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Health Care Visionary

By Pam Droog

Davina Lane
President and CEO
Group Health Plan, Inc.
(A Coventry Company)

Davina Lane says she considered becoming a doctor, until she took pre-med courses in college. She quickly realized “chemistry and I were not going to work,” she says. She became a teacher, but ended up in health care anyway, when she answered a health plan’s ad for someone who spoke Spanish. “It was a summer job, and when it was time to go back to teaching, I just didn’t go,” Lane says.

Instead, she remained in health care, specifically in health maintenance organizations. Today she’s president and CEO of Group Health Plan, Inc., the area’s second-largest HMO, serving more than 260,000 members in Missouri and Illinois.

Lane considers herself lucky to have become involved with HMOs when they were relatively new. “I come from California where so much of that concept originated,” she says. “I got to try out things and be an innovator.”

After her first lucky break, answering the ad, Lane worked for several HMO organizations in government affairs, marketing, planning and development. In 1990 she established her own health management-consulting firm, which merged with a larger corporation two years later.

In 1993, she became vice president of marketing and contracting at Healthcare Practice Enhancement Network, Inc., a health care consulting firm. There she took a temporary assignment, interviewing candidates for the position of CEO for HealthCare USA of Missouri. “I became very attached to the plan and the people. I was impressed with what they were doing,” Lane says. She ended up taking the position herself as CEO and moved to St. Louis in August 1996. Less than three years later, Coventry Health Plan, Inc., the parent company, asked Lane to assume her current position at GHP, another of its subsidiaries.

Arriving at GHP, Lane says she “tried not to undo, but re-do.” She explains, “GHP was a very good company, nearly 25 years old then. But it was time to ask, ‘Is this the right thing to do now?’“

Such a re-evaluation was particularly crucial to a health care organization. Lane points out, HMOs have led to tremendous changes in health care for members, especially in preventive care. “There’s been a real improvement in covered benefits,” she says. “Now members are encouraged to remain healthy, to have screenings, stop smoking and exercise.”

Unfortunately, however, “there’s been a lot of negative publicity, which is very upsetting to us and to members who like our plan and other health plans,” Lane says. “These occasional high-profile cases give a distorted view of managed care, but there’s not a lot of discussion about the millions of cases around the U.S. where someone’s health plan made a real difference.” She adds, “Our goal is to consistently do the right thing for people in the right place at the right time.”

Helping Lane achieve that goal are 300 area employees. A “consensus manager,” Lane meets with them regularly, because she believes, “You can only bring about long-term change when people share the vision.” At quarterly, all-employee meetings, she stresses “what it is to work for GHP and the importance of the service we provide to our members, providers, partners and each other,” she says. “In my experience, this is unique. It’s a way to make sure we don’t get too far removed from what we’re supposed to do.”

At the moment, Lane is busy administering GHP’s recent acquisition of 60,000 Health Partners of the Midwest members. More recently, GHP has become the replacement carrier for Aetna’s St. Louis HMO members. GHP also is involved with several e-business initiatives, such as Benefit Express, an on-line information and quote service for insurance brokers, and Web M.D., an electronic claims service for providers. GHP’s member website also is being expanded to offer information on health care products, disease management and more.

Outside the office, Lane serves on the board of the Arthritis Foundation and the executive council of the Boy Scouts of America–Greater St. Louis Area Council. Through GHP, she also participates in Heart Association and Special Olympics activities.

Coming from California, Lane found St. Louis to be a culturally rich city, and the most avid sports community she’s ever been in. “I know more about baseball than I ever thought I’d know!” she says. “I read the sports page and really impress my kids.”

Lane’s “kids” are age 32, 34 and 36, and her grandkids are age 8 and 12. They all live in the West and Lane enjoys visiting them with her husband, Roy, who’s an architectural designer, artist and writer. The couple frequently attends shows and rallies in their British automobile, a Morgan, and Lane likes to read and garden. “I don’t want to be boring!” she says.

That’s hardly possible, given the imagination and flexibility required to run a health plan. “There’s no typical day in our business,” Lane says. “We don’t make a product. We serve our members and that means every issue is a people issue.”


Pam Droog is a St. Louis-based free-lance writer.
 

 

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COVER STORY
2001 Entrepreneur Of The
Year Award
PROFILE
Davina Lane
President and CEO
Group Health Plan, Inc.

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