Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Neel Mehta. Honor. Bryan Adams. Best Buy Health. Dr. Ari Melmed, MD. Kaiser Permanente Colorado. Rajeev Ronanki. Anthem. Faraz Shafiq. Cambia Health Solutions. social determinants of health. SDOH

How Technology Innovation Will Play a Critical Role in Prevention (of Accidents & Disease)

By | AHIP, Conferences, Population Health, Social Determinants of Health, Consumer Experience | One Comment

In the session titled “How Technology Innovation Will Play a Critical Role in Prevention” at last week’s 2019 AHIP Consumer Experience & Digital Health Forum in Chicago, a gaggle of industry leaders, innovators and change-makers shared their thoughts and ideas on the critical role new innovations in technology will play in prevention (of accidents & disease) among the fastest-growing demographic—aging Boomers joining original Medicare and Medicare Advantage programs at the rate of 10,000 new beneficiaries a day.

Neel Mehta from Honor moderated a panel consisting of Bryan Adams of Best Buy Health, Dr. Ari Melmed, MD of Kaiser Permanente Colorado, Rajeev Ronanki from Anthem, and Faraz Shafiq of Cambia Health Solutions. The panel shared their take and experiences on the following:

  • Latest innovations that can help keep older adults healthy and safe in their homes
  • The impact technology might have on the social determinants of health
  • How these technology innovations can result in better outcomes for well-being

The remainder of this post shares a few highlights from the session. Access all recordings mentioned in this blog post here.

Highlights on How Technology Innovation Will Play a Critical Role in Prevention

The following are some of the questions that moderator Neel Mehta presented to the panel and some panelist responses to those questions. You can listen to the entire recording – admittedly not of the best quality but still enlightening – here. Specific starting and ending points in the recording are noted below and link to the audio recordings.

Q1: How do health plans support caregivers? (02:24 – 04:30)

Fariz Shafiq: On average, caregivers provide 32 hours a week of unpaid caregiving, essentially a full-time, unpaid job imposing a financial and emotional impact on the caregiver. As a health plan, we recognize that caregiving is an extremely important service. Fariz shared how his organization equips caregivers best:

  • Help with scheduling appointments and checking the efficiency of patient schedules
  • Reconciling medications
  • Help with understanding and paying bills

Rajeev Ronacki: Keeping on top of local resources is a real challenge. We provide members and patients digital apps and help identify and connect members and patients with community-based orgs that can assist them. And we provide an online marketplace where members and patients can also self-serve.

Tech and Touch Must Be Balanced for Innovative Prevention of Accidents & Disease

Q2: The elderly caregiver population, whether it’s home care, provider or family member, are difficult to reach and engage with, regardless of whether they are tech-savvy or not. What are some of the ways you reach this population? (06:45-08:47)

Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH

Bryan Adams: Everything starts with balancing the tech vs. touch concept. We want to leverage technology into the home and surround that with robust services. This will ultimately move the needle not only for the healthcare consumer but also for the healthcare system as a whole.

We have ‘healthcare caring centers’ staffed by people encouraged and trained to have a high level of empathy interaction. Mostly telephonic relationships that establish and nurture a tech vs. touch relationship with the senior.

Q3: One of the things that is appealing to tech innovation in healthcare is Artificial Intelligence. What do you think in your perspective as a provider is the role of the healthcare provider in respect to AI? (08:53-12:53)

Dr. Ari Melmed: It’s a new time for providers and physicians. The role of the provider is to partner with the patient and to address their concerns. To get them the right answers. The amount of information available to everyone online is overwhelming. Staying up to date as a physician nowadays only takes 21 hours a day.

Faraz Shafiq: Computers are helping doctors getting better at diagnoses. Healthcare is so complex and the volume of information so great and often so nuanced that AI-powered assistance is needed.  (10:42-12:09)

RELATED: How Cambia Health Solutions is Leveraging Artificial Intelligence in Healthcare Space

Using Technology & Data to Understand Social Determinants of Health

Q4: I have found that on the medical side there’s a mountain of data. And on the social side there’s a huge and growing amount of data. How can technology support the understanding of how social and community health factors influence outcomes? (13:10 – 15:00)Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH

Rajeev Ronacki: I think the question is what do we do about it? How do we react to it? How do we make it more democratized?

Listen to more of Rajeev’s response here.

Q5: What are some of the challenges in integrating data, making it uniform, and making it ‘analyzable?’ (15:33-19:18)

Rajeev Ronacki: Roughly 80% of the work we need to do on any AI initiative is data prep: obtaining the data, looking at the quality of data, cleansing and integrating it, creating standards for uniformity. There’s nothing secret about it.

Listen to other responses to this question here.

Brick & Mortar Bring Human Interaction and Touch to Accident & Disease Prevention

Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH. Brick and Mortar

Q6: What unique value do brick and mortar companies bring to healthcare? (20:20 – 23:20)

Bryan Adams: Brick and mortar locations enable the touch component of the critical need to balance technology and human touch/interaction mentioned before. This is particularly important for the senior population.

Being entrenched in the neighborhood and being involved with community care initiatives helps us to better understand and capture social determinants of health unique to that area and then take that information and make it actionable. At our company, we’re giving thought on how to leverage our Geek Squad (20,000 people) and over 1200 retail outlets to engage with health plan members and to advance preventive care.

Q7: If telehealth has not yet reached into the home it is gaining a footprint in places like Best Buy, Walmart, and Walgreens. Are you seeing brick and mortar playing a part in expanding the reach of telehealth? (23:40 – 25:20)

Dr. Ari Melmed: Yes. And there are different ways of thinking about telehealth like onsite work clinics which are playing an important role, schools are developing innovative programs, remote clinics are interfacing with centralized, specialized services.

Q8: How has the Medicare market shifted in trying to support senior’s health?  (25:24 – 28:50)

Rajeev Ronacki: Increasingly there’s a consumer preference to do things in the home – particularly in the transition to and from the hospital.

Using TV’s and sensors and voice-assistance to deliver the care that’s needed. I would venture to say that 60-70% of the care that doesn’t need active intervention can be provided in the home. The question is how to deliver it in a way that makes sense.

Bryan Adams: Medicare Advantage as a whole has become a hub of innovation and we’re excited about SSBCI and opening up the ability to address social determinants. (27:31 – 28:38)

Can Technology Address 50% of Preventive Health Measures?

Q9: As Rajeev mentioned, with the right technology 60-70% of the care that doesn’t need active intervention can be provided in the home. What will it take to get to widespread adoption of the minimum technology infrastructure needed to address 50% of preventive medicine? (28:50 – 32:13)

Rajeev Ronacki: Some sort of super simple, USB-type device that’s widely adopted by consumers. Installation and implementation need to be simplified and cost-effective.

Prevention. Preventive Medicine. Primary Care. Care Coordination. SSBCI. Medicare Advantage. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH. Brick and Mortar

Listen here from more on how technology in the home may address 50% of preventative medicine.

Q10: Are there any examples of technologies that are starting to scratch the surface of being pretty easy to use? (33:35 – 38:50)

Rajeev Ronacki: Wireless sensors and other devices are becoming increasingly sophisticated and easy to use.

Bryan Adams: Passive devices that operate in the background and do not require the member/patient to do anything special or change any behavior. Devices that measure ADL’s and allow the member/patient to keep living their life without any special attention.

Dr. Ari Melmed: Devices that provide feedback on a real-time basis to drive behavior change. Tools to extract information from medical records and help the physician more quickly understand salient aspects of the patient.

Connect with Healthcare Industry Executives, Leaders, Innovators & Change-Makers

For more information, insight, and ideas on healthcare innovation and the transformation of healthcare, subscribe to our eNewsletter and consider becoming a member of the HealthCare Executive Group.

What Should Be Keeping Health Care Executives up at Night?

By | AHIP, Conferences, Population Health, Social Determinants of Health | 2 Comments

As costs continue to rise, more financial responsibility is shifted to individuals, and non-traditional companies disrupt the traditional healthcare space, executives and industry leaders are under tremendous pressure to transform their organizations due to the challenge of providing coverage for healthcare services offering reasonable outcomes at a fair price.

At last week’s 2019 AHIP Consumer Experience & Digital Health Forum in Chicago, HCEG’s Executive Director Ferris joined Dr. Esteban López, MD, MBA, Chief Medical Officer at BCBS of Texas and Ian K. Gordon, HCEG’s Board Treasurer and Former SVP of Health Insurance Operations at Regence Blue Cross BlueShield.

These three health industry leaders shared their insight on the following:HCEG. What Should Be Keeping Health Care Executives up at Night? 2019 AHIP Consumer Experience & Digital Health Forum Dr. Esteban López, MD, MBA, Ian K. Gordon, Consumer Experience, Digital Health. Social Determinants of Health. SDOH. Health Plans.

  • How challenges, issues, & opportunities have evolved over the last few years
  • How they’re transforming and innovating their organizations
  • How health plans help support health care consumer’s
  • How socioeconomic status and social determinants of health impact health plans
  • The role of health plans in addressing the social determinants of health and what work they’re doing
  • What they’re doing right and what do they need to do better
  • What them up at night with respect to the policy actions or industry trends
  • What excites them about the future for health care

The remainder of this post shares a few highlights from the session. Access all recordings mentioned in this blog post here.

Costs & Transparency, Consumer Experience, & Holistic Individual Health  Top 2020 HCEG List

Costs & Transparency, Consumer Experience, and Delivery System Transformation – the key themes of the AHIP-Consumer Experience & Digital Health Forum – also ranked as the top three items on the 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare leadership. In addition, ‘Holistic Individual Health’ is ranked as #6.HCEG. What Should Be Keeping Health Care Executives up at Night? 2019 AHIP Consumer Experience & Digital Health Forum Dr. Esteban López, MD, MBA, Ian K. Gordon, Consumer Experience, Costs & Transparency. Holisitic Individual Health. Digital Health. Social Determinants of Health. SDOH. Health Plans.

Dr. Esteban Lopez Shares What Keeps Him Up at Night (05:53 – 09:17)

Ferris Taylor kicked off the session by asking Dr. Lopez “What keeps you up at night?”

The value that payers bring – is not networks or care management services – although those are important. Their true value is data and analytics. How do we consume data and use that data to derive value for our members so they can stay healthier? How do we use that data to engage with our providers to deliver value-based healthcare?

Over the last several years, providers and payers have become more efficient. At the same time, members have not become worse off but they’re also not becoming better. But there’s still opportunity.

Health plans need to ask:

  • How do we use the data we have in a meaningful way?
  • How do we couple other readily available data with open-source consumer information and other types of information we have about our members so we can predict outcomes, predict disease, and find the channels where we can best engage our members
  • How we can find the channels where members/patients can best be engaged?

New Generations Demand New Levels of Engagement & Value

External disruptors are out there, and they know how to engage healthcare industry incumbents. People want the Amazon Experience and right now, healthcare is NOT like the Amazon Experience. Especially as we look at Millennials, Generation Z and other generations of Digital Natives, we know that they will not stand for the experiences they are having today in healthcare.

Ian Gordon Starts with a Slightly Different Tack (09:30 – 13:18)

The health system itself and health care payers specifically have spent a large portion of their existence contemplating their own value buttons. We look at things very much from an inside-out perspective. And that’s been very useful until we’ve come into the age of consumerism. At this time, we need to continue, which we’ve started that migration, to look at things from the ‘outside in.’

We talk about the power of members. The power of consumers. As opposed to people. We don’t own them. They own themselves. The more information we have, the more we can create models and services and products that meet the needs of PEOPLE!

Health plans talk about social determinants of health. I like to think about ‘Social Determinants of Health’ as ‘Social Determinants of Individual Happiness’ – of which health is a component.

Focusing on Point Solutions Health Plans Want vs. Overall Holistic Health

Ian related a scenario highlighting how many health plans are not properly focusing on holistic health of the individual.  Some highlights include:

Health plans give members things they want to address to drive down medical loss ratio; as opposed to the broader aspect of overall happiness of which health is a component. We give members program’s and tell them to lose weight and do more activities. And then we wonder why they don’t succeed. And the reason they don’t succeed is because they ate too much.

We need to look people more holistically at individuals, focus more on their individual needs, find out what is our role, data, access to healthcare, the digital transformation needed to create that personalized service are all the key things, I think, that are necessary.

Healthcare is complex and it’s hard to learn but so are a lot of other things. And given the right amount of time, the other organizations (disruptors) will encroach upon the health plan. So, health plans must focus on the holistic component of individuals. What makes them happy and improves their lives. And we need to figure out how to do that with data and become an expert at that. Or partner with others who can do that. And we need to stop trying to compete on the commodity-based components of our business.

Listen to Ian’s entire scenario here (11:11 – 13:18)

Barriers to Improved Health – A Broader Definition of Social Determinants of Health

After both Dr. Lopez and Ian Gordon shared some of their insight and ideas on social determinants of health, Ferris Taylor noted that social determinants of health can also be considered as Barriers to Improved Health. Dr. Lopez shared his insight as a physician in the Emergency Room of a hospital serving a low-income area.

Listen to Dr. Lopez’s ideas on how providers, doctors, nurses, payers, and others can help address barriers to improved health: 13:30 – 17:40

And Ian’s follow on to Dr. Lopez’s ideas based on Ian’s experience with Habitat for Humanity: 17:41 – 19:38

More on What Should Be Keeping Health Care Executives up at Night

For more on what’s been shared above by Dr. Esteban Lopez and Ian Gordon, listen to this audio recording of the “What Should Be Keeping Health Care Executives up at Night?” session from last week’s AHIP Consumer Experience & Digital Health Forum.

Connect with Healthcare Industry Executives, Leaders, Innovators & Change-Makers

For more information, insight, and ideas on healthcare innovation and the transformation of healthcare, subscribe to our eNewsletter and consider becoming a member of the HealthCare Executive Group.

HCEG Members and Sponsor Partners at the HIMSS Conference in Las Vegas!

By | HCEG Top 10, HIMSS, Value-Based Payment/Care, Population Health, Social Determinants of Health | No Comments

The behemoth of all healthcare conferences started today: the 2018 HIMSS Conference & Exhibition.  Few healthcare conferences garner the attention of healthcare industry executives and professionals as the annual HIMSS Conference and Exhibition. And HealthCare Executive Group (HCEG) members, sponsor partners and advisors are among the approximate 45,000 healthcare professionals descending upon Las Vegas this week to network with others, attend sessions addressing topics of interest, cut through the clutter and and jockey for position among 10’s of 1000’s of others in the cavernous exhibit halls of the HIMSS conference.

How Big is the HIMSS Conference?

To get an idea about the sheer size of the HIMSS Conference & Exhibition, consider the following statistics provided by HIMSS:

  • Number of Attendees: Approximately 45,000 people – equal to a capacity crowd during a Cubs game at Wrigley Field
  • Geography: attendees from 40 countries will be represented.
  • Exhibitors: About 1300+ vendors – most all of them flush with shiny handouts and branded tchotchke battle each other for the attention, contact information and budget of the attendees from around the globe.
  • Carpet: More than 10 miles of carpet cover the aisles of the exhibit hall
  • Connectivity: About 18 miles of cabling provide internet connectivity throughout the convention center.

HCEG’s Top 10 Mirror Popular HIMSS Themes

Historically, industry executives, media, thought leaders, speakers, influencers and brands predict major HIMSS conference themes in the months and weeks leading up to the conference. Not surprisingly, this year’s major themes closing align with the opportunities, challenges and issues ranked by HCEG’s members in the 2018 HCEG Top 10. These include the following:

Advanced Analytics (Ranked #1 on HCEG Top 10 List)

Clinical, operational and financial processes supported by ever-improving artificial intelligence, machine learning and natural language processing applications have been identified by many as a primary way to make everyone more proactive to improve outcomes and lower costs. And the importance of non-traditional data sources such as social determinants of health, consumer-generated data and data purchased from 3rd parties provide tangible cost savings, time savings and quality of care improvements.

Value-based Payment & Care (#3)

In spite of recent pullback by CMS on bundled payment initiatives and some delays in implementing certain regulations regarding value-based payment programs, information, products and services aimed at accommodating our aging population and increasing levels of chronic conditions are legion in the sessions, exhibit booths and hallway conversations at HIMSS.

Population Health Programs & Services (#2)

Results from the 8th Annual Industry Pulse report, based on the HCEG Top 10, make it is clear that the industry can’t get to value-based payment (VBP) without significantly enhanced clinical data, analytics and agreed upon measures.  And VBP won’t succeed unless there is more focus on bringing communities together to change behaviors and how we think about approaching population health.

Sorting through all the overlapping platforms, data trends, and tools needed to complement the care team and provide patients with optimal outcomes at the lowest cost are no easy feat. Attendees exploring the exhibit hall in search of achieving efficient implementations, streamlined operations, scaled delivery across large markets have their work cut out for themselves this week.

Engaging Healthcare Consumers & Patients (#10)

Whether you agree or not, healthcare services and products are moving from a B2B to a B2C and B2B2C delivery model.

Recent announcements from non-traditional healthcare market participants like the Amazon-Berkshire Hathaway-JP Morgan Chase partnership and the CVS- Aetna merger make it clear that massive change in the traditional healthcare market – lead by the digitization of everything – is imminent. Duplicating the consumer engagement models these new healthcare market entrants have proven in other industries and markets makes it apparent that significant cultural and organizational changes are required to adapt to the digital transformation sweeping the healthcare industry.

Popular Hashtags At the 2018 HIMSS Conference

You can zero in on popular HIMSS-related themes using the following hashtags:

#patientengagement – Being used over 80% more this year in comparison to last year

#AI and its variants #artificialintelligence, #machinelearning and #bigdata

#VR, #AR and #IoT are trending upwards of 100-200% over last years conference

#Aim2Innovate, #TransformHIT, and #EmpowerHIT

Check out this eBook from HIMSS on some of the innovation that will be on display at this year’s conference.

HCEG Sponsor Partners at HIMSS

If you’re at the HIMSS Conference, be sure to check out our sponsor partners exhibits, sessions and special events are hosting. Here are those we know about at this time. We’ll share more as they become known.


Visit Booth 5062 to get some water, soft pretzels, Tastykakes and learn more about Instamed’s offerings.

Also, on Tuesday, March 6, 2018 at 7:30pm, InstaMed is also hosting a reception at TAO in The Grand Canal Shoppes of the Venetian Hotel & Casino. See here for more info.

Cumberland Consulting Group

Cumberland Consulting Group is hosting a happy hour on Wednesday, March 7 at 4:00-7:00pm at the Public House in Grand Canal Shoppes at the Venetian. For more information, contact Brigid Turrittin.

Change Healthcare

Visit booth 4202 to meet with Change Healthcare – a HIMSS featured exhibitor.

On Tuesday, March 6th at 9:30, Change Healthcare, Intel and other vendor will present “Blockchain Reset – Seeing Through the Hype and Starting Down the Path.” Location is Sands Hall G Booth 11955ET.

Special ‘HIMSS18-edition’ eNewsletter

Keep your eyes peeled for more information, insight and ideas that HCEG members, sponsor partners and advisors will be gathering from Las Vegas this week. A special ‘HIMSS18-edition’ eNewsletter will be shared later this week including major takeaways, insights from conference thought leaders and some pictures capturing the event. If you aren’t already a subscriber to our newsletter, you can sign up here.

Population Health, Value-Based Care, & The Engaged Digital Consumer – An Executive Leadership RoundTable

By | AHIP, HCEG Top 10, Executive Leadership Roundtable, Nashville, Data & Analytics, Value-Based Payment/Care, Population Health, Social Determinants of Health | No Comments

On the 2018 HCEG Top 10 list, Clinical and Data Analytics, Value-based Payments and The Engaged Digital Consumer were ranked #1, #3 and #10 respectively by health plan, health system and healthcare provider executives who participated in identifying and ranking the 2018 HCEG Top 10. It seems fair to say that these three topics are front and center on the mind of executives and thought leaders in the healthcare industry.

Leverage Your AHIP Event & Nashville Connection

If you’re attending AHIP’s 2017 Consumer Experience & Digital Health Forum in Nashville or if you’re a healthcare leader in Nashville the afternoon of Thursday, December 7th, consider joining other healthcare executives and thought leaders at our Executive Leadership Roundtable. A panel of prominent healthcare leaders will meet at Nashville’s Center for Medical Interoperability at 1:00pm CT to accelerate the seamless exchange of information to improve healthcare for all by exploring emerging and high-priority healthcare opportunities at the intersection of population health, value based care, and the engaged digital consumer.

Join Healthcare Leaders & Forum Attendees in a Boardroom-like Setting

HCEG Executive Leadership Roundtable events are held in an intimate, informal and free-flowing setting where the free exchange of ideas, questions and comments are encouraged. This roundtable event will be moderated by Dr. David Diloreto with three distinguished panelists sharing their unique perspective and insight:

Dr. David DiloretoBen LeedleFerris TaylorDavid Gallegos
Senior VP of Healthcare-Population Health at General ElectricPresident & CEO at Blue Zones and former President & CEO of HealthwaysHCEG Board Chair and COO/Consultant at Arches Health PlanSenior VP of Consulting Services at Change Healthcare

Timely Topics for Healthcare Leaders

A timely and valuable set of topics – with a special focus on Social Determinants and Clinical Data Impacting Population Health – are planned for panelists and attendees:

  • Innovative strategies health plans, health systems and provider organizations are using to reduce downstream spending while improving overall health outcomes by addressing social determinants of health.
  • How state-of-the-art data and technologies and opening new opportunities to move consumer health forward.
  • Opportunities to work with community leaders to identify the factors having the most influence on individual health and quality of life.
  • Considerations for tailoring specific approaches and investment to address the needs of health plan members and healthcare patients in their communities.
  • How ground-level community stakeholders can guide health plans and health systems to where funding creates the most effective SDOH improvements.

Extend the Value of Your AHIP Consumer Experience & Digital Health Forum Attendance

In addition to the value described above, this Executive Leadership Roundtable event will include a tour of the Center for Medical Interoperability, lunch and the opportunity for professional networking with roundtable panelists and participants. The Center for Medical Interoperability is a ten-minute ride from the AHIP Consumer Experience & Digital Health Forum being held at the Music City Center in Nashville, TN.

Reserve Your Seat Today!

Attendance at the roundtable is free for current and former HCEG members, attendees of the AHIP Consumer Experience & Digital Health Forum and local healthcare executives.  If you have any questions, please contact us.

Healthcare Executive Leadership Forum at Guidewell Innovation Center