Digital solutions are improving healthcare by streamlining processes to be as easy as credit card transactions, which leads to better efficiency and patient care. In this episode, Paul Markovich, CEO of Blue Shield of California, reveals a collaboration with Salesforce to digitize the prior authorization process, aiming to eliminate fax machines and make it as efficient as credit card transactions. Blue Shield’s nonprofit mission focuses on comprehensive digital health records and a complete system overhaul. Paul highlights the importance of starting from scratch to address cumbersome processes like prior authorization. Partnering with Salesforce for real-time data integration, Blue Shield's innovation journey emphasizes collaboration, learning from failures, and aligning with skilled partners. Tune in to learn how Blue Shield of California and Salesforce are using digital solutions to simplify healthcare processes and create a more efficient and patient-friendly system!
About Paul Markovich:
Paul Markovich is the president and CEO of Blue Shield of California, a nonprofit health plan generating $24 billion in annual revenue and serving 4.8 million members across various markets in California. With over 25 years of experience at Blue Shield, Paul has driven numerous innovative initiatives, including funding a statewide provider directory, supporting the development of a statewide health information network for holistic patient care, and partnering with the California Medical Association to pilot new care delivery models. His leadership focuses on reimagining healthcare by leveraging technology and creating a system that is both affordable and high-quality.
Previously, Paul served as the chief operating officer, overseeing crucial areas such as healthcare services, network management, marketing, and customer operations. He has a history of introducing groundbreaking products and services, including the first California Health Maintenance Organization to allow self-referrals to specialists and online access to member benefits. Paul serves on the boards of the Blue Cross Blue Shield Association and America’s Health Insurance Plans. A North Dakota native and Rhodes Scholar, he holds a master's degree in philosophy, politics, and economics from Oxford University and a Bachelor of Arts in International Political Economy from Colorado College, where he also played Division I hockey.
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