Emerging technology has recently helped health plans share data more efficiently in a variety of ways.
Becker’s connected with ten health plan leaders to learn how their organizations have utilized tech for improved data sharing.
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Editor’s note: Responses have been lightly edited for clarity and length.
How has your health plan utilized tech for better data sharing?
Aric Sharp. CEO, Value-Based Care, Clover Health (Franklin, Tenn.): Through Counterpart Assistant, our proprietary decision support software used by providers at the point of care, we share health information from over 100 disparate data sources in prioritized and actionable ways by leveraging artificial intelligence. It has been exciting to see firsthand how using the software delivers on our desire to help providers diagnose earlier so that timely treatment can lead to better outcomes. We are proud to have helped both providers and payors drive true value performance, including Clover’s Medicare Advantage PPO being a top HEDIS performer in the country.
Karen Walker Johnson. CEO, Clever Care Health Plan (Westminster, Calif.): Clever Care is piloting an innovative approach to member retention through its in-house Disenrollment Propensity Model, designed to proactively address high disenrollment rates in Medicare Advantage. Our Chief Information Officer, Koh Kerdsri, describes “how this machine learning-based model leverages diverse data sources, including but not limited to claims, health analytics and risk scores, CRM grievance logs, member demographics, to predict which members are most at risk of voluntary disenrollment. By shifting retention efforts from reactive to predictive, this initiative has the potential to reduce churn by 10–15% in target populations, improve CAHPS scores, and strengthen member trust.”
Hillary Galyean. Chief Growth Officer, St. Luke’s Health Plan (Boise, Idaho): As an integrated entity, our technology platform is central to how we advance health in the communities we serve. Our health plan recently transitioned to Tapestry, a component of Epic—the electronic medical record system used across our delivery system. Having both the health plan and care delivery system on one comprehensive platform is powerful. It enables seamless communication, helps us close gaps in care more effectively, and enhances the member experience by ensuring information flows across the continuum.
From a member perspective, this integration comes to life through MyChart, where they can see everything related to their health in one place—from premium billing and benefit plan details to notes and follow-up from their St. Luke’s physicians. This comprehensive view empowers members to be more engaged in their care while supporting better coordination and outcomes.
Dorothy Seleski. Medi-Cal President, Health Net, a Centene Corporation company (Sacramento, CA): At Health Net, we believe technology should bring people together, not create barriers to care. We invest in tools like Cozeva, Pear Suite, and FindHelp because they meet providers and community partners where they already work. We invest in getting information into the systems our partners use like our program with Manifest Medex to supply our Qualified Health Information Organizations. By keeping data-sharing simple, human-first, and intuitive, we help a neighbor’s need reach the right hand at the right time. “Connection before complexity” is how we keep care personal.
Jennifer St. Thomas. Senior Vice President, Commercial and Medicare Markets, Mass General Brigham Health Plan (Somerville, MA): In recent years, the healthcare industry has been flooded with new digital health solutions—so it is important to stay focused on how technology can support the member experience. Mass General Brigham Health Plan continues to invest in digital innovation to create more customized and tailored support, keeping our members’ needs and preferences at the center of everything we do. We’re now building an integrated care management model that enables closer collaboration and more robust data-sharing with provider partners to deepen our support for members across their entire healthcare journeys.
Ty Wang. Co-Founder and Chief Executive Officer, Angle Health (San Francisco): At Angle Health, we’ve built an AI-native platform that seamlessly integrates medical, pharmacy, demographic, and claims data to enable custom-tailored health plan designs and highly accurate cost predictions. Our proprietary AI models break down traditional data silos, allowing brokers and employers to generate firm quotes in minutes instead of weeks, while helping employers stabilize costs. This technology creates a transparent, connected ecosystem that improves decision-making, care coordination, and member outcomes. The result is a more efficient health plan experience that streamlines procurement for brokers, simplifies ongoing management for employers, and enhances access and care for members.
Carol Huffman, MBA, Vice President Clinical Innovation and Implementation, MVP Health Care (Schenectady, NY): At MVP Health Care, we view data not just as information, but as a catalyst for transformation. By strategically investing in advanced technology and AI, we’ve built a connected, intelligent infrastructure that enables real-time, secure data sharing across the care continuum. This empowers our teams to anticipate member needs, personalize interventions, and drive better health outcomes at scale. Our approach goes beyond interoperability — it’s about creating a seamless experience where data fuels innovation, reduces friction, and strengthens our commitment to whole-person care and community well-being.
Christina Rassi. Chief Growth Officer, Evry Health (Dallas, TX): We’re big fans of transparency and accountability. For example, we give our employers their own real-time data portal. It includes the statutory reports, wellness plan utilization, earned rewards, risk stratifications, and our customer service statistics specific to that employer group. It’s healthcare intelligence designed for clarity, control, and measurable results.
Rob Hitchcock. President and CEO, Select Health (Murray, UT): Select Health has made significant investments over the last 2-3 years to both maximize the use of data and enable our ability to share it. Key investments include moving all our analytics and data to Azure. This along with interoperability investments in FHIR is allowing us to share data with vendors and members in a more consistent and efficient manner. Advancements in our technical infrastructure have helped us upskill our smaller community partners, improve our speed to insight, and advance our workforce’s technical skills.
Corinne Stroum. Head of Emerging Tech, SCAN Health Plan (Long Beach, CA): Healthcare organizations are often a constellation of technology systems. We’ve recently refreshed our infrastructure to use a single connection point we call the Enterprise Data Hub, making it easier to add or remove systems and get them connected to each other. The biggest benefit has been to our Member Portal, which now integrates better with other systems.
