Dr. David Kelley is the chief medical officer for the Pennsylvania Department of Human Services’ Office of Medical Assistance Programs. He oversees the clinical and quality aspects of the Medical Assistance Programs that provide health benefits to over 2.5 million recipients. The Office includes oversight of eight managed care organizations and the Access fee-for-service program. In the past ten years the Office has participated in a multi-payer medical home collaborative, initiated three pay for performance programs, developed a multi-state application for the Medicaid electronic health record incentive program, established nonpayment policies for readmissions and preventable serious adverse events in hospitals, developed telemedicine payment policies, implemented a pharmacy preferred drug management program, and expanded the HealthChoices mandatory physical health managed care program statewide.
Prior to joining the Department, Dr. Kelley worked for Aetna Health Inc. as the medical director responsible for utilization and quality management in Pennsylvania, served as assistant professor and director of Clinical Quality Improvement at Penn State University’s College of Medicine, and clinically practiced at a FQHC, private practice, and a community-based team approach to diabetes care in a Medicaid hospital clinic.
Dr. Kelley received his B.S. degree at Elizabethtown College, completed medical school at the University of Pittsburgh, completed his residency training at Baylor College of Medicine in Houston, obtained his M.P.A. at Penn State University, and is board certified in Internal Medicine and Geriatrics.