Healthcare fraud costs Medicare billions annually, driving up costs for everyone. The good news? You have a powerful tool to help stop it: your Explanation of Benefits (EOB). What’s an EOB? Your EOB isn’t a bill—it’s a detailed summary showing…
Vice President of Contracting and Network Operations
Tida Garcia is Vice President of Network Operations for eternalHealth, where she oversees provider network operations including management of provider relationships and network performance. Tida brings extensive experience in provider claims, network adequacy strategy, and Medicare Advantage operations, along with deep expertise in delegated oversight. She has led delegated oversight for large carriers including monitoring and performance management of delegated providers and entities, ensuring regulatory compliance operational integrity, and strong network performance. Tida partners cross-functionally to support a scalable, high-quality care delivery model.
Tom Lawless has spent the past 20+ years building, sustaining, and growing new healthcare-related programs that balance fiscal responsibility & prudence with creativity & innovation, focusing on models of care that are novel, person-centered, and improve the social welfare of those who are served. He is very excited to continue doing so in his role as the Chief Financial Officer of eternalHealth.
Tom comes to eternalHealth from a not-for-profit, member-centric, health insurance cooperative. He helped the company continuously strive toward its dual goals of thriving financially, while keeping members at the very epicenter of its mission and service model. While there, Tom also spearheaded the creation of a brand new private, charitable foundation, which will be meaningfully giving back to those in need in the surrounding communities for years to come. Previously, Tom worked in the finance department of a successful hospice that provided high-quality care to persons experiencing their unique and poignant end-of-life journeys, assuring that the appropriate financing was always available. Tom’s career began as a civil servant in the Wisconsin Medicaid program, where he helped to create a program that expanded the institutional entitlement to care into home and community-based settings. Starting with only a blueprint in hand, the program now serves more than 57,000 frail elders and disabled adults and is considered a national model. Growing into a senior leadership role, Tom was a key architect of an innovative financing model, through which the public and private sectors successfully collaborated to better the lives of persons in great need.
Tom holds undergraduate and graduate degrees from the University of Chicago, with additional graduate work in economics completed at the University Wisconsin-Madison.