Senior Advisor

At HSG, Kalin Scott provides consulting and advisory services to a broad range of stakeholders including providers, payers, nonprofits, investment firms, and government agencies. She brings over a decade of experience from New York State government, where she specialized in strategic planning, Medicaid redesign, project management, and value-based payment reform. Her work focuses on aligning value-based models with client goals to ensure sustainable success and improved outcomes for the individuals served.

Kalin spent more than ten years in senior policy roles within New York's Medicaid program, including as Director of the Medicaid Redesign Project Management Office and Assistant Director for Medical, Dental, and Pharmacy policy. She played a key role in stakeholder engagement, project execution, and policy design for New York’s Medicaid Redesign Team (MRT), which earned national recognition. As a principal negotiator of the state’s 1115 Waiver amendment, she helped secure an $8 billion federal investment for the Delivery System Reform Incentive Payment (DSRIP) program and led its implementation in partnership with CMS.

Throughout her tenure, Kalin led the development of New York’s Value-Based Payment (VBP) Roadmap and managed clinical and stakeholder advisory groups that shaped VBP policy. She also spearheaded initiatives like the First 1,000 Days on Medicaid, aimed at improving early childhood health outcomes, and oversaw New York’s EPSDT benefit, participating in national collaboratives to advance care access for children and families.

Before her roles at the Department of Health, Kalin served in the New York State Governor’s Office, where she contributed to fraud and waste reduction efforts and supported interagency coordination for health and human services policy. Today, she is a sought-after speaker at national and international forums, where she shares insights on Medicaid innovation, delivery system reform, and cross-sector collaboration.

Senior Advisor, Innovative Care and Financial Models

Greg brings over 35 years of experience in health and behavioral health care, Greg provides healthcare consultation across a broad spectrum of program, policy, and payment support services.

As the Director of the Division of Program Development and Management for the NYS Department of Health, Greg was responsible for a broad range of Medicaid services planning, policy and operations including the development of new and innovative programs for the State’s over $70 billion dollar Medicaid program. Specifically, Greg managed policy, payment and data support for all NYS Medicaid’s inpatient, clinic, practitioner, transportation and pharmacy services as well as the Department’s program and payment policy for mental health, chemical dependence and developmental disabilities services.  

Greg and his team had leading roles in the nationally-recognized New York State Medicaid Redesign process. This work included the state-wide roll out of the health home care management program for high need, high cost populations and the planning and implementation of significant federal partnership activities including the $8 billion Delivery System Reform Incentive Payment (DSRIP) program. Through 25 carefully organized local provider partnerships, the DSRIP program exceeded its ambitious statewide goal by reducing avoidable hospitalizations across New York State by 26% over five years.  

With a deep commitment to the member served and beginning his career as a frontline counselor in the chemical dependence field, Greg has over 30 years of government operations and management experience. Working at both the State Office of Alcoholism and Substance Abuse Services and most recently at the State Department of Health, Greg’s work has focused on the nexus between innovative program development and value based payment with a particular focus on incubating new member-centric programs and policy.

Senior Advisor, Risk Adjustment

Gabrielena (Gaby) Alcala is passionate about agile project execution to improve processes, make healthcare more patient-centered, and transition organizations to value-based care. As the founder of MAPA Healthcare Consulting, she brings her wealth of experience to help healthcare organizations navigate the complexities of system redesign for optimized patient care. She is recognized for her abilities to learn fast, manage complex projects, work effectively with stakeholders, inspire teams, and consistently produce positive results in challenging environments.

Gaby has worked with leading organizations ranging from start-ups to large corporations for more than 20 years, including Community Care Cooperative (C3), Cityblock Health, Iora Health, Mass General Brigham (formerly Partners HealthCare), BearingPoint (formerly KPMG Consulting), and The World Bank.

Her work spans strategic planning, new business and program development, and operational system re-design. She currently focuses on helping organizations transition to value-based care, leveraging her extensive knowledge and strategic insight from her consulting practice.

Recent accomplishments include:

• Worked with nine Federally Qualified Health Centers (FQHCs) to design and implement a telehealth program that complemented in-person care. Increased the percentage of telehealth video visits by more than 40%.

• Collaborated with senior leaders at Iora Health, C3, Cityblock Health, and OnBelay Health to develop value-based and Medicare Risk Adjustment (RA) strategies.

• Achieved significant RA program improvements, including a 20% increase in accepted claims, a 40% boost in refreshable diagnosis report utilization, and a 10-20% increase in the overall Risk Adjustment Factor (RAF).

• Led a team in creating a referral system, resulting in a 68% reduction in specialist referral processing time.

• Re-designed complex processes for the multimillion-dollar implementation of EPIC Electronic Health Records and successfully implemented and managed an innovative Patient-Reported Outcomes Measurement (PROMs) project at Partners HealthCare.

• Built, coached, and led effective cross-functional teams (e.g., IT, vendors, clinic managers, and others) at several organizations to meet ambitious goals while carefully balancing the projects' needs with the often-competing demands of key stakeholders.

Senior Advisor

Darcie is a highly motivated healthcare executive with over 19 years of international healthcare experience. As a former ER/Trauma registered nurse, Darcie combines strategy, technology, and operational expertise with clinical experience, which is vital to implementing systems that work.

She is a managed care subject matter expert with a proven track record of data-driven strategies and high-impact implementations. Driven by a desire to lead human-centered, care transformation that improves the value of care, while optimizing revenue, Darcie transitioned from clinical nursing into healthcare leadership.

Ms. Goodman has led numerous projects and teams across the country in which she has provided both executive leadership and consulting to launch new and innovative care models, frequently in response to complex healthcare policy changes and newly activated grants and waivers.

Some of Darcie’s past experiences include serving as interim Vice President of Value-Based Operations CommonSpirit Health, where she was responsible for a $590M budget representing over two hundred thousand full-risk managed care lives to develop, oversee and implement the strategic redesign of the governance model, central operations and strategic programming.

She also served as the VP of Clinical Innovation and Strategy for EmblemHealth, working with the CMO to reorganize medical affairs programming across the enterprise for all lines of business (500+ FTEs serving New York and Connecticut). For any large-scale change, a key to her success has been to establish partnerships amongst the executive leadership to ensure alignment in the reduction of inefficiency and creation of revenue opportunities that present within the evolving value-based care landscape.

Darcie is passionate about the design of effective, purpose-built care pathways that connect multi-disciplinary teams to address the unique needs of special and diverse populations. To accomplish this, she uses her honed SME skills to learn, collaborate, and build alongside those who are impacted, to lead from within, and to enhance the skills of the teams she supports while she develops.

Senior Advisor

Kristie Bailey is an experienced managed care executive with a strong track record in payer relations, contracting, operational excellence, and strategic leadership across diverse healthcare markets. With extensive expertise in developing and implementing high-impact value-based care programs, Kristie has led multi-specialty organizations in Medicaid, Medicare, and commercial contracting, managing over 100 payer contracts and supporting over 6,000 providers serving 1 million patients nationwide.

As the Senior Vice President of Payer Contracting and Strategy at CareAbout Health MSO, Kristie built a centralized credentialing and provider data management line of business, achieving a 150% return on investment and expanding value-based payment opportunities tenfold in one annual contracting cycle. She also directed the development of clinically integrated networks (CIN) across multiple states and streamlined M&A integration processes, significantly reducing provider onboarding time.

Kristie’s prior experience includes her role as Director of Population Health at Florida Blue Medicare, where she led a statewide team of over 6,000 primary care providers in clinical transformation initiatives, resulting in an over 90% provider satisfaction rate and a $1.2 million reduction in program administration costs. Her accomplishments reflect her commitment to advancing innovative care delivery models and optimizing contracting performance, making her a recognized leader in the field.

Kristie holds a Bachelor’s in Healthcare Administration, Business Management, and Economics from Empire State University. Her expertise spans payer and provider relations, regulatory compliance, strategic planning, and alternative care delivery models, underscoring her dedication to creating value-based, patient-centered healthcare systems.

Kyle Hill is a nationally recognized expert in health care policy with more than a decade of experience advising senior members of the U.S. House of Representatives. During his time on Capitol Hill, Kyle helped shape or fight major health and tax legislation, including the Inflation Reduction Act, the American Rescue Plan, and the Tax Cuts and Jobs Act. He also served as a senior policy advisor during the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Kyle was the founding staff lead for the House Health Care Innovation Caucus, a bipartisan group dedicated to advancing value-based care and alternative payment models across the health care system. His deep policy expertise is complemented by experience at the National Association of ACOs and Healthfirst, a leading nonprofit health insurer focused on value-based delivery.

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