It took a pandemic to reveal the potential financial pitfalls and opportunities for health insurance providers. Among them: engaging in value-based contracts with providers, member and physician engagement, disparate member data, risk adjustment, interoperability regulations and clinical documentation.
In a mid-2021 survey conducted by Curation Health, health insurance leaders revealed their top three strategic priorities and challenges, which we’ll discuss in this informative webinar, as well as practical approaches to risk adjustment, clinical documentation, physician adoption and incentives and addressing the challenges and opportunities for success as we near year’s end.
Founder & CEO
Kevin launched Curation Health after observing the challenges associated with healthcare provider organizations migrating from traditional reimbursement models to clinical quality programs — as well as the issues health plans were encountering as they looked to partner with providers in the shift to value-based care reimbursement structures.
Prior to Curation Health, Kevin was a founding Partner and President of Clinovations, a clinically oriented healthcare management consulting firm dedicated to healthcare technology optimization. Clinovations was acquired by the Advisory Board Company in 2014. Before Clinovations, Kevin served as the healthcare CIO for a Fortune 20 organization, retail medicine executive, management consultant, and health system administrator.
Matt Lambert, MD
Chief Medical Officer
Dr. Matt Lambert brings more than 20 years of experience as a clinician, CMIO, and change leader in value-based care, ensuring that patients receive more comprehensive care and that payers and providers better capture the value of their services. He is a practicing, board-certified emergency medicine provider who previously founded his own physician staffing company.
Dr. Lambert was one of the founding members of Clinovations. During his time there he served as part of the leadership team for several electronic health record implementations at the nation’s largest public health system in New York City, the University of Washington in Seattle, Johns Hopkins, Barnabas Health, Medstar, and Broward Health. He is also the author off two healthcare books: Unrest Insured and Close to Change: Perspectives on Change and Healthcare for a Doctor, a Town, and a Country.
Leanna Hester, RN, BSN
Vice President of Advisory Services
Leanna Hester, Vice President of Advisory Services, is a registered nurse with more than sixteen years of healthcare experience, specifically in optimizing processes, influencing healthcare outcomes, and refining EHR tools with health systems. She likes to focus on working with health system clients to improve outcomes with clinical expertise and industry leading practices that can drive results in quality care and a positive patient experience.
In past roles she managed client engagements including workflow and workload balancing, staff utilization by licensure, standardization of content and tools, evolution of the EHR with focus on automation, and improving patient safety and quality.
Her experience in designing and establishing clinical and IT governance structures, as well as Epic applications with certifications, greatly benefits Curation customers with transitioning, adopting, and succeeding in value-based care contracts.