1 00:00:00,160 --> 00:00:02,899 Evernorth brings the power of wonder and relentless 2 00:00:02,960 --> 00:00:05,919 innovation to create world class pharmacy care and 3 00:00:05,919 --> 00:00:09,199 benefit solutions. Our connected health services make the 4 00:00:09,199 --> 00:00:12,080 treatment, prediction, and prevention of health care's most 5 00:00:12,080 --> 00:00:13,139 complex conditions 6 00:00:13,605 --> 00:00:16,344 easier and more accessible as we drive organizations 7 00:00:16,644 --> 00:00:19,524 and people forward. Ever North home based care 8 00:00:19,524 --> 00:00:22,004 provides value based care that helps patients with 9 00:00:22,004 --> 00:00:23,384 multiple chronic conditions 10 00:00:23,844 --> 00:00:26,085 and social determinant of health barriers get the 11 00:00:26,085 --> 00:00:28,884 care they need and the personalized experience they 12 00:00:28,884 --> 00:00:31,660 deserve. We serve patients who struggle to navigate 13 00:00:31,660 --> 00:00:34,060 the health care system by bringing high quality 14 00:00:34,060 --> 00:00:34,560 primary 15 00:00:35,020 --> 00:00:37,739 and preventative care services to the home. By 16 00:00:37,739 --> 00:00:40,700 providing clinical care and support services that provide 17 00:00:40,700 --> 00:00:44,105 whole person care, we improve health equity, access, 18 00:00:44,105 --> 00:00:46,605 and outcomes for the populations we serve. 19 00:00:47,945 --> 00:00:50,105 This is Gracelyn Keller with the Becker's Healthcare 20 00:00:50,105 --> 00:00:52,285 Podcast, and we are live at the 2024 21 00:00:52,745 --> 00:00:53,965 payer issues roundtable. 22 00:00:54,560 --> 00:00:57,280 I'm currently joined by Pankari Sharma, who is 23 00:00:57,280 --> 00:01:00,079 the strategy and operations leader at Humana. So 24 00:01:00,079 --> 00:01:01,600 thank you for being here today. We'd love 25 00:01:01,600 --> 00:01:03,759 to start our conversation by having you introduce 26 00:01:03,759 --> 00:01:05,439 yourself and tell us a little bit more 27 00:01:05,439 --> 00:01:06,739 about your role. 28 00:01:07,234 --> 00:01:09,494 Thanks, Grace. Happy to be here 29 00:01:10,034 --> 00:01:13,155 and, talking to you. I'm Pankari Sharma. I'm, 30 00:01:13,155 --> 00:01:15,555 like you said, the strategy and operations leader 31 00:01:15,555 --> 00:01:18,694 in Humana in their clinical strategy team. 32 00:01:19,394 --> 00:01:22,375 What my work scope includes is 33 00:01:22,979 --> 00:01:25,319 improving the health outcomes for our members 34 00:01:25,780 --> 00:01:29,299 through different initiatives, and that consequently also reduces 35 00:01:29,299 --> 00:01:32,180 our total cost of care. So broad initiatives 36 00:01:32,180 --> 00:01:33,239 under that umbrella. 37 00:01:34,019 --> 00:01:35,939 Well, thank you for being here. And let's 38 00:01:35,939 --> 00:01:39,424 start our conversation today surrounding growth goals. So 39 00:01:39,424 --> 00:01:41,204 from improving member experience 40 00:01:41,665 --> 00:01:44,704 and expanding value based care to controlling costs, 41 00:01:44,704 --> 00:01:47,344 payer executives have ambitious growth goals for the 42 00:01:47,344 --> 00:01:49,579 rest of this year and looking ahead into 43 00:01:49,579 --> 00:01:50,079 2025. 44 00:01:50,939 --> 00:01:53,100 In your role, what is your top priority, 45 00:01:53,100 --> 00:01:54,880 and how are you planning to get there? 46 00:01:55,500 --> 00:01:56,000 Sure. 47 00:01:56,380 --> 00:01:59,500 So I would say, my priority is would, 48 00:01:59,500 --> 00:02:01,980 again, fit under that very broad umbrella of 49 00:02:01,980 --> 00:02:03,359 improving the member 50 00:02:03,924 --> 00:02:05,125 outcomes as well as, 51 00:02:05,525 --> 00:02:08,405 thinking through how to enhance member experience while 52 00:02:08,405 --> 00:02:09,544 doing so as well. 53 00:02:10,004 --> 00:02:12,164 The 2 initiatives that are on top of 54 00:02:12,164 --> 00:02:14,164 my mind this year and would be early 55 00:02:14,164 --> 00:02:15,705 next year are, firstly, 56 00:02:16,164 --> 00:02:18,664 addressing the gaps in care for our members 57 00:02:18,930 --> 00:02:20,629 so that they can proactively 58 00:02:21,490 --> 00:02:23,650 be in charge of their health more, are 59 00:02:23,650 --> 00:02:24,310 able to 60 00:02:24,689 --> 00:02:26,629 have better access to the providers, 61 00:02:27,250 --> 00:02:29,650 to the services that would help them not 62 00:02:29,650 --> 00:02:31,110 worsen their chronic conditions. 63 00:02:31,574 --> 00:02:33,495 So that is one thing that's on top 64 00:02:33,495 --> 00:02:34,395 of my mind. 65 00:02:34,935 --> 00:02:36,875 And the second thing is, 66 00:02:37,814 --> 00:02:38,314 providing 67 00:02:39,094 --> 00:02:41,275 better and more holistic population 68 00:02:41,574 --> 00:02:44,555 health services to our, members and especially 69 00:02:44,935 --> 00:02:46,555 the more vulnerable population. 70 00:02:48,270 --> 00:02:50,510 And going along with that, at an industry 71 00:02:50,510 --> 00:02:52,909 level, how would you describe the biggest barriers 72 00:02:52,909 --> 00:02:53,569 to effectively 73 00:02:54,270 --> 00:02:57,389 serving and engaging members? And what opportunities do 74 00:02:57,389 --> 00:02:59,629 you see for large scale improvements? And how 75 00:02:59,629 --> 00:03:01,490 are you applying this in your current strategy? 76 00:03:02,715 --> 00:03:04,414 Yeah. I think the 77 00:03:05,115 --> 00:03:08,314 largest barrier that I see personally is the 78 00:03:08,314 --> 00:03:11,594 adoption of preventative care and especially when it 79 00:03:11,594 --> 00:03:13,775 comes to members and their mindsets. 80 00:03:14,250 --> 00:03:16,490 So I think as an industry, we all 81 00:03:16,490 --> 00:03:18,409 have, and by we, I mean, all the 82 00:03:18,409 --> 00:03:21,610 stakeholders, including payers and providers. We understand the 83 00:03:21,610 --> 00:03:23,069 value of preventative care 84 00:03:23,449 --> 00:03:25,310 in ensuring positive outcomes 85 00:03:26,169 --> 00:03:27,629 in a proactive manner. 86 00:03:28,169 --> 00:03:31,685 But, ensuring that members get that and they 87 00:03:32,064 --> 00:03:33,125 do not have reactive, 88 00:03:33,745 --> 00:03:35,284 but proactive mindset 89 00:03:35,825 --> 00:03:36,645 to getting, 90 00:03:37,264 --> 00:03:40,645 preventative care. And we as stakeholders can facilitate 91 00:03:40,784 --> 00:03:41,605 that. So, 92 00:03:42,305 --> 00:03:44,485 ensuring that in terms of affordability, 93 00:03:44,865 --> 00:03:46,930 accessibility to providers, availability 94 00:03:47,310 --> 00:03:48,049 of providers, 95 00:03:48,590 --> 00:03:51,629 and, just building their trust in the health 96 00:03:51,629 --> 00:03:54,669 care industry overall so that they reach out 97 00:03:54,669 --> 00:03:57,150 to us as well when they need such 98 00:03:57,150 --> 00:03:59,504 help. I think that is one of the 99 00:04:00,064 --> 00:04:02,465 barriers or something that we should be working 100 00:04:02,465 --> 00:04:03,525 to improve upon. 101 00:04:04,544 --> 00:04:08,544 And shifting gears slightly toward leadership growth, keeping 102 00:04:08,544 --> 00:04:11,105 pace in today's dynamic health care landscape is 103 00:04:11,105 --> 00:04:13,105 challenging. So what is a piece of advice 104 00:04:13,105 --> 00:04:15,159 you'd like to share for peer leaders to 105 00:04:15,159 --> 00:04:17,479 help grow their businesses while keeping members top 106 00:04:17,479 --> 00:04:18,139 of mind? 107 00:04:19,160 --> 00:04:22,220 Sure. I just had a panel on, harnessing 108 00:04:22,360 --> 00:04:26,459 AI and, dig digital health outcomes for improving 109 00:04:26,680 --> 00:04:27,180 member 110 00:04:27,745 --> 00:04:29,824 health outcome plan. And I would probably I 111 00:04:29,824 --> 00:04:31,824 would just repeat the answer that I gave 112 00:04:31,824 --> 00:04:32,564 there, which 113 00:04:33,345 --> 00:04:34,004 was interoperability, 114 00:04:35,024 --> 00:04:36,004 in terms of, 115 00:04:36,544 --> 00:04:37,764 data is something 116 00:04:38,384 --> 00:04:41,069 I feel would not only help our members 117 00:04:41,069 --> 00:04:42,910 and our outreach to them, which would be 118 00:04:42,910 --> 00:04:45,629 more targeted, more timely, more customized to their 119 00:04:45,629 --> 00:04:46,129 needs, 120 00:04:46,910 --> 00:04:49,169 but also having that kind of interoperability 121 00:04:49,949 --> 00:04:51,490 would help peers 122 00:04:51,790 --> 00:04:55,069 and providers make our back end processes more 123 00:04:55,069 --> 00:04:55,569 efficient. 124 00:04:56,264 --> 00:04:59,144 So I think that's a a bedrock for 125 00:04:59,144 --> 00:05:00,125 a lot of improvement 126 00:05:00,425 --> 00:05:01,384 in terms of how we, 127 00:05:02,024 --> 00:05:04,425 do decision making as well as implement our 128 00:05:04,425 --> 00:05:04,925 decisions. 129 00:05:06,904 --> 00:05:09,225 And as we wrap our conversation up, are 130 00:05:09,225 --> 00:05:11,064 there any closing remarks you'd like to share 131 00:05:11,064 --> 00:05:11,759 on the podcast 132 00:05:12,560 --> 00:05:14,240 today? It was great to be the part 133 00:05:14,240 --> 00:05:15,139 of this conference. 134 00:05:15,839 --> 00:05:17,699 It's it was great to see how 135 00:05:18,160 --> 00:05:21,680 different organizations and stakeholders have same things on 136 00:05:21,680 --> 00:05:22,560 mind. I think, 137 00:05:23,120 --> 00:05:24,339 AI was one, 138 00:05:25,095 --> 00:05:27,334 element that we all are thinking about. We 139 00:05:27,334 --> 00:05:29,735 are making our efforts from our end, but 140 00:05:29,735 --> 00:05:30,235 also 141 00:05:30,694 --> 00:05:32,474 looking at the regulatory 142 00:05:33,095 --> 00:05:35,354 organizations as well. Got it. And, 143 00:05:35,814 --> 00:05:38,535 I'm leaving this conference very optimistic that in 144 00:05:38,535 --> 00:05:40,479 a couple of years, we would be way 145 00:05:40,479 --> 00:05:42,259 ahead of where we are right now. 146 00:05:43,279 --> 00:05:45,120 Wonderful. Well, thank you for taking the time 147 00:05:45,120 --> 00:05:47,199 to be here. Again, we are live at 148 00:05:47,199 --> 00:05:47,860 the 2024 149 00:05:48,399 --> 00:05:49,699 Payer Issues Roundtable. 150 00:05:50,079 --> 00:05:51,379 Thank you for having me.