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innovation to create world class pharmacy care and
benefit solutions. Our connected health services make the
treatment, prediction, and prevention of health care's most
complex conditions
easier and more accessible as we drive organizations
and people forward. Ever North home based care
provides value based care that helps patients with
multiple chronic conditions
and social determinant of health barriers get the
care they need and the personalized experience they
deserve. We serve patients who struggle to navigate
the health care system by bringing high quality
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and preventative care services to the home. By
providing clinical care and support services that provide
whole person care, we improve health equity, access,
and outcomes for the populations we serve.
This is Gracelyn Keller with the Becker's Healthcare
Podcast, and we are recording live at the
2024
payer issues roundtable.
I'm currently joined by Brad Riley, who is
the VP of clinical delivery at Longevity Health
Plans. So, Brad, thank you for joining me
today. We'd love to start our conversation by
having you introduce yourself and tell us a
little bit more about your role. Sure. Absolutely.
Well, first off, appreciate you having me. Thank
you. So like, Grace said, I'm the vice
president of clinical delivery at Longevity Health Plan.
We're the fastest growing iSNP in the nation
right now,
and we are both a, clinical services organization
and an institutionalized special needs plan. And what
that means is we place advanced practice
providers within skilled nursing facilities. We have 13
different markets,
and, ultimately,
they are there to help patient centered care
and drive, better health outcomes and goals of
care for our iSNP,
members.
Wonderful. Well, thank you for being here. And
let's start our conversation with growth goals. So
from improving member experience to expanding value based
care to controlling costs,
payer executives
have ambitious growth goals for the rest of
this year and looking into 2025.
So in your role, what is your top
priority, and how are you planning to get
there?
Absolutely. I I think
for me, specifically, in my role, one of
the big things that I do is
the, VP of clinical deliveries. I help liaison
between
our IT
department and our integrations with predictive modeling and
different things and our clinical teams.
And so for me, specifically, I think one
of the big things,
obviously, AI, Gen AI, predictive analytics is big
right now.
Figuring out how we can,
position ourselves to better leverage that as an
organization,
I think, is something a lot of organizations
are trying to find figure out right now.
One of the biggest obstacles
organizations are running into is you have these
legacy systems, but these legacy systems weren't built
with this kind of technology in mind all
the time. And so there's plenty of data,
but the data is not particularly available or
it's not organized in the right way or
it's not refreshed at the right cadence. And
so aggregating and setting up infrastructure
to support the ability of having a good
foundational
dataset that you could help drive some your
operations off of is something I'm definitely gonna
be pushing through 20 the end of 2024
and and 2025.
And shifting our conversation towards the digital realm,
how is technology supporting value based care for
member focused initiatives at your organization?
And what is exciting you most in this
space?
So,
you know, I think, first off,
longevity
our our entire business model is built off
of a value based care. Right?
We firmly believe that
driving
health outcomes and ensuring that our members meet
their care,
their goals of care and their better care
outcomes can to be driven both by clinical
intervention,
but also,
informed
through proper data driven decisions.
And I think right now,
you know, there's a really good opportunity, and
I'm I've referenced it a little bit in
our last, question. But there's a really good
opportunity right now to leverage available data
in helping
inform decision making without using the data to
make decisions. And what I mean by that
is,
you know, I think the big buzz right
now is generative AI, chat g p t,
you know, Copilot, whatever whatever people have access
to. And I think, you know, that that's
fun, but it's also
it's not controlled. It's not standardized.
There's a lot of exciting work that is
going to, be available to us in the
next few years. And I think, 1, building
a foundational data structure to help support that's
key. But in the interim, we can use
other types of analytics. Advanced analytics is what
I'd call it. Right? It's not technically AI,
but you could use advanced analytics like predictive
modeling and other things to really drive
clinical outcomes and to understand your patient population
a lot more. And I think the biggest
key here, right, is is building opportunities
for payers
to assess all the data that they have
available to them and then equip it,
put it in the hands of the clinicians
to operate at the top of their license.
And so if we're able to,
take data and take analytics
and use it to allow our clinicians to
do less administrative work or more informed
administrative work, every single day, I would opt
for a clinician to be able to spend
more time with the patient talking to them
rather than
spending time
going through files and trying to figure out
what information is where
through many different platforms. So that's, I think,
the big thing we're driving is is leveraging
data, making sure it's it's accurate, making sure
it's consistent, and giving it to clinicians to
allow them to operate at the top of
their license.
Absolutely.
And
when we look at leadership
growth,
keeping pace in today's dynamic health care landscape
is challenging. So what is a piece of
advice you'd like to share to peer leaders
to help grow their business and keep members
top of mind?
Sure. So sticking with the theme, I think
establishing
a
foundational
dataset, reassessing your legacy systems that you're using,
understanding
how potential current integrations or future integrations
could impact or drive
factors for technologies that may not be,
widely available right now, but might be in
the next few years, I think, is gonna
be key. We should be a couple years
ahead. Traditionally,
the the payer industry is is 3 years
behind the technology industry, right, at least.
I think some instances, maybe a little more.
But I think the big thing is
every I I think every leader needs to
be thinking about,
specifically,
all the work that they're doing now and
they're doing next year. They need to be
thinking about how that's gonna impact their foundational
data that they use at an enterprise level
in 3, 4 years to make sure that
there aren't any unintended consequences that could hinder
their ability to leverage technologies
that are, you know, not quite available yet,
but on their way.
And as we wrap our conversation today, are
there any parting words you'd like to share
for the podcast?
I think if you're not aware of longevity
health, I recommend you you take a minute
and check us out. Really great organization.
Like I said, it's the fastest growing I
SNP in the in the nation right now.
And as a clinical services organization,
institutionalized special needs plan.
We partner with both national insurers,
long term care facilities,
skilled nursing facilities,
and our goal is to meet the unique
medical, social, and emotional needs
of our nursing home residents. And there's no
other space or place I'd like to to
be in to be able to make that
impact. I think sometimes it's it's really hard
to when when you work in data and
when you work in, analytics to to understand
your impact to
members is a little hard. But I think
absolutely recommend, check out longevity health. There's a
lot of good things going on.
Wonderful. Well, Brad, thanks for being on the
Becker's Healthcare podcast today. Again, we are live
at the 2024 payer issues roundtable.
Appreciate it. Thanks.