This episode features Matthew Rish, Senior Director of Finance, Planning & Analytics at NC State Health Plan. Here, he discuss his background and current role with the NC State Health Plan, top issues he’s focused on, how he is looking at growth & investments in the next 2 years, and more.
Summary
Meet Matthew Rish: Senior Director of Finance, Planning & Analytics at NC State Health Plan
In this episode, we had the pleasure of speaking with Matthew Rish, Senior Director of Finance, Planning & Analytics at NC State Health Plan. He shared his background and current role with the NC State Health Plan, top issues he's focused on, how he is looking at growth & investments in the next 2 years, and more.
About North Carolina State Health Plan
The North Carolina State Health Plan is a self-funded plan providing medical and pharmacy benefits to almost 750,000 members. As the Senior Director of Finance Planning and Analytics for the Plan, Matt Rich is responsible for funding strategy and alternative payment models/cost containment for medical and pharmacy services.
New Payment Models and Data Warehouse Investment
The North Carolina State Health Plan is investing in new payment models to incentivize volume over quality, and they are also investing in a data warehouse to better monitor vendor activity. In particular, Rish is currently working on a pilot with a large multi-specialty provider on a full risk/capitation model to incentivize the right behaviors from both members and providers.
Lark's Digital Diabetes Prevention Program
Rish is also excited about Lark's Digital Diabetes Prevention Program, an AI-based chronic condition prevention and management platform that can be accessed via smartphone 24/7 and can improve access to care for underserved populations. The North Carolina State Health Plan is committed to finding long-term solutions for the healthcare industry, and takes its responsibility of being the largest payer of healthcare services in the state very seriously.
Note: This is an AI generated transcript, not edited by a staff writer and is solely intended for educational purposes. If you have any questions/concerns, reach out to podcasts@beckershealthcare.com
This episode aired on 11/19/2022 and can be listened here.
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