Latest / Becker’s Payer Issues Podcast / Kourtney Witten, Area Vice President Network Managing Partner Wisconsin, Advocate Health
Transcript
- 0:00Evernorth brings the power of wonder and relentless
- 0:02innovation to create world class pharmacy, care, and
- 0:05benefit solutions.
- 0:07Barriers to care can lead to gaps in
- 0:08care, which can drive up the total cost
- 0:10of care. Our capabilities work seamlessly together to
- 0:13create innovative pharmacy care and benefit solutions for
- 0:17today and tomorrow.
- 0:18Our connected health services make the treatment, prediction,
- 0:21and prevention of health care's most complex conditions
- 0:24easier and more accessible as we drive organizations
- 0:27and people forward.
- 0:28This is Haley Rudger with the Becker's Payer
- 0:30Podcast, and we are recording live at the
- 0:32Becker's third annual spring payer issues roundtable.
- 0:36Today, I'm thrilled to be joined by Courtney
- 0:38Whitten, area vice president of enterprise population health
- 0:41at Advocate Health.
- 0:42Courtney, thank you so much for joining me
- 0:44today. Can you go ahead and get us
- 0:46started by telling us a little bit about
- 0:47yourself and your background?
- 0:49Sure. Thank you for having me.
- 0:51I am the, area vice president
- 0:54for population health for our Wisconsin division at
- 0:56Advocate Health. I've been with Advocate over a
- 0:59decade in several different roles
- 1:02and, helped build our value based care infrastructure
- 1:05for the state of Wisconsin
- 1:07and have recently taken on an expanded role
- 1:10as a managing network partner
- 1:13for enterprise population health. Well, congratulations
- 1:16on that new role. Now to start our
- 1:18conversation off, I'd like to talk about balancing
- 1:21affordability and quality. So how is your organization
- 1:24innovating to manage the cost of care while
- 1:26maintaining or improving member outcomes?
- 1:29So quality and affordability
- 1:30are not mutually exclusive.
- 1:32In fact, many of our strategies
- 1:34to
- 1:35look at cost reduction
- 1:37revolve around prevention and wellness for our patients.
- 1:41And building a relationship with our patients in
- 1:43ambulatory clinic
- 1:45is key.
- 1:46We can then help identify which patients have
- 1:49chronic conditions
- 1:51or other factors that put them at higher
- 1:53risk for adverse health events.
- 1:55So when we get to know our patients
- 1:57in a more regular
- 1:59setting, then we can start to predict who
- 2:01will be at risk
- 2:02for adverse health events
- 2:04and start to proactively set them up with
- 2:06resources
- 2:08and support programs to try and help maintain
- 2:10their highest level of health.
- 2:13This should in turn lead to fewer
- 2:15emergency room,
- 2:17hospital stays, skilled nursing facility stays, and, really,
- 2:20you know, demonstrates the
- 2:22strong quality of care for our patients.
- 2:25Well, I'd like to go off of that
- 2:26on the quality of care. So what best
- 2:29practices or tools does your organization rely on
- 2:31to keep quality of care at the forefront?
- 2:34So it's important to stay on top of
- 2:37new quality programs and regulations as they're coming
- 2:39out. Especially nowadays, it feels like things are
- 2:42changing very rapidly.
- 2:44But quality is still key, and building a
- 2:47relationship with our patients
- 2:48is the most important part of that.
- 2:51We do use technology. So we have, patient
- 2:54lists. We identify care gaps, and we use
- 2:57technology partners that can help,
- 3:00proactive outreach to those patients and work on
- 3:03addressing those care gaps. We've also got some
- 3:05creative solutions around,
- 3:07virtual care, remote patient monitoring
- 3:11services for patients at home who are not
- 3:13able or not willing to come in
- 3:16for their care. So meeting the patients where
- 3:18they are,
- 3:19to help look at the the data and
- 3:21metrics, but also really provide that patient centric
- 3:24care helps us, you know, understand those care
- 3:27gaps and
- 3:29then,
- 3:30help patients maintain their highest level of health.
- 3:33So on the topic of patient centric care,
- 3:36member satisfaction is essential to thrive in today's
- 3:38competitive health care landscape.
- 3:40So what experience or engagement strategies have proven
- 3:43effective for your organization, and how are you
- 3:44measuring that success?
- 3:46I agree. Patient satisfaction is really important, and
- 3:49it's a good barometer of the trust
- 3:51that we have with our patients between,
- 3:54the clinician,
- 3:55the patient, and even the communities and caregivers
- 3:58that we serve. So a big part of
- 3:59that is managing expectations,
- 4:02helping patients understand if there are any delays
- 4:05or issues that we can anticipate in getting
- 4:07out in front of those,
- 4:09and then also checking in with patients while
- 4:11they're at our settings of care to see
- 4:13if they have additional questions or concerns or
- 4:16issues.
- 4:17And that does two things. The first is
- 4:20it lets patients feel heard
- 4:22if they have some feedback or questions for
- 4:25us, and it also enables us to provide
- 4:27a timely solution,
- 4:29that we can agree upon with the patients.
- 4:32And
- 4:33thinking of treating patients with respect and empathy
- 4:37is is really important. That does more than
- 4:40just build your survey results.
- 4:42It allows us to build relationships with patient.
- 4:45It goes to patient loyalty.
- 4:47It goes to
- 4:48understanding and getting to know our patients so
- 4:50they will come to us and call us
- 4:52first
- 4:52when they need care and allows us to
- 4:55provide the highest standard of care that we
- 4:57can.
- 4:58Absolutely.
- 4:59And looking ahead, what do you see as
- 5:01the biggest opportunity for payers to lead the
- 5:03charge in transforming care delivery and driving better
- 5:05outcomes for all stakeholders?
- 5:08Now more than ever, I think we have
- 5:10an abundance of data.
- 5:11And
- 5:12what do we do with that? How we
- 5:14analyze data, how we learn from it, that
- 5:17can have a significant impact on
- 5:20our patients, our communities,
- 5:21and our teammates.
- 5:23If we can proactively identify patients who need
- 5:26additional support and resources
- 5:29before they have
- 5:30adverse health events, that's a huge win.
- 5:33If we can work to streamline our operations
- 5:36and find some efficiencies using technology,
- 5:39that can take some of the administrative burden
- 5:42off of our staff and our clinicians
- 5:44and allow those folks to spend more time
- 5:47caring
- 5:48for our patients.
- 5:50And
- 5:51technology can also
- 5:53offer different access points for care.
- 5:55So we can consider virtual options,
- 5:58remote patient monitoring,
- 6:00in home options for care,
- 6:03different apps to connect with our patients,
- 6:05different outreach solutions, and and contact points. So
- 6:09all of the technology that's out there can
- 6:11allow us to meet patients where they are,
- 6:13and this is a really exciting time to
- 6:15be in health care and to
- 6:18improve care delivery as we operationalize
- 6:20some of the technology options that are out
- 6:22there.
- 6:23Well, I really enjoyed this conversation with you
- 6:26today. Again, this is Haley Recker with the
- 6:28Becker's Payer Podcast,
- 6:30recording live at the Becker's third annual spring
- 6:32payer issues roundtable. Courtney, thank you so much.
- 6:35Thank you.