John E. Gallina
speaker
51 appearances
1 recordings
1 series
first heard Feb 2020
last heard Feb 2020
John E. Gallina’s voice in public audio — every appearance, attributed to the second.
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Appearances
As you know, there are many difficult challenges in the healthcare industry today.
In addition to the rapid pace of change, affordability and access to quality care are significant issues, and they're significant for employers, consumers, the government, and society.
Health insurance obviously is a function of the price of health care.
And whether it's the increasing cost structure associated with specialty pharmacies, new medications on the market, inpatient procedures that are helping extend people's lives, they do cost money.
All of these things help push the affordability issue to the forefront within the health care industry.
technology will help provide better data and better insights and provide a more educated consumer base and provide better information to the physicians who can actually come up with evidence-based medical decisions in treating the patient.
From an insurance company perspective, we have access to all of the most recent data
And we can package that information and provide it to the providers so that the providers can make the best evidence-based medicine decisions and help improve the health outcomes of the patients.
There are a lot of new entrants into the market.
and everyone's trying to accumulate data everyone's trying to have access to this information but where we see it's really beneficial is the collaboration that we're doing with the providers given the fact that we have leading market share in most of the markets that we operate we have more information than anyone else within those markets and then we take that data
and then we can provide information back to the providers when they're in their office and they access the system and they look at our integrated healthcare data set where they can look at, for a particular member, not only what their health information is, but also what's their pharmacy information, what's their behavioral health information, what's their dental information, what's their vision information, so that they have all that information together in one single sign-on
Again, so that they can then make the best decisions and provide the best care to the members.
The collaboration with the providers, that really makes a huge difference.
Given the complexity of the healthcare ecosystem, there are no simple answers.
Yet at Anthem, we have the power to lead and shape the conversation by partnering and innovating across the system to create real value for our stakeholders.
This means leading the transition from fee-for-service to value-based care by collaborating with providers to provide flexible payment models, enhance data sharing, and reduce administrative burdens.
And we've been very successful.
As of today, 64% of our total medical spend is tied to payment innovation programs, including payment-based contracts, leads the entire industry.
We need to demonstrate our value to employers, the states, and the federal government.
And that means providing affordable products with an array of price points and features for employers, while simplifying and improving the healthcare experience for their employees and their families.
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