Vice President, Accountable Care Solutions, Optum
Colleen Thilgen is a Vice President in the Accountable Care Solutions consulting practice of Optum. She has over 20 years of health care consulting experience, including 15 years with Optum. In her role, Colleen is responsible for oversight of engagements to strategic and key accounts related to delivery system reform, alternative payment models (e.g., accountable care organizations (ACO), bundled payment, and capitation) and design and implementation of analytic solutions to support measurement and management.
Colleen’s recent consulting engagements have focused on bundled payment methodologies and efficiency measurement leveraging the Optum-owned Episode Treatment Groups and Procedure Episode Groups. Currently, she is working on a bundled episode of care payment pilot for specific orthopedic and cardiac procedures between participating health plans and providers in California.
She is also working with a large health system to design and implement an ACO. In some of her more recent engagements, Colleen worked with two large, integrated delivery systems to help implement solutions and services to measure health care delivery against best practices and evidence-based medicine.
Prior to joining Optum, Colleen was a manager in Deloitte & Touche’s San Francisco Actuarial, Benefits and Compensation Consulting practice. Her responsibilities included analysis of capitation contracts for provider groups, development of capitation rates, physician fee schedule development and review, design of provider risk-sharing arrangements, utilization analysis of several state Medicaid programs, and analysis of premium rate renewals for several large employer groups.
Colleen graduated from the University of Minnesota with a bachelor of science in mathematics. She is a past President of the San Francisco Actuarial Club.
Colleen has recently spoken at several industry conferences (including HIMSS, IHA P4P Summit, and AHIP) on Clinical and Financial Performance measurement.