Seymour brings extensive experience in driving value-based arrangements through collaborative partnerships with providers to improve patient health and make care more affordable
Cambia Health Solutions is pleased to welcome Scott Seymour as vice president of network management and provider partnership innovation. Seymour will lead the network management approach for Cambia’s regional health plans, continuing Cambia’s focus on provider experience improvement as part of our commitment to the quadruple aim.
Seymour brings 20 years of executive leadership in health care, including expertise in innovative partnerships that improve patient care outcomes through strategic collaborations with providers.
He comes to Cambia from Aetna, where he was most recently head of value-based solutions management for Medicare and commercial plans. He provided strategic leadership for contracting and engagement strategies enterprise-wide to transition providers from fee-for-service contracts to those that use data to improve individuals’ health. During his time in value-based contracting, Medicare membership covered in a value-based solution grew significantly, resulting in improved quality of health outcomes for a greater share of the population.
Collaborative and innovative relationships with providers are critical to ensuring we can improve the health of people and their families. Scott’s success in driving value-based arrangements and his deep industry experience will help continue our commitment to providing value for our members and customers, and an improved experience for our provider partners,” said Dr. Marion Couch, Cambia senior vice president and chief medical officer.
Cambia’s dedication to transforming health care to be more person-focused and economically sustainable was an attraction for me,” Seymour said. “Having spent the past 20 years with a national payer, I look forward to developing relationships at the regional level to further improve health care.”
Seymour’s health insurance expertise began in underwriting before he became an actuary and ultimately moved to the business side. Before working in value-based solutions, he led Medicare Part D analytics and supported a pilot program for the Centers for Medicare & Medicaid Services aimed at high-risk, co-morbid members. His involvement in value-based solutions includes experience as both a contract negotiator and an engagement manager of outcomes-based payment models before leading value-based solutions.
