Our Team

Gabrielena Alcala

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.

 

Areas of Expertise

  • Risk Adjustment

  • Innovative care models

  • Value-based health care & contracting

  • Healthcare Data Analytics

Education

  • BA Economics, Universidad Católica Andrés Bello

  • MA Economics, University of Michigan

Languages

  • English

  • Spanish

  • French