Craig Samitt, MD, MBA is the EVP and Chief Clinical Officer at Anthem, where he is responsible for establishing, leading, and executing overall clinical vision and strategy for Anthem, the second largest health insurer in the US. In this role, Craig leads all clinical operations and policy as well as Anthem’s diversification strategy, from payer as a benefit-management company to payer as partner, enabler, and convener. An internal medicine physician by training, Craig has worked across multiple sectors within the health ecosystem including providers, payers, and policy makers. His work specializes in turnaround management, growth of physician networks, enhancing integrated delivery systems, and diversifying health plans in competitive markets.
- All the players in the health ecosystem have done what they can within their world, but the industry now needs a new model that coordinates across the various players.
- Collaboration requires an understanding of each stakeholders’ expertise and capabilities to maximize the strength of the partnership.
- The health ecosystem requires engagement of non-traditional players to address the social determinants of care by influencing “upstream” stakeholders.
We are pleased to present our Q&A article with Roland Lyon, president of Kaiser Permanente (KP) of Colorado. In this role, Lyon leads the state’s largest nonprofit health plan, providing healthcare to approximately 670,000 members in Denver/Boulder, Southern Colorado, Northern Colorado, and the mountain communities of Summit and Eagle counties. Lyon joined KP in 2002, initially based in California before coming to Colorado in 2006. His roles in California included vice president of consulting and capital planning in KP’s Northern California region, and vice president of strategic planning in KP’s national program offices.
Key take-away points from our conversation with Roland include:
- Successful collaboration occurs when partners identify and align around overlapping interests.
- Making an effort to understand not only what is important to each partner but also why it is important allows for creative solutions to develop.
- A culture of collaboration must be modeled from the top to enlist leaders who are willing and able to collaborate across boundaries.
This month, we are pleased to present our Q&A with Matthew Guy, a health ecosystem convener. Matt, President and Owner of Accelerated Transformation Associates, specializes in clinical, community, and population health transformation. Through his work with ReThink Health, he provides great insights on his work to convene groups in systemic changes to positively impact the health of the populations within Sonoma Country, CA; Bend, OR; and Albequerque, NM.
Key take-away points from our conversation with Matt include:
- Starting from an understanding of the other side’s perspective, priorities, and interests helps prevent obstacles in the way of collaboration
- In order to drive collaborative solutions, organizations require leaders who are eager to learn, willing to take action, and can find common ground
- A culture of collaboration must be modeled from the top to enlist leaders who are willing and able to collaborate across boundaries
We are thrilled to share our first in a series of interviews on Leading in Today’s Health Ecosystem. This month, we had the great pleasure of interviewing Bob Sachs, PhD, Talent Strategy Advisor, Executive Coach, and Advisory Board Chair for TLD Group, about the importance of developing leaders who have the capacity to work collaboratively across healthcare sectors to drive population health and reduce healthcare costs. Bob, formerly the VP of National Learning and Development at Kaiser Permanente and a national leader in integrated healthcare, works with organizations to enhance and integrate critical leadership talent strategies and systems, on learning strategy and governance. [Read more…]
TLD Group President & CEO Tracy Duberman interviewed David Carmouche, who is the current President of Ochsner Health System, and previously served as the Chief Medical Officer and Executive Vice President of External Health Plan Operations for Blue Cross Blue Shield of Louisiana. David’s experience leading in the healthcare ecosystem spans both within and across the provider and payer sectors. In this interview, David discusses how he had developed and implemented cross-sector initiatives designed to organize care, improve quality, and increase affordability.
With the tsunami of changes occurring in the healthcare industry today – ranging from increasing cost of care, shifting government regulations, technological advances, and the move from volume- to value-based care, the need to focus on population health holds utmost importance. Undeniably, all healthcare sectors hold the same shared goal of providing the best care to consumers, but each of the different (and often competing) sectors also holds varying interests, values, and points of view. In order to be best positioned to meet that shared goal of improving health outcomes and quality of life, industry leaders must foster an ecosystem view, which prioritizes population and community health through cross-sector collaboration. [Read more…]