Nicole Engel

Nicole Engel

Nicole is a health care industry veteran who has spent over a decade working with both market leaders, and entrepreneurial, high growth innovators.  Prior to joining NextHealth, she held various progressive Strategy and Commercial leadership roles with Medtronic, Boston Scientific, and Deloitte Consulting. Nicole has domain expertise in some of the highest health care cost categories such as Cardiac Care, Cancer, and Obesity, and is passionate about implementing solutions that reduce cost and improve patient outcomes.

Biography:
Outside of work, Nicole enjoys spending time with her husband and three very active young boys, enjoying all the outdoor activities Colorado has to offer. She is an avid traveler, music lover and dreams of someday going to cooking school.

Education:
Nicole holds an MBA from the University of Chicago Booth School of Business, and BBA in Marketing and Spanish from the University of Wisconsin-Madison..


Geoff Urland

Geoff Urland

Geoff brings over 20 years of health care analytics, research, and teaching experience to his role in helping clients design, understand, and(most importantly!) make decisions from program evaluations and machine learning.  Geoff is passionate about helping business leaders understand the implications of analytics methodology and results for their businesses.  He leads of team of experienced health care analytics and program evaluation specialists who work with our clients to derive value and drive decisions from data.

Biography:
Geoff is a voracious reader and loves hiking, soccer, and making sure his two children don’t injure each other while trying to figure out what to build with legos.

Education:
Geoff has a Ph.D. in Social Psychology from the University of Colorado, Boulder where he focused on social neuroscience, attitudes, and social perception.


Laura Dettmann

Laura Dettmann

Laura has nearly two decades of marketing, sales and strategic account management experience in the health plan industry. Prior to joining NextHealth, Laura held strategic sales roles at Welldoc, where she helped grow and support health plan relationships—including consulting on digital health strategies and potential solutions for chronic condition management—and HealthSparq, where she helped enhance the health plan member experience via provider search, cost transparency and care navigation solutions. She also worked at Staywell (most recently purchased by WebMD) to support health plan marketing communications, wellness and digital health coaching strategies. Laura began her career at Florida Blue where she worked on the Marketing Innovation team.

Biography:
Laura works from her home office in Raleigh-Durham, NC. She loves running and her goldendoodle, Chippy. Fun fact: Laura used to own a vineyard and alpaca farm in Wisconsin!

Education:
Laura holds an MBA from the University of North Florida and BA in Industrial Relations and Advertising from the University of North Carolina at Chapel Hill.


Picture of Nasir Ali

Nasir Ali

Picture of Nasir AliNasir Ali

Nasir is a strategic product leader and has worked most of his career at the intersection of healthcare and technology. Most recently he was leading the core product and services teams at SignifyHealth. Previously he spent about 9 years in product management leadership roles at TriZetto on both the Payer and Provider side of the solution portfolio. At TriZetto, he helped the company through a successful exit from private equity investors to Cognizant Technology Solutions. Prior to TriZetto Nasir held similar strategic roles at other healthcare entities in the PBM, Medical Device and Health-tech space.

Biography:

Nasir is a resident of Colorado and enjoys hiking and mountain biking with his wife and two daughters. Fun Fact – Nasir climbed three Colorado 14ers last summer and plans to add a few more to the list this summer. 

Degrees:

Nasir holds a bachelor’s degree in mechanical engineering and a master’s in business administration. He has also completed postgraduate work in product strategy.


Alexis Pezzullo

Alexis Pezzullo

Alexis supports healthcare solutions strategy, market development, and new growth opportunities and partnerships. Prior to joining NextHealth Technologies, Alexis held executive leadership roles with DST Health Solutions, Optum, Accenture, and KPMG. He has 20 years of experience working with over 240 health plans, health systems, state health organizations, federal health agencies, and community and at-home care organizations. He excels at design and execution of business growth strategies, value-based contracting and reimbursement models, population health programs, analytics, & performance, consumer engagement methodologies, and change management.

Biography:
Outside of work Alexis enjoys spending time with his son; traveling, playing tennis, and gaming. He is a registered dietician and licensed nutritionist.

Education:
Alexis graduated from University of North Carolina where he earned both a BS and MA in Public Health.


Leon Eagan

Leon Eagan

Leon has over 20 years of experience in building and securing IT systems and infrastructures. Most of his career has been in heavily regulated and sensitive environments, including healthcare and the payment card industry.  Prior to joining NextHealth, Leon worked at McKesson/RelayHealth managing and safeguarding a healthcare analytics platform and its data in the cloud.

Biography:
Leon enjoys live music, sporting events, games played with friends, and of course continued learning in the fields of technology and security.

Education:
BS in Business Information Systems and an MBA in Technology Management


Creating a Baseline: 5 Steps to Measure Everything and Improve Affordability

Blue Cross of Idaho (“BCI”) was focused on improving affordability for its members and customers. Their Healthcare Economics Division had identified the need to complete a baseline evaluation of over 50 initiatives across a range of use cases. However, their capacity to complete the analysis averaged one program per month – thus projecting a requirement of over 4 years to complete their work. Additionally, the team wanted to provide a granular level of reporting on each initiative across a variety of key performance indicators such as net paid claims savings, drivers of consumer behavior by cohort, utilization, cost, impacts on utilization of alternative care settings, etc.  

By leveraging the NextHealth platform, BCI was able to “leapfrog” its capability to conduct the evaluation process and assessed all 50+ programs in six months. In addition to establishing essential baselines, the plan gained:

  • Trust in the data by using an analytically rigorous program setup and methodologies  
  • A platform for data sharing – expediting communications with stakeholders  
  • Data-backed reports leverage with customers, brokers and sales teams – facilitating a market advantage and opportunity to propel business growth

The first step toward affordability – knowing what works – with the advanced breadth, depth and speed of the NextHealth platform, is key to plans understanding what they have, what they need to look at, and where to go from there.  

Drew Hobby, Senior Vice President of Healthcare Economics at Blue Cross of Idaho, recently shared some of his company’s best practices in a webinar hosted by NextHealth. What follows are the 5 steps he outlined in moving to improved affordability.

We have to move quickly. We only have so many resources at Blue Cross of Idaho, and it’s critical that we are allocating them in the exact right way and getting the most value out of those resources.” 

Step 1: Start with a baseline 

Prior to NextHealth, Blue Cross of Idaho was evaluating one clinical program a month. At that pace, it would have taken them four years to complete a baseline analysis of all of their initiatives. But by leveraging NextHealth’s advanced analytics platform, the plan measured 50+ programs in just six months with a level of granularity that allowed them to prioritize their affordability efforts.   

“A lot of folks have access to data and can do analytics. That’s very different than actually executing and taking actions that drive medical expense reduction for your customers.” 

Step 2: Establish a governance structure to support fast, data-driven decisions  

In response to client demand, Blue Cross of Idaho implemented a new operating model dedicated to reducing healthcare costs for customers by capitalizing on data insights. Establishing a Healthcare Economics Division consisting of an Analytics group and a Healthcare Solutions team ensured integration with the business needs, data-driven insights, and a way to move those insights rapidly into workflow.   

“We earn a lot of value in telling customers about programs that are driving positive results and equally, programs that are not. And then, ‘Here’s why,’” 

 Step 3: Uncover insights with a wide array of key performance indicators 

Know what is working and what is not beyond the total cost of care by including a wide variety of additional KPIs to evaluate within a program. NextHealth’s platform with its ability to craft custom KPIs makes it easy to achieve highly granular studies to generate actionable insights and uncover previously unseen opportunities to further impact cost reduction. This deep level of understanding allows plans to articulate whether a solution is working and where there is opportunity to improve. 

“NextHealth was huge in helping us feel very comfortable with the propensity score and the matching of comparing cohorts…which makes us really comfortable with calculating the ROI. If we are sitting down in front of a large account, we need to be very confident with the integrity of the case study.” 

Step 4: Utilize trustworthy results to build customer relationships 

Organizational trust in analytic reporting is not always a given. But the methodological rigor embedded in the NextHealth platform (for example, propensity score matching and over 300 covariates to select comparative cohorts), instills confidence in the study results and thus earns greater credibility with health plan employer customers. The platform puts rapid, actionable, credible data in plan executives’ hands, enabling them to demonstrate value to their customers in the most compelling way 

“We can continuously measure all existing and new solutions every month in perpetuity. NextHealth allows us to do it rapidly and with integrity so our team can spend time focused on what’s driving solutions instead of digging for data.” 

Step 5: Measure repeatedly to drive optimization

NextHealth’s scalable platform stands alone in its delivery of speed, scale, and granularity. That means that valuable resources formerly spent on data analysis can be more productively focused on evaluating results, solutions and program design. Programs can be evaluated continually, producing metrics for future program design. Solutions can be designed and measured using very specific inputs and forecast from a medical expense improvement standpoint that flows all the way though the value chain. Determining which solutions are working and whether there is additional opportunity drives ongoing expense reduction, and the NextHealth platform means it’s all available in real time.  

The NextHealth platform empowers health plans with unique capabilities to measure all of their clinical programs in a comprehensive and efficient manner, and then use the results to further investigate and drive affordability efforts. Blue Cross of Idaho was able to radically speed up their program evaluation and focus their attention on what mattered most – improving affordability and improving outcomes. To learn more, please contact us.


NextHealth Technologies Welcomes a New CTO to Continue to Innovate and Scale its Analytics Platform

NextHealth Technologies Welcomes a New CTO to Continue to Innovate and Scale its Analytics Platform 

Industry veteran, Mehrshad Setayesh, brings decades of engineering and analytics leadership 

FOR IMMEDIATE RELEASE

Denver, CO, November 4, 2019 — NextHealth Technologies, whose analytics platform helps healthcare organizations rapidly evaluate their entire portfolio of cost, service and access initiatives to know what works and improve affordability, today announced the appointment of Mehrshad Setayesh as Chief Technology Officer. 

Mr. Setayesh brings considerable leadership experience in engineering to the company and will be responsible for driving NextHealth’s technology strategy and product development. He joins from Oracle where for the past 7 years he had been managing a large distributed engineering team responsible for a social media gateway for all Oracle clouds. Prior to that, Mehrshad was part of a startup called Collective Intellect (CI) purchased by Oracle in 2012. As CTO at NextHealth, he will oversee the teams responsible for technology architecture, software development, technology operations and infrastructure management. His expertise lies in building strong engineering teams and fostering growth, cooperation, respect, planning, and practical execution 

 “As NextHealth continues to help our health plan customers create and support a culture of measurement to drive affordability,” said Eric Grossman, CEO of NextHealth. “I have no doubt that Mehrshad will provide the technical vision we need to continue to scale and grow our product.” 

About NextHealth Technologies

Know what works. Make it better. ®  NextHealth’s AI-powered advanced analytics platform integrates data-driven decision making into workflow to improve healthcare affordability. Our HITRUST-certified SaaS solution integrates scientifically rigorous methodologies, powering the delivery of trusted, granular insights about what works for whom, why, and what to do next – from the program to the population and down to the individual member level. NextHealth’s platform scales to systematically amplify the ROI of any cost, service, or quality initiative including ER reduction, disease, case and utilization management, gaps in care, telehealth and many more. All deployments include expert services support.


Mehrshad Setayesh

Mehrshad Setayesh

Mehrshad is a veteran technology innovator with more than thirty years of experience under his belt. As CTO, Mehrshad leads NextHealth’s team of engineers and developers with a mission to improve healthcare affordability.  With passionate belief in the power of individuals and teams, Mehrshad is a value-based leader who turns complex software ideas into optimized, scalable businesses. He joined NextHealth Technologies from Oracle Inc. where he managed a large distributed engineering team responsible for a social media gateway for all Oracle clouds. Prior to his role at Oracle, Mehrshad was part of the startup company, Collective Intellect, which was then acquired by Oracle Inc.

Biography:

An avid athlete, Mehrshad believes a healthy body cultivates a healthy mind and spirit. He enjoys long distance swimming, downhill skiing, hiking, traveling and spending time with his family.

Degrees:

As a trilingual, Mehrshad began his computer science degree at Switzerland’s EPFL, The Swiss Federal Institute of Technology of Lausanne. He went on to obtain his BS in Computer Science and MS in Software Engineering from Southern Methodist University


NextHealth Technologies’ Growth Continues with the Addition of Two Senior Executives to its Leadership Team

NextHealth Technologies’ Growth Continues with the Addition of Two Senior Executives to its Leadership Team

Industry veterans will accelerate value by incorporating best practices into methodologies and delivery for NextHealth clients

FOR IMMEDIATE RELEASE

Denver, CO, October 28, 2019 — NextHealth Technologies, whose analytics platform helps healthcare organizations rapidly evaluate their entire portfolios of cost, service and access initiatives to know what works and improve affordability, announced today the addition of Peter Everett as Chief Operating Officer and Aria Martin-Ward as SVP of Client Services.

Mr. Everett will bring over 20 years of leadership experience to his role of overseeing all major operational areas of the company, including engineering, analytics, services, human resources, and information security. Ms. Martin-Ward, a long-time veteran in the healthcare IT software industry, will be responsible for value delivery as the leader of NextHealth’s client services teams. “As NextHealth continues to expand to help our health plan customers achieve affordability, we are thrilled to add such accomplished and proven leaders to our executive team,” said Eric Grossman, CEO of NextHealth.

Mr. Everett is a highly accomplished executive and entrepreneur in the healthcare technology space. He was one of NextHealth’s original investors and has served as a member of the board of directors since the inception of the company. Prior to NextHealth, Peter was founder and CEO of HealthConnect Systems, a leading SaaS provider of healthcare sales automation solutions. Peter also worked on Wall Street for over ten years providing merger and acquisition advisory and capital raising services to technology companies, most recently as Principal at JP Morgan.

Prior to joining NextHealth, Ms. Martin-Ward spent 7 years with GHX (Global Healthcare Exchange) overseeing the solution delivery teams that managed all customer project implementation, integration, training and product education activities. Before joining GHX, she led the implementation team at Epocrates, a medication reference software platform. For nearly a decade prior, she was a senior executive at Sage Software.

About NextHealth Technologies

Know what works. Make it better. ®  NextHealth’s AI-powered advanced analytics platform integrates data-driven decision making into workflow to improve healthcare affordability. Our HITRUST-certified SaaS solution integrates scientifically rigorous methodologies, powering the delivery of trusted, granular insights about what works for whom, why, and what to do next – from the program to the population and down to the individual member level. NextHealth’s platform scales to systematically amplify the ROI of any cost, service, or quality initiative including ER reduction, disease, case and utilization management, gaps in care, telehealth and many more. All deployments include expert services support.