Jay Kossman
Principal

With over 20 years experience in health care, Jay has held senior management positions with several large health
plans including the physician-owned
MD Health Plan of Connecticut, the hospital-owned Optima Health Plan of
Virginia
, and MetLife Healthcare of Florida.  Jay served as President of HealthSell, a national consulting firm
providing managed care organizations and hospitals with product development and sales & marketing support.  
He was subsequently recruited by one of his clients,
Executive Health Group, a provider of corporate health
services, to direct their national marketing program.

Jay co-founded
MDNY Healthcare and its management company, NextStage Healthcare, assuming strategic
roles in network development, marketing, public relations, advertising and sales management.  He also created
NextStage Specialties, a physician-empowering enterprise dedicated to developing and managing single-
specialty, risk-bearing disease management networks.  

Most recently, Jay served as Principal and Director of Business Development for
Navigant Consulting and
PricewaterhouseCoopers, introducing innovative financial, operational and strategic performance improvement
initiatives to major health care organizations throughout the country.

Jay received a Bachelor of Science degree from Old Dominion University prior to attending the Marshall Wythe
School of Law at the College of William and Mary.

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Jack K. Heil, Ph. D
Principal

A Senior Consultant with Healthcare Productivity Solutions, LLC, Dr. Heil brings to each project over 20
years of management consulting experience, working with to more than 200 health care organizations on
problems and opportunities. His expertise is in strategic planning, reorganization and operations
improvements, and in health resources development.

Dr. Jack K. Heil is a former university professor, having retired from full-time teaching at Iona College,
New Rochelle, New York in 2003. Prior to his retirement he was chairman of the Department of
Healthcare Management as well as a teacher of graduate and undergraduate students in a variety of
courses, ranging from organizational theory to healthcare finance. Previous faculty appointments were
held at Texas Woman’s University, The University of Texas School of Public Health, St. Louis University and
the University of Missouri.

During his tenure as a professor, Dr. Heil has maintained a consulting practice with various colleagues
and remained active in professional organizations such as the American College of Healthcare Executive
and APHA.

Dr. Heil’s expertise is in strategic planning, reorganization and operations improvements, facility and
functional programming, mergers and acquisitions, and in health resources development. He has more
than twenty years experience in management consulting for over 200 health care organizations in the U.S.
and internationally, on a variety of problems and opportunities. He has also managed health care
consulting organizations, including his own company for six years. During his many years of successful
consulting, he has been affiliated with A.T. Kearney, Forest Ford Medical, the Health Studies Institute,
Scientific Management Services and Touche Ross, now Deloitte, L.L.P.. Dr. Heil has substantial experience
with government health care regulation, having worked for and with state and regional regulatory
agencies at various times during his career.

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Irwin Birnbaum, J.D.
Senior Director

Irwin was the Chief Operating Officer of Yale University’s School of Medicine from July 1, 1997 until June 30, 2003.  
He subsequently served as a Senior Advisor to the Dean until June 30, 2005.  Since then, Irwin has been acting
as a Senior Advisor to the Robert Wood Johnson (RWJ) Clinical Scholars Program at the Yale School of Medicine.

Prior to his tenure at Yale, Irwin practiced Health Care Law as a partner in the law firm of Proskauer Rose for 11
years.  Before that, he served as Chief Financial Officer at Montefiore Medical Center in New York.  He has been a
Board member of Maimonides Medical Center since 1989, and is the Chairman-Elect of FOJP Services
Corporation.   Professional organizations include:  New York Academy of Medicine (Fellow), Hospital Financial
Management Association, American Health Lawyers Association, and the New York City Bar Association. He is
one of the co- editors of a five volume Treatise on Health Care Law, published by Lexis/Nexis (Matthew Bender).
Irwin is listed in Who’s Who in America, and Who’s Who in American Law.

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David D'Eramo, Ph.D.
Principal

Dr. David D'Eramo served as President and Chief Executive Officer of Saint Francis Hospital and Medical Center
(Hartford, CT), the largest Catholic hospital in New England from 1988 through 2004. During his tenure, Saint
Francis was recognized seven times as a Top 100 Hospital in the major teaching hospital category. Prior to
joining Saint Francis Hospital and Medical Center, David served as President and Chief Executive Officer of Saint
Vincent Charity Hospital, a 492 bed acute care teaching hospital in Cleveland, Ohio.

David received a Bachelors Degree in Pharmacy from Duquesne University and a MBA from Xavier University,
where he was first in his graduating class and recipient of the Milton Knuttnauer Award for Most Outstanding
Graduate in the Hospital Administration Program.   He then attended the University of Cincinnati, where he earned
his second Masters Degree in Community Health Planning and a Ph.D. in Political Science, focusing on
Business, Health Planning and Organizational Theory.   David is a Diplomate, Fellow and three-time Honoree of
the American Academy of Medical Administrators. He received the Outstanding Vice President of the Year Award in
1978 and the Healthcare Executive of the Year Award in 1981.   In 1993 he received the Statesman in Healthcare
Administration Award for dedication and distinction throughout his career.   

He is a Fellow of the American College of Healthcare Executives, which bestowed on him the 2004 Senior Level
Healthcare Executive Award for his outstanding healthcare leadership in Connecticut.  On a national level, David is
a member of the task force working to support President Bush’s faith-based initiative. He served on the Board of
Directors of the Connecticut Hospital Association, the Alliance of Independent Academic Medical Centers and the
Catholic Health Association of the United States.   In addition, he was Chairman of the Metropolitan Hospital
Constituency Section of the American Hospital Association, the Catholic Healthcare Leadership Forum and the
Council of Teaching Hospitals of the Association of American Medical Colleges.   David has served as Chairman
of Connecticut Public Broadcasting, Inc. (CPBI), the MetroHartford Chamber of Commerce, the Hartford Downtown
Council and the Greater Hartford Arts Council.   He continues his service on the CPBI Board and also serves on
the Boards of The Hartford Club, the New England Cognitive Center, the Catholic Healthcare Leadership Forum,
the Saint Francis Hospital and Medical Center Foundation, Inc. and the Greater Hartford Arts Council.


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Steve Ruth
Director

Steve is the former CEO of Psych Management Inc., a managed behavioral health care organization (MBHCO) in
Connecticut.  He began his career as a behavioral therapist and counselor working for several behavioral health
and crisis intervention programs in Connecticut and Massachusetts.  He then assumed the role of Program
Director at the Westfield Area Mental Health Clinic and, later, CSW, Inc., both headquartered in Massachusetts.  
Subsequently, Steve served as Director of Mental Health Services, and Director of Managed Care Services, for the
Massachusetts Department of Mental Health and the Connecticut State Department of Mental Health,
respectively.  In addition, he has acted as Executive Director for both Gilead House, Inc. and PRO Behavioral
Health, both Connecticut-based initiatives.  

Steve consults regularly in the areas of practice management, provider relations and healthcare business
management.  He currently serves as Board President for Chrysalis Center, a non-profit multi-service healthcare
agency in Hartford, CT, and is a member of the Connecticut Department of Mental Health and Addiction Services
local advisory council.  He earned a BA from the University of Massachusetts, Amherst, and an MS in Counseling
from the University of Hartford.

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Dr. Keith Nelson
Director

Keith began his career as a physician/surgeon, and subsequently made the transition into finance and business
management.  After developing a product for
Reebok, he co-engineered the capitalization, expansion and
operations of
MDNY Healthcare, developed the nation’s first insured integrative medicine delivery system,
founded and directed the
Renoir® Cosmetic Physician Network, and was the chief architect of business
development for
HealthAllies (now a subsidiary of United Healthcare).  His high-profile consulting engagements
have transcended a myriad of business sectors including biotech, cosmetic manufacturing, telecomm, corporate
real estate, venture capital and investment banking.  

Uniquely positioned at the intersection of clinical practice and enterprise management, Keith leverages his
considerable business analytical experience and familiarity with hospital, private practice and third party payer
workflows, to identify and solve inefficiencies in health care operations.

Keith has an MBA in Finance, a Doctorate in Podiatric Medicine and is Board Certified by the ABPOPPM.

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Regina Demitrack, RN, MPH
Director

For more then 20 years Regina has driven a number of start up projects into successful programs for a variety of
clients.  As a nurse, Regina has worked within many of the health care environments, including in-patient care,
home care, occupational and correctional, and most recently, fund raising and clinical research. Regina studied
nursing science at Adelphi University in New York.  With her MPH from the New York Medical College in Health
Policy and Planning, Regina has worked on occupational health program development with many Fortune 500
companies, specifically with health promotion and education activities, long and short term disability case
management, and managed worker’s compensation.  Regina has also worked internationally in the area of non-
profit program development and funding and as a nursing instructor.