Meredith Karney

Board Member | Associate Vice President, Premise Health
Belmont Collaborative for Health Systems Innovation
Master of Health Administration, Master of Science, Registered Dietitian
meredith.karney@premisehealth.comBiography
Meredith Karney is Associate Vice President of Enterprise Growth Strategy at Premise Health, the nation’s leading provider of direct healthcare for employers. In this role, she leads a team that develops enterprise strategies, supports complex client growth and retention, and brings clarity to the value of advanced primary care and preventive health.
Meredith began her career in clinical care and quickly pivoted to healthcare strategy and policy. At Harvard Business School, she helped implement some of the earliest bundled payment models between major health systems and national payers including Mayo Clinic, Vanderbilt, CHOP, Cleveland Clinic, and MD Anderson, embedding incentives for prevention and quality outcomes. Her career has spanned the clinical, nonprofit, and for-profit sectors, always focused on systemic transformation.
As Vice President of Health Economics and Value at the Center for Medical Interoperability, Meredith led development of the system-wide business case for interoperability, advancing health data exchange standards that shaped provisions in the 21st Century Cures Act. She was part of the executive leadership team that successfully engaged the CEOs of the nation’s largest health systems – representing 85% of U.S. healthcare purchasing power – to align around a unified strategy for modernizing healthcare data infrastructure. She also authored Procuring Interoperability, a National Academy of Medicine report calling for bold, coordinated action to fix healthcare’s broken data systems.
She currently serves on the Advisory Board of 4C Digital Health, where she advises on fiduciary responsibility, cost transparency, and employer-led healthcare reform. Meredith is passionate about addressing systemic inefficiencies and rebalancing incentives to create a more effective, equitable, and accountable healthcare system.
She holds a Master of Health Administration from the Medical University of South Carolina and a Master of Science in Health Sciences from Georgia State University.