Our People

Our People

by ladderinsights

Excellence means that we hire the top minds in healthcare. Our experts have dedicated their careers to improving healthcare.

Our consultants believe strong client relationships are essential in accomplishing goals and sustaining results effectively. Through a collaborative team process tailored to the unique needs of each client, healthcare and medical organizations learn to innovate, solve, adapt, and successfully change the way they do business to meet today’s healthcare challenges and information technology advances. Working closely with the client, together we are able to deliver sustainable results.

Stephanie Cramer, Founder & CEO Ladder Insights

Stephanie Cramer, Founder & CEO

Ms. Cramer founded Ladder Insights as a result of routinely uncovering opportunities to advance patient care, to improve service offerings, and to streamline healthcare operations that were not being addressed in the US market.

Ms. Cramer has spent the past 14 years collaborating with all of the players across the healthcare ecosystem including hospitals and healthcare systems, group purchasing organizations (GPOs), physician groups, payers, life sciences and medical device companies, Health IT solution providers, venture capital firms, and patient advocacy groups. This unique exposure culminated in an ability to align strategic priorities and essential needs for all entities commercially involved in the US healthcare delivery system.

Ms. Cramer has advised Health IT vendors on efforts to enhance mobile offerings that improve patient care. She has trained executive teams at life sciences and medical device organizations on the impact of real world evidence generation, patient reported outcomes, social determinants of health and quality measurement during the transition to Value-Based Care (VBC). Furthermore, she understands how to anticipate and prepare for changes in the global healthcare environment.

Ms. Cramer received a Bachelors of Arts degree from The University of South Florida and earned a MBA from The Robert H. Smith School of Business at The University of Maryland.


  • Ms. Cramer collaborated with Raffles Medical Group, a world-class tourism hospital in Singapore, to identify best practices in patient care and hospital operations for direct application to the US delivery system.

Michael A. Gonzales, Managing Director

Mr. Gonzales understands his clients needs pertaining to market access and reimbursement. With over 31 years of experience, he provides an unmatched expertise in strategic sales and marketing, focusing on new market introductions of pharmaceutical, biotech and add-on services. Mr. Gonzales has extensive training and experience in team management, sales force development, contract negotiations, brand positioning, strategic planning and budgeting for profit improvement.

Prior to joining Ladder Insights, Mr. Gonzales had a distinguished 31-year career at AbbVie Biopharmaceuticals where as the Regional Director, he was responsible for all private and public payers in Minnesota, Iowa, North Dakota and South Dakota. Prior to this, Mr. Gonzales held positions as AbbVie’s Government Reimbursement Policy Executive, Field Trade and Employer Relations, Manager of Hospital Sales and home office Marketing Director. During his tenure, Mr. Gonzales developed sales and launch strategy, go-to-market plans and directed plan implementation to maximize revenue and profitability with leading health insurers including HMOs, PBMs and specialty pharmacy providers.

Mr. Gonzales received a Bachelor of Business Administration degree from the University of Texas at El Paso and earned a MBA from the University of St. Thomas, MN. He has also completed executive training programs at Northwestern University Kellogg School of Management and the Harvard School of Public Health. In addition, he is an adjunct Professor in the MBA program at St. Mary’s University in Minnesota.


  • Throughout his career with AbbVie, Mr. Gonzales earned the prestigious Summit Award for sales and marketing excellence numerous times finishing #1 in the US twice. Additionally, Mr. Gonzales was also recognized with several Presidents, MVP and similar awards in his career.
  • Mr. Gonzales is credited with helping AbbVie become the #1 most respected pharma partner to US based MCO’s in the latest HIRC rankings which rank 40 leading pharmaceutical manufacturers.