Podcasts about highmark health

Highmark Health, Mass General Brigham Health Plan, SCAN, and TytoCare leaders discuss strategies for creating innovative, high-impact healthcare products.    Tune in to learn:   How traditional health plans are rethinking product design in the face of growing competition from direct-to-consumer models Strategies for creating more personalized, flexible, and transparent offerings that resonate with today's healthcare consumers The role of data, technology, and innovation in modernizing health insurance products Real-world success stories from leading organizations who are successfully navigating this evolving market Panelists:  Maria Baker, VP, Health Strategy & Delivery, Highmark Health Lena Perelman, VP, Medicare Product Operations, SCAN Health Plan Roni Mansur, Vice President of Product Management, Mass General Brigham Health Plan Suzi Pigg, Vice President, Payers, TytoCare https://www.brightspotsinhealthcare.com/events/innovating-product-design-for-growth-and-member-engagement/   This episode is sponsored by TytoCare: TytoCare is a virtual healthcare company that enables leading health plans and providers to deliver remote healthcare to the whole family through its Home Smart Clinic. Combining a cutting-edge, easy-to-use, FDA-cleared device with AI-powered guidance and diagnostic support, the Home Smart Clinic enables the whole family to conduct remote physical exams with a doctor, replicating in-clinic exams for immediate answers from home. TytoCare drives utilization rates that are six times higher than traditional telehealth services; reduces the total cost of care by an average of five percent; diverts ED visits by an average of 10.8%; and has a high average NPS of 83. The Home Smart Clinic includes Tyto Engagement Labs™, a proven framework of engagement journeys designed for the successful deployment and adoption of the solution. To complete its offering, TytoCare also provides the Pro Smart Clinic, for professional settings outside the home to serve rural clinics, schools, workplaces, and more. TytoCare serves over 250 major health systems and health plans in the U.S., Europe, Asia, Latin America, and the Middle East. For more information, visit us at tytocare.com.   Bright Spots in Healthcare is produced by Bright Spots Ventures   Bright Spots Ventures brings healthcare leaders together to share working solutions or "bright spots" to common challenges. We build valuable and meaningful relationships through our Bright Spots in Healthcare podcast, webinar series, leadership councils, customized peer events, and sales and go-to-market consulting. We believe that finding a bright spot and cloning it is the most effective strategy to improve healthcare in our lifetime.   Visit our website at www.brightspotsinhealthcare.com  

In this episode, Richard Clarke, PhD, Senior Vice President and Chief Analytics Officer at Highmark Health, discusses how the organization is leveraging AI, data integration, and value-based care models to enhance healthcare outcomes and affordability. He shares insights on payer-provider collaboration, generative AI adoption, and the future of intelligent workflows in healthcare.

Health plan leaders from Cambia Health Solutions, Highmark Health and League share strategies for driving consumer engagement, improving health outcomes, and optimizing payer-provider relationships. Learn how health plans can shift from broad segmentation strategies to truly personalized, member-centric healthcare by harnessing data, AI, and digital transformation.     Learn how health plans are using AI-driven insights to deliver tailored interventions.

How are leading healthcare organizations using advanced analytics and AI to transform the patient experience? As healthcare costs continue to rise and patient satisfaction remains a challenge, many organizations are turning to data driven insights to improve outcomes and efficiency.  This episode of Healthcare Reinvented explores how Highmark Health is leveraging cutting edge analytics to enhance decision making across the enterprise. Highmark's Dr. Richard Clarke and Ian Blunt join the Pittsburgh Technology Council CEO Audrey Russo and VP of Communications Jonathan Kersting so you can discover: How Highmark's analytics team is embedding data and AI into every aspect of the business to drive better results.  How Highmark is partnering with tech giants like Google to accelerate their analytics capabilities and unlock new possibilities. The cultural shift required to make data and AI a core part of an organization's DNA. So hit PLAY to learn how Highmark is using analytics to create remarkable health experiences for their members. 

Today, we're diving deep into a crucial aspect of preventive healthcare: the Annual Wellness Visit. Our guest is Dr. Christopher Wheelock, a clinical transformation physician executive at Highmark Health, responsible for developing payer and provider collaborations to move toward value-based care. In the past, he was heavily involved with developing the workflow, patient scripting and templating for the Annual Wellness Visit when CMS first established it in 2011 as part of the Affordable Care Act. In today's episode, Dr. Wheelock sheds light on the various elements of the Annual Wellness Visit, including self-assessments of psychosocial issues and screenings for conditions like dementia and incontinence. He also explains the expansion of services in 2025 for Medicare beneficiaries. We also explore the intricacies of coding and billing for these visits, especially if they go beyond the scope of the Annual Wellness Visit; the value they bring to patients, providers, and payers; and the critical role of effective communication and preparation to maximize the benefit of the Annual Wellness Visit.

In this episode of Healthcare Reinvented, Jonathan Kersting and Audrey Russo from the Pittsburgh Technology Council discuss Highmark Health's strategies to address the mental health crisis. Guests Dr. Anil Singh and Dr. Doug Henry explain how Highmark has increased access to mental health services by 40% through partnerships like that with Spring Health. The conversation focuses on the importance of a whole-person model of care, addressing health disparities, and ensuring equitable outcomes. They highlight the significant increase in mental health service demand post-COVID and emphasize the vital role of telemedicine. The discussion also covers Highmark's goals for 2025, including enhancing access, reducing stigma, expanding service offerings, and closing health disparities. The speakers stress the importance of early intervention, particularly for children, and the potential of digital solutions to improve mental health care.

Michael Serbinis, CEO and Founder of League, sits down with Eric to for a compelling discussion on how digital innovation is reshaping healthcare. Discover how League's platform empowers health plans like Highmark to deliver personalized, data-driven experiences that simplify navigation, improve engagement, and enhance member satisfaction. Mike shares fascinating insights on: The power of a unified digital front door for healthcare consumers  Real-world examples of how League amplifies care access and reduces costs  The role of personalization in creating Amazon-like experiences for healthcare  Mike also reflects on lessons from his entrepreneurial journey, including his time working with Elon Musk and how it inspired his vision to transform healthcare. Listen in for actionable strategies on leveraging technology to meet evolving consumer expectations and drive better outcomes. About Mike Michael Serbinis founded League in 2014. League accelerates the digital transformation of the healthcare consumer experience (CX). Serbinis has led the company since its inception, raising over $235 million in funding and driving exponential growth as League powers healthcare's biggest brands.    Mike has had a long and distinguished career as a serial entrepreneur, rocket scientist, engineer and investor. Most recently, Serbinis was the founder and CEO of Kobo, a digital reading company that rivals Amazon's Kindle worldwide. Before that, he founded cloud storage pioneer DocSpace and then built Critical Path, a messaging service that handled one-third of the world's email. Serbinis is also Chair of the Board of Directors for the Perimeter Institute, the world's leading center for scientific research in theoretical physics.    Now, as the CEO of League, Serbinis is focused on healthcare transformation. Payers, providers and pharmacy retailers build on the League platform to accelerate digital transformation and deliver high-engagement, personalized digital experiences. Millions worldwide use and love solutions powered by League to access, navigate and pay for care.   About League  Founded in 2014, League is the leading healthcare consumer experience platform, reaching more than 20 million people around the world and delivering the highest level of personalization in the industry. Payers, providers, and consumer health partners build on League's platform to deliver high-engagement healthcare solutions that improve health outcomes. To date, League has raised $235 million in venture capital funding, powering the digital experiences for some of healthcare's most trusted brands, including Highmark Health, Manulife, Medibank, and Shoppers Drug Mart.   Bright Spots in Healthcare is produced by Bright Spots Ventures Bright Spots Ventures brings healthcare leaders together to share working solution or "bright spots" to common challenges. We build valuable and meaningful relationships through our Bright Spots in Healthcare podcast, webinar series, leadership councils, customized peer events, and sales and go-to-market consulting. We believe that finding a bright spot and cloning it is the most effective strategy to improve healthcare in our lifetime. Visit our website at www.brightspotsinhealthcare.com

Digital transformation in healthcare is reshaping patient care and driving innovations in value-based outcomes. In this episode, Gerard Odafe, Associate Director of Digital Products and Services at Baxter, discusses his journey from aerospace to healthcare, sharing how digital innovation transforms patient care and outcomes. He recounts experiences at Cleveland Clinic, Highmark Health, and Baxter, highlighting the growing role of digital health tools in enhancing patient care and value-based outcomes. Gerard talks about how vertical integration enables control over insurance and care delivery, facilitating accelerated innovation and targeted interventions. He stresses the importance of a people-centered approach, effective communication, and empathy in healthcare advancements, cautioning against over-reliance on AI without personalized care.  Tune in to explore how digital health tools and innovative strategies revolutionize healthcare delivery and enhance patient outcomes! Resources: Connect with and follow Gerard Odafe on LinkedIn. Follow Baxter on LinkedIn and visit their website.

Doug Henry, PhD, Vice President and Medical Director of Enterprise Behavioral Health at Highmark Health, and Mari Vandenburgh, Vice President of Health Programs and Solutions at Highmark Health, join Eric to share Highmark's innovative approaches to transforming care delivery through digital and hybrid solutions. Topics include: Post-Acute Care Innovations: AHN At-Home Care program's multidisciplinary approach integrates mental health support to reduce readmissions and save $600 PMPM in total care costs. Addressing Network and Access Gaps: Highmark's strategic initiatives to expand access through geo-analysis, virtual-first strategies, and enhanced provider partnerships. Virtual Mental Health: A closer look at Highmark's partnership with Spring Health to provide personalized, outcome-driven mental health care, achieving symptom remission in six weeks or less for 70% of patients with moderate to severe conditions. Living Health Strategy: Leveraging personalized nudges and integrated digital platforms to boost member engagement, with 79% receiving their first mental health care through the program. Innovation for Loneliness and Beyond: Doug shares groundbreaking grant projects, such as using technology and social prescriptions to address loneliness and improve senior care outcomes. This episode is packed with actionable insights for health plans seeking to close access gaps, enhance member experience, and drive measurable outcomes in mental health and beyond. Tune in to learn from Highmark's bright spots and discover strategies to replicate their success.   About Doug and Mari Doug is a clinical psychologist licensed in Pennsylvania and California and brings over 20 years of experience in professional applied psychology, including inpatient, outpatient, and administrative assignments. Attracted by the integrated payer-provider model and emphasis on patient-centered treatment, he joined the Allegheny Health Psychiatry and Behavioral Health Institute in 2017 as vice president. In addition to his role at the enterprise, he continues to serve as a leadership dyad for the Institute. Before joining AHN, Dr. Henry served as clinical administrator at Western Psychiatric Institute and Clinic for UPMC Child and Adolescent Behavioral Health Services, the UPMC Center for Autism and Developmental Disorders, and the UPMC Center for Eating Disorders. Mari is responsible for identifying and managing best-in-class healthcare solutions to improve Quadruple Aim outcomes related to chronic and episodic clinical conditions and validating multi-year business case value drivers and ROI. She has been with Highmark in various roles since 2005. Mari has a Bachelor of Science from Duquesne and a Master of Health Administration from the University of Pittsburgh. About Highmark Health Highmark Health is a $27 billion national, blended health organization with one of America's largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health's 44,000 employees serve millions of customers nationwide through the nonprofit organization's affiliated businesses, including Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, enGen, and Helion.   We'd love to hear from you! Send your comments, suggestions and ideas to hello@brightspotsinhealthcare.com   Visit our website to learn more about the show! www.brightspotsinhealthcare.com        

Join us to learn more about how Highmark Health is improving community health by tackling food insecurity with Nebeyou Abebe.  Nebeyou Abebe is the Senior Vice President of Social Determinants of Health (SDoH) at Highmark Health, a $27 billion national health organization. With nearly 20 years of experience in SDoH, population health, and employee wellness, he leads initiatives to address non-clinical factors impacting health, such as housing, food insecurity, and transportation. Highmark Health, based in Pittsburgh, serves millions through its affiliated businesses and focuses on improving health outcomes by tackling both medical and non-medical drivers of poor health. Previously, Abebe was the Global Vice President of Health and Well-being at Sodexo Group, where he led efforts impacting over 100 million consumers and 425,000 employees. He also worked on public health initiatives with the Louisiana Public Health Institute and directed national campaigns for the CDC to reduce HIV/AIDS stigma. Abebe holds a bachelor's in economics from the University of Massachusetts-Amherst, a Master's in social and public policy from Georgetown University, Sponsor: The podcast is made possible by FoodNiche-ED, a gamified platform that enhances the knowledge of food and health. Learn more on foodniche-ed.com Twitter: https://twitter.com/foodniche_ed Instagram: https://www.instagram.com/foodniche_ed/ Facebook: https://www.facebook.com/FoodNicheEd/ LinkedIn:https://www.linkedin.com/company/foodniche-education About Dr. Olayanju: Dr. Julia Olayanju is a scientist and educator who advocates for enhanced nutrition education in schools and communities. She is the founder of FoodNiche-ED and FoodNiche where she and her team are driving a healthier future through programming, resources and technology.

Having a relevant conversation going into the holidays, Dr. Anil Singh, senior vice president, executive medical director, population and curated health for Highmark Health, and Aimee Girod, VP clinical strategy & performance joined us to discuss maintaining mental wellness during a stressful time of year and beyond.

In this episode, I spent some time with Monica Kohli, VP of Growth and Strategy at Hilabs. Her company uses AI and data analytics to make healthcare data clean, meaningful, and transformative. The US healthcare system can be a complicated one to navigate, and connecting the dots to bridge the complications between insurance, clinical data, billing and healthcare providers is a necessity. We also discuss what it means to “Lead as a Woman”, as too many times, we only see leadership as a masculine trait. As a VP of Growth and Strategy at HiLabs, Monica leads go-to-market functions and serves as a key client advisor, ensuring continued value creation for major customers. With over a decade of experience in launching and scaling ventures in healthcare and B2B SaaS, she began her career in corporate strategy at Highmark Health, enhancing their provider network through new services and partnerships. Her success stems from a holistic approach to go-to-market strategy that drives scalable revenue growth. She holds an undergraduate degree in pre-medicine from New York University and a master's in public health and health administration from the University of Pittsburgh.

  AmeriHealth Caritas, Health Alliance Plan, Highmark Health and Icario discuss how AI transforms healthcare by creating personalized experiences that drive performance improvements and enhance member engagement. Learn how high-ranking health plans reinvent their approach to member experience to elevate your HEDIS scores, improve health outcomes and streamline data processes.   Guests: Vandna Bhrany, MPH, Vice President, HEDIS Strategy and Analytics, AmeriHealth Caritas  Tracy Saula. Senior Vice President, Chief Product and Experience Officer, Highmark Health  Cory Busse, VP, Strategy, Icario Mike Treash, Senior Vice President and Chief Operating Officer, Health Alliance Plan   Bios: https://www.brightspotsinhealthcare.com/events/a-new-era-for-consumer-engagement-and-hedis-combining-the-human-touch-with-ai/   This episode is sponsored by Icario Icario serves health plans by using powerful whole-person data, predictive behavioral science, and a proprietary engagement platform to offer personalized experiences that meet members where they are in their health journey. Icario combines the industry's largest member data repository with unparalleled industry expertise to implement health action programs that deliver personalized member engagement, reduce abrasion and encourage positive health behaviors.

Joyce welcomes Mick Malec, CEO, enGen and Enterprise Technology and Operations Officer, Highmark Health, back to the show. enGen's dynamic ecosystem of smart automation and technology supports streamline complex operations for health plans and their provider partners. Founded in 2014 as HM Health Solutions (HMHS), enGen is a wholly owned subsidiary of Highmark Health. enGen has more than 3,500 employees and works with health care plans serving more than 10 million members nationwide. Mr. Malec will discuss enGen's continued commitment to hire people with disabilities as part of a diverse workforce.

Guests:Dan Nutkis, Founder and Chief Executive Officer of HITRUSTOn LinkedIn | https://www.linkedin.com/in/daniel-nutkis-339b93b/Robert Booker, Chief Strategy Officer at HITRUSTOn LinkedIn | https://www.linkedin.com/in/robertbooker/Omar Khawaja, CISO, Client at DatabricksOn LinkedIn | https://www.linkedin.com/in/smallersecurity/Cliff Baker, CEO at CORL TechnologiesOn LinkedIn | https://www.linkedin.com/in/cliffbaker/Andrew Hicks, Partner and National HITRUST Practice Lead at Frazier & DeeterOn LinkedIn | https://www.linkedin.com/in/aehicks2000/____________________________Hosts: Sean Martin, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining CyberSecurity Podcast [@RedefiningCyber]On ITSPmagazine | https://www.itspmagazine.com/sean-martin____________________________Episode NotesThis episode of the On Location series takes place during HITRUST Collaborate 2024 brought together leading figures in cybersecurity to share their experiences and insights. Moderated by Sean Martin, host of the Redefining CyberSecurity Podcast, the panel included Dan Nutkis, Founder and Chief Executive Officer of HITRUST; Robert Booker, Chief Strategy Officer at HITRUST and former Chief Information Security Officer at UnitedHealth Group; Omar Khawaja, CISO, Client at Databricks and former Chief Information Security Officer at Highmark Health; Cliff Baker, CEO at CORL Technologies and Managing Partner at Meditology Services; and Andrew Hicks, Partner and National HITRUST Practice Lead at Frazier & Deeter.The session kicked off with Sean Martin highlighting the importance of collaboration and conversation within the cybersecurity community. Dan Nutkis reflected on the early beginnings of HITRUST in 2007 and discussed the initial goal of establishing a comprehensive and effective framework for security. Nutkis highlighted the organization's ongoing commitment to continuous improvement and adaptability in addressing security needs.Omar Khawaja emphasized the need for setting high-security bars and how HITRUST has been instrumental in providing robust frameworks that simplify complex compliance requirements. He shared how Highmark Health leveraged the HITRUST certification to streamline their third-party risk management, ensuring better outcomes with fewer resources. According to Khawaja, HITRUST's efforts in adapting to market needs and developing new assurance levels like the i1 and e1 have been vital in meeting evolving security demands.Cliff Baker discussed the innovation driven by HITRUST in the compliance space. Baker stressed the importance of the HITRUST ecosystem, which is designed not only to meet today's security challenges but to anticipate future needs. The assurance framework and transparency provided by HITRUST have proven essential in building and maintaining trust within the healthcare industry.Andrew Hicks praised the rigorous QA process that HITRUST employs, which ensures that certified organizations maintain high standards of security. He emphasized how this rigorous process not only helps organizations achieve certification but also transforms their overall approach to cybersecurity.Robert Booker spoke about the continuous curiosity and commitment required to stay ahead in cybersecurity. He highlighted how HITRUST's data-driven approach and innovations in areas like AI and continuous monitoring are crucial in maintaining relevance and enhancing security outcomes.Throughout the discussion, the panelists collectively underscored the importance of a robust, adaptable, and comprehensive security framework. HITRUST's continuous innovation and commitment to addressing real-world security challenges position it as a leader in the industry. The collaborative efforts of HITRUST and its community not only improve organizational security but also strengthen the overall reliability of the healthcare system.As HITRUST continues to evolve and introduce new initiatives, it remains a pivotal player in setting high security and compliance standards. The insights shared during this episode of On Location provide a glimpse into the future of cybersecurity and the ongoing efforts to safeguard sensitive data in the healthcare sector.Be sure to follow our Coverage Journey and subscribe to our podcasts!____________________________This Episode's SponsorsHITRUST: https://itspm.ag/itsphitweb____________________________Follow our HITRUST Collaborate 2024 coverage: https://www.itspmagazine.com/hitrust-collaborate-2024-information-risk-management-and-compliance-event-coverage-frisco-texasBe sure to share and subscribe!____________________________ResourcesLearn more about HITRUST Collaborate 2024 and register for the conference: https://itspm.ag/hitrusmxayLearn more about and hear more stories from HITRUST: https://www.itspmagazine.com/directory/hitrust____________________________Catch all of our event coverage: https://www.itspmagazine.com/technology-cybersecurity-society-humanity-conference-and-event-coverageTo see and hear more Redefining CyberSecurity content on ITSPmagazine, visit: https://www.itspmagazine.com/redefining-cybersecurity-podcastTo see and hear more Redefining Society stories on ITSPmagazine, visit:https://www.itspmagazine.com/redefining-society-podcastWant to tell your Brand Story as part of our event coverage?Learn More

Guests:Dan Nutkis, Founder and Chief Executive Officer of HITRUSTOn LinkedIn | https://www.linkedin.com/in/daniel-nutkis-339b93b/Robert Booker, Chief Strategy Officer at HITRUSTOn LinkedIn | https://www.linkedin.com/in/robertbooker/Omar Khawaja, CISO, Client at DatabricksOn LinkedIn | https://www.linkedin.com/in/smallersecurity/Cliff Baker, CEO at CORL TechnologiesOn LinkedIn | https://www.linkedin.com/in/cliffbaker/Andrew Hicks, Partner and National HITRUST Practice Lead at Frazier & DeeterOn LinkedIn | https://www.linkedin.com/in/aehicks2000/____________________________Hosts: Sean Martin, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining CyberSecurity Podcast [@RedefiningCyber]On ITSPmagazine | https://www.itspmagazine.com/sean-martin____________________________Episode NotesThis episode of the On Location series takes place during HITRUST Collaborate 2024 brought together leading figures in cybersecurity to share their experiences and insights. Moderated by Sean Martin, host of the Redefining CyberSecurity Podcast, the panel included Dan Nutkis, Founder and Chief Executive Officer of HITRUST; Robert Booker, Chief Strategy Officer at HITRUST and former Chief Information Security Officer at UnitedHealth Group; Omar Khawaja, CISO, Client at Databricks and former Chief Information Security Officer at Highmark Health; Cliff Baker, CEO at CORL Technologies and Managing Partner at Meditology Services; and Andrew Hicks, Partner and National HITRUST Practice Lead at Frazier & Deeter.The session kicked off with Sean Martin highlighting the importance of collaboration and conversation within the cybersecurity community. Dan Nutkis reflected on the early beginnings of HITRUST in 2007 and discussed the initial goal of establishing a comprehensive and effective framework for security. Nutkis highlighted the organization's ongoing commitment to continuous improvement and adaptability in addressing security needs.Omar Khawaja emphasized the need for setting high-security bars and how HITRUST has been instrumental in providing robust frameworks that simplify complex compliance requirements. He shared how Highmark Health leveraged the HITRUST certification to streamline their third-party risk management, ensuring better outcomes with fewer resources. According to Khawaja, HITRUST's efforts in adapting to market needs and developing new assurance levels like the i1 and e1 have been vital in meeting evolving security demands.Cliff Baker discussed the innovation driven by HITRUST in the compliance space. Baker stressed the importance of the HITRUST ecosystem, which is designed not only to meet today's security challenges but to anticipate future needs. The assurance framework and transparency provided by HITRUST have proven essential in building and maintaining trust within the healthcare industry.Andrew Hicks praised the rigorous QA process that HITRUST employs, which ensures that certified organizations maintain high standards of security. He emphasized how this rigorous process not only helps organizations achieve certification but also transforms their overall approach to cybersecurity.Robert Booker spoke about the continuous curiosity and commitment required to stay ahead in cybersecurity. He highlighted how HITRUST's data-driven approach and innovations in areas like AI and continuous monitoring are crucial in maintaining relevance and enhancing security outcomes.Throughout the discussion, the panelists collectively underscored the importance of a robust, adaptable, and comprehensive security framework. HITRUST's continuous innovation and commitment to addressing real-world security challenges position it as a leader in the industry. The collaborative efforts of HITRUST and its community not only improve organizational security but also strengthen the overall reliability of the healthcare system.As HITRUST continues to evolve and introduce new initiatives, it remains a pivotal player in setting high security and compliance standards. The insights shared during this episode of On Location provide a glimpse into the future of cybersecurity and the ongoing efforts to safeguard sensitive data in the healthcare sector.Be sure to follow our Coverage Journey and subscribe to our podcasts!____________________________This Episode's SponsorsHITRUST: https://itspm.ag/itsphitweb____________________________Follow our HITRUST Collaborate 2024 coverage: https://www.itspmagazine.com/hitrust-collaborate-2024-information-risk-management-and-compliance-event-coverage-frisco-texasBe sure to share and subscribe!____________________________ResourcesLearn more about HITRUST Collaborate 2024 and register for the conference: https://itspm.ag/hitrusmxayLearn more about and hear more stories from HITRUST: https://www.itspmagazine.com/directory/hitrust____________________________Catch all of our event coverage: https://www.itspmagazine.com/technology-cybersecurity-society-humanity-conference-and-event-coverageTo see and hear more Redefining CyberSecurity content on ITSPmagazine, visit: https://www.itspmagazine.com/redefining-cybersecurity-podcastTo see and hear more Redefining Society stories on ITSPmagazine, visit:https://www.itspmagazine.com/redefining-society-podcastWant to tell your Brand Story as part of our event coverage?Learn More

Monica is a tech executive with a strong background in healthcare, public health, and growth strategy. She started her career on the provider side of healthcare, working on growth initiatives for one of the nation's largest integrated delivery networks at Highmark Health. Shortly after, she entered the tech space through a lead go-to-market role for a fast growing healthtech startup, launching her career in scaling high growth B2B tech SaaS companies. I wanted to talk to Monica because it's not common to find a woman of leadership in both tech and public health, especially one that embraces femininity in her leadership! A driving force behind her career progression and success is her desire to empower women in public health, leadership, and technology. She is a trailblazer in these fields and cares deeply about sharing her story so that other women can succeed. Connect with Monica: https://www.linkedin.com/in/monicakohli/ FOLLOW ME: YouTube: https://www.youtube.com/ChristineWong Instagram: https://www.instagram.com/christine.innovates Linkedin: https://www.linkedin.com/in/christineywong Facebook: https://www.fb.me/ChristineWongFB Website: https://christineywong.me/ --- Support this podcast: https://podcasters.spotify.com/pod/show/christinewong/support

In this episode of Inside Jobs, we connect with Keith Loell, integrated creative director and leader at Tonic, the award-winning in-house agency at Highmark Health. Keith has always felt the most comfortable and most alive building things. So, when the executives at Highmark came knocking with a plan to build a full-service, world-class in-house agency, he was all in! Join us to hear how Keith's experience with external agencies and clients across three continents led to his decision to take his passions and expertise in house, helping to build the 2023 In-House Agency of the Year.——This podcast is in partnership with the In-House Agency Forum and hosted by Robert Berkeley from EKCS.

Dr. Onyi Daniel, Sinai Health System Board Member and former Vice President for Data and Analytics Strategy at Highmark Health, is a passionate health tech leader who speaks about change management, AI use cases, health equity and the importance of responsible AI.In this episode, Daniel shares her leadership experience and explains why it is incremental that health care leadership can articulate the vision for technological change and define the associated value. Host Alex Maiersperger and Daniel discuss emerging AI use cases in the health care industry, such as ambient listening or code generation, which can improve productivity and experience and reduce burnout. Despite the infinite opportunities that new technologies bring, Daniel emphasizes the importance of upstream data collection, data quality, governance and inclusion, ensuring models and outcomes represent diverse populations to enhance health equity.

Joyce is proud to have back Highmark Health's Executive Vice President and Chief Operating Officer, Karen Hanlon. She will explain her commitment to hiring people with disabilities as a diverse part of their workforce.

Sean Kelly Sean Kelly serves as the Director of Cyber GRC and Data Protection at Highmark Health, the fourth-largest Blue Cross Blue Shield organization in the United States. With a background in IT and cybersecurity, Sean brings a wealth of experience in remote team management and organizational leadership. In addition to his role at Highmark,...

This special episode of Inside Jobs comes to you live from the IHAF Leadership Summit, held at the iconic Willis Tower in Chicago, IL. An executive-level event, this year's Summit includes keynotes from Marissa Eddings of 7-Eleven, Jennifer Martindale of the Chicago Cubs, Jorge Orozco-Cordero of Discover Financial Services, and Amy Spears and George Friedman of Highmark Health—all of whom offer an inside look at the organizational strategies and operating practices that enable their teams to deliver incomparable value to the businesses they support. ——This podcast is in partnership with the In-House Agency Forum and hosted by Robert Berkeley from EKCS.

In this episode, Dr. Onyinyechi Daniel, Vice President of Data & Analytics Strategy at Highmark Health, explores the landscape of Medicare Advantage, discussing the wins and challenges faced in this sector. He delves into trends in growth and development, emphasizing the critical roles of innovation and adaptability as well as highlights the importance of community in driving successful healthcare outcomes.

Joyce is proud to have back Highmark Health's Executive Vice President and Chief Operating Officer, Karen Hanlon. She will explain her commitment to hiring people with disabilities as a diverse part of their workforce.

Joyce is proud to have back Highmark Health's Executive Vice President and Chief Operating Officer, Karen Hanlon. She will explain her commitment to hiring people with disabilities as a diverse part of their workforce.

Joyce welcomes Tracy Saula, Senior Vice President and Chief Product and Experience Officer at Highmark Health to the show. Ms. Saula will discuss her role within the organization further and the wide range of products and services that Highmark Health provides to its customers, including those with disabilities.

For the 71st episode of the CIO podcast hosted by Healthcare IT Today, we are joined by Richard Clark, PhD, Senior Vice President and Chief Analytics Officer at Highmark Health to discuss data, analytics, and AI! To kick off this episode, we discuss Clark's double role working for a payer and provider and how that […]

Join us for an enlightening episode with Dr. Onyinyechi Daniel, VP of Data & Analytics Strategy at Highmark Health, as she shares her background and expertise. Discover Dr. Daniel's most successful project, her priorities for the upcoming year, and insights into the anticipated changes in her role and teams.

Episode description: In this podcast episode, we engage in an insightful discussion with Richard Clarke, Chief Data and Analytics Officer at Highmark Health. With an impressive 8-year tenure, Richard offers a unique and seasoned perspective on the evolution of analytics and data science. He and his team have built a remarkable foundation at Highmark, skillfully leveraging it during the recent surge in Generative AI, while simultaneously investing in high ROI projects across the spectrum of data science and analytics projects. This episode isn't just pivotal for those at the forefront of healthcare organizations; it's also packed with valuable insights for leaders across a range of industries looking to harness the power of data and analytics in their own businesses.   Show links: LinkedIn: https://www.linkedin.com/in/richard-clarke-data-analytics/ Highmark Health website: https://www.highmarkhealth.org/

For Allegheny Health Network (AHN) and Highmark, the goal isn't just to reinvent health care, but to also provide a seamless and supportive patient experience right down to the details of patient billing. After all, patients can get overwhelmed by the disconnected bills and explanations of benefits piling up in their mailboxes. Not only can it compound stress patients already have about their health, but it can also lead to missed payments and costly customer service inquiries. In this episode of Health Care Reinvented, we explore how ANH and Highmark leveraged technology and a leading-edge health care IT company, Cedar, to deploy a solution that not only increases payments but reduces patient stress around the billing process. Listen in to Neil Kulkarni, Vice President of Customer and Clinician Experience Solutions at Highmark Health; Kimberly Wilkinson, Director, Central Business Office, AHN; and Shanti Krishnan, Vice President of Sales at Cedar, detail their journey to radically simplify their customer financial experience by implementing Cedar Pay. With the Payer Intelligence Layer, Highmark members who receive care at AHN have access to uniquely integrated billing information and insurance data. In less than one year with Cedar Pay, AHN added $17 million in patient payments, thanks in part to the integration with Highmark. But the clearest signal that payer-provider partnership was working came from patients themselves, who gave the integrated experience a 90% satisfaction rating. Listen and learn how embracing technology can create so much positive impact and how more projects are in store for the future. Transcription: You're listening to the healthcare reinvented podcast series. And I'm your host, Jonathan Kersting. With the Pittsburgh Technology Council. This podcast is all about the intersection of technology and healthcare. And we talk about it at every single level, whether it's in the operating room, whether it's about virtual visits, and everything in between. It's where technology is making a positive impact. And today, it's all about how technology is simplifying the payer provider system. Simplifying just makes it sound, dare I say too simple, because it is super complex. But you want a streamlined system, you want a sensible system, you want an easy system and understandable system, so the customers don't have to be stressed out when it comes to paying and understanding their bills. And joining us on the podcast today is Neil Kulkarni, who's the vice president of customer and coalition experience solutions at Highmark Health. We have Kimberly Wilkinson, who is Director of Central Business Office at Allegheny Health Network. And we have Shanti Krishnan, who is vice president of sales at Cedar. Thank you so much for hanging out with me today. I'm excited to explore this conversation. And I always love starting with introduction. So our listener knows who is who. So why don't we just start down the list and I went through Neil, let's start with you your background real fast, and what you do, how you do it off the ball, Jonathan, thank you so much for having us and really excited to be able to kind of talk about this with the group today. I've been at Highmark, for a little under five years. And really what my role is all about is how do we transform our delivery system? And how do we make things easier for our customers? How do we make it easier for our clinicians? How do we think about simplification experiences being more practice personalized, and then working with our provider partners to really deliver a seamless and blended experience for people and so we say customer because it doesn't really matter if it's a insurance member or a provider system patient than today, it's a person. And healthcare is really complicated. And so I'm excited and unfortunate that I get to spend kind of my day thinking about how we think make things easier from a system perspective. And you make it sound easy. And that's very complicated, because it's like, like I said, In the beginning, it's one of those deals where it's like, you're dealing with people here, we need simplicity from a very complex system. And that's when you get to work on every day. And that's just improving the quality of people's lives. I love that is so cool, Neil. So Kim, how about yourself and what you do at Allegheny Health Network? Hello, everybody. I'm Kim.  I'm the director of the Central Business Office for Allegheny Health Network. And my team is compromised of our Customer Care Center, which is our call center where patients are calling in inquiring about their bills, our Single Billing Office cash management, enrollment and credit balance. So as you can imagine, my areas are very involved with the patients and answering their questions as healthcare is very complicated. And we're, as Neil said, trying to make it uncomplicated for our patients and it easier for them to navigate and understand their bill. And not make it so stressful, because they're stressed enough. That's what I was gonna say. I mean, you're often talking to customers that are at an inflection point in their life where they're dealing with maybe a medical crisis or something and you're just stressed out like crazy. And all of a sudden, they you're getting some, some bills, or some get some questions, and you can't figure it out. So it's just increasing that stress. And you don't want your folks to be stressed out. So that's why I love what you're doing, because let's bring the stress down and help people heal. Right. Right, and make it easier for them make it easy. That's what I'm talking about. And of course, we couldn't have this conversation without our friends from cedars. So Sean cheap. Tell us about yourself and really like what cedar is all about, because I love the fact that like Highmark comes in and uses these tech partners like this to make these things happen to make that simplicity happen based on a technology platform. I'm Shanti Krishna and vice president of sales at Cedar I've been with the company for almost four years now. So we've evolved quite a bit over that time. But really thrilled to be here today. And of course, just so excited to have such wonderful partners in Miele Kim and the rest of the Highmark and AHN teams. What cedar does is that we have a platform that really aims to make it easier and more intuitive for patients to navigate and ultimately fulfill their financial and administrative obligations in health care. We know this is a real pain point for patients and as Kim just alluded to, it's often coming at a moment that is already stressful because of some sort of healthcare incident. And so our view is if we can take the stress out of what is already a pretty stressful situation, you know, we're doing our job. And so, we aim to do this in two kind of key related ways. One is just bringing the best of other consumer industries to this known pain point in the patient healthcare experience, making it more personalized, more intuitive, really leaning on data and design science to help inform the experience And the second is really bringing disparate parties such as payer and provider together on one platform because we know that patients don't see these things as being entirely separate. They're actually very related, yet our system treats them as totally separate. So, again, an area where agent and Highmark have just been such fantastic partners and really helps us to realize this vision. Yeah, I was looking at your website. And you have, I mean, you have the biggest clients out there. And of course, Allegheny Health Network. Highmark, they're right there with you guys. So you're, you're helping lots of lots of big organizations solve these very tough problems. So that's, that's cool stuff. Certainly a privilege. Most definitely. So let's get the conversation rolling. I guess maybe starting off with talking with with Neil Kim about maybe some of the problems that were that Highmark was looking at knowing that you needed to find a solution around this. Can you guys set the stage for us? Yeah. So happy to kind of chat through that. So I think the last couple of years, as we've been looking at how do we drive a better experience for our customers, I really started to break that down into a bunch of buckets of things that we want to focus on. But one of the major ones is around kind of the end and healthcare financial experience to say, hey, people struggled to understand financial costs, they struggled, they don't get treatment at times, because they really don't understand that as well. So that relates is often delayed care, when they actually get then care, then there's really complicated payment processes, we don't do a good job of connecting people to financial services and advocacy programs that they might have access to. So that entire ecosystem is really, really complicated. Everything from kind of understanding what costs are known, giving, comparing cost options, making it easy for people to kind of pay their bills, helping them understand the benefits that they have, as well. And so once we started kind of looking at the space, we said, hey, this is an area that we really need to kind of dig in and and tackle, and we're not doing a good enough job today. And so about three years ago, we really started kind of looking into, Hey, what are the set of partners because this is it's complicated, like it's talked about, it isn't something that we're going to solve completely on our own. And we know that there are other organizations and kind of other companies that are really partnering to drive this experience. And so we started looking at who are the center partners that are doing that. And so through that process, we identified initially, a company called boot up as a place that we wanted to start and that transition into cedar. And so I think one of the interesting parts, which I think we'll talk a little bit further about, and kind of our discussion is, one the place to start might not be completely the place that yet. And so if this was a one where hey, everyone solve it in healthcare, it's easy, go do it, just go implement a solution, and we're good that it would be easy to go saw. And so we started experimenting and working with the senior team on Hey, initial concept, here's what we think, how would you scale it? How would you deploy that? And so we iterated on that with them. And with hm, team over time on how do you start making these things really easy? How do you bring the best of kind of other experiences that as a person, you've gotten used to whether it's financial services, whether it is retail, other things in your life that you're doing, and we really worked collaboratively to go through that with them. But that was been a three year journey to say where we started and the product that the solution that we started with right now is very different than what we actually have live. But I think that's a good part of this partnership to say, hey, continue to iterate, change, really meet the customers understand what they need, and deliver a set of capabilities or experience to a customer that really makes it easy for them to understand on the provider side, what they need to pay on a payer side, does that match what their payer has paid their EOB and really bring all that together in a really seamless way. So that's, that's really kind of what brought us to Cedar in the partnership between cedar age and a hybrid on ours. That's super interesting. And you bring up the point of fact that like, it's not like this is one of these places where you go, you buy the software, you plug it in, and though your problem solved, but know that this has been an iterative process, you don't end up where you think you're gonna end up. Because as you're discovering things along the way, it changes and of course, time changes, the industry changes, and that you got to, I guess, continually be addressing this as an issue as it goes along. Because you never fully get to like, let that's the one solution. We're done. So, Kim, I'm curious. From your side, obviously, you're much on the front lines, when you're hearing from the customers and so forth. What were some of the key things that they were kind of bringing up realizing like we got to keep improving? Like, how can we make sure that our customers are number one, and that we can we can do right by them all times. The one thing that we were lacking was the ability to provide an electronic communication, ie the text messages, the emails, or QR codes, things like that. So that partnering with theater has given us the ability to do that and evolve. And as you said, healthcare is ever changing. So as soon as we're getting one thing implemented, there's another section that you need to work on. And adding that payer intelligence for our Highmark members, has been a game changer for us, letting them know What their HSA and FSA balances are, and having that EOB comparison so that they can see. And again, helping them understand, as Neil was saying, with the payer and the provider, and linking that to that they can see that they are matching, you know, and helping eliminate that confusion. And just giving them access to some self serve options that they did not have before that we're now able to do has been a game changer for us as well. It's very empowering for the customer as well. I mean, I love that. But to get it makes, it seems like it's so easy, but you need a partner like cedar here. So I'm curious to hear from Shanti. And he obviously you come together with a client like this, and you know, this is a big project, right? And then it's going to evolve it. And it's what was it like kind of kicking this project off and kind of walking through this journey, as you're able to, you know, go through each step and then see ours as needs change, and then use those cedar products to help solve this problem. Yeah, I mean, I think to Neil's point, when we started out this started on this journey over four years ago, I think it really came from a place of collaboration. And, you know, at the time, Gouda really wanted to solve this problem of payer and provider collaboration, payer and provider coordination for the benefit of patients, but obviously not wanting to do that in a vacuum wanting to do it with a partner that could really inform us of the key pain points, and really what was most feasible out of the gates. And so that's kind of how this journey started. And so where we are today is that the cedar platform is live on the post visit billing side at Allegheny Health Network. And we've incorporated additional functionality known as the payer intelligence layer, which is both Neil and Kim alluded to, enables patients to see elements of their benefits information alongside their bills, so they can see it, their EOB and Bill have been reconciled, they can see their deductible status, and they actually have the ability to pay their bills out of their HSA. So this is available for Highmark members presenting at h n, we're continuing on this journey. This is really just the start. I was gonna say found, yeah, we found that even just this this what seems like a very small kind of tweak and an otherwise typical billing experience has led to really, really, really positive impacts for both a financial perspective for both payer and provider as well as the patient and member experience perspective. So I would say throughout the entire journey, the entire the, the approach has been extremely collaborative. And we've really leaned on both these teams to kind of help direct us and where we can have the most impact. Without a doubt, as I mentioned before, I was sneaking around on the cedar website, and I did come across that case study based on what we're talking about today. And the results have been pretty, pretty, pretty substantial. So far from these initial, you know, first steps of the rollout. Can you talk a little bit about some of the the results for lack of a better term so far? Sure. So we've definitely increased our pace patient satisfaction, we put several initiatives in place to contribute to that we have flexible payment plans, allowing for Apple Pay as a source of payment or the QR code. Again, as we mentioned, the payer intelligence for Highmark members, the ability to do your cell service options, we've updated our statement format, enhanced our payment plans to allow patients to consolidate their many visits into one payment plan so that they're not making multiple payments. And cedar has also assisted us with our customer service area. And this has helped us tremendously with reducing our abandonment rates. So when patients are calling in, you know, we are under the industry, industry standards for our abandonment rate now, which is that the standard is 3%. And we are well under that at an average of 1.3%. Our POST call surveys. And the results were first call resolution are up a percentage of 82%. And again, our satisfaction scores tend to increase as well. So I feel like we're servicing the patients in a better fashion, answering their questions. And again, giving them that ability to self serve as they feel need. Yeah, I think some of the other things, at least kind of but also more broadly, I think we've seen a big impact on collections. So I think it's over 17 million in income, incremental patient payments. That's not even accounting for it. We have a huge influx of people that are out on payment plans that didn't have payment plan options before. And so I think even from a customer experience perspective, hey, cost of healthcare is high and it has an impact on affordability that has an impact on the rest of your life to say Hey, can you pay your mortgage, can you pay your phone bill, you need to make a trade off decision on on some of that type of stuff. So really that payment plan functionality and things that we've done have been really impactful. I think the two other really big ones for us that we've seen is really a 33% lift in HSA FSA. So health spending accounts, utilization. And so to me, that's a big thing to say people in identical plans, they have these things, but I know what happens for me, I forget my car, I forget that you have that available. And then actually, right by reading my mind, Neal, you're reading my mind. If I remember, I was like, where's my HSA card and said, I don't keep it in my wallet with me at all times. And so one nudging and reminding people that they have these funds available to use for a payment has been really, really big. And so we've seen a big effect of that. Also on the Highmark side, we look at it in terms of what is our net promoter score or customer experience holistically in a segment and industry in a market right now. And so we've seen really good improvements overall in western Pennsylvania, with our net promoter score with the types of solutions that we're implementing in the space. So I think it's been a win win all round to say, a big impact for HN, but also a really big benefit for Highmark, in terms of making it easy for our customers to access care and pay for Kevin, you get to have so much fun doing what you're doing, because you're actually seeing a positive impact. It's only got us invigorate you more and more on both sides on the theater side on the high marks actually, like basically, we came together we're going through this journey, we're actually seeing the results we wanted. And we realized there's still more opportunity to do more. So you must be pretty stoked. We are really excited, we have a big roadmap and backlog of things that we want to tackle. So I think some of the things that we're we're really starting to lean into. So Shanti alluded to something that we call the payer intelligence layer. And so that is the component that is a Highmark insurance oriented to say, how do you provide a differentiated and unique experience for a high mark customer that might be going to a system like Allegheny Health. And so if we want to make it so much better, so much more streamlined and easy that you don't need to think about certain things, if you have a that type of a partnership? So a couple of things that we're working on, one is continuing to expand and scale that payer intelligence layer to other providers systems in other parts of the market to say, how do we work with not just ah, and in western Pennsylvania? How do I work with other systems and other geographies that Highmark operates in to really offer the same types of capabilities that we're really offering in this place. But that is one of the things that we're kind of working with the Cedar Key more holistically to expand that, I think we also have, I'll say, new capabilities and new use cases and new experiences that we want to launch as part of that payer intelligence layer that can go directly to a patient specifically with age as well. So a good example of that would be, hey, there's a treasure trove of information and things that we know, on an insurance side about a person, and we actually want to allow them to engage in those types of things. And so cedar and HN, they have eyeballs they have, they have engagement. And that's a moment that matters for a person when they're paying a bill. And so can we remind them to say, hey, you might have a need for colorectal screening, you might have a need for getting your flu shot. And there are certain things that we think are really valuable to help people manage their healthcare holistically, that we really want to use this platform to kind of start offering to our customers as well. So that's a second thing that we're kind of looking at in terms of a payer intelligent expansion of those capabilities. And I think the third one is, when you go to a system like Allegheny Health, there's still a lot of I'll say, secondary or tertiary providers that yet to say, hey, might be called a Gen, you might still get a separate bill right now. And in your mind, as a customer, you don't necessarily see that as up that was a 10 as a system, why am I getting a separate bill from this doc for a thing? You don't always know that? Are they employed? Are they not employed? And as a customer, I would not expect you to know that or figure that type of stuff out. And so how do we start working on things like consolidation of those types of bills to say, hey, it's all together, whether it is a different different entity that operates our end, if it's a different entity operates our neighbor and hospitals, but all of that if that sits under that age, and banner and brand, how do we start really making that experience really seamless as well. So just a couple of examples of that the types of things that we're looking at our our roadmap for the next year to be able to continue expanding on this capability. That's amazing. When I hear that you're able to take this and keep building on it and scaling it out for more impact me so exciting. Oh, my goodness. So yeah, like I'm confirming that you could have a lot of fun at work doing this. As far as that goes. How do you like prioritize and because I get it seems like the world just keeps opening up. How do you prioritize make sure that you can actually follow through on these things to make sure they happen because I'm sure it's got to be tough. And so it kind of goes with, hey, at the top kind of whether it's President leaders of the organizations, is there a strategic alignment in the direction that we're moving? And so we spent a good amount of time to make sure our leaders are kind of aligned at that level and are really working through that. I think then the next step goes into exactly what what Kim talked about, hey, we spent a lot of time right before the holidays on Hey, joint brainstorming and collaborative brainstorming on hey, let's throw 80 ideas over them. And let's see, what are all the things? Do they make sense for a provider system like Allegheny Health? Do they make sense for Highmark, but they make sense for Cedar? What's the Venn diagram of those types of opportunities? Let's start kind of figuring out what's the value? What's the impact on experience? What's the impact on financials? What's the impact on operations? And let's kind of collectively prioritize what makes the most sense across that organization? And then let's also short than that on a, what does the next 12 to 18 months look like? Well, we try to keep a forward looking roadmap across our organizations of the things that we want to go do. And then part of that turns into what am I learning from something I might be doing in a different space, my bringing that board to this discussion, other things that Allegheny Health Network is seeing in a completely different era that they think kind of makes sense on our roadmap as well. Then for Cedar? What are they seeing with other maybe payers or providers that they're working with as well? And how does that impact the things that we think that we're really what the I'll say, click into market and really deliver from a better experience for our customers. I like it, I tell you what, we've been doing this podcast series for almost five years now. And we've covered so many different topics like technologies in the operating room to you know, virtual health and everything, and I'm always my mind is mesmerized. Now, I think this has been one of our most important conversations, because we're talking about technology at a level. That's that's all around just how like a customer is able to interface and understand what's going on, you know, as as the as they go through the pay experience. And to me, that's just so important, and the amount of horsepower it takes to do that, and the complications behind it. Once again, it just goes to show you how technology and healthcare just they go hand in hand and they intersect in such a cool way. at every single level. I have been blown away, but with today's conversation, because these are things I just didn't know. And now I know I'm kind of excited. So if you have any parting words, anything we haven't covered, the people just need to know about this collaboration. And really, I think the excitement that as this moves forward into 2024 and beyond. This has been a great conversation. And again, I'll just kind of plus one to what Neil and Kim said, I think, for partnerships like this to work, there has to be some shared accountability, but there also really has to be alignment of mission and values. And, you know, I think at least from our side, we've definitely felt that and it's really enabled us to do what we've done so far. And we're excited about what's coming next. I love it. I'm so glad you guys are working together. I had so much fun having this conversation and learning what it takes to make something that seems as simple as a bill and it being understandable to have that happen in a seamless way. I think it's just awesome. I can't thank you guys enough for hanging out with me here on healthcare, reinvented, fantastic stuff, everybody. Transcribed by https://otter.ai

This week on the podcast, Darian and Steve are joined by Brad Keen, who is the Manager of Brand Activation, at Highmark Health. Brad joins the show to talk about his career journey from working in college athletics to now working for a company that advertises in athletics. Plus, Darian and Steve debate Cael Sanderson's noise complaint, share their Super Bowl picks and more. Follow Darian and Steve on Twitter @StuffSomersSays and @SteveSamspell. Visit the website at StuffSomersSays.com. Join the newsletter today. Go buy Stuff by visiting StuffSomersSays.com/TheStuff

Joyce is excited to start 2024 with the returning champion of competitive employment for Americans with disabilities, David Holmberg, President, and CEO of Highmark Health and Chairman of the Board, Highmark, Inc. Mr. Holmberg launched an initiative in 2020 to hire 30 people with disabilities from Bender Consulting Services to honor the 30th anniversary of the signing of the ADA, called the Highmark 30/30. He and all of Highmark have continued this practice every year since 2020. During the show, Mr. Holmberg will talk about the initiative and how it happened. Additionally, he will discuss how the company plans to continue its unprecedented record of hiring people with disabilities in 2024. Highmark is a $26 billion blended health organization with headquarters in Pittsburgh, PA. Its 42,000 employees serve millions of customers nationwide through the nonprofit organization's affiliated businesses, including Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, and enGen.

Joyce is excited to start 2024 with the returning champion of competitive employment for Americans with disabilities, David Holmberg, President, and CEO of Highmark Health and Chairman of the Board, Highmark, Inc. Mr. Holmberg launched an initiative in 2020 to hire 30 people with disabilities from Bender Consulting Services to honor the 30th anniversary of the signing of the ADA, called the Highmark 30/30. He and all of Highmark have continued this practice every year since 2020. During the show, Mr. Holmberg will talk about the initiative and how it happened. Additionally, he will discuss how the company plans to continue its unprecedented record of hiring people with disabilities in 2024. Highmark is a $26 billion blended health organization with headquarters in Pittsburgh, PA. Its 42,000 employees serve millions of customers nationwide through the nonprofit organization's affiliated businesses, including Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, and enGen.

As part of our ongoing coverage on cybercrime and cybersecurity, we recently spoke to several top experts about how they see it. On this episode, Javvad Malik, Lead Security Awareness Advocate at KnowBe4, is joined by Paul Connelly, former Chief Security Officer at HCA Healthcare; Ken Foster, former VP of IT Governance, Risk & Compliance at FLEETCOR; Omar Khawaja, former CISO at Highmark Health; and Susan Koski, CISO at PNC. Sponsored by: https://www.knowbe4.com/

Good day to our listeners! In today's episode, we're bringing you several exciting updates from the world of pharma and biotech. Let's dive right in.First up, we're talking about a game-changing webinar hosted by Cytiva. They're discussing a revolutionary, scalable process for producing clinical-grade plasmid DNA. This method is not only efficient but also reduces the purification steps significantly. If you're interested in the intricacies of genomic medicines, this is something you won't want to miss.In the world of health insurance, there's a buzz about Cigna and Humana potentially merging. This could be a major shake-up for the industry, but it's not without its challenges, especially on the regulatory front. Speaking of challenges, UnitedHealth's Medicare Advantage growth for 2024 could hit a snag, and Providence is still grappling with losses despite their recovery efforts. On a brighter note, Highmark Health's insurance business is making waves with boosted earnings, though Allegheny Health's operational losses are a concern. And in a concerning update, an additional 330,000 Medicare beneficiaries might have been affected by a data breach at a federal contractor. Definitely something to keep an eye on.Now, let's shift gears to A/B testing and experimentation programs. A new report, which analyzed data from over 127,000 experiments, sheds light on why many tests don't hit statistical significance and how we can look beyond revenue to other impactful metrics. If you're into data and analytics, this report is a treasure trove of insights.Patient retention in clinical trials is another hot topic we're covering. It's becoming increasingly clear that a patient-centered approach is key to not just getting patients into trials but keeping them there. The challenges range from the impact of trial locations to the feasibility of travel for patients. It's a complex issue, but solutions like telemedicine and local trial centers could be game-changers.For those interested in oncology, there's an upcoming webinar you won't want to miss. It focuses on making cancer studies more efficient and inclusive. The talk will cover innovative strategies, including the use of real-world data and technology, to improve outcomes in oncology research.Shifting our focus to retail health, we're seeing how on-premise digital screens are transforming patient care and driving revenue growth. These screens aren't just about display; they're a strategic tool for enhancing patient experiences and boosting business performance.And lastly, let's touch on some key developments in the pharmaceutical industry. We're looking at an international tax effort impacting big pharma, the potential Cigna-Humana merger, and some exciting updates from Novartis, BioMarin, Novo Nordisk, GSK, and Regeneron and Sanofi. There's a lot happening, and it's all pointing towards an exciting future for the industry.That's all for today's episode. Thanks for joining us on Pharma and Biotech Daily. Don't forget to subscribe for the latest news and updates in the industry. Have a fantastic day!

On this special episode of DGTL Voices, Ed welcomes Dr. Joshua Elder, SVP at Highmark Health and Command Surgeon in US Army Reserve.   In honor of Veterans Day, thank you to those who have served and continue to serve our country. God bless you and thank you for your sacrifice!   

Dr. Anil Singh, Senior Vice President, Executive Medical Director - Population and Curated Health for Highmark Health joins the podcast to discuss his background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more!

Onyinyechi “Onyi” U. Daniel - VP of Data & Analytics Strategy at Highmark Health joins the podcast to discuss her background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more!

Onyinyechi “Onyi” U. Daniel - VP of Data & Analytics Strategy at Highmark Health joins the podcast to discuss her background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more!

Joyce welcomes Dr. Bruce Meyer, Executive Vice President and Western PA Market President for Highmark Health to the show. Dr. Meyer is an experienced senior healthcare and education executive who is passionate about building high-reliability healthcare organizations through integrating coverage and care to deliver a more personalized, simpler, and proactive engaged health experience for individuals and clinicians. A proven initiator and strategic thinker with strong emotional intelligence with a focus on performance excellence while dealing with uncertainty and ambiguity. He will discuss this business philosophy and why hiring people with disabilities helps the organization meet these objectives.

Joyce welcomes Dr. Bruce Meyer, Executive Vice President and Western PA Market President for Highmark Health to the show. Dr. Meyer is an experienced senior healthcare and education executive who is passionate about building high-reliability healthcare organizations through integrating coverage and care to deliver a more personalized, simpler, and proactive engaged health experience for individuals and clinicians. A proven initiator and strategic thinker with strong emotional intelligence with a focus on performance excellence while dealing with uncertainty and ambiguity. He will discuss this business philosophy and why hiring people with disabilities helps the organization meet these objectives.

Joyce welcomes Mick Malec, CEO, enGen and Enterprise Technology and Operations Officer, Highmark Health, back to the show. enGen's dynamic ecosystem of smart automation and technology supports streamlines complex operations for health plans and their provider partners. Founded in 2014 as HM Health Solutions (HMHS), enGen is a wholly owned subsidiary of Highmark Health. enGen has more than 3,500 employees and works with health care plans serving more than 10 million members nationwide. Mr. Malec will discuss enGen's continued commitment to hire people with disabilities as part of a diverse workforce.

Joyce welcomes Mick Malec, CEO, enGen and Enterprise Technology and Operations Officer, Highmark Health, back to the show. enGen's dynamic ecosystem of smart automation and technology supports streamlines complex operations for health plans and their provider partners. Founded in 2014 as HM Health Solutions (HMHS), enGen is a wholly owned subsidiary of Highmark Health. enGen has more than 3,500 employees and works with health care plans serving more than 10 million members nationwide. Mr. Malec will discuss enGen's continued commitment to hire people with disabilities as part of a diverse workforce.

On this special episode of Dimensions of Diversity, Chief Diversity and Inclusion Officer, Lloyd Freeman chats with Erica Sumpter, Program Manager, Enterprise Equitable Health Institute at Highmark Health and Gina Winstead, VP for Inclusion, Diversity, Equity and Accessibility at Carnegie Museums of Pittsburgh. The trio examines intersectional identities and unique experiences within the LGBTQ+ community, and demonstrable ways that allies and leadership can advance LGBTQ+ inclusion in the workplace. Dimensions of Diversity is a podcast created by Buchanan Ingersoll & Rooney, highlighting diversity in the workplace. Hosted by Lloyd Freeman, Chief Diversity & Inclusion Officer, the podcast features meaningful conversations with industry and community leaders working to advance D&I.

Joyce welcomes Mick Malec, CEO, enGen and Enterprise Technology and Operations Officer, Highmark Health, back to the show. enGen's dynamic ecosystem of smart automation and technology supports streamlines complex operations for health plans and their provider partners. Founded in 2014 as HM Health Solutions (HMHS), enGen is a wholly owned subsidiary of Highmark Health. enGen has more than 3,500 employees and works with health care plans serving more than 10 million members nationwide. Mr. Malec will discuss enGen's continued commitment to hire people with disabilities as part of a diverse workforce.

Joyce welcomes Mick Malec, CEO, enGen and Enterprise Technology and Operations Officer, Highmark Health, back to the show. enGen's dynamic ecosystem of smart automation and technology supports streamlines complex operations for health plans and their provider partners. Founded in 2014 as HM Health Solutions (HMHS), enGen is a wholly owned subsidiary of Highmark Health. enGen has more than 3,500 employees and works with health care plans serving more than 10 million members nationwide. Mr. Malec will discuss enGen's continued commitment to hire people with disabilities as part of a diverse workforce.

The Cybercrime Magazine Podcast brings you daily cybercrime news that airs each day on WCYB Digital Radio, the first and only 7x24x365 Internet radio station devoted to cybersecurity. Our host keeps you on the cutting edge of cyber with a rundown of the latest cyberattacks, hacks, data breaches, and more. Don't miss an episode! Airs every half-hour on WCYB and every day on our podcast. Listen to today's news at https://soundcloud.com/cybercrimemagazine/sets/cybercrime-daily-news

Dr. Onyinye Enyia Daniel, Vice President of Data and Analytics Strategy at Highmark Health, joins the podcast to discuss her background, her focus on leveraging data & analytics to simplify patient experience, trends surrounding the ethical use of data, where she sees the best opportunities for growth in the future and more.

This live episode from the Becker's Hospital Review 13th Annual Meeting in Chicago features Margaret Larkins-Pettigrew, Senior Vice President & Chief Clinical Diversity Equity Inclusion Officer at Highmark Health Allegheny Health Network. Here, she discusses her career journey, what she is currently most excited about in healthcare, making a difference in the lives of the women who work in healthcare, and more.This episode is sponsored by Insight Global Health.

Highmark Health had the goal of building a health ecosystem that worked better for everyone. That meant putting the patient and their clinician at the center of the model. Join us as Tracy Saula, SVP of Product & Health Experience at Highmark, and Matt Johnson, Senior Partner in West Monroe's Product Experience and Engineering Lab, explain how the company transformed healthcare in an otherwise traditional and highly regulated industry.Highlights:2:00 - Tracy's background3:12 - How Highmark Health is building a health ecosystem that works better for everyone5:22 - Creating the clear problem statement6:28 - How myHighmark supports their digital transformation9:16 - Pandemic raised our competency in digital10:12 - How higher customer expectations impact product design and experience11:40 - How to overcome an industry full of point solutions and disparate systems15:00 - Making a well-designed solution for both clinician and end user16:59 - The focus on saving time for clinician and end user18:15 - What it takes to get all players involved in something new and potentially risky20:05 - How does a company keep a steadfast mentality21:50 - Supporting organizational change during transformation25:22 - Can any company become a product company?26:30 - What Tracy is looking forward to in 202328:34 - What does digital mean to you?