Health plans won’t achieve affordability or scale without modern systems that administer both claims and the exploding universe of non-claim programs.
In this episode, Lori Logan, President and CEO of NASCO, discusses how payers can evolve from decades-old infrastructure to a modern framework that integrates benefits, payments, and member navigation across clinical services, digital tools, and condition programs. She explains that the real friction lies in members’ confusion about coverage and costs, while plans struggle to measure value and manage risk beyond traditional claims. Lori introduces an analytics-driven approach that unites claims, clinical, and engagement data with medical economics rigor to deliver timely, accurate insights to providers and advocates. She also highlights the critical investments shaping the future while sharing NASCO’s vision to help health plans redefine their role and innovate at scale over the next few years.
Tune in and learn how to build the operations, analytics, and partnerships that make innovation affordable at scale!
About Lori Logan:
Lori Logan is the president and CEO of NASCO, where she leads with a vision to merge innovation with a strong foundation in healthcare. Based in Englewood, Colorado, she brings over two decades of leadership across healthcare’s payer, provider, and technology sectors. Known for her curiosity, analytical mindset, and collaborative leadership, Lori has consistently driven growth, transformation, and measurable impact. Her career includes leading multimillion-dollar projects, overseeing teams of hundreds, and managing large-scale integrations and mergers, and acquisitions (M&A) initiatives. Previously, she held senior roles at athenahealth, Geneia, Paladina Health, TriZetto, UnitedHealthcare, Cigna, and McKesson—where she launched groundbreaking products and strategies that improved care coordination and operational efficiency. Recognized for her strategic acumen and results-driven approach, Lori has earned industry accolades, including the TriZetto CEO Pinnacle Award and the Thomson Reuters Healthcare Advantage Award. Her mission remains clear: to reimagine healthcare and create healthier outcomes and lives.
Things You’ll Learn:
Legacy infrastructure hinders scalability; health plans require a modern administrative “chassis” to package benefits, administer payments, and operationalize innovation. This goes well beyond traditional claims systems.
Analytics must merge claims, clinical, and engagement data with medical economics precision. Insights then have to reach providers and advocates so care is both effective and reimbursable.
A significant amount of value now resides outside of claims in disease management, digital tools, and condition management programs. Members need clear navigation and transparency on what they have, where to go, and what it costs.
Provider enablement is essential for value-based care. Success depends on aligned incentives, shared operations, coaching, and trust between plans and providers.
Strategic investments should prioritize scalable administration, robust operations, and data pipelines. These foundations let plans attribute value, manage risk, and drive affordability at scale.
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