No matter how much planning went into 2020, no one could have expected the turn of events this year and its ongoing impact on the health care industry. With today’s current challenging landscape, technology executives at health plans are grappling with what it means for their organizations both now and in the future. Chief Information Officers (CIOs) have a critical role in defining the future and ensuring their health plan can effectively compete.
HealthEdge, in partnership with independent market research firm Survata, recently completed a study of 245 CIOs and technology executives at health plans across the country. The survey uncovered that 98% of health insurance organizations plan to evaluate their core administrative processing system in the next two years. The survey also revealed strategic business imperatives CIOs are focused on, challenges facing IT leadership today, and their top priorities heading into 2021.
In this webinar, our CIO roundtable will explore the current and future state of payers’ technology, strategic initiatives, and what they prioritize when making critical decisions. The panelists will provide their analysis of the survey results and discuss how it compares to other industry trends and research and offer insight into what it means for health plan technology priorities in 2021.
Attendees will learn:
- Learn about the current and future state of payers’ technology, as well as challenges IT leadership faces today
- What CIOs look for when evaluating technology solutions and the factors that influence purchasing decisions
- What do these changes mean for 2021 planning and strategy?
Senior Vice President of Information Technology and Chief Information Officer
Independent HealthEric joined Independent Health in 2010 and is responsible for planning, organizing, and overseeing Independent Health’s information technology activities. He is accountable for identifying and implementing technology solutions that map to the organization’s business strategies. In the past six years, Decker has overseen the successful implementation of several key initiatives, including the launch of new case/utilization management and ERP platforms, introducing new provider engagement capabilities, and the implementation of key regulatory requirements.
He received his bachelor’s degree in computer science and his master’s degree in computer science and engineering from the State University of New York at Buffalo. He is currently the second vice chair of FeedMore Western New York and has served on its board of directors since 2015.
Vice President and Chief Information Officer
NeuGenJohn Church is Vice President—Chief Information Officer for NeuGen, a shared services organization based out of Madison, Wisconsin. NeuGen operates two health insurance companies, WEA Trust and Health Tradition, while also providing medical management and administrative services to other healthcare companies. Prior to becoming CIO, John served as Senior Director of Business Services. Before NeuGen, John had multiple roles, culminating in SVP, CFO of Shared Services at QBE, a global specialty insurer, and also had managerial positions at Allstate and Group Health Cooperative of South Central Wisconsin. Throughout his career, John has worked to transform the business operations utilizing technology, along with new processes and people skills.
||Len Rosignoli (Moderator)
HealthEdgeLen Rosignoli is a healthcare technology and operations executive with extensive managed care insurance expertise spanning more than twenty-five years. His experience includes mergers & acquisitions, large scale core system migrations and implementations, and support of the full scope of the technology, including application development/support, project management, infrastructure, and cybersecurity.
He joined HealthEdge in early 2020 as an Account Executive, supporting the strategic needs of a portfolio of HealthEdge customers. Prior to joining HealthEdge, Len spent the prior six-and-a-half years as the Chief Information Officer for CalOptima, one of the largest Medi-Cal health plans in the country. Len also held executive IT roles for a variety of health plans supporting all lines of business in a range of geographic areas on many technology platforms.
The COVID-19 pandemic has caused massive unemployment in the U.S.; as a result, the Kaiser Family Foundation estimates that nearly 50 million American workers and their dependents will lose health insurance. With no federal exchange special enrollment period, state budgets strained from the economic crisis, and many people having difficulty obtaining their unemployment benefits, the implications of sustained unemployment on health plans has yet to be fully realized. In many cases, we still do not know where unemployed/uninsured people are going; it could be Medicaid, Medicare, or individual markets.
Certain aspects of health care that were gaining traction have accelerated during the pandemic, including telehealth, behavioral health services, investments in community health, price transparency, and data sharing. The pandemic has demonstrated how the private and public sectors can mobilize quickly and work together to spur innovation, close gaps in care, and drive better health outcomes.
However, it is clear there’s still work to be done. Unemployment rates among Blacks and Hispanics are generally much greater than national averages and among Whites, and COVID-19 infection rates are also much higher. As millions have lost their jobs, jeopardizing their employer-provided health insurance, COVID-19 has highlighted the need for improved access to care and prevention. Health plans must look at the social determinants of health and the disparities among their membership population and create benefit designs to make healthcare more accessible.
Health plans are analyzing these trends will continue to pay close attention as they embark on their open enrollment period in the fall.
This webinar will explore how payers are bracing for the impacts of sustained unemployment, addressing shifting consumer needs, and key changes that have impacted their strategy and planning for next year. Our subject-matter experts will discuss the current landscape, data trends, and projections on what will happen with unemployment and provide insight into its ripple effect on the health care industry and health plans.
Attendees will learn:
- How unemployment has impacted health plans so far, and what trends have been uncovered related to patient needs, community health, and partnerships
- Where the opportunities are for health plans
- What these changes mean for 2021 planning and strategy
Founder and CEO
Day Health StrategiesRosemarie Day is the founder and CEO of Day Health Strategies, a successful mission-driven, woman-owned consulting firm celebrating its 10th anniversary. As the founding Deputy Director & Chief Operating Officer of the Massachusetts Health Connector in 2006, she helped lead the launch of health reform in Massachusetts, which became the model for the Affordable Care Act.
Prior to this, she was the Chief Operating Officer of the Massachusetts Medicaid program, among other state leadership positions. Ms. Day is the author of the book, “Marching Toward Coverage: How Women Can Lead the Fight for Universal Healthcare.” (Beacon Press, 2020)
||Kim Ingram, RN
Chief Nursing Officer
HealthEdgeAs HealthEdge’s Chief Nursing Officer, Kim is responsible for providing clinical expertise and care coordination leadership to the organization. She has spent more than 28 years building execution-focused pathways for success through technology-driven innovation in the healthcare delivery system. Kim is distinguished for her ability to achieve transformational change working with key executives and stakeholders in complex organizations.
Prior to joining HealthEdge, Kim served as Senior Vice President of Clinical Solutions at Click4Care. Kim is a graduate of Lewis Clark State College, and a Registered Nurse.
Director of Sales Solutions
HealthEdgeAs Director of Sales Solutions for HealthEdge, Diane engages with prospective payer clients to understand their current state, ascertain near-and long-term goals and objectives, and formulate proposed solutions that will ultimately help businesses facilitate seamless transitions to new client implementations. As a senior healthcare technology professional with deep expertise and extensive experience collaborating with health plans and benefit administrators on their technology strategies, Diane focuses on core administration system replacements within the context of overall IT ecosystems.
||Stephen Shivinsky, Moderator
Strategic Corporate CommunicationsStephen Shivinsky is a corporate communications consultant with more than 30 years of experience working with top leadership at health systems and health plans to protect reputations and achieve business goals. He specializes in managing high-profile issues and crisis communications, serving as a thought partner to effectively address an organization’s communications challenges.
Most recently, he was Vice President of Corporate Communications at United Healthcare, directing communications strategies for the company’s Networks and Clinical Services divisions. He was the Vice President, Corporate Communications at Blue Shield of California for eight years and, prior to that, served in top communications positions for national and regional health systems including Trinity Health and OhioHealth.
Prior to joining HealthEdge in 2017, Diane spent many years in the healthcare payer technology space with organizations that included Evolent Health (Aldera), Mphasis Eldorado, and Cognizant/TriZetto.
Join Maggie Brown, Regulatory Compliance Manager, HealthEdge, Ghita Worcester, Senior Vice President of Public Affairs and Chief Marketing Officer, UCare and Merrill Goozner, former editor, Modern Healthcare as they lead a discussion on how health insurance providers are preparing to grow their Medicare Advantage lines of business or start new lines of business, while managing the frequent regulations and updates of their Star Ratings. Register at: https://www.ahip.org/events/medicare-advantage-the-ups-downs-of-growth-regulations/