Head of Informatics, Aetna
Kathe P. Fox, Ph.D., leads the Informatics activities at Aetna including supporting the design and assessment of provider and network services; supporting the assessment and monitoring of Aetna Accountable Care (ACO) partners; reporting and analysis for customers, both Aetna and Active Health Management; and managing the business use of the data warehouse. Part of the data warehouse oversight responsibilities includes data governance for external release of Aetna data, and standards and processes for adding new data and data types. Informatics also manages Aetna’s partnership with the Harvard Medical School Center for Biomedical Informatics. Kathe is involved in a number of Aetna special projects including the price transparency work with HCCI (Health Care Cost Institute) and the Consumer Case for Care Management. Recently Kathe won the 2014 Aetna Innovator of the Year Award for her Health/Wealth product idea.Prior to joining Aetna, Kathe was Vice President and Practice Leader for Health Plan customers at Medstat (now Truven Health). In that role she was responsible for leading the development and implementation of analytic and consulting solutions for the managed care market. She also led a number of federal contracts including the Medicaid Encounter Data Quality and Performance Measurement project for the Centers for Medicare and Medicaid Services (CMS) and a Medical Errors Reporting Implementation Plan for the Agency for Healthcare Research and Quality (AHRQ). In other roles at Medstat, Kathe served as a team leader for the audit of the National Committee for Quality Assurance (NCQA) National Report Card initiative, developed and tested analytical methodologies, was the National Practice Leader for Integrated Benefits Analysis, and supported the health benefits agenda for General Electric.Earlier in her career, Kathe held positions at Blue Cross and Blue Shield of Michigan, and was a faculty member at the University of Michigan Schools of Public Health and Nursing, Yale School of Public Health and Lehman College, at the City University of New York. She was also a Robert Johnson Faculty Fellow in Health Care Finance at The Johns Hopkins School of Public Health.Kathe holds a Ph.D. in Epidemiology and Public Health from Yale University and a B.A. in History from Skidmore College. She currently is on the Alumni Board of the Yale School of Public Health.