Latest / Becker’s Payer Issues Podcast / Advancing Value Based Care and the Future of Optum Health with Krista Nelson
Transcript
- 0:02This is where health insurance leadership comes together.
- 0:05Becker's fourth annual spring payer issues roundtable brings
- 0:08together over 400
- 0:10payer and health plan executives and more than
- 0:13100 speakers to Chicago April.
- 0:16This year's event includes keynote conversations with the
- 0:19industry's top leaders and former president George w
- 0:23Bush. For the full agenda and event details,
- 0:25visit beckershospitalreview.com
- 0:27and click on the events tab in the
- 0:29upper right. We're looking forward to hosting you
- 0:31here in Chicago.
- 0:33Hello, everyone. This is Jacob Emerson with the
- 0:36Becker's Healthcare Podcast.
- 0:37Thrilled today to be joined by a really
- 0:39special guest. Krista Nelson serves as the CEO
- 0:43of Optum Health. Krista, thank you so much
- 0:46for taking the time to be with me
- 0:47on the podcast today. Well, thank you, Jacob,
- 0:50for having me. It's great to be here.
- 0:52Absolutely. It's a pleasure to get to talk
- 0:53with you, Krista. And before we dive into
- 0:55everything we wanna talk with you about today
- 0:57and all the special work going on under
- 0:59your leadership at Optum Health, can you first
- 1:02fill in our audience on,
- 1:04your health care career background and what it
- 1:07is that you do today at Optum Health?
- 1:10Of course. So,
- 1:12today at Optum Health, I I lead the
- 1:14organization. And prior to this role, I was
- 1:17the chief operating officer for Optum Health.
- 1:20And really before that, I have a broad
- 1:23background in health care
- 1:25both on the,
- 1:27Optum side in our, you know, data analytics
- 1:31and consulting organization,
- 1:33but also,
- 1:34extensive background on the payer side at UnitedHealthcare,
- 1:38leading operations,
- 1:40in our Medicare business, and then also,
- 1:43leading our Medicaid and duals business
- 1:46as well as operations on the UnitedHealthcare
- 1:49side.
- 1:50But I'm, you know, delighted to be
- 1:52in, this role and really honored to be
- 1:55leading this organization
- 1:57through what is a, really incredible time in
- 1:59health care.
- 2:00Absolutely. So you've been with the broader company
- 2:03for a long time now and serving in
- 2:05different divisions of UnitedHealth and Optum.
- 2:08And now you've stepped into this role leading
- 2:10Optum Health during, as you know, a really
- 2:13important period, a strategic shift
- 2:16for this part of the company overall,
- 2:19moving from rapid network expansion toward a more
- 2:22focused direct employment model. We heard from Optum
- 2:26CEO publicly,
- 2:28last year talking a little bit about,
- 2:31how how in the past, the the company's
- 2:34rapid expansion maybe didn't align with clinically oriented
- 2:38value based models.
- 2:39So
- 2:41given all of that, what's your vision now
- 2:43moving forward for what Optum Health looks like
- 2:46on the other side of this major transition?
- 2:50Yeah. You know, when I joined Optum Health,
- 2:52we, you know, we quickly assessed
- 2:55the business and the capabilities
- 2:57and and our contracts
- 2:59and our, you know, our work with our
- 3:01payer partners.
- 3:02And it was, you know, clear right away
- 3:04that we needed to make the
- 3:06necessary shift
- 3:08to your point, you know, moving from what
- 3:10was really a rapid period of expansion and
- 3:12growth just back towards our core model.
- 3:16You know, before I answer your question on
- 3:18our vision,
- 3:19I just I thought I would share just
- 3:20three things that,
- 3:22really stood out to me from the very
- 3:24beginning. Please.
- 3:27You know, first and foremost is
- 3:29we have just incredible capabilities inside OptumHealth. You
- 3:33know, our primary and specialty care, behavioral health
- 3:37care,
- 3:38home health, hospice,
- 3:40palliative care, as well as surgery centers.
- 3:44You know, we care for people in clinic
- 3:46as well as in their homes and in
- 3:47their community,
- 3:49and we still also support,
- 3:51you know, transitions of care.
- 3:53And, you know, our model is anchored in
- 3:56primary care. And when we employ
- 3:59and deeply partner
- 4:01across these various service lines
- 4:03with an aligned payment model, you know, our
- 4:06value based care model delivers superior outcomes
- 4:10at a lower total cost of care
- 4:13while we see improved patient experiences
- 4:16and provider satisfaction.
- 4:19And, you know, maybe just give one example.
- 4:21One of our markets, Houston,
- 4:23where we serve
- 4:25almost a million patients
- 4:27across more than 50 different clinical settings.
- 4:30We offer that full suite of services that
- 4:32I mentioned, you know, primary care, labs, imaging,
- 4:36specialty care, surgery,
- 4:38care coordination.
- 4:40You know, in this market, we have a
- 4:41four and a half star health plan,
- 4:44total cost of care that is 15 to
- 4:4730% lower than the alternative,
- 4:50patient satisfaction scores
- 4:52in the nineties,
- 4:54and
- 4:55really low provider turnover.
- 4:57So, you know, again, first, it's just this
- 4:59incredible
- 5:00set of capabilities inside Optum Health. You know,
- 5:03second thing I wanna call out is just
- 5:05well, we have a number of really
- 5:07strong
- 5:08examples like I just mentioned, like Houston.
- 5:11You know, we have seen and we've discussed
- 5:13this publicly. There's we do have some variation
- 5:16in our performance across our markets.
- 5:18And, you know, whether it's attributed to some
- 5:20of the funding headwinds from b twenty eight
- 5:23or, you know, consistently
- 5:24elevated medical trends
- 5:26and really just that significant growth in our
- 5:29risk membership.
- 5:31You know, our operating performance is, you know,
- 5:33is inconsistent
- 5:34across employed and contracted providers.
- 5:37It's also, you know, we have some opportunity
- 5:39in our current contracts with our payer partners,
- 5:42and with our network providers. And so that
- 5:44is really
- 5:45creating a lot of opportunity
- 5:47for us.
- 5:48And, you know, the third thing I would
- 5:50just say is
- 5:52the culture,
- 5:53the mission, the passion
- 5:56for value based care
- 5:59is still,
- 6:00you know, alive and well and just really
- 6:02deeply rooted in the organization. So those three
- 6:05things are really incredible signals
- 6:08that, you know, have helped me think about
- 6:10kinda what could the other side of this
- 6:11look like.
- 6:12And I guess to answer your question now,
- 6:16you know,
- 6:17you should expect Optum Health,
- 6:20you know, on the other side of this,
- 6:21to really more consistently
- 6:23deliver
- 6:24market leading integrated value based care.
- 6:28A system that is anchored with our employed
- 6:31groups,
- 6:32but with the help of technology
- 6:35and, you know, operational improvements,
- 6:38more scale,
- 6:39and a more tightly managed network to help,
- 6:43enhance that scale.
- 6:45So we will have a much stronger base
- 6:47to grow on whether that's in our existing
- 6:50markets
- 6:51or in new service lines
- 6:53and in new markets.
- 6:55And, you know, what does that mean?
- 6:58You know, what does that mean for patients?
- 6:59It means
- 7:01improved health status and quality of life.
- 7:04You know, for example, today, even with those
- 7:07challenges I mentioned that we're navigating,
- 7:10our Medicare Advantage patients
- 7:12served by our model have,
- 7:14you know, twenty one percent fewer hospitalization
- 7:17admissions overall.
- 7:19You know, our patient outcomes
- 7:21improve
- 7:22and care coordination increases
- 7:25and really patients
- 7:27should continue to expect
- 7:29a high quality experience when they come to
- 7:31Optum Health.
- 7:33For clinicians and care teams that that work
- 7:36here and and partner with us,
- 7:38it means we'll have more technology enabled
- 7:41improved
- 7:42workflows
- 7:43that are focused deeply on reducing administrative burden.
- 7:48We talk a lot about reducing pajama time,
- 7:50improving
- 7:51the consistency
- 7:53in our clinical excellence and our clinical workflows.
- 7:56And then, you know, last, I would just
- 7:58say for payers and and health system partners,
- 8:01you know, more reliable,
- 8:03execution,
- 8:04deeper
- 8:05reach in our existing markets,
- 8:08so we can serve more patients across more
- 8:10service lines
- 8:12and continue to ex execute,
- 8:15really the promise of value based care and
- 8:18the outcomes that we continue to generate.
- 8:22Understood. So, really,
- 8:24building on and improving that base to deliver
- 8:26more market leading care, that's your vision for
- 8:29the other side of this, Christa. And, of
- 8:31course, you know, as you know, at the
- 8:32center of that is your clinicians, and you
- 8:35mentioned just the the incredible,
- 8:37abilities of OptumHealth all over the country with
- 8:40primary and specialty care, home health, palliative, surgery
- 8:43centers, behavioral.
- 8:45So
- 8:46as the company evolves,
- 8:48how are you working to intentionally improve that
- 8:51clinician experience? And I know you just touched
- 8:53on that a bit, but how are you
- 8:54actually on the ground enabling those care teams
- 8:57so that they can practice at the top
- 8:58of their licenses
- 8:59and then ultimately ensure that they feel heard
- 9:02and aligned with,
- 9:04this massive organization
- 9:05across
- 9:06markets, individual markets all over the country?
- 9:10Yeah. For me, this
- 9:12is critically important
- 9:14and, you know, improving
- 9:16the clinician experience for me starts with listening,
- 9:20listening to our clinical teams,
- 9:22observing,
- 9:23the workflow, the experience,
- 9:26and really ensuring that we design our system
- 9:29that supports
- 9:31how they practice value based care and their
- 9:34needs,
- 9:35you know, relieving burden,
- 9:36like I mentioned, kind of making it easier
- 9:39for them to practice that model. And, you
- 9:41know, in addition to listening to our clinicians,
- 9:44I would also say it's deeply important to
- 9:46listen and understand
- 9:48how, you know, advanced technology and how rapidly
- 9:51technology
- 9:52is is changing and making sure we're taking
- 9:54advantage of of modernized technology to enable
- 9:58that clinician experience.
- 10:00But there are other you know, there are
- 10:01three other things that come to mind.
- 10:03The, you know, the first is,
- 10:06what's important to us here is really strong
- 10:08dyad models.
- 10:10So our physician leaders
- 10:12and our operating
- 10:14leaders and partners,
- 10:15you know, being aligned
- 10:17and leading the change really together,
- 10:21across our markets
- 10:23to make sure we're advancing our models.
- 10:26And that dyad partnership at the top of
- 10:28the organization
- 10:29all the way through the organization at the
- 10:31local care delivery level is critically important to
- 10:35to enabling
- 10:37our care teams to be practicing at the
- 10:39top of your license like you mentioned.
- 10:41You know, the second thing is
- 10:43having strong engineering and product teams
- 10:47paired with our dyads,
- 10:49to build technology solutions and workflow capabilities that
- 10:52actually work and to do that,
- 10:55with speed.
- 10:56Today, we have,
- 10:58you know, really good relationships and partnerships with
- 11:01our Optum Insight partners.
- 11:03And we've done a lot of intentional work
- 11:05to, again, make sure that our engineering and
- 11:07product teams are really, you know, colocated
- 11:11with our strong dyad partners. Again, so that
- 11:14we're we're listening, we're learning, we're actively adapting,
- 11:16and we're deploying
- 11:18capabilities faster,
- 11:20at the market level to get that real
- 11:21time feedback and scaling
- 11:24quickly.
- 11:25And that that really is part of,
- 11:27some of what we're doing to improve our
- 11:29operating performance is is making some of those,
- 11:32scaled improvements happen faster
- 11:34across our practices and across our our delivery
- 11:37service lines.
- 11:40And then third,
- 11:42we we just continue
- 11:44to remain deeply committed to value based care,
- 11:48and that is at the core of our
- 11:50mission,
- 11:51our purpose,
- 11:53and our why.
- 11:54And I think to have a really good,
- 11:57clinician experience,
- 11:59we need to stay rooted in that that
- 12:02core, which is really why we exist. You
- 12:04know, our clinicians and our care teams are
- 12:06passionate passionate about value based care.
- 12:08It allows them to deliver holistic care.
- 12:12It allows them to spend time with our
- 12:14patients
- 12:15to avoid
- 12:17chronic disease.
- 12:18Instead of, you know, rushing through high patient
- 12:20volumes, I mean, they they they came and
- 12:23they're choosing value based care because it reduces
- 12:25burnout and stress and allows them,
- 12:28to practice medicine the way they they wanna
- 12:30practice it. And so, you know, while we
- 12:33stay focused on operational improvements,
- 12:36we are certainly not losing sight of why
- 12:38we exist,
- 12:40in the environment that attracted
- 12:42physicians and incredible care teams to work here
- 12:45and keeping that core to everything we do,
- 12:47you know, to make sure we're bringing value
- 12:49based care
- 12:51at scale with the appropriate outcomes,
- 12:54cost management, and an improved patient and provider
- 12:57experience each and every single day.
- 13:00Absolutely. It's very clear that you see value
- 13:03based care as as core,
- 13:04as a core model to continue moving towards
- 13:07improving,
- 13:08certainly not straying away from that as your
- 13:10core mission, Christa. And and you mentioned
- 13:12Medicare Advantage there in your in your last
- 13:14answer. And I wonder if we're talking a
- 13:16little bit about what's going on in the
- 13:17industry more broadly,
- 13:20of course, c CMS put out their proposed
- 13:23rates for for Medicare Advantage for next year,
- 13:28basically flat funding overall for the program if
- 13:32if that proposal
- 13:33stands.
- 13:34And the federal government received record comments from
- 13:38the industry this year about that proposed rates.
- 13:42And then it comes as a time, as
- 13:43you know, where utilization is up, care costs
- 13:46are up for for caring for seniors.
- 13:48So everybody is talking about this. You'd be
- 13:51hard pressed to find, an insurer that is,
- 13:54satisfied with the proposal.
- 13:56So from from your perspective and and giving
- 13:58your your expertise,
- 14:00because of your long career in this industry,
- 14:02can you talk to us a little bit
- 14:04about how stability in Medicare Advantage policy and
- 14:08in funding,
- 14:09going beyond the payer perspective and how that
- 14:11enables providers like yourself to invest in better
- 14:15care models
- 14:16and and then ultimately, of course, delivering better
- 14:18outcomes and experiences
- 14:20over time for for seniors.
- 14:23Yeah. This is it's an important topic.
- 14:26And,
- 14:27you know, I think just to reiterate where
- 14:28you started, you know, our deep conviction,
- 14:32and belief in value based care being the
- 14:35right path forward.
- 14:37Maybe I'll just unpack that for for a
- 14:39moment and then, definitely wanna get to, you
- 14:41know, the question around, you know, the the
- 14:44advanced rate notice.
- 14:46You know, I think, again, we've continued to
- 14:49reiterate this, but I think it's just incredibly
- 14:51important to to remember that a major contributor
- 14:55to high costs and low value care in
- 14:57The US is this
- 14:59current systems, you know, reliance on fee for
- 15:01service payment models, which
- 15:03reward for volume of products and services consumed.
- 15:07You know, it's a system that's really built
- 15:09on the intensity of treating people when they're
- 15:11sick rather than one that's focused
- 15:13on proactively keeping people healthy and and keeping
- 15:16them cared for.
- 15:18And I I mentioned,
- 15:19you know, some of the outcomes.
- 15:22You know, today, our Medicare Advantage patients served
- 15:25by value based care models
- 15:27have twenty one percent fewer hospitalization
- 15:30admissions overall.
- 15:32And those numbers actually grow,
- 15:35for members with certain conditions. So for example,
- 15:38members with hypertension, it's, you know, thirty five
- 15:41percent reduction in hospital admissions and,
- 15:44forty four percent reduction in, hospital admissions for
- 15:47those with COPD and and asthma and other
- 15:50acute and chronic conditions. So
- 15:52so,
- 15:53you know, we we have
- 15:55the data,
- 15:56and the support to support value based care
- 15:59and why it's it's really needed now more
- 16:01than ever.
- 16:02And and as we think about the, you
- 16:04know, advanced rate notice,
- 16:07and what's, you know, kind of just sparked,
- 16:09you know, significant discussion
- 16:11is, you know, bottom line when
- 16:14when there's
- 16:16rate pressure and lack of rate stability, it
- 16:19does squeeze funding,
- 16:21which does, you know, unfortunately, impact value based
- 16:24care.
- 16:25We've seen that with,
- 16:27the changes with, you know, v '28. We've
- 16:29seen that with
- 16:31the growth rate maybe not keeping up with
- 16:33medical cost trends and and that cost trend,
- 16:36you know, impacting
- 16:38value based care. And and frankly,
- 16:40it also,
- 16:41you know, payers
- 16:43respond in that environment. And and while we're
- 16:45all focused on reducing administrative cost and waste
- 16:48in the system,
- 16:50you know, unfortunately, some of those rate cuts
- 16:52do result in,
- 16:53benefit
- 16:54cuts for seniors.
- 16:56And then it also results in
- 16:59in in some cases mispricing,
- 17:01which that has been a effect of what's
- 17:03happened in value based care. And for us
- 17:05in particular,
- 17:06you know, that mispricing kind of does impact
- 17:10downstream value based care providers like us. And
- 17:12so, you know, we just believe in stability
- 17:15and Medicare Advantage
- 17:16funding because we continue to see,
- 17:19the outcomes are better, the quality is better,
- 17:22the costs are lower, you have more benefits
- 17:26inside Medicare Advantage
- 17:28than compared to,
- 17:30you know, Medicare Supplement or Medicare fee for
- 17:32service.
- 17:34And,
- 17:35and I think the last thing I would
- 17:36say is when that funding is not stable,
- 17:39what happens is then we are gonna need
- 17:40to make, you know, choices in how we
- 17:43manage that that cost environment and that cost
- 17:45reduction. So,
- 17:46you know, I mentioned benefit cuts for seniors,
- 17:49but it also means maybe less time spent
- 17:51on preventive care or it means us having
- 17:54to think about trade offs with,
- 17:56wraparound services or
- 17:58investments we make in in care teams and
- 18:01care coordination.
- 18:03And what happens then is, you know, patients
- 18:05may end up in the ER or getting
- 18:07fewer preventive screenings or things of that nature.
- 18:09And so, you know, we're advocating strongly on
- 18:13behalf of our patients,
- 18:15on behalf of our providers,
- 18:16and in partnership with our payer partners to
- 18:18ensure
- 18:19that we can continue to advance and scale
- 18:22the value of value based care,
- 18:25because we again, we believe that it is,
- 18:29the right approach
- 18:30to,
- 18:32reward a system and and really incent a
- 18:34system to focus more on on preventive holistic
- 18:37care
- 18:38for Americans.
- 18:40Certainly. And to your point, Krista, I mean,
- 18:42we've already heard from industry groups, from individual
- 18:44insurers about what this this advance rate notice,
- 18:48what it would mean for benefits for seniors
- 18:50down the line,
- 18:51if it if it becomes reality as as
- 18:54currently proposed. So,
- 18:56it will be fascinating to see what happens
- 18:58there, but I I and I know that's
- 18:59something we could talk about during this entire
- 19:01conversation, Medicare Advantage alone. But I wanna also
- 19:04make sure to ask you a little bit
- 19:06about AI. I know it squeezes its way
- 19:07into every conversation right now.
- 19:10But but we've been hearing from UnitedHealth more
- 19:12broadly
- 19:13about how much work the company and investment
- 19:16the company is making into this technology.
- 19:19We we heard about how the company has
- 19:21deployed more than 2,000
- 19:23engineers
- 19:24into AI initiatives and integrated over a thousand
- 19:27AI use cases across the broader business.
- 19:31So where you
- 19:33in in the part of the company that
- 19:34you lead, where you already seen AI,
- 19:37technology more broadly,
- 19:39meaningfully reduce
- 19:41burden or or improve the experience overall for
- 19:44for for your patients, for your care teams,
- 19:47on the ground? What is that looking like?
- 19:51Yeah. There's really there's so much opportunity here,
- 19:54and I'm, we remain deeply committed and really
- 19:57excited about what AI can do to,
- 20:00again, reduce administrative burden, kind of reduce, you
- 20:03know, waste in the system, and really enable
- 20:05our care teams to operate at the top
- 20:07of their license. And also really create more,
- 20:09you know, access for people so they can
- 20:11they can focus on care and not, not
- 20:14as much on the, you know, whether it's,
- 20:16like, the documentation side or the summarization side.
- 20:19So a couple of examples that are that
- 20:22are already live on our end.
- 20:25First is, you know, just ambient scribing, which
- 20:27allows
- 20:28clinicians to really focus more on that face
- 20:30to face conversation
- 20:32with their patient and, you know, that scribe,
- 20:35you know, really taking all the notes,
- 20:38and allowing physicians again to focus on their
- 20:40patient and really just kind of review and
- 20:42approve the notes at the end of the
- 20:43day so they're not, you know, face down
- 20:45in a computer
- 20:46or having to work on notes,
- 20:49in their pajamas at home later at the
- 20:51end of the day. That's just, you know,
- 20:52one example.
- 20:53Another is,
- 20:55you know, beyond that documentation,
- 20:57using technology to really kind of summarize
- 21:00care.
- 21:01So kind of pull different, you know, medical
- 21:04records, charts, claims,
- 21:07labs,
- 21:08history,
- 21:08information,
- 21:10that the patients are sending us in advance
- 21:12their appointment, kind of pull all that together
- 21:14to help care teams,
- 21:16be more prepared for the visit
- 21:18and have a kind of a prioritized set
- 21:20of of things that they wanna make sure
- 21:22they're addressing with the patient in addition to
- 21:24listening to what the patient needs are. You
- 21:26know, that's one. And third, a way in
- 21:28which that comes to life not just in
- 21:30a clinical setting,
- 21:31but,
- 21:32as you know, we have a number of
- 21:33nurses
- 21:34that do home health visits.
- 21:37And,
- 21:38we use that same kind of summarization tool
- 21:41to help our nurses that are, you know,
- 21:43driving to patients' homes
- 21:45by allowing them to have this summary and,
- 21:47like, an easy to listen to audio summary.
- 21:50So, again, they get to know their patients,
- 21:52they get to digest that history,
- 21:54on their way to the visit. So they're
- 21:56not having to spend as much time kind
- 21:57of redoing all that history, but instead validating
- 22:00it and focusing more on the patient needs
- 22:02in front of them. And I would just
- 22:03say these are, you know, three
- 22:05very simple examples, but the opportunity
- 22:08is is truly vast. We are
- 22:10absolutely
- 22:11investing dollars and resources and, you know, putting
- 22:13teams deployed to these exact same things.
- 22:16I go back to what I said in
- 22:17the beginning, which is,
- 22:18really starting with listening to our clinicians
- 22:21and starting with what they need to improve
- 22:24patient care and patient outcomes and always making
- 22:26sure that, you know, they're operating at the
- 22:28top of their license.
- 22:30One other thing I just wanna mention here,
- 22:32which is really important to us is while
- 22:34AI,
- 22:36will be able to do a lot in
- 22:37health care, I think there's something really critically
- 22:40important in health care, which is kind of
- 22:41humanity and empathy and care.
- 22:44And that's something
- 22:45that, you know, AI isn't replacing
- 22:48yet,
- 22:49and may not. And that's where our clinicians
- 22:51and care teams
- 22:53being able to practice medicine,
- 22:55enjoying their work environment,
- 22:57focus on value based care,
- 22:59bring you know, being able to bring that
- 23:00empathy,
- 23:02into every one of our our visits and
- 23:04our experiences with our patients is always going
- 23:07to remain critically important.
- 23:09Understood. So it really sounds like at the
- 23:10core of these investments, you wanna make sure
- 23:13that you're enabling and better supporting that that
- 23:16human,
- 23:17to patient to to clinician connection.
- 23:20Krista, before we go today, you know, we
- 23:23we've talked a lot about,
- 23:25the pivotal time for Optum Health, what's going
- 23:28on in the industry more broadly,
- 23:31and then your your conviction that value based
- 23:34care, that that strategy is the correct one
- 23:37moving forward.
- 23:39Has anything surprised you so far in in
- 23:42your role? I know you've you're coming up
- 23:43on just about six months,
- 23:45of leading OptumHealth.
- 23:47How how is
- 23:49leading such a critical company for the industry
- 23:52overall? How has it shaped your your personal
- 23:56view of where this industry is headed?
- 24:00You know, I,
- 24:01I am even
- 24:03more convinced
- 24:04that,
- 24:05you know, value based care is is,
- 24:08truly the the answer right now in health
- 24:11care when, you
- 24:12you know, when people aren't getting the quality
- 24:14care they deserve, when costs are rising and
- 24:16not affordable,
- 24:18when patients
- 24:19aren't satisfied with the experiences and providers are
- 24:21burned out. I just I continue
- 24:24to remain convinced that we have the right
- 24:26value based care model,
- 24:29and there's a lot more opportunity to grow
- 24:31and to scale this to even more and
- 24:33more people.
- 24:34And,
- 24:35you know, you was you mentioned what has
- 24:37surprised me the most.
- 24:39This business has really been going through,
- 24:42significant change,
- 24:43and we've, you know, we've talked at the
- 24:45beginning about, you know, operational opportunities to improve
- 24:48performance.
- 24:49But what is really alive and well
- 24:53is,
- 24:54you know, resilience,
- 24:56a deep
- 24:57purpose
- 24:58and commitment to our patients
- 25:00and to the promise of value based care
- 25:03and truly,
- 25:04an innovative
- 25:05spirit to,
- 25:07and kind of that growth oriented spirit to
- 25:10always show up and do better tomorrow for
- 25:13our patients
- 25:14than we're doing today. And I just think
- 25:16maybe I shouldn't have been surprised by that,
- 25:18but I'm so pleasantly surprised with
- 25:21the that purpose
- 25:23and the potential of this business. And I
- 25:25couldn't be more thrilled to be here at
- 25:27this time when health care needs us now
- 25:29more than ever, and you've got a team
- 25:31that is truly ready to deliver better outcomes
- 25:34for patients that we serve and,
- 25:36just honored to be here. Yeah. I'm sure
- 25:39it's a very satisfying thing to be surprised
- 25:41by. I my last question for you super
- 25:44quick. You know, we're being listened
- 25:47to by thousands
- 25:48of hospital executives around the country, health insurance
- 25:52executives,
- 25:53all facing similar pressures,
- 25:55as you and your colleagues.
- 25:58Anything else you'd you'd wanna share with them?
- 26:00Final bits of advice.
- 26:02You know, I think there's never gonna be
- 26:04just one simple answer, one simple solution or,
- 26:08you know,
- 26:09to the challenges that we're facing in health
- 26:11care.
- 26:12It is really gonna take all of us
- 26:14to work together,
- 26:15find common ground,
- 26:17align
- 26:18incentives,
- 26:20and, you know, work together to deliver a
- 26:23better experience for patients
- 26:25and and better quality outcomes for society.
- 26:29And
- 26:29we welcome those partnerships. We welcome those conversations
- 26:33and those relationships
- 26:35and the ability to work through,
- 26:37those aligned incentive models to make sure that
- 26:40that we are improving,
- 26:43for all of us. We have that responsibility
- 26:45to improve what we do each and every
- 26:47day for the patients that need us the
- 26:48most. And I think,
- 26:50I'm
- 26:51really optimistic
- 26:52that,
- 26:53you know, we have great relationships today, but
- 26:55I'm even more optimistic that with the results
- 26:57that we
- 26:59have in our clinical models today and with,
- 27:02the relationships that we have and and frankly,
- 27:04the momentum we're gaining that
- 27:06I think we're in a great position to
- 27:08come together with whether it's hospital system partners
- 27:10or payer partners,
- 27:12other clinical leaders, network providers in our communities,
- 27:16and actually just start to action
- 27:18against this and, you know, continue to hold
- 27:21ourselves accountable to do that together as a
- 27:23society and together as partners.
- 27:25Wonderful. Well, Krista, I can't thank you enough
- 27:28for taking the time to chat with me
- 27:30today on the podcast and for sharing your
- 27:33insights, your expertise
- 27:35with our listeners. We truly appreciate it. Thank
- 27:38you so much for having me.
- 27:40And to our listeners, if you'd like to
- 27:41listen to more podcasts from Becker's Healthcare, you
- 27:44can visit beckershospitalreview.com.