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Our Leadership

Our management team and Board of Directors bring extensive executive, operational, financial, medical, and medical management experience to Care Management International, and they share the values of business integrity, open communication, leadership through service, and a drive to continually improve customer value. We are committed to your success.

Minalkumar Patel, MD, MPH
Chief Executive Officer
Care Management International, Inc.

Minal Patel brings to CARE experience serving in senior healthplan management positions that have included broad, operational, customer-service and P&L responsibilities, the development of comprehensive disease management programs, and leadership in quality improvement and accreditation. He has practiced as a hospitalist and in primary care at Brigham and Women's Hospital in Boston, and has been a strategy consultant to the healthcare industry.

Prior to CARE, Dr. Patel served as President and Chief Operating Officer at Horizon Healthcare Insurance Company of New York, and, before that, as Executive Medical Director for Quality Management and Clinical Innovations at its parent company, Horizon Blue Cross Blue Shield of New Jersey, with over 3 million members.

Dr. Patel was responsible for leading Horizon BCBS of NJ to the distinction of having the highest quality scores among New Jersey's healthplans, and placing it in the top five for the Mid-Atlantic region. He also led the organization through the complex, cross-functional processes of achieving accreditation from the NCQA and URAC, two independent, non-profit organizations that are recognized as leaders in measuring and promoting healthcare quality nationwide.

Dr. Patel also served as a strategy consultant at McKinsey and Company. In that capacity, he served numerous pharmaceutical and other healthcare clients in developing overall corporate strategy. His projects included creating corporate growth strategies, building new businesses, evaluating companies for mergers and acquisitions, analyzing licensing deals, rationalizing product portfolios, conducting due diligence, and preparing for IPOs.

Dr. Patel received a bachelors’ degree in medical sciences and a doctorate in medicine from Boston University. He completed his medical residency in internal medicine at Brigham and Women’s Hospital in Boston and joined the Faculty of Medicine at Harvard Medical School and the medical staff at Brigham and Women’s Hospital in 1998. He was appointed to a research group in pharmacoepidemiology and pharmacoeconomics where his primary responsibilities included conducting research in pharmaceutical outcomes, and developing and executing quality improvement strategies. Dr. Patel maintained a primary care academic practice, served as a hospitalist, and completed his Masters in Public Health at Harvard in 2000.

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Matthew A. Michela, MBA
President and Chief Operating Officer
Care Management International, Inc.

Matt Michela brings to CARE his expertise and accomplishments in business development, operations, product development and technology, for healthplans, the largest U.S. disease management outsourcing company, and a variety of start-up organizations. He has nearly twenty years of executive experience in healthcare, including fifteen in general management with P&L responsibilities.

Mr. Michela has been involved with CARE since its inception, but prior to CARE, he founded 2Mplus, a healthcare management services company that provided business solutions to physician organizations focused on achieving measurable improvement in clinical and financial outcomes through P4P arrangements, and CellNexus LLC., a gene and cell therapy company developing an innovative oncology therapy.

Prior to these enterprises, Mr. Michela was Senior Vice President of Operations at Healthways, the largest disease management company in the US, where he had responsibility for P&L, operations, call center management, and all client management activities during a period when the organization grew substantially in both size and profitability. At Healthways, he was acknowledged as achieving aggressive earnings expectations, efficiently scaling the business to support significant expansion, meeting all customer requirements, closing new revenue-producing contracts, and leading the organization’s effort to become the first in the nation to be accredited by NCQA, URAC, and JCAHO for disease management.

Mr. Michela also served in a variety of executive leadership positions at Harvard Pilgrim Healthcare and Pilgrim Healthcare. During his tenure at Harvard Pilgrim Healthcare and Pilgrim Healthcare, he led sales, marketing, planning, customer service, project management, IT, and business operations holding various VP positions and the roles of SVP of Operations, and Chief Marketing Officer. Harvard Pilgrim, and prior to its merger with Harvard Community Healthplan, Pilgrim Healthcare, had been widely recognized as among the top-rated healthplans in the country for member satisfaction and quality-of-care during Mr. Michela’s tenure.

Mr. Michela received an M.B.A. from Georgetown University and B.A. degrees in Economics and American History from the University of Rochester.

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Nikesh R. Shah, MBBS, MHA
Managing Director
Care Management International Private Limited

Nikesh Shah brings to CARE his diverse experience working in the US healthcare industry coupled with clinical training, expertise, and local knowledge in India. Dr. Shah leads CARE’s international operations and is directly responsible for service delivery throughout the country of India. In this role, Dr. Shah leads CARE’s large and technically diverse staff operating from multiple locations with a particular focus on ensuring the achievement of all service, quality, and other client commitments. His responsibilities include oversight for the transition and implementation of all client programs, recruiting, training, systems support, and project management in addition to legal and regulatory affairs, capacity planning, PNL management, and leadership of CARE’s India-based staff. Additionally, Dr. Shah is actively involved in the design of CARE’s clinical programs and the design and conduct of clinical quality assurance throughout the corporation. Dr. Shah has been associated with CARE since its inception and has led the set up and expansion of CARE’s operations in India.

Prior to joining CARE, Dr. Shah served as a strategy consultant at Accenture in its North America Health and Life Sciences practice. In that capacity, he managed multiple projects in the health plan sector focusing on care management, pay for performance, and consumer-driven health care initiatives. His projects included creating care management strategies, analyzing pay for performance models, designing consumer transparency initiatives, and defining market positioning. Prior to Accenture, Dr. Shah was a consultant at Capgemini in its US Healthcare Practice. As part of the firm’s Strategy and Transformation group, Dr. Shah advised and assisted large regional and national health plans on care management and general health plan operations. His projects included integrating care management systems and processes across multiple geographies, defining systems strategy and optimizing operational processes for increased efficiency.

Dr. Shah is a licensed physician in India and served as an Emergency Medical Officer at P.D. Hinduja National Hospital, a 351 bedded multi specialty tertiary care hospital in Mumbai with a Medical Research Centre in collaboration with Massachusetts General Hospital (MGH), Boston. He also ran a primary care clinic and served as a project manager at Nivaran Diagnostic Center, a Radiology Group Practice in Mumbai.

Dr. Shah received his MBBS (Bachelor of Medicine and Bachelor of Surgery) degree from Mumbai University (India), Rajiv Gandhi Medical College and completed his clinical training at Chhatrapati Shivaji Maharaj Municipal Hospital. Dr. Shah also received a MHA (Masters in Health Administration) degree from Cornell University, Sloan Program in Health Administration.

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Board of Directors

David W. Bates, M.D., M.Sc.
Chief, Division of General Internal Medicine, Brigham and Women’s Hospital
Dr. Bates is an internationally renowned expert in using information technology to improve clinical decision-making, patient safety, quality-of-care, cost-effectiveness, and outcomes assessment in medical practice.

A practicing general internist, Dr. Bates is Chief of the Division of General Internal Medicine at Brigham and Women’s Hospital in Boston, a Professor of Medicine at Harvard Medical School, and a Professor of Health Policy and Management at the Harvard School of Public Health, where he co-directs the Program in Clinical Effectiveness. He also serves as Medical Director of Clinical and Quality Analysis for Partner's Healthcare Systems.

At a time when patient safety has become a key driver for focusing national attention on healthcare quality, Dr. Bates' work has not only shown the magnitude of the problem but also provided a blueprint for helping solve it. He led a seminal study on the epidemiology of drug-related injuries, demonstrating that the most effective way to prevent serious medication errors is to focus on systems of care rather than individuals. He has also performed many studies on how computerized, evidence-based guidelines can improve quality and efficiency. Dr. Bates has been recognized for several years by Modern Healthcare magazine as one of the “100 most powerful” individuals in U.S. healthcare.

Dr. Bates is a graduate of Stanford University, and the Johns Hopkins School of Medicine. He began his fellowship in general internal medicine at Brigham and Women's Hospital in 1988, and he received an M.Sc. in Health Policy and Management from the Harvard School of Public Health in 1990. He has been elected to the Institute of Medicine and the American College of Medical Informatics, and is a member of the Board of the American Medical Informatics Association. He is the Editor of the Journal of Clinical Outcomes Management, and the Associate Editor of the Journal of Patient Safety.
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Michael J. Goran, M.D.
Senior Advisor, BDC Advisors, LLC
Michael Goran has over 30 years experience in healthcare consulting, operations, and government health policy. At BDC Advisors, LLC, his practice focuses on providing strategic advice to leading national academic medical centers, integrated delivery systems, multi-specialty group practices, and healthplans. His areas of specialization include: medical management and care enhancement; chronic disease management; e-health; population-based healthplanning and community health improvement; quality assessment; continuous quality improvement; joint ventures, partnerships and affiliations; mergers and acquisitions; risk and incentive alignment; and state and federal regulatory analysis.

Prior to joining BDC Advisors, LLC, Dr. Goran was Vice President in the healthcare consulting practice of Cap Gemini Ernst & Young, and prior to that, he was a Partner at Ernst & Young, LLP, where he had national responsibility for managed-care consulting.

Also during his career, Dr. Goran has led a national company that provided utilization management and networks to self-insured employers, held senior positions with several national healthcare consulting practices, and served as executive director and medical director for a California healthplan. At the U.S. Department of Health, Education and Welfare, he had responsibility for implementing a national peer review program for physicians and for standards of participation for hospitals, nursing homes, and laboratories participating in Medicare.

Dr. Goran holds an A.B. degree from the University of Chicago, and an M.D. degree from the University of Illinois, College of Medicine. He interned at the Michael Reese Medical Center in Chicago, and completed a residency in psychiatry at the New York State Psychiatric Institute, Columbia University.
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Samuel H. Havens
Retired Health Insurance Executive
Sam Havens was one of the nation's pioneers in the development of health maintenance organizations and managed care. He spent more than three decades building, managing and growing healthplans for Prudential Insurance. During the seven years prior to his retirement, he served as President of Prudential Healthcare, with responsibility for all health and dental operations and revenues of $5 billion, and as President of Group Operations, with responsibility for sales, marketing, network development, claims, utilization management and quality assurance for all employee managed-care and dental benefits. Mr. Havens broke new ground in the development of clinical outcome studies and consumer report cards by creating the Prudential Research Center. Under his leadership, Prudential's national healthplan network was the first to be accredited by the National Committee for Quality Assurance (NCQA).

Long considered to be among the country's foremost experts on managed healthcare, Mr. Havens serves on the Boards of Directors for MedSolutions, Resolution Health, Inc., TeleDoc Medical Services, and Rhode Island Blue Cross Blue Shield, where he sits on the Finance, Audit and Compensation Committee. He was a member of the Board of Directors for the American Association of healthplans (now AHIP) for 15 years and Board chairman for two years.
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Harvey C. Sigelbaum
Riverside Company, New York, NY
Harvey C. Sigelbaum, Esq. has over 30 years' experience as CEO of large insurance companies. From 1996 to 2006, Mr. Sigelbaum served as president and co-CEO, as well as vice chairman and then executive chairman, of MultiPlan, Inc., one of the country's largest health care network organizations. Previously, Mr. Sigelbaum worked for 17 years as president and CEO of Amalgamated Life Insurance Company, a New York-domiciled, "A" rated national insurer which specializes in multi-state employee benefit plans. Prior to that he was president and CEO of Urban Community Insurance Company, a New York domiciled, "A" rated regional insurer.

Mr. Sigelbaum has been active on a number of boards, including service as chairman of the National Cooperative Bank, government-initiated, Washington, D.C.-based national bank for cooperatives; chairman, National Cooperative Business Association; chairman, New York State Insurance Department Advisory Council; and chairman, National Association on Drug Abuse Problems. Other board work included executive committee, America's Health Insurance Plans; executive committee, Council for Affordable Quality Healthcare; Life Insurance Council of New York; New York Urban Coalition; Americas Association of Cooperative/Mutual Insurance Societies (International Cooperative & Mutual Insurance Federation); and the Overseas Cooperative Development Council.

In addition, Mr. Sigelbaum served on the board of directors of the Overseas Private Investment Corporation (OPIC), a self-sustaining U.S. government agency that provides political risk insurance and financing for U.S. business investing in emerging markets and developing nations around the world. Appointed by President Clinton in 1994, Mr. Sigelbaum was confirmed to this position by the U.S. Senate. Mr. Sigelbaum has also worked as adjunct associate professor, The College of Insurance.
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Executive Leadership

Matthew A. Michela, MBA
President Chief Operating Officer
Care Management International, Inc.

Minalkumar Patel, MD, MPH
Chief Executive Officer
Care Management International, Inc.

Nikesh R. Shah, MBBS, MHA
Managing Director
Care Management International Private Limited

Board of Directors

David W. Bates, M.D., M.Sc.
Chief, Division of General Internal Medicine
Brigham and Women’s Hospital


Michael J. Goran, M.D.
Senior Advisor
BDC Advisors, LLC


Samuel H. Havens
Retired Health Insurance Executive


Matthew A. Michela, MBA
President Chief Operating Officer
Care Management International, Inc.


Minalkumar Patel, MD, MPH
Chief Executive Officer
Care Management International, Inc.


Harvey C. Sigelbaum, Esq.
Riverside Company, New York, NY

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