As vice president of medical management for commercial business, he said his responsibility is to improve patient care: “I ensure that our members get the right care, make sure that they’re getting better and stay well.”
Beveridge sees his role as bringing “my provider-centricity, my provider’s viewpoint” and inserting it into the payer world. “I think physicians have a very strong point of view, and … I wanted to make sure that those points of view are front and center in this payer world.”
“I realized that I wanted to be a physician leader. I wanted to have a word at the table for physicians and for patients There weren’t a lot of physician leaders. There weren’t executives that I saw who were docs.”
As part of a team that oversees the development of clinical trials, she helps to determine “what endpoints are clinically meaningful.” She supervises the development of safety and effectiveness data, and reviews the performance of drugs even after they’ve been approved.
Her long-term plans for the system met with stiff opposition and politics got in the way, she says. When she resigned in 2010, one news account quoted an anonymous source as saying she was tired of being a punching bag.
She was responsible for incorporating the population health perspective in the newly launched Well Priority insurance product created by Aurora and Anthem Blue Cross and Blue Shield in Wisconsin. The companies teamed up to create Wisconsin Collaborative Insurance Company, a joint venture health insurance company.
“Some days I’m out supporting our sales people and trying to acquire new business. Some days I’m with our legal teams trying to help them decipher new regulations. Some days I am with our supply team group negotiating with the pharmaceutical companies.”
“My job as CMO is to make sure we’re keeping the patient at the center—that our products make sense to them and to clinicians,” he says. Canary’s programs come from protocols that have been vetted by scientists, clinicians, and patients over many years, if not decades.
Tips for every kind of medical director, from those who simply volunteer a couple of hours weekly to do administrative work for their group or clinic, and others—their official titles may be chief medical officer or vice president of medical affairs—who are lavishly paid execs preparing to take the helm of multimillion dollar organizations.
Value-based centers of excellence programs offer an advance over programs that focus only on cost or quality alone in the ability to identify facilities with lower costs and equal or better quality outcomes. Value designation offers patients transparency for selecting care providers.