An Update from the Leaders of Some of the Most Innovative Companies in Silicon Valley

Overview

Many new and innovative companies are leveraging technology to improve the effectiveness of the care provided to patients. They are employing better tools to identify patients who can benefit from specific programs that best meet the patient's needs. They are also dramatically increasing the use of these programs by guiding plan members through the maze of offerings to match them with the programs that will be most beneficial to them. Employers are making these third party programs available to their members, and Medicare plans are using these new tools to identify emerging health risks for early intervention and more accurate risk scoring. This session will explore some examples of these programs, how they are being effectively integrated into the operations of health plans and how the results of these programs are being measured. 

 At the conclusion of this session, attendees will be able to: 

  • Better evaluate point solutions offered by health plans
  • Identify ways to increase the use of third party solutions
  • Identify Medicare Advantage members where risk scores may not be capturing early onset dementia
  • Compare primary care approaches to those demonstrated to lower health plan costs
Agenda and Speakers

Moderator(s): Edward Cymerys, FSA

Presenter(s): Raj Behal, M.D. MPH; Myela Charvat, Ph.D.; David Sotelo, FSA, MAAA

Edward Cymerys, FSA (Moderator)

Ed Cymerys, FSA, MAAA is an advisor to leaders of early stage technology companies that are improving the way health benefits are delivered. Ed previously held positions as Chief Actuary & Corporate Strategy Advisor for Collective Health&nbsp, Senior Vice President and Chief Actuary for Blue Shield of California and Senior Vice President for PacifiCare Health Systems.

Raj Behal, M.D. MPH

Raj Behal, MD, MPH, Chief Quality Officer of One Medical: Raj is a practicing doctor who brings over 17 years of experience in leading clinical outcomes improvement in a variety of settings. He leads the quality and safety, value and innovation, and data science teams. Previously, he served as CQO, Associate Dean for Quality, and Clinical Professor of Medicine at Stanford. Prior to that, Raj was the Patient Safety Officer and Associate Chief Medical Officer at Rush University Medical Center — helping them achieve top national rankings on outcomes and efficiency among academic medical centers. He teaches physician leadership development programs at Harvard, Stanford, and UC San Diego. Raj went to medical school at Rush, completed a fellowship in healthcare informatics at Harvard and MIT, and earned his MPH in clinical effectiveness at Harvard.

Mylea Charvat, Ph.D.

Dr. Mylea Charvat became interested in the brain at age 13 when her grandmother began to suffer cognitive problems. A clinician with a business background, she was an early employee with Travelocity in the 1990s and went on to train as a clinical neuropsychologist and neuroscientist and in 2015 founded Savonix. At Savonix, Mylea drives strategy to address dementia globally with business and clinical leaders and works as a domain expert in digital cognitive assessment with partners from Boston University to Fortune 50 CEOs seeking to detect and prevent cognitive decline and dementias. Mylea has authored several peer review publications in mental health and neuroimaging. She completed her fellowship in clinical neuroscience at Stanford and has been a lecturer at Stanford, The University of San Francisco and San Francisco State University. She is a contributor for Psychology Today, has written for Tech Crunch and Huffington Post and appeared as a subject matter expert at many conferences including MedTech Showcase, The Atlantic Council, the NIH and NIA and with the Duke Leadership Program. Mylea is committed to advancing the integration of cognitive health data into mainstream healthcare. The inspiration for Savonix came when her husband was severely injured in an accident and she experienced, first-hand, the difficulty in attaining vital health data needed to achieve recovery – including cognitive screening. She realized that if access was difficult for her with all her connections, that it must be virtually nonexistent for most people. She got to know the spouses and parents of other patients. What she learned in these conversations was a wake-up call. With a blossoming career ahead of her in academic medicine, Dr. Charvat left over a decade of work and a prestigious career path toward professorship to found Savonix.

David Sotelo, FSA, MAAA

David Sotelo, FSA MAAA, is an Actuarial Manager with Collective Health. Prior to joining Collective Health, Mr. Sotelo has worked with plan sponsors and health insurers for more than a decade, designing strategies for understanding and mitigating health care financial risk.

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