While the health insurance industry has created new provider network models aimed at reducing health care costs, there has been almost no innovation in how network teams approach the network design process. Traditionally, teams have relied on static data and analytics (think: provider roster data) to select which providers to include in-network. The provider selection process is cumbersome, and network optimization is a trial and error exercise, often taking 12 to 24 months post-launch to get right.
The provider network design process is ripe for innovation. This webinar will showcase how one team at Cigna is taking a dynamic approach to provider selection and network design for the launch of several new expansion markets. The presenters will describe how they were able to dynamically map and modify geographic parameters, and add and remove PCPs, specialists, and facilities, and instantly predict real-world performance pre-launch. They will explain what goals they had for network optimization and process efficiency, evaluate whether they met those goals, and discuss lessons learned throughout the design process.
Director Medical Economics and Analytics
Austin Scott is Director, Medical Economics and Analytics at Cigna. He has spent the last 8 years at Cigna with responsibility for medical economics and analytics leading the transformation of data & analytics for their Government business segment. Prior to joining Cigna he spent several years Advisory services at EY. Austin has an MBA in Healthcare Leadership from the University of Tennessee, Knoxville.
Jegar Jasani, MD
VP, Head of Payer solutions
Jegar Jasani, MD, is VP, Head of Payer solutions at Clarify Health. His team drives the product strategy, roadmap, and business development for solutions that enable our payer customers to deliver high value health care to their members. Prior to Clarify, Jegar was a consultant at McKinsey & Company where he served clients across the healthcare industry with a focus on population health, value-based care, and analytics. Jegar received his BA from the University of Pennsylvania, MD from Case Western Reserve University, and completed his residency training in Internal Medicine at the University of Pittsburgh Medical Center.
Director, Solution Lead
Chuck Feerick is Director of Payer Solutions at Clarify Health. He leads sales and product strategy for Clarify’s Payer business as well as strategic partnerships and implementations. Prior to Clarify, Chuck was Director of Innovation at Anthem, Inc. and has over 10 years of healthcare experience, ranging from Managed Medicare and Medicaid, to building a full-risk health plan for the greater Chicago region. Chuck received his MBA from the Kellogg School of Management and BBA from The College of William and Mary.
Director, Expansion Strategy & Execution
Blake Amos is the Director of Expansion Strategy & Execution at Cigna Medicare. He has worked at Cigna for eight years in operations, provider engagement, and market expansion. In his current role, he leads the overall strategy and execution of Medicare Advantage new market and product expansions. Blake attended Belmont University where he earned his Master’s in Business Administration with a focus in Healthcare Management. He received a B.S. in Accounting from the University of Tennessee.