Lili Brillstein is the Director of Episodes of Care for the Market Innovations division of Horizon Blue Cross Blue Shield of New Jersey. She is responsible for the overall direction, strategy, design and oversight of the Episodes of Care/Bundled Payment Program. When Lili joined Horizon in January of 2013, the Episodes program was still in pilot and included only total hip and total knee replacement episodes. Under Lili’s leadership, the program has grown to include additional orthopaedic episodes, obstetrics and gynecology, GI, cardiology, oncology, and is the largest commercial Episodes program in the country. Lili also plays a leadership role in the advancement of Horizon’s PCMH, ACO and other value-based models.
Lili serves as an advisor to CMS and other organizations, nationally, on episodes of care and bundled payment development, and is a recognized thought leader in the advancement of the Episodes of Care model as a health care value strategy for specialty care.