Ira Klein, MD, MBA, FACP, is the senior director of health care quality strategy in the Strategic Customer Group of J&J Health Care Services, advancing Janssen’s ability to deliver industry-leading value-based solutions to the new value-based marketplace. Key areas of focus in this role include building the business case for Triple Aim solutions, delivering high-value collaborations with ecosystem partners in the IDN, ACO, payer and PBM space, and Janssen brand commercial strategy. He has worked on a variety of national quality and policy committees in D.C., and with many medical specialty societies and patient advocacy groups. Previously, he was the national medical director for clinical thought leadership at Aetna, capping a 10-year career in the national payer space. During this time, he founded the Oncology Solutions team, creating and administering value-based and medical home contracts in oncology. He also oversaw advanced analytics in population health and novel benefit designs for large self-insured employers, and developed wellness and chronic care programs that innovated in value-based care and behavioral motivational theory.
Prior to Aetna, he led the quality, cost and care management area for the Bayshore Community Health System. This included oversight of all utilization management, JCAHO credentialing, CMS quality programs and medical staff management. Prior to that, he was CMO of Elderplan, a CMS-enacted Medicare demonstration project in NYC serving the frail elderly. In this role, he reorganized a pharmacy benefit structure for Medicare-eligible members (five years prior to CMS Part D), created coordinated care programs for multiple morbidities, and led quality and clinical reporting to governmental agencies. He began his career practicing internal medicine for seven years at Robert Wood Johnson Medical School as an assistant professor in the Division of General Internal Medicine.
Ira holds a bachelor’s degree from Rutgers University College of Pharmacy, a medical degree from University of Medicine and Dentistry of New Jersey – Robert Wood Johnson Medical School, and a master’s degree in business administration from Rutgers University, graduating with honors from all three programs. He has a personal interest in health information technology and data security, previously certified in the medical Health IT area.
Read Ira’s statement, “Why I Support the GTMRx Institute”
“From my early years in pharmacy and the practice of medicine, I’ve had a desire to improve the system of care. I’ve always struggled with the fact that it takes extraordinary efforts to create what should be predictable and knowledge-driven, good care.
The efficacy of drugs isn’t about taking the pill. It’s who’s coaching the patient, the environment the patient lives in and who’s on the care team. What I find exciting about the GTMRx Institute is the desire to not just educate the clinician, pharmacists, and other members of the delivery system, but also patient groups, employers, Congress and the Centers for Medicare & Medicaid Services, by demonstrating what good care looks like.”