#21 - Krista Hoglund: Aligning payers and providers in value-based care: challenges and opportunities
02/29/24 • 40 min
In this episode, Krista Hoglund sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:
Krista’s huge ‘ah-ha’ moment in regards to change management
The explosion of technology for virtually every use case
How healthcare is person-centric, but the EHR is not
And much more.
—-
Krista Hoglund, Chief Executive Officer of Security Health Plan of Wisconsin, Inc., is a healthcare executive with a track record of building high-functioning leadership teams, developing corporate strategies that work, achieving strong growth and positive financial results. She makes change happen by listening, analyzing and being willing to take risks.
Krista is a key proponent of Security Health Plan’s strategic imperative calling for stewardship of financial and human resources. She is highly focused on reducing the total cost of care for Security Health Plan customers, and across the health insurance and health care industry. As Chief Actuary and Financial Officer, Krista was a key leader in cost reduction efforts at Marshfield Clinic Health System through which Security Health Plan achieved more than $80 million in year-over-year savings. She has shaped policy, planning and analysis guiding the Health Plan’s decisions that affect its financial performance. She has worked especially closely with the financial leadership team at Marshfield Clinic Health System to ensure financial vitality for Security Health Plan and the Health System overall.
Prior to being named CEO in 2021, Krista built her career through progressively advancing roles within Security Health Plan’s executive leadership, actuarial and business intelligence areas, most recently serving as Chief Actuary & Financial Officer.
Krista is a graduate of the University of Wisconsin-Stout with a bachelor’s degree in applied mathematics, and is working toward her master’s degree in business administration. In addition, she completed the Carol Emmott Foundation Fellowship Program, along with a number of additional executive leadership training programs that have created the foundation of her leadership philosophy. She is an Associate of the Society of Actuaries, and a Member of the American Academy of Actuaries.
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Outline
Here are the timestamps for this episode.
(00:00) - Intro
(01:35) - The changing payer-provider dynamic
(03:40) - The power of data in breaking down provider resistance
(06:05) - When driving alignment between payers and providers, the messenger matters
(09:00) - The unique challenges faced by plans when driving toward value-based care
(11:07) - Deploying technology into the provider space to help make value-based care a reality
(14:25) - What it takes to earn the trust of the provider community
(18:55) - The technology strategies that are being used at Security Health Plan
(22:30) - What fundamentals make the move to value-based care significantly more difficult than it should be?
(27:05) - What does personalized member or patient engagement look like?
(28:00) - Shifting from reactive to proactive patient engagement and care delivery
(29:30) - Healthcare’s opportunity for personalization and automation through technology
(30:34) - What will technology unlock for payers and providers over the next few years?
(32:49) - The optimization of healthcare’s administrative tasks with technology
(34:56) - The role of technology in creating synergies between payers and providers
(36:02) - Advice for those looking to bring plans and providers closer together
(40:14) - End
Relevant links
Krista Hoglund on LinkedIn
Dr. Neinstein on LinkedIn and Twitter
Notable on LinkedIn
In this episode, Krista Hoglund sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:
Krista’s huge ‘ah-ha’ moment in regards to change management
The explosion of technology for virtually every use case
How healthcare is person-centric, but the EHR is not
And much more.
—-
Krista Hoglund, Chief Executive Officer of Security Health Plan of Wisconsin, Inc., is a healthcare executive with a track record of building high-functioning leadership teams, developing corporate strategies that work, achieving strong growth and positive financial results. She makes change happen by listening, analyzing and being willing to take risks.
Krista is a key proponent of Security Health Plan’s strategic imperative calling for stewardship of financial and human resources. She is highly focused on reducing the total cost of care for Security Health Plan customers, and across the health insurance and health care industry. As Chief Actuary and Financial Officer, Krista was a key leader in cost reduction efforts at Marshfield Clinic Health System through which Security Health Plan achieved more than $80 million in year-over-year savings. She has shaped policy, planning and analysis guiding the Health Plan’s decisions that affect its financial performance. She has worked especially closely with the financial leadership team at Marshfield Clinic Health System to ensure financial vitality for Security Health Plan and the Health System overall.
Prior to being named CEO in 2021, Krista built her career through progressively advancing roles within Security Health Plan’s executive leadership, actuarial and business intelligence areas, most recently serving as Chief Actuary & Financial Officer.
Krista is a graduate of the University of Wisconsin-Stout with a bachelor’s degree in applied mathematics, and is working toward her master’s degree in business administration. In addition, she completed the Carol Emmott Foundation Fellowship Program, along with a number of additional executive leadership training programs that have created the foundation of her leadership philosophy. She is an Associate of the Society of Actuaries, and a Member of the American Academy of Actuaries.
—-
Outline
Here are the timestamps for this episode.
(00:00) - Intro
(01:35) - The changing payer-provider dynamic
(03:40) - The power of data in breaking down provider resistance
(06:05) - When driving alignment between payers and providers, the messenger matters
(09:00) - The unique challenges faced by plans when driving toward value-based care
(11:07) - Deploying technology into the provider space to help make value-based care a reality
(14:25) - What it takes to earn the trust of the provider community
(18:55) - The technology strategies that are being used at Security Health Plan
(22:30) - What fundamentals make the move to value-based care significantly more difficult than it should be?
(27:05) - What does personalized member or patient engagement look like?
(28:00) - Shifting from reactive to proactive patient engagement and care delivery
(29:30) - Healthcare’s opportunity for personalization and automation through technology
(30:34) - What will technology unlock for payers and providers over the next few years?
(32:49) - The optimization of healthcare’s administrative tasks with technology
(34:56) - The role of technology in creating synergies between payers and providers
(36:02) - Advice for those looking to bring plans and providers closer together
(40:14) - End
Relevant links
Krista Hoglund on LinkedIn
Dr. Neinstein on LinkedIn and Twitter
Notable on LinkedIn
Previous Episode
#20 - Erica DeBoer: Technology and the ongoing nursing shortage
In this episode, Erica DeBoer sits down for an in-depth conversation with Dr. Aaron Neinstein, chief medical officer at Notable. Among other things, the two discuss:
The impact of automation on patient registration and clinical intake
The role of AI in helping address challenges in nursing
How the next generation of nurses view the profession
And much more.
—-
Erica DeBoer, RN, MA, CCRN, CNL, serves as Sanford Health’s chief nursing officer. A member of the organization’s executive leadership team, DeBoer provides clinical expertise for Sanford Health’s work in quality, safety, research and care management. She also oversees the integration of clinical initiatives.
DeBoer has more than 20 years of experience as a front-line registered nurse, including roles in critical care, clinical leadership and education. She most recently served as Sanford Health’s senior executive director of nursing and clinical services and clinical informatics. DeBoer has also served as adjunct faculty for nursing programs at South Dakota State University and the University of Sioux Falls.
The Sanford Health nursing practice DeBoer oversees is the largest division of the enterprise workforce supporting patient and resident care, including nearly 9,000 nurses across the post-acute, ambulatory and inpatient settings. She believes nurses are a critical part of the fabric binding the many facets of health care work together to achieve safe, high-quality care that exceeds patient expectations.
DeBoer is particularly interested in the link between patient experience and employee experience, knowing that changes in one sphere often directly drive improvements in the other. She sponsors a variety of initiatives in both areas at Sanford, including the use of predictive analytics to inform care and plan workforce needs; leveraging technology to automate non-value-added work so teams can focus on patient care; reducing clinical variations in care; and improving health equity and reducing the barriers patients face in accessing care. DeBoer says nurses are an incredibly flexible, innovative resource in these efforts and are essential to meeting the needs of our patients and communities.
Active in several professional associations, DeBoer holds a bachelor’s degree in nursing from South Dakota State University and a master’s degree in nursing from Augustana University.
DeBoer resides in Lennox, South Dakota, with her husband, Shane, and their two children.
—-
Outline
Here are the timestamps for this episode.
(00:00) - Intro
(01:25) - Why is the nursing workforce shortage coming?
(02:22) - What are we doing about the nursing shortage?
(03:25) - How nursing will change in 2024 and beyond
(04:42) - Why technology is important but only when properly focused
(06:09) - Examples of ‘unlocks’ that have made nurses lives better
(07:45) - The impact of automating patient registration and clinical intake
(09:34) - As administrative burden is removed for frontline staff, where do they focus?
(10:49) - Sanford Health is the largest rural healthcare system in the United States
(12:16) - The role of AI in addressing challenges in nursing
(14:10) - How Sanford is addressing governance when it comes to AI
(15:20) - How do nurses view AI? Helpful or hurtful?
(20:41) - The critical importance of change management
(23:10) - Sanford’s job architecture project and defining career pathways
(25:00) - Reimagining nursing and the role of regulation
(26:55) - What do the next generation of nurses want from the profession?
(29:01) - Nearly every nurse wants help removing or reducing this aspect of their job
(34:56) - End
Relevant links
Erica DeBoer on LinkedIn
Dr. Neinstein on LinkedIn and Twitter
Notable on LinkedIn
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