Fluctuating member populations, information gaps, and growing health inequities make it challenging for health insurance providers to immediately identify risk, improve health, and manage health care costs for their members. Health insurance providers need help identifying more at-risk members sooner, improving the member experience, managing high-risk members with the right interventions at the right time, strengthening physician relationships and engagement, and increasing member engagement regarding their care and health.
This webinar will draw on industry expert knowledge and discussion of a real-world case study to describe how lab data and predictive analytics can be used to understand disease history and future risk of new/existing members prior to their first claim to prioritize personalized care and enhance member experience.
Sr. Director, Health Plans and Health System Analytics
Matt Cardoso is Sr. Director, Product Solutions, Health Plans. Matt has been with Quest Diagnostics Information Ventures franchise since 2016 and in this time, has made significant leadership contributions to both the Health Plan and Health Systems market development, portfolios, and programs. Prior to joining Quest, Matt held a variety of leadership positions in product management, product strategy and strategic sales for leading population health, EHR, HIE vendors, and health care delivery networks.
Matt earned a BS in Biology and BA in Economics from UMass Amherst, as well as an MBA and MS in Health Informatics from Northeastern University.
CEO and Co-Founder
Teddy Cha is the CEO and Co-Founder of pulseData, data intelligence for chronic disease management. In 1999, Teddy left Wall Street to rent a garage and build a chat app, which was a great product but terrible business. He’s been starting and leading high-growth, enterprise software product teams ever since. In 2015 he reunited with his cofounder Hai Po, a classmate and good friend from undergrad at MIT, and discovered what is possible with health care data – predicting costly acute events from a messy, giant data set, with an opportunity to help eliminate predictable sickness.
Navdeep Tangri, MD, PhD, FRCP(C)
Chronic Disease Innovation Center
University of Manitoba – Winnipeg
Dr. Tangri is an attending physician and Associate Professor in the Division of Nephrology, Department of Medicine and the Department of Community Health Sciences at the University of Manitoba. Dr. Tangri’s research program is clinical and translational and focused on improving clinical decision making for patients with advanced chronic kidney disease. He developed and validated the Kidney Failure Risk Equation to predict the need for dialysis in patients with CKD and is presently engaged in multiple validation and implementation exercises to increase the uptake of the KFRE.
In addition, Dr. Tangri is conducting a large prospective study on frailty, physical and cognitive function in advanced CKD, as well as leading a multinational randomized trial on the safety and efficacy of a new therapy in this population. He has published over 200 manuscripts and presented at multiple national and international scientific meetings and is a recipient of the CIHR New Investigator Award and a CIHR Foundation grant.
Vice President, Health Plans
Al Bowles is the Vice President, Health Plans, at Quest Diagnostics. He has been in the U.S. employee benefits/healthcare industry for more than 30 years, holding several leadership positions at Cigna, UnitedHealthcare, and Horizon BCBSNJ. Prior to joining Quest, Al was Vice President of Commercial & Major Accounts at Horizon BCBSNJ, with responsibility for 1.8 million members. Prior to that role, Al served as the Chief Marketing Officer for Optum Specialty Benefits, a UnitedHealth Group company. At Cigna, Al held regional and national roles including the Senior Vice President of Sales for CIGNA Group Insurance.
Al earned a BS degree from the University of Richmond as well as completed an executive leadership program at the Wharton School.