Paul A. Kaplan

Vice President Network and Medical Management and Chief Medical Officer
Blue Cross Blue Shield of Delaware
745 Northbrook Road
Kennett Square, PA 19348
(302) 421-8700
paul.kaplan@bcbsde.com

Education/Certification

• Board Certification:
  Family Practice 1989
  Recertified 1995, 2001, 2007
  Certified Physician Executive 2002
• Certification as a Physician Executive (CPE), American College of Physician executives (ACPE), 2004
• MBA from Regis University, 2001 – 2003
• Residency in Family Medicine, Medical Center of Delaware, 1987 – 1989
• Internship, Medical Center of Delaware, 1986
• Internship, Groote Schuur Hospital, Cape Town South Africa, 1985
• Medical School University of Cape Town, Cape Town South Africa, 1979-1984

Professional Experience

• Vice President Network and Medical Management and Chief, Medical Officer, 8/2007 – present
• Associate Vice President and Chief Medical Officer, Blue Cross Blue Shield of Delaware, 10/2005 – 8/2007
• Chief Medical Officer, Blue Cross Blue Shield of Delaware, 1/1999 – 10/2005
• Associate Medical Director, Blue Cross Blue Shield of Delaware, 1996 – 12/1998
• Family Physician in private practice, Wilmington, Delaware, 1989 – 1996
• Resident in Family Medicine, Medical Center of Delaware, 1987 –1989
• Private Practice Cape Town South Africa, 1986

Honors & Awards

• Nominated for the award of “Best Individual Leadership in the Field of Disease Management”, November 2000

Professional Membership

• 1991 Member Credentials Committee, Department of Family Medicine, Medical Center of Delaware
• 1992 – 1996 Board member of Community Medical Care
• 1993 – 1998 Vice President, Community Health Care
• 1994 – 1996 Member of Gastroenterology Quality Assurance committee, Saint Francis Hospital
• 1996-1998 Member education committee, Delaware Academy of Family Physicians
• 1996 – 1997 Vice President Delaware Academy of Family Physicians
• 1997 – 1998 President elect Delaware Academy of Family Physicians
• 1996 - 2000 Member of Board, Delaware Academy of Family Physicians
• 1997-1999 Delaware Curative workshop physician advisory board member
• 1998-1999 President, Delaware Academy of Family Physicians
• 2000-2001 Chairman, Nominating Committee, Delaware Academy of Family Physicians
• 2000- 2002 Elected as an alternate delegate representing New Castle County to the House of Delegates of the Medical Society of Delaware.
• 1999 Elected to represent the Medical Society of Delaware at the Medicare Carrier Advisory Committee (CAC)
• 2000- 2003 Board of Directors, Disease Management Association of America
• 2000 – 2003 Steering committee for the Insurance Advisory Board of Delaware
• 2000 - 2006 Board of Directors, Blood Bank of Delmarva
• 2006 - 2010 Member of the executive committee of the Board of Directors, Blood Bank of Delmarva
• 2011-present Secretary Blood Bank of Delmarva
• 2005-present Member of nominating committee of Blood Bank of Delmarva
• 2011 Vice Chair, National Medical Management Forum for Blue Cross Blue Shield Association