Peter R. Kongstvedt, M.D., F.A.C.P. Health/Managed Care Consulting Services, Accenture and Author of The Managed Health Care Handbook; The Essentials of Managed Health Care; and Managed Care: What it Is and How it Works

Dr. Kongstvedt is a senior executive at Accenture in the Reston, VA office. He has fourteen years consulting experience and twenty years of experience at the senior-most levels of health plans, including managed care, health insurance and Blue Cross Blue Shield plans. In addition to his industry experience, Dr. Kongstvedt is the primary author and editor of three books currently in print: The Managed Health Care Handbook, Fourth Edition; The Essentials of Managed Health Care, Fourth Edition; and Managed Care: What it Is and How it Works, Second Edition. The fifth edition of the newly combined Essentials and Handbook was published by Jones & Bartlett in February/March of 2007.  Dr. Kongstvedt’s primary focus is in strategy; he has also led the industry benchmarking studies, worked in medical management, and his primary focus is in strategic planning. Lastly, Dr. Kongstvedt serves as Accenture’s primary thought leader in this industry sector, including writing and regular public speaking, as well as working with various boards of directors on behalf of clients. He is a board-certified internist.

Examples of Dr. Kongstvedt’s relevant experiences, include:  

• Creating and leading three ground-breaking health plan benchmarking studies, with over 850 discrete performance measures, controlling for process differences between health plans. This rich database has allowed for the quantification of performance improvement opportunities, the creation of senior executive dashboards, and focused improvements in administrative cost and quality.
• Creating function-specific benchmarking such as medical management or claims.
• Leading numerous strategic planning efforts for a wide range of areas including:
• Corporate vision;
• International expansion;
• Provider relations;
• Medical cost management;
• Product design and development;
• Marketplace analysis; and
• Growth strategies
• Conducting numerous board presentations and retreats for clients in both the for-profit and non-investor-owned communities.
• Creating thought leadership white papers, monographs and presentations on a wide variety of subjects, including The Top Issues Facing the Health Insurance Industry, Challenges in Growth, Metrics-based Performance Measurement, The Application of Complexly Adapting Systems Theory (Chaos Theory) to the Healthcare Market, and Attributes of High Performing Health Plans.