4:12

Kara Kubarych for 10/10 Spotlight Interview - all things BSMH

October 11, 2023

Video Transcript


Speaker: Kara Kubarych, VP, Partnerships & Client Success

What's the latest re: Bon Secours Mercy Health (BSMH)?

Kara Kubarych: Overall, we're in a really good spot on the BS MH implementation. It started back in July. So it's been a lengthy and relatively intense process and we're excited to be in the final stretch. Things are going well in large part due to the amazing team supporting this effort led by Christopher Ortiz on implementation with incredible collaboration throughout the organization. It's also due to improve processes, tools and templates that we've evolved based on past learnings and other large implementations in terms of our current focus areas. As Steven mentioned, we're really laser focused right now on getting ready for open enrollment support, which is actually starting now on November 6th. Suppo was supposed to be October 16th. So we have a little bit of a buffer, uh not, not on right way more on that in the challenges section. Um We're also working on finalizing workflows and processes for how we'll partner and collaborate with uh the BS MH Clinical and benefit teams as well as how we'll work with uh the new medical TPAUMR which is going live at the same time. And finally, in terms of other items on the horizon, um oe is definitely you know, a near term focus but more broadly thinking about our 11 launch the communications and engagement strategy and really ensuring that we're ready to deliver our services at scale.

Are there any notable challenges or risks with the BSMH implementation?

Kara Kubarych: So in terms of challenges, we learned late last week that Bs Mh had decided very late in the game to actually retain Anthem their prior TP A for a subset of hospitals where they're more favorable in the market. Um This was actually a big surprise to right way is, is a pretty atypical thing happen and it means now that we'll be supporting plans and the network both through UMR and through anthem. So that has uh introduced an additional wrinkle. Um It's also the reason that their open enrollment timeline was pushed back so that all parties had a little bit of extra time to get ready. Um The other couple of items that I wanted to mention and Steven called out as well is um around building out their custom tiered network. So Bs Mh is a health system, part of their strategy with navigation is to drive people, their employees to use their network, their providers. And so outside of that, they've created this very complex sort of multi layered tiring system where based on competitive dynamics among different health systems in the regions, they either promote if it's more of a friendly or they demote other providers. And so we've been working through the logic of understanding how their network is designed and building it with our partners at Ribbon Huge. Shout out to Matson and Rishi who have led this work. It's been very complicated and we're, we're pushing through it.

Do you have any requests from the broader org?

Kara Kubarych: First off, I just want to thank the number of people who have already played such a critical role in the implementation and will continue to do so. So just to name some folks, there are definitely others. Uh Paula Steven Justin Monjo, Jason mellow, Miley, Jenny Kevin, Grandda Rishi, and those on my, my team, um Christopher Ortiz Julia Korans and Matt and Conrad, you all have been amazing and I really appreciate the cross functional collaboration and just the, the dedication that you've all shown each other. I also want to highlight Megan who's been a fantastic partner from the sales side, setting us up for success early on joining critical meetings, helping to inform decisions, work through challenges and just fostering a really strong relationship with the client and the broker. Um in terms of any asks of the organization, looking ahead, you know, I'd say continue to lean in everybody who's already been engaged, buckle up, there's a lot to come. Um We've, you know, we've got to work through some of these final challenges that I outlined. Um And then I'm really personally excited for the NAV ops team to start supporting during open enrollment um and also to begin to merge in client success, as well as member marketing as we plan for that full roll out on 11 and have a really successful engagement uh engagement strategy, so much more to come. And thanks for listening.



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