Rick Mathis
Rick Mathis

Rick Mathis, Ph.D.
Sr. Manager, Medical Policy Research & Development
Health Care Services, Commercial and Established Markets


 

Areas of Expertise:

Evidence Based Medicine, Health Policy, Ethics and Health Care, Managed Care

Education/Credentials:

Ph.D., Political Science, The Johns Hopkins University, 1987

B.A., Philosophy, The University of Tennessee, 1979 (with highest honors)

Certified Health Insurance Executive, American College of Healthcare  Executives

Executive Leadership Program, America’s Health Insurance Plans

Awards:

Michael Lundy Science Award, BlueCross BlueShield of Tennessee, 2006

Biotech Medical Management Association’s Leadership in HealthCare Award, 2003

BCBST’s Medical Policy Manual recognized as a Best Ethical Practice by Best Ethical Strategies for Managed Care

Business Affiliations/Boards:

American Political Science Association

Society for Medical Decision Making

AcademyHealth

American College of Healthcare Executives

Published Works:

Books:

Ready or Not: Finding a Grace Filled Life (Paulist Press: Forthcoming)

Doing More in Life with Less (Liguori Press, 2004)

Prayer Centered Healing (Liguori Press, 2000)

The Christ-Centered heart (Liguori Press, 1999)

Articles:

“The Organized Supervisor,” Supervision, September 2006

“Improving Resident Perceptions of Health Plan Decision-Making,” American Journal of Managed Care, September 2005

“A Quality Mix: Using Evidence & Experience to Evaluate New Technologies,” The Journal for HealthCare Quality, September, 2003

“Staying Sharp: Keeping up with Advances in Medical Technology, The Case Manager, January 2003

“Filling the Evidence Gap,” HealthPlan, September 2002

“ Evidence-Based Medicine: A Case Manager’s Best Resources,” CareManagement, December 2002

Book Reviews:

Medicine and the Market by Daniel Callahan and Angela Wasunna,” in Inquiry: The Journal of Health Care Organization, Provision, and Financing, Forthcoming. 

Social Justice: The Moral Foundations of Public Health and Health Policy by Madison Powers and Ruth Faden,” Health Affairs, Forthcoming.

The Trust Prescription in Health Care by David A. Shore,” The Journal of Medical Ethics,” Forthcoming.

Ethics and Evidence Based Medicine by Kenneth W. Goodman,” The Journal of Medical Ethics, January 31, 2005

Speeches/Presentations:

Panelist, Ethics and the Business of Biomedicine Conference, The University of Tennessee, Knoxville, April 6-8, 2006.

The Bridge of Evidence: Using Evidence-Based Medicine to Build Relationships Between Health Plans and Physicians.  Conference on Evidence Based Medicine for Health Plans.  World Research Group.  Orlando, Florida.  November 30, 2005

A Health Plan’s Perspective on Clinical Research.  Clinical Research Nuts and Bolts: A Two-Day Symposium.  University of Tennessee College of Medicine.  Chattanooga, Tennessee. September 23, 2005.

Small Business and Health Insurance, Women's Council on Diversity, Chattanooga, TN.  September 22, 2005

Building Relationships Between a Health Plan and an Academic Medical Center.  AcademyHealth Annual Research Meeting.  Boston, Massachusetts. June 26, 2005

Changing Attitudes: Results of Medical Residents Attending Health Plan Technology Assessments.  Building Bridges Conference.  America’s Health Insurance Plans.  Santa Fe, New Mexico.  April 8, 2005.

Medical Policy Development at BlueCross BlueShield of Tennessee.  Leadership Health Care Conference.  Nashville Health Care Council.  June 22, 2005. 

A Quality Mix: Blending Evidence and Experience in New Technology Assessment. 5th International Conference on the Scientific Basis of Health Services: Global Evidence for Local Decisions.  Washington, D.C.  September 21, 2003.

Linkages Between Evidence, Costs, and Quality.  EBRI Spring Policy Forum.  Washington, D.C. May 8, 2003.

Filling the Gaps: Blending Medical Evidence and Clinical Experience in Plan Decision-Making Processes.  Building Bridges IX, American Association of Health Plans Conference. Atlanta, Georgia. May 2003.

Evidence Based Medicine.  The National Managed Care Congress, Baltimore, Maryland. April 2002.

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