health plan

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.

—- 

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.

—- 

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

* Notable Perspectives

Was your health WAY to difficult to manage in 2023?

Are you ending 2023 feeling overwhelmed or discouraged by your health?

If so, you may benefit from having a health plan for 2024.

At the beginning of 2023, I shared my health goals for the year in Episode 122.

A few weeks ago, I shared my update on how my health goals went for 2023 and how I did it all with MINIMAL effort and without completely exhausting myself.

Today, I'm opening up my life and sharing my health plans for 2024. I'm also sharing with you how I determined my health goals for 2024, what I'm doing to prep to hit them, and how you can do all of this, too, with functional medicine.

As I made this episode, I was reminded of the quote from Benjamin Franklin: "If you fail to plan, you plan to fail."

Health DOESN'T have to be a guessing game or something random that happens TO you. You can actually have a PLANNED impact on your health, so you can no longer be a victim to your health but feel that health is not only on your side but EASY, too.

Whether you're newly on a health journey or have been at it for a while, it's time to make your health a whole lot easier.

EPISODES MENTIONED:

• 122// 3-Step, Health Strategy Plan for Your Best Health in 2023
• 176// How I Hit All my 2023 Health Goals with MINIMAL Effort (Parasite Cleanse, Half Marathon, and Pregnancy!!)

LINKS FROM THE SHOW:

• If this podcast episode made positively impacted you, please leave a Rating and Review for the podcast. It'd mean so much! ❤️
• Want me to review your health story? Share Your Story for me to review on the podcast!

WORK 1:1 WITH ME:

• Make Your Health EASY! 👉 Join the Better Belly Blueprint today!

🔥 Price increases Jan. 1, 2024! Join today!

• Have Questions? Read our FAQ Section for the Better Belly Blueprint! Or send me a DM on Instagram!

RESOURCES:

• Get Full Access to my Liver Detox Protocol for only $7!
• Download my Free Constipation Relief Guide

LINKS:

• JOIN → Join our FREE Facebook Group 
• FOLLOW → @betterbellytherapies
• ASK → Ask a Question for the Podcast
• WORK WITH US → betterbellytherapies.com

*This episode was first published at BetterBellyTherapies.com/179

In the final installment of our three-part Employee Benefits and Executive Compensation podcast miniseries, hosts Jim Earle and Josh Gelfand discuss the basics of top-hat plans — what they are and the necessary steps to ensure ERISA compliance.

We are excited to announce that we will be hosting our annual webinar in September 2024, which will provide a comprehensive look at the future landscape of employee benefits and executive compensation.

In the second episode of our three-part Employee Benefits and Executive Compensation podcast miniseries, hosts Lynne Wakefield and Lydia Parker discuss key health and welfare plan developments as we close out 2023 and head into 2024.

Stay tuned for next week’s episode, where hosts Jim Earle and Josh Gelfand will cover the basics of top-hat plans and what you need to do to ensure ERISA compliance.

We are excited to announce that we will be hosting our annual webinar in September 2024, which will provide a comprehensive look at the future landscape of employee benefits and executive compensation.

Mario Schlosser, cofounder, former CEO, and current President of Technology at Oscar Health, joins Julie Yoo of Bio + Health.

The conversation explores how AI advancements can revolutionize traditional healthcare models by enhancing efficiency, personalizing care journeys, and integrating real-time data insights. Mario also discusses "benefit-less" benefit designs, where healthcare plans learn from and adapt to individual consumer patterns, at least theoretically leading to the holy grail of better health outcomes and cost savings.

About the Guest:

In 2000, Steve Brazeel founded SunTerra Produce, which has grown from a one-person produce brokerage firm into an industry-leading, full-service platform handling sales, marketing, farming, food safety, harvesting, storage, and distribution activities for specialty crop producers on over 5,000 acres throughout the US and Mexico. 

Prior to founding SunTerra, Steve held various sales and management positions for produce industry giants Sun World International and the DiMare Co. Experiences learned at these companies, as well as business-to-business technology pioneer buyproduce.com, led him to start SunTerra Produce.

Born out of SunTerra‘s participation in the USDA’s ground-breaking Farmers to Families Food Box program, Project FoodBox was launched in 2020. Since the program’s inception, the SunTerra/Project FoodBox teams have delivered over 4,500,000 boxes of fresh fruits and vegetables (over 80,000,000 pounds!) to families in need through its network of health care organizations, food banks, faith-based organizations, and other non-profits.

In this episode, you’ll learn about:

• Why and How food is medicine
• How Project Food Box started
• The importance of tailored meals and nutrition
• The vital balance between meeting plan requirements and fulfilling field needs
• Why proper irrigation is crucial for crop growth and agricultural success
• How engaging in communities fostered growth for Project Food Box

Connect with Steve Brazeel:

• LinkedIn (Project Food Box)
• LinkedIn (Steve Brazeel)

About the Host:

Dung Trinh, MD is the Chief Medical Officer of Healthy Brain Clinic, a medical missionary with TongueOut Medical Missions, and holds leadership positions with multiple healthcare organizations in Orange County. He is a keynote speaker, best-selling author, and Host of “Health Talks with Dr. Trinh” which can be heard weekly on OC Talk Radio.

Connect with Dr. Trinh

• HealthTalks OC Website
• Tongue Out
• Facebook Page
• Facebook (Personal Account)
• Instagram
• LinkedIn
• YouTube

A Team Dklutr Production

In Episode 20 of This is Ag Podcast, I had the pleasure of interviewing Samantha C. Taylor, the talented assistant winemaker for Hope Family Wines in Paso Robles. Samantha's remarkable journey into the world of winemaking began with a strong desire to pursue her passion for wine. Little did she know that this decision would lead her down a rewarding and inspiring path. Samantha's story serves as a powerful reminder of the opportunities that arise when one follows their heart and embraces their true calling.

Over thirteen harvests, she has become an integral part of the winemaking team, working alongside winemaker Austin Hope. Samantha's enthusiasm and dedication shine through as she oversees the daily operations of winemaking, ensuring the production of award-winning wines that set the standard for Paso Robles Cabernet Sauvignon. 

Working for Hope Family Wines, she has learned the importance of teamwork, creativity, and being humble in the face of nature's uncertainties. This particular winery has allowed Samantha to excel and grow as a winemaker. As a testament to her hard work and the winery's commitment to excellence, Hope Family Wines was named the American Winery of the Year.

Throughout the podcast, we delved into the intricacies of winemaking, from vineyard decisions to blending wines and considering consumer expectations. Samantha also shared her experiences as a participant in the WomenAg Leadership Academy, which offers an inspiring space for ambitious women to foster personal and professional growth while exploring and honing their leadership talents. During the episode, she highlights the camaraderie and personal growth the academy offers. 

Overall, this episode provided an insightful and inspiring look into the world of winemaking, the power of teamwork, and the potential for personal growth. Samantha Taylor's journey serves as a testament to the rewards of passion and hard work in the wine industry, and her story resonates with wine enthusiasts and aspiring winemakers alike. Listeners are sure to gain valuable insights into the creative and dynamic world of winemaking, leaving them eager to uncork new opportunities in their own pursuits.

Hope Family Wines website - https://hopefamilywines.com/

This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  

Kirti Mutatkar, President and CEO of UnitedAg. 

Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkar
UnitedAg website - www.unitedag.org

Episode Contributors - Samantha Taylor, Kirti Mutatkar, Paul Lecrone, Melanie Larsen

The episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.com/Blue

Shield of California - https://www.blueshieldca.com/Elite

Medical - https://www.elitecorpmed.com/Gallagher

https://www.ajg.com/SAIN

Medical https://sainmedical.com/

In episode 19 of This is Ag Podcast, I had the honor of speaking with Jeff Lundberg, the face of Babe Farms, a family-owned and operated company that has been working with UnitedAg for over 25 years. It is truly remarkable to see how Jeff has taken over the business from his mother, Judy, and maintained its amazing culture for over 40 years. Babe Farms is a leader in the gourmet produce industry, prioritizing superior quality, innovation, and genuine customer relationships. Tune in to hear stories from the worlds of Star Wars, Coca-Cola, and beyond!

During our conversation, we delved into various aspects of Babe Farms. It all began with their inspiration from the beautifully crafted produce found in Europe, which led them to grow into the outstanding company they are today. From vibrant carrots to golden beets and purple kohlrabi, Babe Farms produces eye-catching and stunning gourmet quality foods that go from farm to table. Their commitment to innovation has resulted in the success of their organic farm, conventional farm, and the specialty farm known as Babe Farms. (see https://www.babefarms.com/)

One thing that sets Babe Farms' apart is their focus on their employees. They truly prioritize their team members, fostering a strong sense of loyalty and commitment. Respect is at the core of their values, and every individual is treated with respect from day one. Babe Farms has cultivated a culture of appreciation and recognition, treating their employees as an extended family. They celebrate milestones together, provide benefits like 401k and health insurance, and organize events to express their gratitude.

Through my conversation with Jeff, I gained valuable insights into the workings of the farming industry. His passion for the business is evident, especially when he talks about the rewarding experience of witnessing the entire process from seed to harvest. Jeff embodies the values of a true farmer, being a steward of the land and a community-oriented business owner. I commended Babe Farms for their remarkable accomplishments, growth, and commitment to their employees and customers. It was an absolute pleasure to have Jeff on the podcast and learn more about the extraordinary journey of Babe Farms.

Babe Farms website - https://www.babefarms.com/

This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  

Kirti Mutatkar, President and CEO of UnitedAg. 

Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkar
UnitedAg website - www.unitedag.org

Episode Contributors - Jeff Lundberg, Kirti Mutatkar, Paul Lecrone, Melanie Larsen

The episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.com/Blue

Shield of California - https://www.blueshieldca.com/Elite

Medical - https://www.elitecorpmed.com/Gallagher

https://www.ajg.com/SAIN

Medical https://sainmedical.com/

Do you feel like you're getting the short end of the stick when it comes to the US healthcare system? Are you tired of paying more for worse outcomes? If so, you're not alone.

As healthcare consultants who build health plans for employers outside of the traditional channels, David Contorno and Emma Fox understand the perverse incentives within the US healthcare system and how those incentives guide the outcomes that we are getting. And they are here to help you make the system work for you.

In the upcoming episode of their podcast, David and Emma will provide tips and tricks to help you navigate the system. They'll discuss how to build a comprehensive health plan that cost employers substantially less, cost employees substantially less, and even minimize or eliminate out of pockets. They'll also discuss the perverse incentives that lead to worse outcomes for more money and how to combat them.

The episode is coming soon, so be sure to subscribe and get the latest updates. With the help of David and Emma, you'll be able to make the US healthcare system work for you. Don't miss out!

Thank you to our sponsor - Lombard Equipment! Selling equipment for over 30 years who not only does training IN your shop they do hands-on training ON YOUR EQUIPMENT! :)
https://lombardequipment.com/

Today we are talking with Richie Seaberry from Decisely. The medical plan is from SCRS as a way to provide incredible health insurance to small shops especially those shops that couldn't afford a health plan otherwise!

It's a health plan that represents 70,000 employees being part of the SCRS plan - aka SCRS marketplace. You now have the ability to purchase insurance like a Fortune 500 company and it's available to everyone to take advantage of all insurance/employee benefits umbrella. 

Even if you have insurance plan for your shop this plan may give you better benefits for less money so I encourage you to check it out!
People say it's the best health insurance plan they've ever had. Wow!

Reach out to Richie Seaberry directly:
Email: richie@decisely.com
LinkedIn: https://www.linkedin.com/in/richardseaberry/
Website: https://scrsbenefitscenter.decisely.com/

For more info on Micki's Marketing Services to help you grow your shop's revenue click here: https://collisioncentermarketing.com
Email Micki directly at micki@mickiwoodsmarketing.com

Join the Body Bangin' Facebook Group!
https://www.facebook.com/groups/989546031854134

Meet Sina Chehrazi:

Sina Chehrazi is an entrepreneur and business executive with experience across the various stages of the entrepreneurial process. Sina serves as the Founder and Chief Executive Officer of Nayya, a platform that uses AI and data science to personalize the way people choose and use their benefits.

Key Insights:

Sina Chehrazi advocates for a leadership that is genuine with the team and with customers.

● How to Improve Healthcare? Sina explains that if you want to change healthcare, you have to start by following how the money flows. 

● Confidence. Customers who know what they’re investing in are more likely to jump in with an innovator.

● Integration. Nayya aims to be the hub that connects and personalizes a consumer’s health life. 

 

Read more about Nayya

Follow Sina on Twitter

My guest Dr. Rosemary Ku is the Chief Medical Officer of UnitedAg.

Rosemary is a practicing physician with dual-board certification in Internal Medicine and Preventive Medicine. She majored in Molecular Biology with a Certificate in Neuroscience at Princeton University and went on to obtain her MD/MBA from Columbia University and Masters in Public Health in Health Policy and Management from UC Berkeley. Rosemary joined the UnitedAg team as Chief Medical Officer in 2019.

My conversation with Dr. Ku brings out the ethos of UnitedAg. Dr. Ku reminds us that the story of human connectedness is not just a one to one relationship with a member but a relationship with the entire community.  We also talk about the impact  of long term thinking on the overall healthcare cost, and much more. Please enjoy our conversation. 

This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  

Kirti Mutatkar, President and CEO of UnitedAg. Reach me kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkar

UnitedAg's website - www.unitedag.org

The episode is also sponsored by 

Brent Eastman Insurance Services Inc. - https://brenteastman.com/

Blue Shield of California - https://www.blueshieldca.com/

Elite Medical - https://www.elitecorpmed.com/

Gallagher - https://www.ajg.com/

SAIN Medical - https://sainmedical.com/

Arrange a one-on-one call with John Sbrocco and Crystal Hoarau. Learn the Virtue Health Consortium process, and start prospecting with NO IMQs and NO CLAIMS DATA >> CLICK HERE TO CHOOSE DATE / TIME

As insurance goes, the top 5% of the people in Self-Funding plans are responsible for 90% of the claims. But what if you could remove some of those top claims from your plan? That would be tremendous for cost and beneficial for both company and its employees. 

This week's Heads Up Adviser Show guest has the key solution to deal with high-claim individuals and gives them options - other than a group health plan. 

He came up with the process where it becomes possible to connect individuals with other options for health insurance. As a result, they'll voluntarily leave the plan - and take all these large claims with them. 

Intrigued? 

Join the episode "How To Use Empathy & Compassion To Control Healthcare Costs" with the CEO of Samaritan Fund - Brett Morris. 

Here's what we cover: 

The possibilities of individual exchange market

How to rewrite self-funding plans with a new scenario

Explaining the change to high-claim individuals 

As a former Partner at Deloitte, Rajeev Ronanki established and led Deloitte's Life Sciences and Healthcare Advanced Analytics, Artificial Intelligence, and Innovation practices. He then was offered a chance to join Anthem and lead their transformation to becoming a digital-first enterprise. Rajeev viewed this a great opportunity to help transform healthcare, so he accepted the position. How did he start to tackle this challenge and develop a vision for this insurance giant? First, by simply defining what “digital” meant within Anthem. Once aligned on that, he was able to start implementing automation of core business practices and developing an application to engage consumers in a more personalized manner. Then, the real value came. Leveraging over 10 million users on their digital platform, Anthem was able to improve their app based on user feedback collected on the platform (they tested an average of 180 user experiences per day!). More impactfully though, the group could start deriving real healthcare insights. Tune into this episode to learn more about Anthem’s new digital-first approach, as host Steve Krupa chats with Rajeev on the company’s digital revolution, its partnerships with startups and investors, the opportunity for more upfront diagnosis, and even Rajeev’s thoughts on blockchain’s utility in healthcare.

Rajeev Ronanki serves as Chief Digital Officer at Anthem, Inc. He is leading the transformation of Anthem to become a digital/AI-first enterprise through driving the vision, strategy, and execution of Anthem’s Digital, Artificial Intelligence (AI), Exponential Technology, Service Experience, and Innovation portfolios. Through these efforts, Mr. Ronanki is enabling Anthem to harness the power of AI and data to better understand healthcare consumers and provide tailored, personalized care. His experience spans over 20 years of innovation-driven industry and social change across healthcare and technology.

Having been both an operator and an investor in the healthcare industry, Fay Rotenberg knows the challenges and silos all too well. She was encouraged when she first met the co-founders of Firefly Health though. Initially, she had agreed to meet with them 1 day per week, then that grew to 2 days per week, then 3, and before she knew it, she joined the company as President and CEO about 3 years ago. Firefly is striving to shift healthcare from episodic to continuous care. They are a virtual-first clinical network consisting of primary care, behavioral health, and specialty care, all accessible via a world-class navigation platform. Think of Firefly as a mini and virtual Kaiser, as they are now also expanding into full benefit models for employers. By reducing costs and improving outcomes, they have begun to achieve concierge medicine at scale. Patients interact with their platform an average of 41 times per year and receive a response within 5 minutes, while doctors also love being part of their team-based care approach, as it allows them to focus on tasks that are most value added for them. Tune into this episode to learn more about Firefly Health, as host Steve Krupa chats with Fay on the company’s mission to provide half priced health care that is twice as good, its start with insurers as original customers (now somewhat competitors), its growth to over 50 employees, and its future including developing a health plan replacement for employers.

Shop & Save on your Health Insurance Premium. Individuals and Families with high premium renewal may be able to take advantage of new healthcare insurance plans with lower premiums. How to video click HERE

In today’s Our Take read-in, here’s our lead story: Good Neighbor Pharmacy tops the list of chain drugstores in customer satisfaction, according to a new survey by J.D. Power and Associates. The network of independent pharmacies received the highest overall score among brick-and-mortar chain store pharmacies, with a score of 914 out of 1,000 possible points, followed by Health Mart (893), Rite Aid Pharmacy (865), Walgreens (840), and CVS (834). To sign up for the weekly email brief, click here.

Note that we’re not uploading a read-in next week due to the Labor Day holiday.

Other briefs include:

• CMS announced that quality star ratings for qualified health plans offered on the Health Insurance Marketplace will be available in 2020.
• Signify Health and Remedy Partners signed a definitive agreement to merge.
• SSM Health formed a joint venture with Denver-based Paladina Health to offer direct-to-employer primary care in the St. Louis area.
• Three new drug approvals for AbbVie, Genentech, and Nabriva Therapeutics.

About Darwin Research Group
Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

CMS’ Innovation Center has, through federal grants, helped states address specific population health needs. But what happens when entrepreneurs take healthcare improvement seriously, and are able to find innovative ways to align partnerships to effect change? This week, John sits down with Craig Brammer, CEO of The Health Collaborative and President & CEO of the Network for Regional Healthcare Improvement. Craig is an inspirational leader—helping to create change at the national level driven by grassroots efforts of local healthcare leaders.

Speaker Bios
Craig Brammer serves as President & CEO of the Network for Regional Healthcare Improvement (NRHI) & The Health Collaborative, a regional health improvement collaborative in Cincinnati. In these concurrent roles, he is responsible for helping leaders set a shared strategic direction and execute on a broad agenda of improving health and healthcare across the country.

At NRHI, Craig oversees a membership base of over 30 members/state partner regional health improvement collaboratives that are working to improve health, reduce price, and eliminate waste in their communities. At The Health Collaborative, Craig manages a $15 million annual budget and leads a team of 65 health professionals focused on the organization’s three work streams: Healthcare Improvement, Population Health, and Clinical Informatics. He previously served on the leadership team at the Office of the National Coordinator for Health Information Technology in Washington, DC, where he focused on the intersection of technology and payment policy and led a $260 million Federal technology innovation program.

John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care market intelligence firm specializing in health care delivery systems. He’s a two-time health care entrepreneur, and his first company, FaxWatch, was listed twice on the Inc. 500 list of fastest growing American companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade. John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University, and is an active member of the American College of Healthcare Executives.

About Darwin Research Group
Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.