Dr. Jivrajka, an interventional cardiologist by training, founded AppleCare Medical Group and was its President and CEO for more than 20 years. He is also the founder of Episource, LLC, a healthcare technology company focused on the healthcare industry with expertise in risk adjustment coding and analytics. Dr. Jivrajka currently serves as the Chairman of the Board for Episource. Under Dr. Jivrajka’s leadership, AppleCare Medical Group grew from 500 members in 1996 to over 100,000 in 2016 with over 400 PCPs and 450 specialists under contract. It further expanded its operation to include a management services organization, a hospitalist group and an insurance agency. The management services organization maintained sophisticated information technology, claims processing and clinical care coordination with more than 140 employees. The hospitalist group had both a “staff model” primary care focus, and hospitalists managing the inpatient care for all in-network admissions. AppleCare Insurance Services was a full-service agency focused on the MA market. Dr. Jivrajka acquired IPAs and physician practices during his tenure and recently sold the medical group to United HealthCare. Episource LLC, based in Southern California, supports health plans and risk-bearing medical groups across the country to manage their data and analytics in support of their risk adjustment and quality programs, and data management and transfer between medical groups, health plans, and CMS. Episource is one of the nation’s largest technology companies supporting these programs and coded over 4 million charts in 2016. Episource has developed web-enabled tools for coding, workflow process tracking, risk score calculation, opportunity index and data transfer validation between payers and CMS. With extensive experience as a successful leader in complex managed care and technology companies, as well as being a healthcare provider for more than 25 years, Dr. Jivrajka has developed insight and expertise which enable him to offer innovative services and solutions to payers and providers within the industry. Dr. Jivrajka holds a Medical Degree from the University of Bombay in India and completed a Fellowship in Cardiovascular Medicine while at the University of Kentucky Medical Center in Lexington, where he also served as an Assistant Professor of Medicine. He is Board Certified in Internal Medicine and Cardiovascular Disease.
