Thursday, July 25th, 2019 11:00am PT / 2:00pm ET
People, process and technology are at the core of every business. Each one is its own science to be mastered, but the art is found where the three intersect. The intersection of these three essentials is where efficiency and value are realized. With their optimization, a health plan is poised for successful growth. Communication, collaboration and planning are the building blocks to formulating and understanding the strategy for growing a health plan’s business. Whether the organization seeks to enter a new geography, start a new line of business, or create an entirely new plan, health insurance leaders need to be confident that they have the right people, process and technology in place.
During this webinar, attendees will hear from two industry leaders who leveraged the art and science of people, process and technology to successfully grow their respective health insurance businesses both from the ground up as well as within an established organization.
Sal Gentile founded Friday Health Plans to transform the health insurance market. With more than 30 years of experience in high growth, innovative companies, Sal brings deep experience in operational leadership, market strategy, and business development. Prior to founding Friday, Sal was CEO of HealthX, a software company which built online portals and tools for the health insurance industry. From 2004 to 2013, Sal led markets at TriZetto Corporation, the leading provider of enterprise software and services for the health insurance industry, where he became an expert at using technology to drive efficiency and automation in health insurance. Sal led a number of sales, marketing and business development functions at high growth technology firms. Sal is a graduate of Pace University where he majored in math and computer science.
Dannette Coleman is a senior health insurance executive with more than 25 years of experience in the health insurance industry. She was previously Senior Vice President and General Manager for Individual Business at Medica, where she was responsible for the growth and development of all aspects of the business unit. Dannette joined Medica in 1992 and had roles in Customer Service, Consumer Affairs, Quality Improvement, Government Programs and Public Policy, prior to taking on P&L responsibility. Dannette served as the board chair of the TwinWest Chamber of Commerce, is a member of the MinneWomen’s Economic Roundtable, and is a board member of Fraser, an organization that provides services to children and adults with special needs. She also has been appointed to serve on numerous health care task forces including the Minnesota Exchange Advisory Task Force and the Minnesota Health Care Financing Task Force. Dannette holds a Bachelor of Arts degree from the University of Wisconsin – Madison, and a Masters of Business Administration degree from the University of St. Thomas.
Solving the Rubik’s Cube of Payer Data
Thursday, June 6th, 2019 11:00am PT / 2:00pm ET
For many health payers, making sense of their data is like trying to solve a Rubik’s Cube. They have all these individual data points. But the more they twist and turn them with their analytics, the further away from the goal they seem to get – and the more frustrated they get with the process.
Anyone who has learned to solve an actual Rubik’s Cube with regularity, however, knows the key is to understand and recognize the patterns that lead to success.
The Rubik’s Cube health payers are currently facing the mountain of incredibly rich data they’re sitting on right now. America’s Health Insurance Plans (AHIP) says the typical regional payer processes $8 billion in claims each year. Each of those claims houses a wealth of interesting data. Yet the challenge they face is how to aggregate and parse it in ways that enable them to take actions that will improve health outcomes and reduce costs.
Mayur Yermaneni, Chief Strategy and Growth Officer at eQHealth Solutions, alongside Marina Brown, Vice President of Clinical Programs at eQHealth Solutions, will discuss why it isn’t the volume of payer data that makes it so valuable – it’s the unique view it offers into member/patient health.
Predictive and prescriptive analytics, especially when supported by AI and machine learning, can help take those maddening twists and turns of data and create a complete, clear picture that helps drive healthcare quality and member/patient satisfaction up while driving benefit costs down.
Mayur Yermaneni, ME
With a Master of Biomedical Engineering, Mayur Yermaneni is responsible for the organization’s vision and strategic direction, the continued development of eQHealth’s product and service lines while ensuring alignment with established corporate goals. Additionally, eQHealth’s current medical management services model was designed and developed under his leadership, and he maintains responsibility for end-to-end management of the model. Yermaneni has over 15 years of experience providing innovative, strategic technology solutions in the public and private sectors.
Marina Brown, RN BSN, CCM, CHC
Brown joined eQHealth in 2009 and is responsible for our clinical program design and works with our Chief Medical Officer to develop and enhance new client programs. Brown is a registered nurse with a BSN and is a certified case manager and a certified health coach. Prior to joining eQHealth in 2009, she was responsible for designing and developing the disease management and medical management training program for Blue Cross Blue Shield of Louisiana.
The Pulse of the Healthcare Industry for 2019
Thursday, April 18th, 2019 at 2:00pm ET
For the past nine years, Change Healthcare has commissioned and published an annual survey of health plan leaders and other healthcare organizations reporting on the “pulse” of the healthcare industry. This latest study, produced in partnership with the HealthCare Executive Group (HCEG), aims to define and explain the issues facing healthcare, reveal how the industry is responding, and offer valuable resources and perspectives to help navigate the complexities of the rapidly evolving healthcare industry.
On April 18, leaders from Change Healthcare and HCEG will host a webinar to review the analysis of the latest Pulse survey, offer insights into the thoughts and opinions of surveyed healthcare leaders, and explore how these leaders are preparing for the future.
Please join us at 2 PM EDT on April 18.
Ferris Taylor is executive director of the HealthCare Executive Group (HCEG), a national network of healthcare executives seeking to reshape the industry. He has more than 30 years of healthcare leadership, technology, and consulting expertise.
David Gallegos is senior vice president of Change Healthcare Consulting Services. He is responsible for leading the Change Healthcare effort to engage clients for consulting services and has over 20 years’ experience in healthcare-related operations.
HCEG’s 2019 Top 10 List & 9th Annual Industry Pulse Report
Thursday, March 28th, 2019 at 2:00pm ET
The HCEG Top 10 has been a pillar of the Healthcare Executive Group for over 10 years, providing extensive insight into primary opportunities, challenges and issues currently facing healthcare executives in the United States. And the Industry Pulse – an annual research report based on the HCEG Top 10 and co-sponsored by HCEG and its sponsor partner Change Healthcare – was recently released.
Join HCEG’s Executive Director Ferris Taylor and Digital Strategist Steve Sisko for an overview of the 2019 HCEG Top 10 list and how the 9th Annual Industry Pulse Research Survey builds upon specific items of the HCEG Top 10 list.
- Creating HCEG’s Top 10 list
- 2019 HCEG Top 10 list
- Convergence and divergence in 2019 HCEG Top 10 list
- HCEG Top 10 over last decade
- HCEG Top 10 as basis for The Industry Pulse
- Industry Pulse insight on HCEG Top 10 items
- More about HCEG Top 10 & Industry Pulse
Ferris Taylor was recently chosen as the Executive Director of the Health Care Executive Group (HCEG), where he has served on the board for 14 years. HCEG is a national network of select executives from across healthcare coming together to continually learn, grow, share and reshape the industry. Taylor until recently was Chief Strategy and Chief Operating Officer at Arches Health Plan, a non-profit member-governed health insurance company that had been providing health plan options to 80,000 individual and group members throughout Utah. Unfortunately, Arches is one of the many CO-OPs who are being shut down by CMS and he is working as a consultant to wind down the Arches operations. Taylor brings more than 40 years of business leadership including 30 years in health care, technology and consulting services to his executive roles. Prior to Arches, he founded Pragmatic Health Care Solutions, a health care strategy and market positioning firm. From 2003 to 2008, he was VP of Strategic Marketing and Payer Market Strategy for Ingenix (now Optum), one of the industry’s largest health information technology companies and part of UnitedHealth Group. Additionally, Taylor served 12 years as the head of Marketing and Information Services for Harvard Pilgrim Health Care and 2 years as Vice President of Marketing and Planning for North Shore Medical Center, the six community hospital system of Partners Healthcare that includes Mass General and Brigham and Women’s Hospitals. A graduate of Brigham Young University in Nuclear Physics with a minor in Spanish, Taylor holds an MBA with an emphasis in finance and quantitative economics. He is also a graduate of the GHAA/AHIP Executive Program in Managed Care from the University of Missouri.
Steve Sisko is an independent healthcare consultant and blogger based in Phoenix, Arizona with over 25 years of experience serving the U.S. health care industry. Steve provides a range of service delivery, product marketing, information technology, and management advisory services to health plans, health systems, risk-bearing provider organizations, product/service vendors and consulting firms. Steve runs a popular, perennially high-ranking blog – The Healthcare Data, Technology & Services Blog – at www.shimcode.com and is a leading source of information on Twitter where he is known as @ShimCode.