Insights From CEOs of Baylor, UnitedHealthcare, Catalyst, Caddis, and More

Providers, health plans, and pharmacies are uniting into single entities while evidence shows that investing upstream with primary care improves quality and reduces healthcare costs. In a battle against ever increasing premiums, employers are looking at ways to spend less on healthcare, with more and more moving to self-funded plans, educating their employees about how their choices impact everyone’s cost, and redesigning their pharmacy benefit plans for up to 50 percent savings. These are just a few of the insights shared during the D CEO 2019 Healthcare Roundtable, a sponsored discussion from the July issue with North Texas Healthcare leaders.… Full Story

Catalyst and UnitedHealthcare’s ACO Saved $28 million Over the Last Two Years

Catalyst Health Network and UnitedHealthcare’s accountable care organization knocked $28 million off of North Texas healthcare costs over the last two years for UnitedHealthcare’s 78,000 plan participants. The ACO was established in 2015 with a goal of changing the way providers are reimbursed. The organization is moving away from the traditional fee-for-service model and into a system where providers are paid based on results and patient satisfaction. The savings have come from catching disease early through screenings, keeping referrals in-network, reducing emergency room visits, and more. In the last year, the ACO saw ER visits decrease by 4 percent, in-network… Full Story

UnitedHealthcare North Texas Snags Former BCBSTX Chief of Staff

United Healthcare North Texas has a new vice president of network management, who came over after serving in various high-up roles at Blue Cross Blue Shield of Texas. JJ White is the new hire. She did her undergrad at the University of North Texas. At BCBSTX, White was most recently a divisional vice president for network innovation & strategy, and she served as chief of staff prior to that. She’d been with Blue Cross in one capacity or another since the mid-1990s. White started at UnitedHealthcare in April.