Education: Western Washington University
Degree: BS, Nursing; MBA
Year: 1990

Key Practice Experience

• Disease Management
• Case Management
• Medical Management Program Design
• Program Results Evaluation
• Community Benefit Program Development
• Mergers and Acquisition
• State Certificate of Need
• Staffing Models and Evaluation
• Health Care Contracting
• Quality Improvement
• Training
• Nurse Licensure Issues

Key Industry Experience

• Health Care
• National Government Programs (Medicare, Special Need Programs)
• State Government Programs (Medicaid, Medi-Cal, State High Risk Pools)
• Manufacturing (Auto)
• Prison and Correctional Systems Health Care

Representative Cases/Transactions

Significant Consulting Engagements:

• Ascension Health: Community assessments and development of community benefit plans for this large not-for-profit hospital system.
• Alameda Alliance for Health: Assisted this Medi-Cal managed care plan to effect a financial turn-around with medical management and contracting strategies.
• General Motors: Developed a model to evaluate staffing and work flow in GM owned plant-based clinics, preliminary evaluation of international plant clinics, evaluated potential new GM owned clinics.
• Bowers & Associates: Analyzed staff positions and advised on cross state nurse licensure issues.
• Hong Kong Hospital Authority: Assisted the Authority with health system wide service delivery analysis as a base for a potential insurance product offering. Interviewed hospitals, physicians and insurers in Hong Kong, Kowloon Peninsula and the New Territories.
• Medical Mutual of Ohio: Developed staffing ratios, analysis and recommendations for this 1.5 million member health care insurer.
• Meritain: Evaluated a Disease Management Company for possible purchase by Meritain, accompanied Meritain when meeting with their venture capital firm.
• Ohio Department of Rehabilitation and Corrections: Assisted with contract analysis and negotiations with the University of Ohio for medical care for prisoners.
• Louisiana State Employees Group Benefits Program: Benchmarked and evaluated this state employee health insurer’s performance in claims processing, contracting, medical management, member services and other key functions.
• State of Maine, Bureau of Insurance: Assisted the State with evaluation of Certificate of Need applications.
• Premera: Developed templates for communication with employers about health plan performance.
• Minnesota Comprehensive Health Association: Assisted this High Risk Pool with the selection of a vendor for disease and case management.

Professional Recognitions/Honors

• Fairview Outstanding Contributor Award, 1996
• Valedictorian, Western Washington University, 1990
• Outstanding Young Woman of America, 1980

Selected Publications/Presentations

• Alison Johnson, Jackie Darrah and Lisa Benrud, “Liability Considerations for Physician Volunteers in the U.S.,” Virtual Mentor, <http://virtualmentor.ama-assn.org/2010/03/hlaw1-1003.html>, Vol. 12, No. 3, pp. 207-212 (March 1, 2010).
• Article: Bender, Joel. Alison Johnson, Thomas Schenk, “The Economic Value of Automotive Occupational Health Services”, Journal of Occupational and Environmental Medicine, February 2008.
• Article: Johnson, Alison, M. Brovcik and A. Wobbema, “Making the Case for Wellness in the Workplace,” Benefit Perspectives, Fall 2005.
• Article: Johnson, Alison and P. Armocida, “Disease Management: Changes and Challenges,” HealthCare Technology, May 2004.
• Research Report: Johnson, Alison, “Disease Management: The Programs and the Promise,” Milliman Research Report, May 2003.
• Article: Johnson, Alison, “Measuring DM’s Net Effect is Harder than You Might Think,” Managed Care, June 2003.
• Textbook: Group Insurance, 4th Edition, published by Actex Publications, Winsted, Connecticut, Editor in Chief, William F. Bluhm. Chapter 45, “Medical Care Management,” written by Alison Johnson, May 2003. [The book is required reading on the Society of Actuaries syllabus.]
• Article: Johnson, Alison, “Seeking Advice: How to Find and Work With a Consultant,” Minnesota Physician, November 2001.
• Speaker: Ohio Health Plans Association Annual Meeting, “Wellness, What’s the Impact?” May 2005, Columbus, Ohio.
• Invited Speaker: National Association of State Comprehensive Health Reinsurance Plans, “Disease Management and Measurement,” October 2004, Minneapolis, Minnesota.
• Invited Speaker: Optimum 6th Seminar on Out-of-Country Health Coverage, “Trends in US Healthcare,” Toronto, Canada, September 2004.
• Invited Speaker: Resource Management Maximizing Healthcare ROI Seminar, San Francisco, California, “Medical Management and Disease Management,” September 2003.
• Invited Speaker: Casualty Liability and Workers’ Compensation Insurance Asia Symposium, Singapore, “Getting the Most from Case Management,” September 2002.
• Invited Speaker: Actuarial & Underwriting Training Seminar, Las Vegas, Nevada, “Effective Managed Care,” April 2000 and August 2001, half-day session.
• Speaker: Minnesota Medical Group Management Association (MMGMA), Minneapolis, Minnesota, “How to Find and Work With a Consultant,” August 2001.

Professional Associations

• Nursing license in Minnesota (active), Washington, Oregon, California and Alaska
• Case Management Society of America, Member
• Disease Management Association of America

Community Involvement

• St. Joseph’s Home for Children, Volunteer, 2006 (Minnesota)
• Clinic Volunteer after Hurricane Katrina, Long Beach, Mississippi, 2005 (Mississippi)
• Banyan Foundation, Volunteer, Board Member, Board Chair, 1998 – present (Minnesota)
• Cento Guadalupano, Vice President of the Board, 2001 – 2004 (Minnesota)
• St. Bartholomew – Holy Rosary Churches, Inner City/Suburban Church Partnership Committee Member, Chairperson, 1997 – present (Minnesota)
• Wayzata School District, Orchestra Board Co-Chair and Volunteer, 1995 – 1998 (Minnesota)
• March of Dimes, Captain, Group Health Cooperative Local Team, 1994 – 1995 (Washington)
• Anacortes Arts and Crafts Festival, Board Member, Art Show Chairman, Volunteer, 1986 – 1995 (Washington)
• Fidalgo Island School District, Preschool Board Member, Parent Volunteer, 1986 – 1995 (Washington)
• Western Interstate Commission of Higher Education (WICHE), Investigator, two research projects, 1982 – 1984 (Washington and Oregon)
• Community Prenatal Clinic, Organizer, Volunteer, 1983 (Oregon)
• University of Alaska, Education Coordinator, Lecturer, Clinical Instructor, 1979 – 1982 (Alaska)
• American Heart Association, CPR Instructor, 1979 – 1985 (Alaska, Washington)

Other Education

• B.S. in Nursing, University of Washington
• Diploma in Nursing, St. Luke’s Hospital School of Nursing