Kayvin Robertson – New VP, Provider Contracting & Relations

We are excited to introduce our newly appointed Vice President, Provider Contracting and Relations at Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, Kayvin Robertson.

As VP, he will be working with our network providers and managing provider agreements. In addition, he will develop innovative provider reimbursement programs that will allow our providers to deliver the best health care to their patients.

Experience

Robertson has an extensive background in the health care industry that includes Cleveland Clinic Foundation. Most recently, he was the network administrator at Medical Mutual of Ohio. While there, he developed and coordinated an extensive provider network for 13 counties and forged strong provider partnerships, including the expansion of networks for more than 50 hospitals in Ohio, Pennsylvania and West Virginia.

Over the past four years at Highmark, Robertson has been responsible for the development of provider agreements for both fee-for-service and value-based reimbursement programs.

Growing up in upstate New York and still having relatives in the area, Robertson has a deep connection to the Empire State and its communities.

With a strong background in alternative payment models, Robertson is looking forward to working closely with both our network providers and practice account managers to improve the experiences and address the challenges and opportunities within our provider community.

A Focus on Quality

In the wake of the COVID-19 pandemic, Robertson understands the pressures our health care community has faced, from staffing to supply chain demands.

When asked how he hopes to address some of these pressures, Robertson said that Highmark Western New York and Northeastern New York “is in a unique position to embrace these challenges by turning the old volume-focused approach on its side and creating a new health experience for the over two-and-a-half million members we serve.”

“By assessing health,” he continued, “on a spectrum focused on quality outcomes, we create a new experience for those members and truly embrace health. That’s what Living Health means. That’s why I am excited about this journey.”

In addition to improving health outcomes and experiences for patients, Robertson is equally enthusiastic about getting to work with our dedicated and passionate network of providers.

By recognizing the uniqueness and closeness of the communities we serve, Robertson is excited about working together to transform the health care experience for our providers and their patients.

“That sense of togetherness demonstrates there exists a community of caregivers willing to lock arms with us to solve the challenges ahead,” Robertson said.

When not at work, he enjoys being outdoors, camping, taking trips with friends, and trying new restaurants.

 

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