Dr. Gail Croall

Dr. Gail Borgatti Croall is a seasoned health care executive with over 12 years of experience with population health management, analytics, quality improvement and care management operations and practiced for 17 years as part of an integrated delivery system supporting an value outcomes based clinical model. She most recently served as Senior Vice President and Chief Medical Officer for Anthem commercial Clinical programs including all Utilization Management, Case and Disease Management, Behavioral Health and Integrated Health national account and exchange models, oversight of clinical strategy as well as responsibility for Resolution Health Inc. (RHI). RHI provides clinical rule evaluation, design and production of evidence-based quality care opportunities for members and physicians across Anthem programs as well as for external clients. Dr. Croall was previously with CareSource, the nation’s fourth largest Medicaid managed care plan and was Chief Medical Officer for OptumHealth for United Health Care, where she led overall clinical strategy and innovation for OptumHealth Care solutions, including: population-based initiatives and reporting methodologies; identification of quality and affordability opportunities through their eSync clinical rule platform; major and clinical program design; and clinical content oversight and strategy and operations. She has been involved with several national organizations, including board member for the Care Continuum Alliance, ( now Population Health Alliance) and advisory board member for Women Business Leaders in Health Care and serves on the board of the Ohio Visiting Nurse Association.