Latest / Becker’s Healthcare - Clinical Leadership Podcast / Physician Burnout, AI Tools and Physician Leadership with Dr. Phillip Chang

Transcript

Physician Burnout, AI Tools and Physician Leadership with Dr. Phillip Chang · Becker’s Healthcare - Clinical Leadership Podcast

0:01
- Hello, everyone, and thank you for joining us
0:03
- for today's webinar, How Highmark is Turning Employer
0:07
- Reporting into a Competitive Edge for National Accounts.
0:11
- Before we begin, I'll walk us through a
0:12
- few quick housekeeping instructions.
0:14
- We We will begin today's webinar with the
0:16
- presentation, and we'll have time at the end
0:18
- of the hour for a question and answer
0:20
- session. You can submit any questions you have
0:22
- throughout the webinar by typing them into the
0:24
- Q and A box you see on your
0:25
- screen.
0:26
- Today's session is being recorded and will be
0:29
- available after the event. You can use the
0:31
- same link you used to log in to
0:32
- today's webinar to access the recording.
0:35
- If at any time you have issues with
0:37
- audio or visual, please try refreshing your browser.
0:40
- You can also submit any technical questions into
0:42
- the Q and A box, and we are
0:43
- here to help.
0:45
- With that, I am pleased to introduce today's
0:47
- speakers.
0:48
- Trisha Gray, vice president of sales enablement at
0:51
- Highmark.
0:52
- With more than thirty years of experience at
0:54
- Highmark, Trisha has held progressive leadership roles spanning
0:57
- sales enablement,
0:58
- commercial operations,
1:00
- client management, and strategic business transformation.
1:04
- As vice president of sales enablement, she leads
1:06
- sales strategy,
1:07
- technology innovation,
1:09
- AI driven improvements,
1:10
- client implementation,
1:12
- and market messaging.
1:13
- Throughout her career, she has led major transformation
1:16
- initiatives and cross functional teams to drive growth,
1:19
- enhance customer experiences, and improve efficiency.
1:22
- Our next speaker is David Wolf, SVP of
1:25
- Commercial Product at MediAnalytics.
1:28
- As SVP of commercial product management, David leads
1:31
- payer product strategy and development to help healthcare
1:34
- organizations
1:35
- turn insights into action and improve performance.
1:37
- He brings more than twenty years of experience
1:40
- across health plans, brokers, consultants, and service partners,
1:44
- including leadership roles at Centene,
1:46
- Highmark,
1:48
- Conventry,
1:49
- Allaire, and Coviti,
1:51
- as well as consulting experience with Marsh USA.
1:54
- Thank you, David and Tricia, for being here
1:56
- today, and I'll now turn the floor over
1:57
- to David to get us started.
2:00
- Good morning, good afternoon, and good evening. Today,
2:03
- we're going to be discussing a very vital
2:05
- but often overlooked strategic capability
2:08
- of group performance reporting.
2:10
- We're going to explore how health plans today
2:13
- can leverage technology
2:14
- and tools
2:15
- to turn their employer group reporting into a
2:18
- competitive edge.
2:20
- First off, I'd like to thank Becker's for
2:21
- hosting this discussion and for my special co
2:24
- presenter, Tricia Gray from Highmark.
2:26
- Okay. Let's go ahead and get into it.
2:30
- Static reports today still serve a very important
2:33
- purpose,
2:34
- but employer expectations are moving beyond those static
2:38
- reports
2:39
- and into more of a projection as to
2:41
- what is going to happen or what is
2:43
- starting to happen.
2:45
- Basically, what they need is reporting to help
2:47
- them manage their business in a proactive manner.
2:51
- And this means doing three things extremely well.
2:54
- First, it means helping control the costs by
2:57
- identifying those emerging costs and utilization
3:00
- patterns early enough
3:01
- to respond before they become a surprise during
3:04
- a renewal conversation.
3:06
- Second,
3:07
- helping to improve those outcomes by connecting the
3:10
- utilization
3:11
- and program data.
3:13
- So employer groups can start to see where
3:15
- earlier interventions
3:17
- may make a difference in the overall impact
3:19
- of the program upon the population.
3:22
- And third,
3:23
- helping guide those decisions.
3:25
- Employers don't simply need more data. There's plenty
3:27
- of data out there right now in healthcare,
3:30
- But what they need is a clear understanding
3:32
- of what deserves their attention and what actions
3:35
- they should be considering next.
3:37
- And that is basically the shift that we
3:39
- are designing towards with Medi analytics,
3:42
- with our dynamic reporting capabilities.
3:44
- How do we help health plans create a
3:46
- more timely,
3:47
- more relevant and decision orientated
3:50
- conversation with their employer groups?
3:53
- Reporting earns attention when it answers three very
3:56
- important questions.
3:57
- What is changing?
3:59
- Why does it matter? And what should I
4:01
- be doing next?
4:02
- So the real question is, how does media
4:04
- analytics help give health plans that reporting experience
4:07
- to keep pace with those customer expectations?
4:13
- Go ahead. Next slide. Thank you.
4:15
- So those three questions, what's changing, what matters,
4:18
- and what to do next can only be
4:20
- answered when we connect the data behind them.
4:22
- And this is one of the most problematic
4:24
- areas in health care because we have so
4:25
- much data in various different silos.
4:29
- Different types of data can be used in
4:31
- different ways. First off is cost data, and
4:34
- that data helps tell us what is changing
4:36
- and what is the financial magnitude of that
4:39
- change.
4:40
- Utilization data helps us to explain what is
4:43
- driving that actual change and whether those patterns
4:46
- can be avoidable
4:47
- or are they shifting and we need to
4:50
- adjust our interventions accordingly?
4:52
- Or quite frankly, are there new trends that
4:54
- are starting to evolve that we need to
4:56
- start paying more attention to than we did
4:57
- historically?
4:59
- Third is the outcomes.
5:01
- We show whether those interventions are actually making
5:03
- a difference for the members.
5:05
- Engagement data around those individual programs helps us
5:09
- understand whether people are reaching
5:11
- and participating in the programs that are intended
5:14
- to support them.
5:15
- And most importantly,
5:17
- is that program having the intended impact?
5:20
- So individually, each one of those measures provides
5:23
- useful information, but the true real value
5:26
- comes from understanding the relationships among them. So,
5:29
- for example,
5:31
- an increase in cost becomes actionable when we
5:34
- can connect it to the utilization pattern,
5:37
- understand which population is being affected
5:40
- and determine whether the right programs are reaching
5:43
- those members.
5:44
- So taken together, those connected insights help frame
5:47
- that next best action decision for the employer.
5:51
- That unified view moves the conversation beyond fragmented
5:55
- metrics
5:56
- that really don't tell much of a story
5:58
- and are kind of hard to piece together
6:00
- and gives the employer, I'm sorry, gives the
6:03
- health plan and employer group a clearer story
6:06
- about what is happening,
6:07
- why it's happening and what they should focus
6:09
- on next.
6:11
- So when we connect those measures,
6:13
- reporting becomes more than a record of performance.
6:17
- It truly becomes a clear path to action.
6:21
- Okay, now we kind of have that basis
6:23
- of reporting and why it's important and kinda
6:25
- how it's evolving over time. I'd like to
6:28
- reintroduce Trisha.
6:30
- Trisha is the vice president of sales enablement
6:32
- for Highmark. She's gonna share a little bit
6:34
- about Highmark with you and some real world
6:36
- examples,
6:37
- tools, and techniques
6:39
- that they use to help turn employer group
6:41
- reporting
6:42
- into a competitive edge for Highmark.
6:44
- So welcome, Tricia.
6:46
- Thanks, David. Excited to be here with everyone
6:49
- today. So a little bit about Highmark as
6:51
- David had mentioned. We're head quartered in Pittsburgh,
6:54
- Pennsylvania
6:55
- with origins tracing back to the nineteen thirties,
6:58
- one of the largest
7:00
- health insurers in The United States providing comprehensive
7:03
- coverage across commercial,
7:05
- Medicare, Medicaid,
7:06
- individual markets, and other ancillary lines of business.
7:11
- Looking at the numbers in 2025,
7:13
- we served approximately
7:15
- 8,000,000 plan members across our footprint and the
7:18
- geographies that we serve,
7:20
- supported by over 32,000,000,000
7:22
- in operating revenue,
7:24
- 44,000
7:25
- employees strong, and our mission remains at the
7:28
- heart of everything we do, creating a remarkable
7:31
- health experience that frees people to be their
7:33
- best.
7:35
- Now let's dive into the the analytics and
7:38
- commercial base. So when it comes to growing
7:40
- and engaging our commercial national accounts, our approach
7:44
- is centered on delivering a simpler, more personalized,
7:47
- and proactive health care experience for our valued
7:50
- clients.
7:51
- We do this by integrating data insights
7:54
- directly with strategic action.
7:56
- We've established a robust and data analytics foundation
8:00
- to support next best action recommendations
8:03
- for our clients.
8:04
- Our four key focus areas of focus are
8:07
- unified data,
8:08
- AI, and predictive analytics, which is critical, not
8:12
- just saying what happened, but talking about the
8:14
- future,
8:15
- personalized
8:16
- member engagement to really deliver on the value,
8:20
- and, of course, continuous product innovation with our
8:23
- amazing product team.
8:25
- If we go into the next slide, it
8:27
- talks a little bit about the history
8:29
- around our commercial client analytics strategy.
8:32
- And it began with a deliberate partnership decision
8:35
- just back before COVID with a robust RFP
8:38
- process.
8:39
- We intentionally looked beyond basic technology and feature
8:43
- fit to find long term strategic alignment,
8:46
- prioritizing
8:47
- ease of use,
8:48
- lower friction for internal teams and external users,
8:51
- flexibility,
8:54
- being adaptable as priorities and products evolve,
8:57
- configurability,
8:59
- supporting our specific workflows that we use to
9:02
- enable
9:03
- the client delivery
9:05
- and client exposure, extending value beyond the internal
9:09
- users with the self-service platform.
9:12
- So in 2020, Highmark launched the living health
9:14
- strategy.
9:15
- And so strategic alignment was also critical.
9:19
- So to support the strategy and exceed client
9:22
- expectations,
9:23
- we needed an external reporting platform that grew
9:26
- with us.
9:27
- And so today,
9:29
- as we selected MediAnalytics
9:31
- and expanding that foundation to support new markets
9:34
- and innovative solutions
9:35
- that are aligned to our living health strategy.
9:39
- And so if we go to the next
9:41
- slide diving a little bit deeper into the
9:43
- employer reporting to action,
9:45
- our guiding philosophy here is the goal of
9:48
- reporting is not just simply more reports. As
9:50
- David mentioned, right, there's a lot of data,
9:53
- but it's really driving an accelerated path from
9:56
- insight to intervention.
9:58
- Employer groups today expect far more than static
10:01
- retrospective reporting package delivered on a regular cadence.
10:06
- Our team follows a four step framework with
10:08
- respect to our strategic client analytics. Of course,
10:11
- first, it starts with unifying all the data
10:14
- sources.
10:15
- And then from those insights,
10:16
- we look to detect emerging risks earlier,
10:20
- explain the underlying drivers and impacts
10:22
- with different views and drill downs, so that's
10:25
- the configurability within the platform, platform, and then
10:28
- recommending strategies and solutions
10:30
- that will drive meaningful impact for clients.
10:33
- Through this model,
10:35
- our commercial accounts team truly shifts from being
10:38
- traditional reporting providers
10:40
- to becoming trusted performance strategy
10:43
- advisors.
10:44
- And so let's go a little bit deeper
10:45
- into that. So here on the next slide,
10:48
- you can see a snapshot of the platform
10:50
- in action,
10:52
- specifically highlighting predictive high utilizer summaries
10:55
- and member classifications.
10:57
- Here, the real value lies in combining repeatable
11:01
- core capabilities
11:02
- with the flexibility
11:03
- and configurability
11:05
- to meet distinct client needs,
11:07
- offering interactive
11:08
- reporting where we can generate multiple views and
11:11
- breakdowns,
11:12
- risk assessments,
11:14
- cohort analysis,
11:15
- predictive intelligence to be more forward looking, and
11:19
- ongoing monitoring all in one place.
11:22
- And so this really allows for a cohesive
11:25
- end to end viewpoint
11:27
- around our analytics platform.
11:30
- So if we go into a couple of
11:31
- examples here on the next slide. So we'll
11:34
- look at this in practice.
11:36
- When musculoskeletal
11:37
- care was identified as a major cost driver,
11:40
- and actually it was the number two cost
11:42
- driver for this employer group, our reporting platform
11:46
- allowed us to quickly pinpoint the opportunity
11:49
- by analyzing more than just the musculoskeletal
11:52
- driver.
11:53
- We also looked at telemedicine
11:55
- engagement,
11:56
- segmenting trends by demographics.
11:59
- From there, the account team recommended a targeted
12:02
- virtual MSK program
12:04
- supporting pain management, spine, and joint care.
12:08
- But we don't just stop there. We also
12:10
- need to focus on measuring the impact value
12:13
- and outcomes,
12:14
- which is lower procedure cost, fewer complications,
12:18
- reduced missed workdays.
12:20
- And the dashboard on the next slide illustrates
12:22
- the exact diagnostic and demographic
12:25
- views our team uses to drive these conversations
12:28
- with clients.
12:30
- So as mentioned on the previous slide, the
12:32
- client had a high telemedicine engagement,
12:35
- annual increases year over year. And with the
12:37
- musculoskeletal
12:38
- being the number two cost driver, recommended the
12:42
- virtual joint health program, which has proven ROI
12:46
- with reduced costs, improved outcomes for the members.
12:49
- We're looking at year over year trends and
12:51
- percentage of total spend.
12:54
- But also critical is focusing on that member
12:56
- experience.
12:57
- And so that means drilling deeper into the
12:59
- data with demographic information,
13:02
- employees, spouse,
13:04
- dependents, gender locations,
13:06
- and aligning those trends with comparative norms across
13:09
- the client base
13:11
- and using our analytics platform to model up
13:14
- targeted savings and ROI.
13:16
- Our solution with MSK works for several categories
13:20
- at any point in the journey, and it's
13:22
- more than just the claims reporting.
13:24
- We focus on reporting and solutions that drive
13:27
- engagement,
13:28
- member satisfaction,
13:30
- things like completion rate, ease of use, and
13:32
- much more.
13:35
- And our second example,
13:37
- we've tackled rising spend
13:40
- and high cost claim utilization for an employer
13:42
- group. By analyzing financial and diagnostic trends against
13:46
- the benchmark data, we identified areas for expanded
13:50
- utilization management and targeted case management.
13:53
- And I'll get to the next slide in
13:55
- a second, which will show the cost and
13:57
- utilization driver dashboard tracking PMPM trends by service
14:01
- category,
14:02
- product,
14:03
- comparing product condition benchmarks across national averages.
14:07
- This allows us to accurately project net savings
14:10
- and demonstrate clear ROI to the clients.
14:14
- Solutions here that focus on addressing the most
14:16
- prevalent chronic conditions,
14:19
- offering a variety of solutions,
14:21
- digital and telephonic.
14:22
- These things include comprehensive case management,
14:25
- condition management, virtual care, workforce support, and other
14:30
- solutions that surround it holistically.
14:32
- Members get the right care in the right
14:34
- setting at the right time. And so focusing
14:37
- on the member experience, as I referenced earlier,
14:40
- in addition to the outcomes
14:42
- and strong clinical support and advanced technology
14:46
- platform truly is a differentiator within the marketplace.
14:50
- And so if we go to the next
14:52
- slide, you can see some of the breakouts
14:54
- specifically
14:55
- that we use to talk to our clients
14:58
- around the reporting and trends. And so recommending
15:01
- the additional programs
15:03
- to proactively manage those health care costs while
15:06
- maintaining high quality patient care
15:08
- and covering all spectrum of the health journey,
15:11
- inpatient,
15:12
- outpatient, specialized UN, imaging, musculoskeletal
15:16
- labs, oncology, and much more, creating a broad
15:19
- spectrum of support for employees.
15:22
- And, again, we can break down the client
15:25
- demographic information,
15:27
- compare prior periods to current, and that's from
15:30
- an enrollment perspective, financial,
15:32
- different diagnostic categories,
15:34
- looking at current trends and norms, but also
15:37
- taking it a step further using the robust
15:40
- analytics platform,
15:41
- identifying
15:42
- PCP attribution,
15:44
- sites of care for urgent situations in telehealth,
15:47
- again, bringing a holistic
15:49
- three sixty view to our analytics
15:52
- suite. And so we look at when and
15:53
- where care is received by day, time, age
15:57
- band, gender, location, and much more.
16:00
- And trending over a long look back period,
16:03
- so the technology and the platform gets smarter
16:05
- as we evolve and aligning to those benchmarks,
16:08
- risk scores, nonuser rates, condition prevalence, chronic conditions,
16:13
- all of that coming together so we can
16:15
- give a complete view to the employer
16:17
- around their trends, the outcomes, and where reporting's
16:21
- looking to go.
16:23
- And so if we go into the next
16:24
- slide, I I wanna give a little bit
16:26
- of a framework and background
16:28
- around the analytics platform and tying it into
16:31
- the Highmark strategy.
16:32
- And so our commercial client analytics capabilities
16:35
- tied directly into Highmark's
16:38
- living health vision,
16:39
- which is a connected health care operating model
16:42
- powered by trusted data and actionable intelligence.
16:46
- We're reinventing in how we deliver the fundamentals
16:49
- by improving health,
16:50
- lowering cost, and simplifying the experience.
16:54
- And living health begins upstream,
16:56
- meaning we don't wait for members to get
16:59
- sick.
17:00
- We engage way before
17:02
- to help
17:03
- on their journey to health, and that starts
17:06
- with analytics.
17:07
- Engaging people to improve their health proactively,
17:10
- staying healthy before they get sick creates long
17:13
- term sustainability.
17:15
- Living health presents a fundamental shift in health
17:18
- care, moving beyond traditional approaches
17:21
- to deliver a transformed experience.
17:23
- It's a new way for people to interact
17:25
- with Highmark, offering better health,
17:28
- a personalized experience, and lower cost. So with
17:31
- living health, we focus on
17:34
- making it simplified,
17:35
- cutting out what's getting in the way,
17:37
- being proactive,
17:39
- engaging members early and often with our analytics,
17:43
- personalization,
17:44
- building around a member's full health needs,
17:47
- and blended,
17:48
- working with community and partner relationships and partnerships
17:52
- to deliver value.
17:54
- And so as we transition to the next
17:55
- slide, this is achieved by building a strong
17:58
- data foundation,
18:00
- partnering with providers to deliver personalized care solutions.
18:04
- And so our living health approach allows us
18:06
- to enable members to know the next best
18:09
- action and have it served to them with
18:11
- their needs and preferences in mind.
18:14
- Reducing health plan costs for employers
18:17
- by using data to partner with providers on
18:19
- the right care team for each individual member
18:22
- without redundancy and duplication
18:25
- and continuing to offer and innovate with new
18:28
- products and solutions
18:29
- based upon the findings. So getting smarter with
18:32
- the data each and every day.
18:34
- Living health mitigates complexity
18:36
- by leveraging easy to use digital platforms,
18:39
- integrated care teams, and adaptable health solutions.
18:44
- Our model helps improve overall health
18:47
- by empowering
18:48
- the client's employees to become more engaged in
18:50
- their own care.
18:52
- Our integrated portfolio of services
18:54
- makes it easy for clients' employees
18:57
- to access tailored solutions that meet their needs
19:00
- and cover of wide variety of the spectrum.
19:04
- The musculoskeletal,
19:05
- as I mentioned,
19:06
- diabetes,
19:07
- personalized digital health management,
19:09
- virtual physical care, mental well-being,
19:13
- virtual health
19:14
- solutions that extend beyond into primary care, dermatology,
19:19
- women's health, and more.
19:22
- And so as we go into the next
19:24
- slide, let's talk a little bit more, about
19:27
- where many analytics comes in to support living
19:30
- health. They've been critical to our commercial client
19:33
- success and our vision. With our reporting platform,
19:36
- Highmark can provide a unified performance view
19:39
- across cost, utilization,
19:42
- and risk,
19:43
- helping us predict and prioritize
19:45
- opportunities like high cost claimants,
19:49
- specialty pharmacy spend, and turn those insights into
19:52
- action through configurable
19:54
- dashboards and conversational
19:55
- AI
19:56
- that ultimately builds
19:58
- trust with the client, strengthens renewals, and supports
20:01
- long term growth.
20:03
- And so the value in measurement
20:05
- is really demonstrated
20:07
- by tracking emerging risks,
20:10
- measuring reductions and unnecessary utilization,
20:13
- evaluating
20:14
- the performance of the clinical and wellness programs,
20:18
- and the employee engagement
20:20
- along with employer specific outcomes.
20:22
- But I'll let David chime back in here
20:25
- to talk a little bit about the the
20:27
- tech and the support with MediAnalytics.
20:30
- Yeah. I think this is one of the
20:32
- things that's very interesting and very,
20:35
- exciting from my perspective is how do we
20:37
- go about working with clients and doing codevelopment,
20:41
- and starting to help them explore where they
20:43
- have new opportunities.
20:44
- So a lot of this is just simply
20:46
- listening to clients and and talking about
20:49
- where do they see emerging trends, what types
20:51
- of,
20:52
- things are they hearing about in the market,
20:54
- where do they have more of an enterprise
20:56
- strategy,
20:57
- focusing their interventions and their resources.
21:00
- So being able to understand those business priorities,
21:03
- extremely critical and understanding those market market signals
21:07
- and combining them together is key.
21:09
- Once you do that, in order to truly
21:12
- understand the impact that you have, you have
21:13
- to understand what your baseline is. So what's
21:15
- going on today?
21:17
- Using that as your foundation
21:19
- to both identify where do you need to
21:21
- have an intervention and what types of interventions
21:23
- make the most sense.
21:25
- Once you have that baseline and a plan
21:27
- in place, then you can start to capture
21:29
- that value by the new program that is
21:32
- being, you know, designed.
21:34
- So as an example, you heard Tricia mentioned,
21:37
- high utilizers.
21:38
- It's very easy to go and look at
21:40
- a a large cohort to say anybody over
21:42
- a certain dollar threshold is a high utilizer.
21:46
- But in reality, that cohort has many different
21:48
- categories of users
21:50
- or members, if you will, within that cohort.
21:54
- And those categories
21:55
- can help you understand how do you intervene
21:58
- and support
21:59
- those individuals.
22:01
- So you might have some very high cost
22:03
- individuals
22:04
- that unfortunately, you have a very limited amount
22:07
- of influence on anymore.
22:09
- On that same time at that same side
22:10
- on the kind of the flip the coin
22:12
- over, you could have some individuals that are
22:15
- starting to elevate their overall spend that you
22:17
- have a large degree
22:19
- of control or influence over. And so how
22:22
- you approach us each one of those groups,
22:25
- can be built into how you go about
22:27
- designing that overall program and how that partnership
22:30
- is set up based upon the overall operations
22:32
- of that particular health plan. So just a
22:34
- couple of different examples of how, you know,
22:37
- we as many analytics work with Highmark and
22:39
- our other clients to help identify those opportunities
22:41
- and then co development
22:43
- around those particular ways of taking that actionable
22:46
- data and turning it into a viable intervention
22:49
- and then measuring it over time.
22:51
- So I'll hand it back to you, Chris.
22:53
- Yeah. Thanks, David. It really allows us to
22:55
- focus on that role of strategic adviser.
22:58
- You know, having regular business reviews, settings time
23:01
- aside for strategy,
23:03
- and then, you know, making those strategies
23:06
- configurable
23:07
- and developing niche solutions for our employer populations.
23:11
- And partnering with employers on member engagement was
23:14
- critical. And so being able to bring all
23:16
- of that reporting together, as I mentioned earlier,
23:19
- beyond claims.
23:20
- And so that means aligning our outreach strategies
23:23
- with their specific needs.
23:25
- We also offer client advising services and configurable
23:29
- employer
23:30
- materials
23:31
- and opportunity assessments with case studies
23:33
- in, that are led by our product strategy
23:36
- teams.
23:37
- And so, you know, the the partnership,
23:39
- you know, whether it's with the the client
23:41
- or through our partnership with METI,
23:44
- really helps us
23:46
- go beyond annual reviews and really make it
23:49
- a strategic reporting conversation.
23:52
- But the proof of that is in the
23:54
- data. So if we go to the next
23:56
- slide, we can talk about the measurable results.
23:59
- And so happy to report we have a
24:01
- strong client retention
24:03
- with over 90%.
24:05
- Strong market confidence demonstrated
24:08
- through different advisory forward
24:11
- advisory board feedback
24:13
- and broader application of the platform
24:15
- into areas like group Medicare Advantage.
24:18
- And then support of Highmark overall in our
24:21
- expansion
24:22
- into other strategic markets.
24:24
- But the broker client and consultant feedback are
24:27
- critical to our success.
24:28
- And with leadership from our product and commercial
24:31
- sales teams, in addition with our partnership with
24:34
- Manning and Analytics,
24:35
- we continue to invest,
24:37
- innovate, and track value on a continuous
24:40
- loop that helps us be at the forefront.
24:44
- And so if we bring it all together
24:46
- on the next slide and looking ahead, we're
24:48
- incredibly excited about the future of accelerating
24:51
- insight to action.
24:53
- We continue to invest in agentic
24:56
- AI to get from questions to trusted insights
24:59
- faster,
25:00
- continually enhancing our predictive capabilities to anticipate risks
25:04
- before they escalate,
25:06
- deploying dynamic self-service insights that empower our clients
25:09
- even further,
25:10
- and, of course, always showing the outcome and
25:13
- the values. And our guiding principles really drive
25:16
- that. Listening, learning,
25:19
- making sure we're engaging the right stakeholders through
25:21
- our forums,
25:23
- being proactive,
25:24
- not being afraid to try new things, and
25:26
- then, of course, measurement and refinement.
25:29
- But I'll let David go a little bit
25:31
- deeper as to how we do that together
25:32
- and the collaboration
25:34
- model that we built.
25:35
- Yeah. I thanks, Trisha. I I think the
25:38
- first and obvious thing is the platform.
25:40
- You know, I've I've mentioned a couple of
25:42
- different times during this discussion that there's enough
25:44
- data within health care.
25:46
- We don't necessarily need more. We need it
25:48
- organized and we need it synthesized.
25:51
- And so having that flexible platform, which is
25:54
- one of the hallmarks of METI is our
25:56
- health fabric of how do we take very
25:58
- disparate datasets
26:00
- and combine them together and be able to
26:02
- show
26:03
- actionable insights and value opportunities
26:05
- across the various different users of that platform.
26:09
- Again, that's both that internal team and the
26:11
- external facing conversation. So it could be the
26:15
- data analysts. It could be your clinical teams,
26:17
- providers,
26:18
- reporting teams,
26:20
- sales and account management,
26:22
- even brokers and your employer customers.
26:24
- Having that access to a
26:27
- single source of truth so that everybody is
26:29
- kind of speaking from the same page and
26:31
- telling the same story across your entire enterprise.
26:34
- That's what that flexible platform allows you to
26:36
- do, even across different lines of business. You
26:39
- heard Tricia mentioned the Medicare Advantage.
26:41
- So a really good example of how you
26:43
- can expand from a commercial into,
26:46
- an MA line of business.
26:48
- Second is that partnership model. I talked a
26:50
- little bit before about why that is so
26:52
- important.
26:53
- I'm not gonna go and rehash a lot
26:55
- of that other than, you know, there are
26:56
- a variety of different types of opportunities
27:00
- available. And if you have those opportunities and
27:02
- you happen to be a medi customer, we
27:04
- welcome to, have that conversation with you of
27:07
- where do you see some needs from a
27:08
- reporting perspective or quite frankly, anything else from
27:11
- analytics perspective.
27:13
- And I think third is just that change
27:14
- in the operating model a little bit.
27:17
- You know, when when it comes to reporting,
27:19
- I can remember back to when I was
27:21
- an account manager back in my early twenties.
27:24
- You know, I would order a 60 page
27:26
- three ring binder report, and it would be
27:28
- left behind as part of a renewal conversation.
27:31
- That
27:32
- approach still kinda holds true for the most
27:34
- part where we have static reports and PDFs
27:37
- and PowerPoints and whatnot.
27:39
- They're used to supplement the conversation versus drive
27:43
- the conversation.
27:44
- And that's what I mean by shifting an
27:45
- operating model. So as an account manager or
27:48
- a broker,
27:49
- I now can go from that static report
27:52
- into something that is more dynamic. So if
27:54
- there are
27:55
- questions as to why is that happening and
27:57
- how impactful that might be, utilizing
28:01
- a dynamic tool where I can drill into
28:03
- that detail, use different types of filters to
28:05
- slice and dice that information
28:07
- to help,
28:09
- you know, take that conversation
28:10
- forward
28:12
- in the immediate time when the conversation is
28:14
- happening and getting to what those recommendations are
28:17
- a little bit different of an operating model
28:19
- than what you would typically would see before.
28:22
- So for payer leaders, this this doesn't necessarily
28:25
- need to be like a massive transformation.
28:27
- It's taking
28:28
- the the examples of what we have on
28:30
- the right hand slide and trying them out
28:33
- over time and doing a test and learn
28:35
- approach.
28:36
- This isn't a major transformation
28:39
- of going from, you know, how do you
28:40
- go from descriptive analytics to proactive and prescriptive
28:43
- analytics?
28:44
- It's more so how do we constantly look
28:46
- for those?
28:48
- How do we look for and identify those
28:50
- opportunities
28:51
- and then put forth a meaningful intervention
28:53
- to create value
28:55
- from that program?
28:57
- So,
28:58
- I think from this point, the competitive advantage
29:00
- is not really the report itself.
29:03
- It's the stronger
29:04
- decision and stronger client relationship that that the
29:08
- report can enable
29:10
- by being dynamic and being more proactive in
29:12
- what it is showing.
29:14
- Okay, let's go ahead and go on to
29:17
- the next slide, please.
29:19
- Let's talk a little bit about what's next.
29:22
- I think probably everybody that's listening to this
29:24
- has talked about AI in some form today,
29:28
- or has some type of AI strategy in
29:30
- place or going and looking at how AI
29:32
- can make this better.
29:34
- And personally, I'm very excited for what is
29:36
- coming next from METI when it comes to,
29:39
- artificial intelligence.
29:41
- So there's a couple of things that we've
29:42
- listed here on the slide.
29:44
- They make sense when you start getting into
29:46
- the detail of what exactly is a native
29:48
- AI agent. And in reality, that is an,
29:51
- a tool to help you mine and look
29:53
- across all that data that we have available
29:56
- for you. How do I help drive that
29:58
- actionable insight
30:00
- very quickly and very efficient
30:03
- efficiently
30:04
- regardless as to what the education or the
30:06
- skill level is of the individual user.
30:09
- So being able to identify,
30:11
- investigate,
30:12
- explain, and develop new insights,
30:15
- utilizing those native AI agents and reporting
30:18
- is kind of that that next stage of
30:20
- where everything is going.
30:22
- If you go and take that same native
30:24
- AI agent or the agentic agent and
30:27
- and combine that with workflow,
30:29
- now you can start to surface insights that
30:32
- you didn't even know were existing within your
30:34
- data because there's so much data out there.
30:37
- You don't get lost in the blue sea.
30:39
- You find those little beacons of light and
30:41
- opportunity very easily. So we can help you
30:43
- surface those insights
30:45
- that you did not know existed
30:47
- and manage them through a predefined and approved
30:49
- workflow process. Again, leveraging AI agents for speed,
30:54
- and effect effectiveness.
30:56
- And finally,
30:57
- looking at predictive insights, you know, continuing that
31:00
- shift from retro to prospective and eventually
31:04
- more so into prescriptive.
31:07
- Having a hard time saying that word today.
31:09
- That is that next
31:10
- best action
31:11
- that we've talked about a couple of different
31:13
- times.
31:14
- And so really that AI enables individual users
31:17
- to truly operate,
31:19
- at the top of their abilities through that
31:21
- self-service
31:21
- analysis and reporting capability.
31:25
- So
31:26
- in closing, I'd like to again thank everyone
31:28
- for your time today.
31:29
- Hopefully you've learned at least one or two
31:32
- different things and ideas or thoughts that you
31:34
- can take forward and you found the information
31:37
- very informative and helpful.
31:39
- I'd also like to say a special thanks
31:40
- again to Becker's for hosting this today's session
31:43
- and Tricia for her overall partnership from Highmark
31:46
- and sharing some real life examples.
31:48
- And at this point, I'll go ahead and
31:50
- turn it back over to Crystal to close
31:51
- this out.
31:53
- That is all the time we have for
31:54
- today. I want to thank David and Tricia
31:56
- for an excellent presentation as well as MediAnalytics
31:59
- for sponsoring today's webinar. Thank you for joining
32:02
- us today, and we hope you have a
32:03
- wonderful rest of your day.