Randi Berkowitz, MD

Medical Director, Accountable Communities of Health
Massachusetts Medicaid program
Boston, Massachusetts

Dr. Randi Berkowitz is a geriatrician and Medical Director for Accountable Communities of Health at the Massachusetts Medicaid program. Massachusetts is moving from a fee-based model to a system of Accountable Care Organizations (ACOs) that work in close partnership with community-based organizations. Dr. Berkowitz is the medical director for the community partners program which integrates behavioral health and long-term services with the medical ACOs and of addressing the social determinants of health. Dr. Berkowitz is focused on determining the quality measures that will be used to determine funding for the 400 million dollar program.

Dr. Berkowitz graduated from Barnard College, University of Chicago Medical School, and the Harvard Geriatric Fellowship, and she completed the Practice Change Fellows Program with the Hartford Foundation. Dr. Berkowitz was also a recipient of an Innovation Advisor award from the Centers for Medicare and Medicaid Services.

As Medical Director at Hebrew SeniorLife, Dr. Berkowitz succeeded in reducing the number of acute patients transferred to the hospital by 20%, published in JAGS. Dr. Berkowitz also led the first Project RED (Project Re-Engineered Discharge) in a skilled nursing facility (SNF) which reduced readmissions from the SNF by 20% by using an electronic care plan designed to help educate patients on their chronic illnesses.

At Commonwealth Care Alliance, Dr. Berkowitz led an effort to reduce hospitalizations by identifying high risk members using a multipronged approach. The program included home based palliative care consults, joint acute care plans with local emergency rooms, multidisciplinary team clinical reviews, community paramedic visits, and joint patient visits with care managers, members, and primary care physicians. Dr. Berkowitz also developed CCA’s preferred skilled nursing facility program.

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