Ken Silverstein, MD, MBA
Wilmington, Delaware, United States
3K followers
500+ connections
3K followers
500+ connections
About
As a senior physician and healthcare executive with over 20 years of leadership…
Activity
3K followers
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Ken Silverstein, MD, MBA shared thisAn honor to share the stage with my esteemed colleagues, Laura Herrera Scott and Dr. Michelle Gourdine . Thanks to Jeanette Thornton for her leadership at AHIP and great job guiding us through an important conversation.Ken Silverstein, MD, MBA shared thisAt #AHIP26, I joined Jeanette Thornton, Laura Herrera Scott and Ken Silverstein, MD, MBA to discuss the future of prior authorization reform and how we can create a better experience for the people it impacts most—our members and providers. At CVS Caremark, advancements in automation, including touchless prior authorization, and interoperability are helping accelerate decisions and reduce administrative burden for providers. In some cases, when clinical criteria are met, specialty medication requests can now be approved in as little as 22 seconds, demonstrating how a more efficient, responsive system is taking shape. We're continuing to simplify the experience and improve approval speeds to create less burden for providers, fewer delays and faster access to care for patients. I was glad to share perspectives on how we can move the industry forward together at AHIP. #HealthcareInnovation #PriorAuthorization #PatientExperience
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Ken Silverstein, MD, MBA shared thisI’m glad I had the chance to work alongside Eric Gratias, MD, FAAP and proud to have him as a colleague and a friend.Ken Silverstein, MD, MBA shared thisSharing a professional update with my healthcare colleagues and partners. Due to a recent organizational change, like so many others, my position at EviCore by Evernorth was recently eliminated. I remain proud of the work accomplished delivering market-leading utilization management alongside so many dedicated clinical and administrative leaders, while staying focused on high-quality patient-centered care, clinical excellence, and operational effectiveness. It has been a privilege to collaborate with so many talented colleagues, clients, and partners across the healthcare ecosystem who are deeply committed to the mission of improving healthcare. I will forever value the relationships I have been so fortunate to develop and the progress we made together in improving healthcare. As I look ahead, I am energized to be exploring a variety of senior medical leadership opportunities as well as consulting or advisory engagements, where my experience in clinical governance, medical management, physician leadership, population health, regulatory and medical affairs, and strategic transformation can create meaningful impact. If you’re open to connecting, sharing leads, or discussing ways we might work together, I would welcome the conversation. I'm thankful for this community and optimistic about what’s ahead. #HealthcareTransformation #PhysicianLeadership #ClinicalIntegrity #Leadership
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Ken Silverstein, MD, MBA shared thisDeeply appreciate your leadership, Eric Gratias, MD, FAAP, and the tremendous expertise you bring to this important work for our organization. Congratulations!Ken Silverstein, MD, MBA shared thisEarlier this year, as part of a larger organizational design effort I took an opportunity to make a lateral move and lead an evolved approach to the core clinical infrastructure of our company. This new position is aimed at ensuring that we remain at the forefront of clinical quality, performance, and governance in the medical benefit services industry. As that thoughtful design work comes to its close, I have a new title I am proud to share: Clinical Integrity Officer at EviCore by Evernorth!
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Ken Silverstein, MD, MBA shared thisIt’s a privilege to partner with Eric Gratias, MD, FAAP, along with the rest of the amazing team at EviCore by Evernorth as we continue to sharpen the clinical focus on the important work we do, ensuring easier access for patients, getting all of the care they need and none of the care they don’t. Appreciate the chance to share positive stories with the sophisticated and engaged AHIP audience.Ken Silverstein, MD, MBA shared thisI really enjoyed the opportunity to share a stage with Ken Silverstein, MD, MBA last week at AHIP 2025 to discuss how effective, holistic utilization management can drive positive clinical outcomes AND delightful experiences for patients. It’s hard work to do right to achieve those goals, and I am proud to be part of the positive change effort at EviCore by Evernorth to move UM in this direction. Thanks to the fantastic audience for your engagement both during and after our session! #WeAreEvernorth #AHIP2025 Evernorth Health Services
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Ken Silverstein, MD, MBA shared thisContact me if you want the real story on Bobbi Case MLS (ASCP), B.S., MBA I had the good fortune to call her a colleague for way too brief a time. She embodies all the best attributes of a healthcare professional. She is passionate, she is committed, and wow, can she get stuff done. You would do well to add her to your team.Ken Silverstein, MD, MBA shared thisHello Network! I am on the hunt for a Leadership Role in Healthcare Operations - Director to COO Level 15+ years of experience driving operational excellence. I am ready to add some Bobbi magic 🪄 and elevate your organization's performance. Key strengths: · Building high-performing teams · Adaptability and expertise across various healthcare sectors · Leading strategic initiatives that: o Improve operational efficiency o Enhance patient care o Decrease costs & drive revenue growth Ideal Opportunities: · Remote (25% travel) or hybrid/onsite in Northwest Ohio/Toledo area · Healthcare Operations or related industries Let's Connect: Know a company that could benefit from energy and expertise? Please share, comment, or reach out! Thank you to my amazing network Alyxandra Kimbrell, Aubrey Grabow, Melissa A. Shutler, MHA, CPPS, Tori Abernathy, Shanta Layton, Chad B., Chad Tinkel, Ludwig Icevski, Erin Hill MBA, BSN, RN, CPHQ, Joanna Seebeck, Jamie Walters, Soujanya (Chinni) Pulluru MD, Denise Kamcza... too many to name. You're amazing; Thank you for the continued support. #OpenToWork #HealthcareOperations #VersatileLeader #Laboratory #Oncology
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Ken Silverstein, MD, MBA shared thisSo proud to call Roger a colleague and friend. Thanks Annie Calvert, MBA, CPC for shining a light on a dedicated healthcare professional, an accomplished clinician, and deeply caring human. We know Roger will continue to impact healthcare transformation in a significant way.Ken Silverstein, MD, MBA shared thisMy LinkedIn friends and family know I often put a client in the spotlight. Because each of my customized coaching programs look a little bit different, some want the spotlight more than others. Everyone may not want to be the center of attention or have everyone's eyes drawn to his or her background and accomplishments. Roger Kerzner, MD, MBA is someone that I coach and has become a friend. I respect him greatly, and he deserves to have some very well-deserved light shining on him today by yours truly. Then hopefully, by some of you reading my posts and supporting me, we can get him in contact with the right people. He is interested in a role where he can truly influence the redesign of care delivery to improve patient outcomes with new capabilities, digital tools, systems, or data. Roger is a forward-thinking, transformative healthcare leader with a very successful career driving strategic clinical transformation initiatives, and focusing on enhancing clinical care delivery, digital innovation, improving operational efficiency, and achieving excellence in patient outcomes. While committed to authentic leadership and teamwork, Roger is looking to align transformation efforts with the right organization’s overall mission and goals. So, my LinkedIn family, how can we support Roger? Please reach out to him to find out more about his journey and what his next chapter may include. #transformation #healthcare #authenticity #linkedin #careerpath #ai
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Ken Silverstein, MD, MBA shared thisThanks, Annie Calvert, MBA, CPC for your insights and support, always greatly appreciated and a source of strength and nourishment for me. And thank you for the honor of allowing me to share the spotlight with Lisa Maxwell, MD, MHDCS and Kristy Yohey, DHA, who are as you point out, paragons of resilient leadership in the healthcare space.Ken Silverstein, MD, MBA shared thisI put my heart and soul into my work as a coach. Here are three reasons why. #inspirations #success #transformation #healthcare #leadershipLessons in Loving Yourself, Resilience, and Embracing ChangeLessons in Loving Yourself, Resilience, and Embracing Change
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Ken Silverstein, MD, MBA shared thisAnnie Calvert, MBA, CPC , what can I say? I know you know how this level of recognition cuts against the grain for me. At the same time, it so embodies who you are, invested as you are in the well-being of others, that it is hard to deny you, and to deny all that you offer. It is my distinct privilege to know you and to do the work we do together.Ken Silverstein, MD, MBA shared thisHe’s MY client. All mine. Am I showing off? Maybe a smidge. 🙃 I want to take a moment to highlight Ken Silverstein, MD, MBA, a brilliant healthcare executive and physician leader with over 20 years of experience. And get THIS. 🚨 Ken developed the Silverstein Fire Risk Assessment Tool, which has transformed surgical safety protocols, reducing operating room fires and improving team communication. His innovation has made a huge impact, yet he remains incredibly humble. (I mean, Google it. It’s a real thing!) In addition to his work in surgical safety, Ken has held leadership roles like Vice President of Clinical Operations at Walmart Health and Chief Physician Executive at ChristianaCare. These are just two examples where his strategic initiatives helped create tremendous value for the organizations and the communities he served. What impresses me most is how Ken flies under the radar when his accomplishments deserve to be celebrated on a much larger scale. His passion for healthcare innovation, patient safety, and operational excellence is unmatched, and more people need to know about the amazing work he’s doing. If you’re looking to connect with someone who is a visionary, a collaborator, and a change-maker, I highly recommend reaching out to Ken. #changemaker #visionary #healthcare #tramsformation #riskassessment #leadership
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Ken Silverstein, MD, MBA liked thisKen Silverstein, MD, MBA liked thisAs a kid growing up, my favorite TV show, without question, was Emergency!. It’s co-star, Randolp Mantooth died yesterday. Playing the role of Johnny Gage, he captivated my imagination as a child, a modern day hero - brave, creative, and there to help others in their worst moments. When the show premiered, there were 12 paramedic units in all of North America. In the next three years, 46 states enacted laws that allowed paramedics to practice emergency medicine. Within 10 years, more than half of all Americans were within 10 minutes of a paramedic rescue or ambulance unit. My first job in healthcare was as an EMT. For six years through college and the summers that followed, I lived out my version of Johnny Gage. Perhaps not as daring or courageous, but I’d like to think that I helped many people on their very worst day. It kindled in me a desire to go to medical school, and well, the rest is history. When Randolph Mantooth was offered the job, it’s said he had no idea what a paramedic was. He didn’t want the job. I’m glad he took it. For the tens of millions of patients helped each year by EMS, and for this very appreciative doctor, thank you, and may you rest in peace.
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Ken Silverstein, MD, MBA liked thisKen Silverstein, MD, MBA liked thisThe most important work a fractional CMO can do in the first six months isn't clinical. It's structural. As I close my chapter as interim Chief Medical Officer at Heritage Health, an FQHC serving more than 25,000 patients and families across northern Idaho, the work I'm most proud of happened at the intersection of leadership and operations. Two things, specifically: Building a clinical leadership structure — clear accountability, defined roles, and a framework for how clinical decisions get made and communicated across the organization. And functionally integrating the clinical and operational leadership teams — creating the conditions where CMO and COO aren't parallel tracks but a genuine dyad, working from the same information toward the same goals. These aren't glamorous deliverables. There's no ribbon to cut. But the downstream effects are real: better communication, clearer prioritization, sounder decision-making, and most importantly, providers who feel heard and supported in their work. That's the foundation everything else builds on. If your organization is navigating a CMO transition, or simply recognizes that tighter clinical-operational alignment could strengthen what you’re building, I'd welcome a conversation.
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Ken Silverstein, MD, MBA liked thisKen Silverstein, MD, MBA liked thisAt #AHIP26, I joined Jeanette Thornton, Laura Herrera Scott and Ken Silverstein, MD, MBA to discuss the future of prior authorization reform and how we can create a better experience for the people it impacts most—our members and providers. At CVS Caremark, advancements in automation, including touchless prior authorization, and interoperability are helping accelerate decisions and reduce administrative burden for providers. In some cases, when clinical criteria are met, specialty medication requests can now be approved in as little as 22 seconds, demonstrating how a more efficient, responsive system is taking shape. We're continuing to simplify the experience and improve approval speeds to create less burden for providers, fewer delays and faster access to care for patients. I was glad to share perspectives on how we can move the industry forward together at AHIP. #HealthcareInnovation #PriorAuthorization #PatientExperience
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Ken Silverstein, MD, MBA liked thisKen Silverstein, MD, MBA liked thisThis week brought with it an incredible honor and privilege as I was sworn in, along with 15 other gifted and passionate healthcare leaders, as member of the U.S. Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services Healthcare Advisory Committee. The committee will advise the federal government on practical policies that aim to reduce friction within the system, improve experiences for Medicare and Medicaid beneficiaries, and rid the system of fraud, waste, and abuse. It’s a broad agenda, and a unique opportunity for me to share insights from a career that has traversed many sectors within the healthcare ecosystem. If you’d like to follow the committee’s work, you can here: https://lnkd.in/gE22z2ph. Many thanks to Secretary Kennedy and Administrator Oz for their confidence. #MAHA #heathcare #primarycare #valuebasedcare #Medicare #Medicaid
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Ken Silverstein, MD, MBA liked thisKen Silverstein, MD, MBA liked thisOf all the roles and titles I’ve been blessed to have in life, “Mom” will always be the one I’m most proud of. ❤️ The older I get, the more I realize that success isn’t just measured by results, promotions, or milestones — it’s measured by people. By the relationships we invest in, the values we model, and the impact we leave on the lives closest to us. One of the things I love most about Walmart culture is our belief that people make the difference. I’ve found that to be just as true in life as it is in business. I’m pretty intentional about who I spend my time with, and I’d choose these two every single time. Becoming their mom — and now getting to experience the joy of being a grandmother — has been the greatest privilege of my life. ❤️ #PeopleMakeTheDifference #FamilyFirst #WalmartCulture💙
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Ken Silverstein, MD, MBA liked thisKen Silverstein, MD, MBA liked thisThis week, we’re celebrating the incredible impact of our teachers! Their dedication to student success goes far beyond the classroom, preparing students for college, careers, and life with leadership skills, job readiness training, and real-world guidance. Thank you for inspiring our students and helping them build bright futures. We’re grateful for all that you do!
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Ken Silverstein, MD, MBA liked thisKen Silverstein, MD, MBA liked thisStill a little surreal to see something cool like this! When I started coaching, I didn’t have some giant master plan. Truly, I didn’t. I just knew I cared deeply about people, leadership, and helping others reconnect to who they are when pressure, stress, and expectations start pulling them away from themselves. Over the years, I’ve had the privilege of sitting with executives, leadership teams, founders, and individuals during some really challenging moments. The work has never been about having all the answers. It’s about creating space for honesty, growth, trust, accountability, and real change. I’m incredibly grateful for every client, team, conversation, referral, and opportunity that’s helped build Annie Calvert Coaching into what it is today. And I still feel like I’m just getting started. Thank you to everyone who continues to trust me with your leadership, your teams, and your stories. It means more than you know. (I’ll put the link to the article in the comments.) #leadership #magazine #executives #coaching #authenticity
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Silverstein Fire Risk Assessment Tool
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In 2006, developed and implemented a proactive approach to OR fire prevention which has been broadly adopted as standard safety practice, as noted by The Joint Commission and the Anesthesia Patient Safety Foundation.
Referenced in:
Cowles, C. E., Jr, & Culp, W. C., Jr (2019). Prevention of and response to surgical fires. BJA education, 19(8), 261–266.
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Hari Nair
"How does the current financial structure of healthcare create disincentives for quality patient care?". This question assumes that we generally believe that the quality of patient care is disconnected from the price we pay. A key question to ask would be how many intermediaries are involved in a healthcare economic transaction. First party payment: When you purchase an item for you with your money, it is first party payment. This transaction tend to be most sensitive to the quality of the item. (Example: me buying a pair of sunglasses for myself or me paying a monthly membership to my DPC doctor for routine care) 2nd party payment: When you purchase an item with your money for some one else, it is second party payment. Quality of the item may or may not be the most critical consideration. (Example, father buying a game app for your teenager reluctantly) Third party payment: When you purchase an item with someone else’s money for some one else, it is Third party payment. Quality of the item is unlikely to be on the top of the checklist for this transaction. (Example, agents who sell insurance to employers who don’t really know how to negotiate quality and value for their employees health needs. Disclaimer: there are many TPA's on this forum - among my LinkedIn friends who puts quality very high on their priority but they are not your traditional TPA's). 4th party payment? System where no quality item is delivered but someone’s money is used to buy someone else’s item to sell to some one else but all parties except the economic buyer becomes richer. This is the 4th party payment type. Example: traditional American healthcare. Quality of care is inversely proportional to the number of layers in the transaction. This is why 1st party transactions employed by direct care practices such as DPC always wins when it comes to patient satisfaction. (But the 4th party transactions are significantly more profitable for the 4th party. Case in point: BUCA. A single BUCA takes home $6-10B per quarter in earned income while care quality for patients gets progressively worse and unaffordable). Would you buy your next grocery list via 4th party payment or first party payment? Why? In the name of scale, our policy makers have traditionally trusted the 4th party payment system for our care. This mandates us to pay whatever the 4th party asks us to but the 4th party has no obligation to deliver because we the patients are not their direct customer- Policy makers are. Ge Bai Direct Primary Care Coalition
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