August 12, 2022

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PORTAL GENERAL BLOG

Erhardt Preitauer: Instilling Transformational Values to Present Life-Altering Healthcare

7 min read

It takes imaginative and prescient and dedication to problem the norms and alter the traditional course of an {industry}. As a consequence of its complicated nature, many particulars want meticulous consideration to deliver transformational shifts in healthcare, however there are vital alternatives for disrupters to offer good options that make folks’s lives higher. When Erhardt Preitauer joined CareSource in 2018 he discovered his twenty years of transformational management and government-sponsored well being plan experience had been an ideal match for the group.

As an achieved well being care government with a observe document of driving vital development, profitability, innovation, and operational excellence, Erhardt was capable of leverage his intensive expertise in constructing and main mission-driven well being care organizations to shortly adapt to the management position on the firm. He succeeded the founding CEO, who had led the group for 30 years and shortly tailored to the position. After only one yr within the place, Glassdoor named Erhardt one of many highest-rated CEOs within the nation alongside some family names. He ranked #20 on the annual checklist based mostly on the favorability of worker opinions.

Erhardt credit workers with being the guts of the mission-focused firm. CareSource is a nonprofit well being plan with over 2 million members in six states. Based in 1989, CareSource administers one of many largest Medicaid managed care plans within the U.S. and presents medical insurance, together with Medicaid, Well being Insurance coverage Market, Medicare Benefit and dual-eligible packages.

At its core, CareSource understands the challenges customers face navigating the well being system and is reworking healthcare with industry-leading packages that enhance the well being and well-being of its members.

The Humble Starting

Rising up on a small Hawaiian island with a various neighborhood based mostly on strong however simple values paved the trail for Erhardt’s journey. It gave him a perspective that helped him face a number of challenges in each his skilled and private life. He embraced these challenges, realizing “this too shall cross” and that received him to the appropriate place. In his view, each problem he confronted set the muse for navigating the final two years with the pandemic.

Erhardt believes that life is brief so he makes it a precedence to combine enjoyable into no matter he does. He credit his success to being surrounded by outstanding folks and emphasizes the significance of this: “it’s all about folks.” Erhardt considers himself lucky for the unbelievable alternatives he’s had all through his profession and seems like he’s precisely the place he’s meant to be. He expresses, “I’ve labored for a couple of of the larger nationwide corporations, however CareSource is the place my coronary heart is. I’m so grateful to guide this really superb and distinctive firm.”

Healthcare with Coronary heart

CareSource is exclusive in that it’s the solely group that’s completely unbiased, nonprofit, and purely targeted on government-sponsored healthcare, corresponding to Medicaid, Market and Medicare. With $12 billion in income, Erhardt highlights that CareSource is sufficiently big to have scale, spend money on its folks and communities, and proceed to foster the strongest mission-oriented group within the {industry}—but additionally sufficiently small to pivot, innovate shortly and drive or react to new alternatives with little paperwork or battle. The corporate additionally makes choices otherwise and on totally different timelines, permitting for a extremely clear, simple, and longer-term view.

Erhardt believes these distinctive parts, together with a few of the strongest operational and high quality metrics within the {industry}, will propel its imaginative and prescient of being the chief in serving these with probably the most complicated wants, whereas additionally reaching its mission of fixing the lives and communities of all of the folks it serves.

A Transformative Impression

In its pursuit of being the most effective of the most effective, CareSource’s management thinks about what it does in two methods. First, it likes to lift the bar for everybody in a promote it enters. Second, it additionally helps your entire system in these identical markets—even when it doesn’t straight profit CareSource. On the finish of the day, everybody advantages.

Erhardt is particularly happy with CareSource’s acknowledged packages that assist folks put their lives collectively outdoors of healthcare, generally referred to as social determinants of well being. Most of the folks it helps find yourself getting jobs and leaving the Medicaid program altogether. He notes, “We’re the one group that may spend money on getting folks off our membership rolls. We additionally associate with and assist mission-aligned community-based organizations acquire entry to further funds. Usually, these organizations don’t have the wanted enterprise infrastructure or grant-writing capabilities. Serving to these organizations advantages your entire ecosystem—even our opponents. We’re additionally among the many greatest working and most modern organizations within the {industry}. We regularly work with states in elevating the bar in what stakeholders anticipate of well being plans, which suggests everybody wins.”

Embracing Know-how

Know-how has superior quickly over the past couple of years, and Erhardt sees huge alternatives to make the most of know-how in new and higher methods. There are a number of conventional makes use of of know-how within the {industry} corresponding to telemedicine, knowledge integration and scientific platforms.  CareSource is investing closely in these areas, but additionally investing in much less conventional areas. This contains partaking folks behind social media partitions, supporting extra being performed within the house or neighborhood, and using AI to assist folks make choices and talk. Erhardt says, “Participating folks is an enormous deal for us. Regardless of my staff typically considering I’m loopy, I additionally prefer to spend slightly time and sources considering approach forward – the Metaverse may maintain a number of potential for what we do. I understand that to the common particular person in Silicon Valley, these concepts are fairly mundane. Within the healthcare world, that is pretty ahead trying—which brings me again to the truth that there’s a number of alternative right here.”

The Potential Change

Erhardt additionally has a daring viewpoint on the complexities of the {industry}. Trying on the totally different pillars of healthcare corresponding to well being plans, docs, hospitals, pharmacies, ancillary distributors, PBMs, large pharma, and far more he wonders whether or not these entities have created pointless complexities and prices to protect their place within the ecosystem. The shortage of transparency can add to the problem. He asserts, “There’s a number of dialogue about how these totally different pillars can get extra aligned, however I’m unsure it’s occurring as quick, or as transparently because it ought to. I take into consideration our mission, how we make choices, our company type, our method, our give attention to lifting your entire system; we have to play a task on this. And, we’re. We’ve got crafted partnerships and initiatives in our markets which are really distinctive in serving to the system to raised align in a totally clear method.”

Pivoting Shifts

Trying on the knowledge, Erhardt believes that the longer term is in serving to states serve populations with complicated wants. He sees a possibility to make an enormous distinction in folks’s lives, enhancing high quality and impacting the general value of care. CareSource is getting ready for it in each side of the group. Its platforms are optimized for complicated populations, it’s piloting particular packages and has employed many nationally famend complicated care professionals. Moreover, it acquired an organization with a historical past of complicated care. It’s clear that this is a matter that Erhardt is keen about. He notes, “Individuals with complicated wants exist in each section and inhabitants throughout the government-sponsored well being plan. There is no such thing as a clear chief on this space right now—however I consider there will probably be one quickly . . .”

Farsighted Targets

When contemplating the place he could be sooner or later, Erhardt sees himself at CareSource. He envisions persevering with to construct on CareSource’s mission and making a optimistic affect in folks’s lives. He says, “I like the distinction we make, love the folks I get to work with, love the corporate, and love the communities we serve.”

Skilled Steerage

Erhardt advises upcoming leaders aspiring to enterprise into healthcare to maintain pointing ahead, it doesn’t matter what. He displays on a dialog he had with a well-known poker participant. He instructed Erhardt, “Any fool can win when the playing cards are operating effectively.” What finally determined a profitable versus an unsuccessful gambler was how they performed when issues weren’t going their approach. Erhardt believes this is applicable to life, too; the way you play when issues aren’t going effectively determines your success. In his concluding ideas, Erhardt says, “Don’t get too comfy. Don’t get institutionalized. Shake issues up sometimes. Encompass your self with superb those that need to make a distinction. Do the appropriate factor for the appropriate motive.”

About CareSource

CareSource is a nonprofit, multi-state well being plan acknowledged as a nationwide chief in managed care. Based in 1989, CareSource administers one of many nation’s largest Medicaid managed care plans and presents a lifetime of entry to care by means of medical insurance, together with Medicaid, Well being Insurance coverage Market, Medicare Benefit and dual-eligible packages. Headquartered in Dayton, Ohio, CareSource serves 2 million members in Georgia, Indiana, Kentucky, Ohio and West Virginia. CareSource can be a associate in CareSource PASSE, which serves Arkansans with complicated behavioral well being and people with mental and developmental disabilities. CareSource understands the challenges customers face navigating the well being system and is reworking well being care with industry-leading packages that enhance the well being and well-being of our members.

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