Mission & Margin
Why care gaps are a data problem before they’re a provider problem | Katie Martin, Wellth
Overview
Katie Martin, Vice President of Quality at Wellth, runs quality with no clinical background and treats it as a data problem first. In her words, information without data is just an opinion, so before pushing a care gap to a provider, she cleans her own data house, since most misses trace to a coding or data error.
Show Notes
Katie Martin, Vice President of Quality at Wellth, runs quality with no clinical background and treats it as a data problem first. In her words, information without data is just an opinion, so before pushing a care gap to a provider, she cleans her own data house, since most misses trace to a coding or data error.
She joins Trey on why the member has to be the core, how to segment outreach to how people actually want to be reached, and how she builds provider relationships around one question, how can I help?
Topics discussed:
– Cleaning your own data house before blaming provider gaps
– Segmenting member outreach by phone, text, or portal preference
– Applying behavioral science to close gaps, not just flag them
– Building provider trust by leading with current, accurate data
– Publicly celebrating high-performing providers to drive competitive improvement
– Defending quality budgets as outcome metrics under Medicaid pressure
– Addressing behavioral and cultural needs before physical health gaps
– Turning interoperability and FHIR data into usable risk stratification
Listen to more episodes:
Apple: https://podcasts.apple.com/us/podcast/mission-margin/id1896789104
Spotify: https://open.spotify.com/show/033kCfDSdndEFcVRsPJq2J
YouTube: https://www.youtube.com/@Siftwell
Website: https://siftwell.ai/mission-margin/