Why regional health plans win on trust instead of scale | Hillary Galyean

Hillary Galyean spent nearly 25 years in health insurance, including time inside one of only two ACA co-ops that survived. Her diagnosis is that healthcare is broken in all the spots, and trust is the way out. Hillary tells Trey why regional plans beat national carriers on trust, why integrated models fail when they lean toward the delivery side, and how one virtual care visit closed a seven-year preventive gap. Chapters 00:00 | Intro and key themes 00:49 | Hillary's role at St. Luke's 02:01 | Broken in all the spots 03:34 | The case for integrated models 05:15 | Why ACA co-ops failed 09:13 | Competing with nationals on trust 10:54 | Running leaner with AI 13:27 | Revenue discipline and right-fit clients 18:02 | Preventive care and virtual visits 24:27 | The future health plan About Hillary Galyean: Hillary Galyean is the Chief Growth Officer at St. Luke's Health Plan, where she leads membership growth, retention, and marketing. She joined the plan in June 2024 after nearly 25 years in health insurance, including roles as Chief Sales and Marketing Officer at First Choice Health, Vice President of Corporate Support at Montana Health CO-OP, and Senior Project Manager at Aetna. Connect with Hillary: LinkedIn: https://www.linkedin.com/in/hillarygalyean St. Luke's Health Plan: LinkedIn: https://www.linkedin.com/company/st-lukes-... Website: https://www.stlukeshealthplan.org/ Subscribe for new episodes with MCO operators and health plan executives.