doesn't know about health care. Crain’s Chicago Business. October 10, 2017
-Guest Commentary: Benefits First, Then Cost Considerations- Getting ACA Reform Right. Modern Healthcare March 22, 2017
-Opinion: Why the GOP’s Healthcare Bill is a Prescription for Trouble in Illinois.Crain’s Chicago Business March 8, 2017
-Fully Capitated Payment Breakeven Rate for a Mid-Size Pediatric Practice. Pediatrics. Aug 2016, 138 (2) e20154367 (Co authors: Farmer, SA; George M; McStay, F; Patel, K: Perrin, J; Moghtaderi, A; and McClellan, M)
-An economic model to assess the cost-benefit of BNCT (Boron Neutron Capture Therapy). Applied Radiation and Isotopes.106 (December):3-9, 2015 (Co authors: Kulvik, M; Hermans, R; and Linnosmaa, I )
-Feds shouldn’t mandate wider networks. (Guest expert comment.) Modern Healthcare. March 31, 2014. p 23.
-What is a Hospital? Future Roles and Prospects for Success. Yale Journal of Biology and Medicine. (Invited article) 86(3): 413-424, 2013.
-The relative worthlessness of relative value. Modern Healthcare. (Guest expert comment) July 29, 2013. p 31.
LECTURES (Samples since 2012)
- Medicare Health Policy Issues: The Differences and Direction of Original Medicare and Medicare Advantage. Senior Health Executive Forum. Chicago, IL
- Positioning Your Value Proposition for a Healthcare Startup. At: Matter (Healthcare high tech incubator). Chicago, IL
- Effect of the ACA on Medical Practice. Society of Actuaries Annual Health Section Meeting. Philadelphia, PA.
- Value Based Care Initiatives. Society of Actuaries Annual Health Section Meeting. Philadelphia, PA.
-Evaluation of the Finnish Social Welfare (SOTE) Program Changes- An American Commentary. At: Better Public Sector Governance Workshop. Hanken Centre for Corporate Governance. Helsinki, Finland
-Organized Delivery Systems and Physician Integration. Ontario Medical Association Board of Directors. Toronto, ON.
-Organized Delivery Systems and Physician Integration. University of Iowa Hospitals and Clinics. Iowa City, Iowa
-Quality Healthcare: Overcoming Roadblocks to Success. University of Iowa Hospitals and Clinics. Iowa City, Iowa
-Reimbursement Changes and Innovation. Cell Therapy Bioprocessing and Commercialization Conference (International Society for Cellular Therapy). Alexandria, VA.
-Evaluating Effectiveness: Principles and Study Design. Society of Actuaries Annual Healthcare Meeting. Atlanta, GA
-History of Physician Reimbursement: Current Management and Policy Implications. Said Business School, Oxford University. Oxford, UK
-Financial Statement Analysis/Cost Accounting and Quality and Value Propositions in Healthcare. University of Vermont Medical Center. Burlington, VT
-Changes in Payment Strategies and Consumer Implications. Regulatory Affairs Professional Society Annual Meeting. Austin, TX.
-Overtesting and Overtreatment in American Medicine. Association of Healthcare Journalists. Chicago, IL.
-The Affordable Care Act and its impact on physicians and health care in Illinois. Illinois State Medical Society Annual Meeting. Oak Brook, IL.
-Management Education for Physicians. For the board of the American Osteopathic Association. San Juan, PR.
-Provider Payment Reform: Implications for Physicians. Inaugural Phi Beta Epsilon, Alpha Beta Chapter, Lecture. Feinberg School of Medicine, Northwestern University, Chicago, IL.
-Medicare Advantage and Medigap Policies, Provider Perspective. Society of Actuaries Annual Meeting, San Diego, CA
-International Culture: Understanding Global Healthcare Systems. Regulatory Affairs Professionals Society, Annual Meeting. Boston, MA
-Financial Options for the Finnish Healthcare System. ETLA, the Research Institute of the Finnish Economy Helsinki, Finland.
-GI Practice in 2014 & Beyond. (Keynote Address) American Society for Gastrointestinal Endoscopy Annual Practice Management Conference. Chicago, IL
-Culture and International Health Systems. Vanderbilt University School of Nursing. Nashville, TN.
-The Economic and Social Underpinnings of American Hospitals. Yale New Haven Medical Center. New Haven, Connecticut
-Healthcare Policy. Society of Critical Care Medicine conference on Post ICU Syndrome. Mt. Prospect, IL.
-Healthcare Fraud Awareness Symposium (Sponsored by CMS). Panel moderator on State of Illinois Fraud Prevention. Chicago, IL.
-Pay for Performance in Healthcare. At ETLA, the Research Institute of the Finnish Economy. Helsinki, Finland and Information technology- Lessons from the U.S. At conference:Survival or performance? Healthcare viewed through organizing, information management, and personnel. Helsinki, Finland.
-Provider Perspectives on Fraud and Abuse. At the national summit on healthcare fraud and abuse sponsored by CMS. Chicago, IL.
-Physicians adapting to new realities. HFMA Managed Care Meeting. Chicago, IL.
SAMPLE MEDIA INTERVIEWS
OTHER INFORMATION (Sample current and past activities)
Member, Northwestern University Faculty Senate Committee on Benefits
Member, Standards Council, Commission on Accreditation of Healthcare Management Education (CAHME)
Member, Regent's Advisory Council (American College of Healthcare Executives)
Board Member, Foundation for Health Enhancement
Board Member, Pediatric Faculty Foundation, Inc., Children’s Memorial Hospital
Member, Board of Trustees and Chairman, Quality Review and Compliance Committee, Alexian Brothers Medical Center, Elk Grove Village, IL
Member, Measures Council, Foundation for Accountability (FACCT), Portland, Ore
Member, Advisory Board, American Standard Medical Systems, Inc., Piscataway, New Jersey
Board Member, Brown University Medical Alumni Association, Providence, RI
Chair, Council on Medical Staff Affairs, IL. Hospital Association, Naperville, IL
Member, Board of Directors, Novadaq Technologies, Inc. (and member of audit committee), Mississauga, Ontario
Founder of “Medical School for Actuaries”- for the Society of Actuaries. (Taught and arranged sessions that educate healthcare actuaries on important existing and emerging clinical topics, e.g., diabetes, nutrition, asthma, congestive heart failure, so they can make better predictive decisions about current and future healthcare costs.)
Diplomate, American Board of Internal Medicine
Licensed to practice medicine, State of IL. (Currently active)