Health plans make decisions about large groups of people. They use averages, set rules that apply to everyone, and plan for what most people will need. That approach works well when the goal is keeping a whole community healthy.

Medicine is different. A doctor treats one person at a time, and good care fits that person. Problems start when rules built for groups decide what one patient can get.

Dr. Allison Alimayu spent more than a decade inside UnitedHealthcare and DaVita Integrated Care building payment programs, and she now reviews evidence for Medicare coverage as a member of the federal MEDCAC panel. In this session, she explains in plain terms how health plans actually work, where thinking in groups helps children and families, and where it gets in the way of their care. Audiences leave able to spot the difference in their own programs and benefit decisions.

Every version is tailored to the audience, from health plan executives to public health teams.

Formats: keynote, executive briefing, or leadership workshop. Length: 30 to 60 minutes, adaptable. Audience: health plans, health systems, payers, employers, public health, and health associations. Available in person across the Americas, Europe, Africa, and Asia, or virtually.