Skip to main content Homepage

Technical Assistance Bank Consultants

Consultant Biographies


Attune Healthcare Partners

Thursday, April 20, 2017

Behavioral health integration, organizational development, primary care transformation and PCPCH, program evaluation, value-based payment methods

Michelle Vest 

Michelle Vest, MPA

Michelle Vest is a senior partner and a founder of Attune Healthcare Partners. Her affiliation with Attune embodies 35 years of health care advisory services, including ownership of West Coast Consulting Group and CareSync Consulting.

Previously, Michelle was a principal with Arthur Andersen; a senior research analyst with the Washington State Health Services Commission; a health policy analyst with Group Health Cooperative; and a facility master plan specialist with NBBJ Architects. Her body of consulting work reflects the depth of her knowledge and understanding of our health care system. She works with health plans, urban and rural hospitals, integrated health systems, multi-specialty group practices, government agencies and community-based services. With a strong emphasis on analytics, she advises health care leadership teams and their boards on strategic and competitive positioning, capital investment planning and business expansion opportunities. Through coaching, process facilitation and hands-on collaboration and oversight, she assists with implementation to bring transformative opportunities to reality.

Since 2003, Michelle has been an integral strategic advisor to AllCare Health in Oregon, which includes a coordinated care organization (CCO) among its family of companies. With her assistance, AllCare CCO has emerged as a nationally recognized leader in the development and implementation of value-based payment models for primary care, specialists, hospitals, behavioral health and dental health that produce substantial savings. She has coached and mentored the AllCare leadership team and staff throughout their transformational journey to success. With its financial success from delivery system transformation, AllCare has become an Oregon leader in community investment aimed at ameliorating the social determinants of health, such as homelessness and food insecurity.

Michelle holds a bachelor’s degree in society and justice and a master’s degree in public administration from the University of Washington.

Barbara Wall 

Barbara Wall, ADN, BHS, JD

Barbara Wall is a senior partner in Attune Healthcare Partners, and the founder of CareSync Consulting, the parent company of Attune. She is a recognized expert in the Patient Centered Primary Care Home (PCPCH) model of care, and is skilled in helping teams to effectively coordinate care, reduce total costs, optimize clinical quality and improve practice efficiency.

She serves as faculty and provides education and practice coaching in state-sponsored PCMH Learning Collaboratives in Oregon and Washington. She is currently the alternative payment model subject matter expert in Washington State’s Practice Transformation, Coaching, Facilitation and Training Program for behavioral health and primary care practices.

Barbara creates hospital-based care models that produce cost savings and improve outcomes, including a model that improves the ROI of care transitions programs through identification and focus on patients at highest risk of readmission. Her expertise was crucial to the development of a Transitions of Care model that reduces readmissions and emergency room visits for Oregon’s AllCare Health Plan. She also develops effective models for behavioral health integration. She guided clinicians and managers through the creation of an Integrated Primary Care Program for patients with serious and persistent mental illness at Options of Southern Oregon. The program integrates primary care with the community mental health organization’s psychiatry, pharmacological adjustment and treatment, counseling, and social support services in a single location for patients and family members. Barbara holds an Associate Degree in Nursing from the University of North Carolina, a Bachelor’s of Science in Health Administration from University of Kentucky, and a Juris Doctor from Loyola University School of Law in Chicago.


Your browser is out-of-date! It has known security flaws and may not display all features of this and other websites. Learn how