How Highmark, Independent Health, Johns Hopkins Health Plan and MedOrion Are Rebuilding Member Engagement in Medicare Advantage
Release Date: 02/17/2026
Sidecar Health CEO Patrick Quigley: Fixing Health Insurance by Rewiring the Incentives
Bright Spots in Healthcare
What happens when a health plan stops trying to optimize a legacy system and instead rebuilds the model itself? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Patrick Quigley, CEO and co-founder of Sidecar Health, for a candid conversation about redesigning health insurance around transparency, incentives, and consumer agency. Rather than focusing on incremental reform, this discussion explores what changes when members can see prices before they receive care, when benefits are structured around clear dollar amounts instead of opaque contracts, and when savings can...
info_outline
How Highmark, Independent Health, Johns Hopkins Health Plan and MedOrion Are Rebuilding Member Engagement in Medicare Advantage
Bright Spots in Healthcare
In this Bright Spots in Healthcare episode, Medicare Advantage leaders confront a hard truth: high activity does not guarantee high impact. As Stars cut points rise and margins tighten, traditional segmentation and broad outreach strategies are no longer sufficient. This discussion explores how leading plans are shifting from static stratification to dynamic signal monitoring, identifying which members are realistically movable, and embedding behavioral intelligence directly into operational workflows. The focus is not on doing more. It is on doing what measurably drives lift. Our guests...
info_outline
From Experience to ROI: How Mount Sinai Is Rethinking Diagnostics, AI, and the Inpatient Care Journey
Bright Spots in Healthcare
This episode features a highlighted segment from the ROI Centered Care Virtual Summit, produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association. In this conversation, Eric Glazer sits down with Fernando Carnavali, MD, Associate Professor of Medicine at the Icahn School of Medicine at Mount Sinai and Chief of General Internal Medicine at Mount Sinai Health System, to explore how large academic health systems can translate patient experience, diagnostics, and technology innovation into measurable ROI. Rather than focusing on new tools for their own...
info_outline
How Sutter Health Is Rebuilding the Physician Pipeline
Bright Spots in Healthcare
What happens when a health system stops trying to recruit its way out of a workforce challenge, and instead redesigns the pipeline itself? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Dr. Lindsay Mazotti, Chief Medical Officer of Medical Science and Education at Sutter Health, for a candid, system-level conversation about rethinking how physicians are trained, supported, and developed for the future of care. Rather than focusing on workforce shortages as a policy or awareness problem, this conversation explores what happens after the reality is already clear—when...
info_outline
Inside ViVE 2026 with Rich Scarfo (HLTH/ViVE) & Russ Branzell (CHIME) – Part 2: Turning Conversations Into Outcomes
Bright Spots in Healthcare
In Part Two of this special ViVE series, the conversation moves from why ViVE exists to how leaders and solution partners actually extract value from it. Eric Glazer continues the discussion with Rich Scarfo, President of HLTH/ViVE, and Russ Branzell, President & CEO of CHIME, focusing on how different audiences experience ViVE and what separates attendees who walk away with clarity and momentum from those who don’t. Rich and Russ share practical perspectives on how senior healthcare leaders should navigate ViVE, how to balance content sessions with curated meetings, and what intentional...
info_outline
Inside ViVE 2026 with Rich Scarfo (HLTH/ViVE) and Russ Branzell (CHIME) - Part 1
Bright Spots in Healthcare
ViVE was created to break the mold of healthcare conferences — fewer distractions, more meaningful conversations, and content leaders can act on. In this first episode of a special two-part series, Eric Glazer sits down with Rich Scarfo, President of HLTH/ViVE, and Russ Branzell, President & CEO of CHIME, to unpack the origin of ViVE, the CHIME + HLTH partnership, and what senior leaders can expect in 2026. Together, they explore why executives needed a new kind of platform, what problems they’re trying to solve when they come to ViVE, and how topics like cybersecurity, cost...
info_outline
Scott Becker | Motion vs. Momentum & How Healthcare Founders Build Companies That Actually Scale
Bright Spots in Healthcare
What actually determines whether a healthcare business compounds, or quietly stalls? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Scott Becker, Founder and Publisher of Becker’s Healthcare and host of the Becker Private Equity & Business Podcast, for a candid, experience-driven conversation about building businesses that scale with confidence. Scott has spent decades building, advising, and investing in companies across healthcare, media, law, and private equity. Rather than walking through a framework or checklist, this conversation focuses on the real...
info_outline
From Empty Spaces to Care Hubs: OSU Medicine’s Virtual Access Playbook
Bright Spots in Healthcare
What if your next “new clinic” isn’t a new build at all? This episode features the opening presentation from the recently held ROI Centered Care Summit—a half-day virtual summit produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association (ATA). Jared Droze, Director of Virtual Care at Oklahoma State University (OSU) Medicine, and Bradley Anderson, DO, Medical Director of Virtual Care at OSU Medicine unpack a practical, scalable access strategy: repurposing vacant facilities and community spaces into hybrid care hubs, bringing “right care,...
info_outline
From Mint to Medicine: How Aaron Patzer Is Fixing Patient Communication
Bright Spots in Healthcare
What happens when the founder of Mint.com takes on one of healthcare’s most broken experiences—patient communication? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Aaron Patzer, Founder and CEO of Vital, to explore how simplicity, clarity, and human-centered design can drive real impact in healthcare. Drawing from his journey building Mint, Aaron shares why most healthcare technology misses the mark, how better communication improves outcomes and ROI, and what leaders must do to design experiences people actually use. The conversation goes deep on: Why...
info_outline
Precision Health, AI & Engagement: Dr. Carolyn Jasik on Verily’s Vision for Consumer-Centered Care
Bright Spots in Healthcare
Recorded live at HLTH, this episode of Bright Spots in Healthcare features Dr. Carolyn Jasik, Associate Chief Clinical Officer at Verily, an Alphabet company focused on precision health innovation at scale. Carolyn shares how Verily has evolved through multiple “moonshot” phases, from devices and research to its current focus on precision health, combining AI, data science, and clinical expertise to deliver the right intervention to the right person at the right time. Drawing from her background as a pediatrician, behavioral scientist, and former digital health executive, Carolyn explains...
info_outlineIn this Bright Spots in Healthcare episode, Medicare Advantage leaders confront a hard truth: high activity does not guarantee high impact. As Stars cut points rise and margins tighten, traditional segmentation and broad outreach strategies are no longer sufficient.
This discussion explores how leading plans are shifting from static stratification to dynamic signal monitoring, identifying which members are realistically movable, and embedding behavioral intelligence directly into operational workflows. The focus is not on doing more. It is on doing what measurably drives lift.
Our guests include:
-
Amin Serehali, Chief Data and Analytics Officer, Independent Health
-
Mike Leiper, Director of Government Quality Programs, Highmark
-
Brendan Generelli, Director of Medicare Stars and Quality, Johns Hopkins Health Plans
-
David Burianek, Chief Strategy Officer for Health Plans, MedOrion
Together, they explore:
-
How plans are distinguishing between theoretical risk and practical movability, concentrating outreach on members whose behavior can realistically change within a defined window.
-
How leading organizations are integrating claims, pharmacy, grievance, complaint, and social drivers data with behavioral science modeling to move beyond rules based campaigns.
-
Why simultaneous pressure across HEDIS, CAHPS, and Part D often reflects fragmentation in engagement strategy rather than isolated measure failures.
-
How targeted pilots within defined populations create clarity before scaling enterprise wide changes.
-
Why timing is emerging as a strategic lever, with continuous signal monitoring replacing annual segmentation refresh cycles.
-
How embedding intelligence into frontline workflows improves alignment between engagement effort and measurable Stars influence.
Panelist Bios:
https://www.brightspotsinhealthcare.com/events/beyond-segmentation-how-medicare-advantage-engagement-is-being-rebuilt/
Download the Episode Guide:
Get key takeaways and expert highlights to help you apply lessons from the episode.
https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/02/Updated-Episode-Guide-Beyond-Segmentation.docx.pdf
Key Insights Summary:
Find the top six strategic insights from the discussion, including detailed speaker takeaways and moderator notes.
https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/02/Key-Takeaways-Beyond-Segmentation-2.12.26.docx.pdf
Resources:
Companion Brief: From Segmentation to Signals
This companion brief expands on the behavioral intelligence framework discussed in the episode, outlining how health plans can identify movable phenotypes, align engagement timing with readiness signals, and measure causal lift against specific Stars drivers.
Inside you will find insights on:
-
Shifting from annual risk stratification to continuous behavioral signal monitoring
-
Identifying members whose behavior is realistically influenceable within a defined measurement window
-
Reducing wasted outreach and improving ROI through precision targeting
-
Embedding intelligence into operational workflows rather than post hoc reporting
To request your copy, email nroberts@brightspotsventures.com.
Thank You to Our Episode Partner, MedOrion:
Medorion partners with Medicare Advantage plans to integrate behavioral science and advanced analytics into engagement strategy. By layering behavioral phenotyping onto clinical and utilization data, Medorion helps plans identify which members are movable, optimize outreach timing, and improve measurable Stars performance. Learn more at https://medorion.com/.
Schedule a Conversation with MedOrion:
To explore how behavioral intelligence can strengthen your engagement strategy and improve measurable lift across HEDIS, CAHPS, and Part D, reach out to nroberts@brightspotsventures.com to schedule a discussion with David Burianek and the Medorion team.
About Bright Spots Ventures:
Bright Spots Ventures helps healthcare leaders separate signal from noise and accelerate the adoption of what works. We bring health plan, provider, and innovation leaders together through curated content and high-trust convenings to build meaningful relationships and turn insight into action. Explore our podcast at www.brightspotsinhealthcare.com.