BCBSM, Health Alliance Plan, Formerly Humana, & Icario: Rethinking Engagement & Intervention
In this Bright Spots in Healthcare episode, host Eric Glazer brings together Medicare Advantage and operational leaders to explore a growing challenge facing health plans: why identifying risk is no longer enough to improve outcomes.
As organizations invest heavily in HRAs, predictive analytics, and member insight platforms, many still struggle to convert those insights into timely, coordinated action. This discussion focuses on where execution is breaking down between identification and intervention, and what leading plans are doing differently to reduce friction, align teams, and engage members while the opportunity to act still exists.
This is a candid discussion for executives navigating increasing pressure around Stars, affordability, member engagement, and operational efficiency, while trying to turn insight into measurable performance improvement.
Our guests include:
- Vanita Pindolia, PharmD, MBA, Vice President, Stars Program, Blue Cross Blue Shield of Michigan
- Chuck Palermo, Vice President, Operations, Health Alliance Plan
- Linda Isham, Former Vice President, Operations & Clinical Support, Humana
- Cory Busse, Vice President, Strategic Solutions, Icario
Together, they explore:
- Why insight without operational coordination often fails to improve outcomes
- How leading plans are identifying the small populations that disproportionately impact performance
- What changes when organizations shift from retrospective reporting to real time intervention
- How plans are reducing friction by coordinating Stars, quality, operations, and engagement efforts around a shared action plan
- Why understanding behavioral, social, and operational barriers is becoming critical to improving adherence, experience, and quality outcomes
- How organizations are designing outreach and engagement strategies that reflect real member behavior, not just clinical gaps
This episode offers a practical look at how leading organizations are closing the gap between insight and action, and what it takes to operationalize engagement in a way that consistently improves quality, cost, and member experience.
