Most health insurance providers don’t have the capacity or capability to measure the effectiveness of all of their quality-, cost-, or service initiatives. Most measure no more than 30 to 50%, maybe once a year, and only on the total cost of care impact. As a result, they are not sure which initiatives are working, for whom, why, and where to focus their attention to improve affordability and outcomes.
In this webinar, executives will share a case study about how Blue Cross of Idaho was able to granularly evaluate all of their clinical initiatives in a matter of months to establish where to focus and how to prioritize their affordability efforts. Participants will learn how the health insurance provider rapidly identified previously unknown insights to share with internal stakeholders, program vendors, and customers for a competitive value. There will be lessons about the ideal governance structure to capitalize on better information and to make faster decisions. Participants will walk away with a clear understanding of the immediate value of rapid measurement and the subsequent opportunity to move the needle on affordability.
Sr. Vice President
Drew joined Blue Cross of Idaho in April 2017 as the Vice President of Provider Partner and Payment Innovation where he led Blue Cross provider network functions including efforts to shift from a fee-for-service provider payment model to value-based payments. After demonstrating success in this role, he was promoted to the Sr. Vice President of Healthcare Economics and tasked with one of Blue Cross of Idaho’s top strategic priorities: make healthcare more affordable for clients and members. In his new role, he will lead the Healthcare Economics Division focusing on identifying, implementing and monitoring healthcare affordability initiatives.
Drew came to Blue Cross of Idaho from WellCare Health Plans, Inc., in Tampa, Fla., where he served in numerous roles, most recently as Vice President, Medicaid Network Management, where he was responsible for the national Medicaid network strategy. Drew received his Bachelor of Science in Business Process Management from Indiana University.
CEO and Founder
Eric Grossman is the CEO and founder of NextHealth Technologies, an advanced analytics platform – powered by AI and machine learning – that integrates data-driven decision making into workflow to improve healthcare affordability. Previously, Eric was the Vice President and General Manager of TriZetto’s Consumerism and Analytics business unit. As Vice President of Enterprise Strategy, Eric formed and managed a committee of 25 health plan executives to shape TriZetto’s operational and strategic direction. As an outcome, he chartered a client-funded, 12-month project to evaluate the analytics market and develop a go-to-market strategy. Prior to TriZetto, Eric was the founder and CEO of Connecture (NASDAQ: CNXR). Connecture is the leader in health plan sales automation solutions. Eric was also Chief of Staff to the Vice Chairman of Ernst and Young. Eric served as a Governor-appointed, two-term member of the Board of Directors for the Colorado Health Benefit Exchange.