#21 - Krista Hoglund: Aligning payers and providers in value-based care: challenges and opportunities
In this episode, Krista Hoglund sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:
* Krista’s huge ‘ah-ha’ moment in regards to change management
* The explosion of technology for virtually every use case
* How healthcare is person-centric, but the EHR is not
* And much more.
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Krista Hoglund, Chief Executive Officer of Security Health Plan of Wisconsin, Inc., is a healthcare executive with a track record of building high-functioning leadership teams, developing corporate strategies that work, achieving strong growth and positive financial results. She makes change happen by listening, analyzing and being willing to take risks.
Krista is a key proponent of Security Health Plan’s strategic imperative calling for stewardship of financial and human resources. She is highly focused on reducing the total cost of care for Security Health Plan customers, and across the health insurance and health care industry. As Chief Actuary and Financial Officer, Krista was a key leader in cost reduction efforts at Marshfield Clinic Health System through which Security Health Plan achieved more than $80 million in year-over-year savings. She has shaped policy, planning and analysis guiding the Health Plan’s decisions that affect its financial performance. She has worked especially closely with the financial leadership team at Marshfield Clinic Health System to ensure financial vitality for Security Health Plan and the Health System overall.
Prior to being named CEO in 2021, Krista built her career through progressively advancing roles within Security Health Plan’s executive leadership, actuarial and business intelligence areas, most recently serving as Chief Actuary & Financial Officer.
Krista is a graduate of the University of Wisconsin-Stout with a bachelor’s degree in applied mathematics, and is working toward her master’s degree in business administration. In addition, she completed the Carol Emmott Foundation Fellowship Program, along with a number of additional executive leadership training programs that have created the foundation of her leadership philosophy. She is an Associate of the Society of Actuaries, and a Member of the American Academy of Actuaries.
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Outline
Here are the timestamps for this episode.
(00:00) - Intro
(01:35) - The changing payer-provider dynamic
(03:40) - The power of data in breaking down provider resistance
(06:05) - When driving alignment between payers and providers, the messenger matters
(09:00) - The unique challenges faced by plans when driving toward value-based care
(11:07) - Deploying technology into the provider space to help make value-based care a reality
(14:25) - What it takes to earn the trust of the provider community
(18:55) - The technology strategies that are being used at Security Health Plan
(22:30) - What fundamentals make the move to value-based care significantly more difficult than it should be?
(27:05) - What does personalized member or patient engagement look like?
(28:00) - Shifting from reactive to proactive patient engagement and care delivery
(29:30) - Healthcare’s opportunity for personalization and automation through technology
(30:34) - What will technology unlock for payers and providers over the next few years?
(32:49) - The optimization of healthcare’s administrative tasks with technology
(34:56) - The role of technology in creating synergies between payers and providers
(36:02) - Advice for those looking to bring plans and providers closer together
(40:14) - End
Relevant links
* Krista Hoglund on LinkedIn
* Dr. Neinstein on LinkedIn and Twitter
* Notable on LinkedIn
