Vice President, Insurance Networks and Business Advisory Services
Kevin Joyce joined Atlantic Health System in 2017 as the Vice President, Insurance Networks. In his position, he leads Atlantic Health System’s Managed Care, Insurance and Direct to Employer Strategies.
Spending most of his career as a health insurance executive, Mr. Joyce saw firsthand the unsustainable cost increases for employer health insurance, and he feels strongly that health care systems need to be a part of the solution to break the cost trend. He saw the opportunity for Atlantic Health System to take a leadership role and challenge the status quo by focusing on ways to work with other health systems to reduce the cost of their own employee health coverage. In 2018, Mr. Joyce was successful in recruiting six other health systems to create the Healthcare Transformation Consortium (HTC). The mission was simple: To work collaboratively to offer more choice and improve the quality of care delivered to their employees while identifying cost saving opportunities. The HTC collectively saved several millions of dollars in administrative costs its first year. For Atlantic Health System, the cost for employer coverage is trending below budget in its first year of operation. The group continues to focus on reducing unnecessary utilization and costs to become an example for other health systems of ways to put competitive differences aside to make health coverage more affordable in our local community.
Atlantic Health System strives to lead New Jersey in the transformation from fee for service to value-based payments. In 2019, Mr. Joyce was successful in negotiating the first health system risk contract with the largest commercial health insurance company in New Jersey. To support the value-based contracts, he reorganized his division by bringing in insurance executives and creating reporting capabilities to support these initiatives. As payment reform continues to evolve, he remains focused on increasing the number of risk lives, developing “outside the box” relationships with carriers, and taking lessons learned to local self-insured employers.
Prior to his position at Atlantic Health System, Mr. Joyce was the Chief Operating Officer for QualCare Inc., a Cigna Subsidiary, whose responsibilities included Network and Product Development, Sales, Claims, Customer Service, Out of Network Cost Containment and Client Relations. He started at QualCare in 1998 as the Vice President of Network Development and his primary focus was managing the development and maintenance of the QualCare HMO, PPO, and Workers’ Compensation Networks. Under his direction, the QualCare network grew to over 40,000 providers and he successfully implemented QualCare’s first commercial tiered network value product in New Jersey. Kevin’s strategic vision and relationships with New Jersey’s healthcare providers and customers allowed him to continually and successfully build the QualCare network, as well as new products.
Mr. Joyce has over 25 years of industry experience, specializing in managed healthcare. From 1996-1998, Mr. Joyce served as the Director of Managed Care at North Jersey Medical Management, LLC, a subsidiary of Hackensack University Medical Center. His responsibilities included all managed care contracting for the hospital and its ancillary services as well as the IPA and PHO negotiations. Prior to 1996, Mr. Joyce held contracting positions with several major carriers.
Mr. Joyce currently serves on the board of the Health Quality Partners’ Accountable Care Organization. He also held previous board positions with the American Association of Preferred Provider Organizations (AAPPO), the Board of Directors for the New Jersey Chapter of Healthcare Financial Management Association (HFMA) and was Treasurer for the Shrewsbury Borough Recreation Committee.
Mr. Joyce graduated with a Bachelor of Science degree from York College.
In his free time, he enjoys spending time with his family, skiing and golfing.