From High Risk to Movable Risk: Where Health Plans Can Change the Cardiometabolic Trajectory

In this Bright Spots in Healthcare episode, host Eric Glazer brings together health plan, provider, and cardiometabolic care leaders to examine a challenge becoming increasingly important to healthcare organizations: how to move beyond identifying high-risk members and determine which risks are actually movable.

The discussion explores what it takes to turn cardiometabolic risk information into action. Across health plans, provider networks, and care models, the conversation looks at how organizations are thinking about clinical strategy, GLP-1s, individualized risk, provider performance, meaningful engagement, care delivery systems, and the operational integration needed to make effective interventions work at scale.

This is a practical discussion for health plan and provider leaders navigating rising cardiometabolic risk, complex treatment decisions, evolving GLP-1 strategies, variable provider performance, and the growing need to demonstrate meaningful clinical and economic outcomes.

Our guests include:

• Daniel Knecht, MD, Chief Medical Officer & SVP, EmblemHealth

• Thomas Graf, MD, Vice President & Chief Medical Officer, Health Services, Florida Blue

• Lisa Shah, MD, Chief Medical Officer, Twin Health

Together, they explore:

• How health plans can move beyond identifying high-risk members to understand what is actually driving risk and what may be movable at the individual level

• How health plans are approaching GLP-1 strategy, including formulary decisions, clinical criteria, lifestyle support, and the need to keep clinical considerations at the center

• How provider networks can identify “pockets of excellence,” co-create standards with physicians, and build systems of care that make better performance more reliable

• Why successful cardiometabolic programs need to fit into existing clinical, pharmacy, provider, and operational workflows rather than becoming another disconnected solution

This episode offers an inside look at how leading organizations are rethinking cardiometabolic care by asking a more useful question: Where is risk actually movable, what can change it, and what does it take to make that change happen reliably at scale?

Panelist Bios here:
https://www.brightspotsinhealthcare.com/events/from-high-risk-to-movable-risk-can-health-plans-change-the-cardiometabolic-trajectory/

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/2026/10/Episode-Guide-Bright-Spots-in-Health-Care-10-01-26.pdf 

Key Insights Summary:
Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation.  [Place PDF LINK HERE]

Thank You to Our Episode Partner, Twin Health

Twin Health is focused on helping people improve their metabolic health through a highly personalized approach that combines technology, clinical support, and individual health data.

The company's approach reflects several themes explored throughout this episode, including the importance of understanding what is driving risk at the individual level, distinguishing meaningful engagement from activity, and measuring outcomes that go beyond a single clinical metric.

The conversation also highlights a broader challenge for health plans: identifying the interventions most likely to change a member's trajectory and integrating those interventions into a model of care that can support sustained improvement over time.

To learn more about Twin Health, visit TwinHealth.com

Schedule a Meeting with Twin Health

To explore how Twin Health can help your organization approach cardiometabolic health through a more personalized, data-driven model, reach out to show producer Vekonda Luangaphay at [email protected] to schedule a conversation with the Twin Health team.

About Bright Spots Ventures:

Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.

 

We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.