John Fox

Vice President, Associate Chief Medical OfficerPriority HealthAda, MI
John Fox

Bio: John L. Fox is vice president and associate chief medical officer at Priority Health, a provider-sponsored health plan with over 800,000 members headquartered in Grand Rapids, Michigan. He is responsible for medical technology assessment (medical and pharmaceutical), utilization and case management, physician profiling and pay-for-performance programs. He is also responsible for development of new programs, including shared decision making, advanced care planning, integrated specialty pharmacy program, surgical optimization initiatives, and value-based benefit designs and contracts. He is currently engaged in payment reform strategies, including oncology medical home initiatives, total cost of care contracts, and bundled payments. He is responsible of outcomes-based contracting strategies including novel gene therapies and medical devices.

The author of many articles, Dr. Fox has written on the use of firearms in suicides, firearm-related deaths and hospitalizations, breast cancer mortality rates, asthma hospitalizations, hip fractures among the elderly and the impact of spine management programs on surgery rates. He has also written and lectured on value-based benefit design, the impact of genomics and proteomics on the future of medical practice, and role of shared decision making in reducing unwarranted variations in healthcare utilization, including end-of-life care. His current interests include the use of cost-effectiveness and number-needed-to-treat analyses in coverage determinations, specialty pharmacy management, the effect of pay for performance programs on health outcomes, and the role of advanced care planning in improving patient experience and health outcomes, and outcomes-based contracting.

Dr. Fox earned his BS in chemistry and biochemistry in 1983 from the University of Illinois, Urbana-Champaign. He was awarded his Doctor of Medicine Degree by the Johns Hopkins University School of Medicine in Baltimore, MD, in 1989. He completed his residency in pediatrics in 1992 and fellowship with the CDC’s Epidemic Intelligence Service in 1996. He was awarded a Masters of Health Administration by the University of Wisconsin, Department of Preventive Medicine in 2000. He is married to Kristine and has three children. His two sons are Eagle Scouts and his daughter a Gold Award recipient. He is very committed to youth leadership development and is active in the Boy Scouts of America as a troop leader and president of the board. He continues to practice medicine in third world countries, including Honduras, and leads one to two trips there annually with his church. He helps keep nature nearby through the Land Conservancy of West Michigan where he serves as a work crew leader and on its board of directors. He’s a longtime volunteer with Habitat for Humanity and still has all ten fingers and toes.