Leadership and Empathy in Healthcare with Kirti Mutatkar

Apr 29, 2025

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Welcome to RIMScast. Your host is Justin Smulison, Business Content Manager at RIMS, the Risk and Insurance Management Society.

Justin and his guest, Kirti Mutatkar, discuss Kirti's journey to become President & CEO of UnitedAg and President of HCAA. Kirti speaks of her master's degrees in microbiology and finance, and how they work together in healthcare risk. Justin and Kirti explore stress awareness and mental health awareness and how these issues are managed at UnitedAg. Kirti tells how she wove attention to compassion and empathy into the fabric of healthcare administration at UnitedAg, and what that means for the financial success of the organization. She notes the significant growth of UnitedAg under her leadership, and how the scientific method of experimentation played a major role in that growth.

Kirti shares her advice for leading healthcare with compassion, and the roles supervisors and managers can play in looking for tell-tale signs of mental health needs.

Listen to Kirti's leadership wisdom that may work in your organization.

Key Takeaways:

[:01] About RIMS and RIMScast.

[:14] Registration is open for RISKWORLD 2025. Engage Today and Embrace Tomorrow with RIMS, from May 4th through May 7th in Chicago, Illinois. Register at RIMS.org/RISKWORLD.

[:25] After you register, visit your App Store, search for RIMS Events, and download the RIMS Events App. Select RISKWORLD 2025, load the show onto your phone, and start building your RISKWORLD itinerary!

[:41] About this episode of RIMScast. We will talk about healthcare risk and mental health awareness with Kirti Mutatkar, CEO and President of United Ag and the President of the Health Care Administrators Association. We're going to get a unique risk philosophy, today.

[1:13] RIMS-CRMP Workshops! RIMS is co-hosting an intensive four-day program which is your gateway to achieving two prestigious certifications, the DRI Certified Business Continuity Professional (CBCP) and the RIMS Certified Risk Management Professional (RIMS-CRMP).

[1:33] This workshop will be held from May 19th through the 22nd in collaboration with DRI International. Links to these courses can be found through the Certification page of RIMS.org and this episode's show notes.

[1:48] Virtual Workshops! On June 12th, Pat Saporito will host "Managing Data for ERM" and she will return on June 26th to present the very popular new course, "Generative AI for Risk Management".

[2:05] A link to the full schedule of virtual workshops can be found on the RIMS.org/education and RIMS.org/education/online-learning pages. A link is also in this episode's show notes.

[2:16] RISKWORLD registration is open. Engage Today and Embrace Tomorrow, from May 4th through 7th in Chicago. The opening Keynote has been announced. It's official. Martha Stewart will kick things off in the Skyline Ballroom, on May 5th. Register at RIMS.org/RISKWORLD.

[2:35] Also, remember that there will be lots of pre-conference workshops being held in Chicago just ahead of RISKWORLD. These courses include "Applying and Integrating ERM," "Captives as an Alternate Risk Financing Technique," and more! The links are in the show notes.

[2:51] The Spencer Educational Foundation is having a Flash Sale for sponsorships at RISKWORLD! Sponsorship pricing has been reduced for the Spencer-CNA Pickleball Social on Saturday, May 3rd, and the Spencer-Gallagher Golf Tournament on Sunday, May 4th.

[3:10] Sponsorships are still available for the Spencer-Sedgwick 5K Fun Run on Tuesday, May 6th. Visit Spencered.org/riskworld2025 to learn about these opportunities and more. Also, reach out to Spencer's Executive Director Megan Miller at MMiller@Spencered.org.

[3:32] April is Stress Awareness Month and May is Mental Health Awareness Month. I wanted to get a fresh perspective through a risk management or risk-management-adjacent lens, which is why I reached out to today's guest.

[3:49] Kirti Mutatkar is the President and CEO of UnitedAg in California and also the President, serving a two-year term, of the Health Care Administrators Association not for profit.

[4:01] We will learn about her fascinating career journey and how leading with empathy has reduced turnover and retained value at UnitedAg.

[4:10] Interview! Kirti Mutatkar, welcome to RIMScast!

[4:37] Kirti came to the U.S. to do her Master's when she was 20. She was going to study microbiology and do her PhD in genetics and biotech. Her circumstances changed and she explored getting an MBA. She got a Master's in finance. This was in Connecticut.

[5:15] Kirti moved to California and looked for work. She applied at UnitedAg, to work for "a year or two." Each year since then, UnitedAg has grown like crazy, with many innovations. Kirti has never felt that she has been there so long, she could do it in her sleep.

[6:06] For Kirti, it's exciting every day to come to work. She was the CFO and transitioned 10 years ago to become the CEO.

[6:25] Kirti was a member of HCAA for several years and is now President for a two-year term. The HCAA is very aligned with Kirti's thinking. She learns something with every conference she attends and every board meeting.

[7:36] Kirti says, if everybody in the room feels it's their idea, and it's because of them we have succeeded, and you know you've played a role in that, that's success.

[8:02] Kirti says a microbiologist, or any scientist, is constantly running experiments, and learning from experiments. Kirti says UnitedAg is a lab. HCAA is a lab. They're testing out things and trying to see what works and what does not work.

[8:36] You understand the risks to the healthcare industry at a deeper level by doing experiments. You watch the results and you learn from them. You create feedback loops and grow.

[8:53] Under Kirti's leadership, UnitedAg has tripled in size over the last couple of years, based on experimentation, learning, and adapting. That's what being a science student had taught her.

[9:14] From the finance standpoint, in the position of impacting change, just looking at the financial statements and getting a quick picture of what's happening, was one of the best things Kirti could have done for herself in the role of CEO.

[9:39] As a CEO, you have a strong CFO behind you. Understanding from a financial standpoint and a risk standpoint what that risk means to the financial, has been a big part of Kirti's success at UnitedAg. Her knowledge of science and finance works well for her organizations.

[10:15] UnitedAg has around 110 employees. It has an underwriting department for its health plan.

[10:45] Kirti believes her interest in the scientific method of testing hypotheses relating to the human side of risk and finance is what she brings to UnitedAg.

[11:25] Kirti explains her upcoming plans for underwriting models for employer group risk and administrative costs. She is testing out opening the books, educating, and working with employer groups.

[12:33] With Mental Health Awareness Month in May, Kirti discusses mental health in the agricultural community. She has been thinking of this since COVID-19. Ag workers did not have the choice of working from home. They were out in the fields.

[13:15] There was a lot of uncertainty around what COVID-19 meant. In 2020, the need surfaced to provide some form of benefit for mental health. Culturally, in the ag industry, there is a stigma around mental health care. There is a lot of stress in production agriculture.

[13:54] Kirti decided to run an experiment. She proposed to the board to use some of the innovation dollars set aside to offer a mental health benefit free of cost to all the members, with no copays and nothing going to the deductible, and doing it for one year.

[14:28] It was a huge risk. They didn't look at the financial impact. They said, there's a need for mental health; let's do it for a year. They offered it and it became a huge impact.

[14:56] A lot of people did seek out that benefit and used it. UnitedAg used Care Navigators to see what level of care a member's need was, and based on that need, provide that care. They found that some needed much care but more of the risk is in the early stages of need.

[15:59] In the earlier stages, individuals may not realize they need care. Kirti stresses identifying the initial need for mental health care. Providing care initially can prevent chronic conditions. Not just for health plan cost, but from a human standpoint, you don't want that to go there.

[16:33] UnitedAg spends a lot of time understanding mental health. Are you just having an anxious day today or are you having chronic anxiety? With the Chief Medical Officer, UnitedAg is spending time determining the tell-tale signs of anxiety to identify and help people with it.

[16:59] Free access to mental health care, using Teladoc, Spring Health, other vendors, and the Member Advocacy Department at UnitedAg can be as simple as getting on a call and talking through anxiety, whether it's caused by environmental issues like flooding, or other stresses.

[18:14] Kirti says UnitedAg is seeing anxiety around ICE deportations as labor is a big part of agriculture. There are a lot of people who come to work in the ag industry and then go back home.

[18:39] Employees have anxiety over whether they will be there tomorrow. Employers have anxiety over whether they'll have access to labor tomorrow.

[19:12] Uncertainty creates anxiety. The ups and downs of life create anxiety.

[19:28] Plug Time! RIMS Webinars! Zurich's webinar, "Understanding Third-Party Litigation Funding" will be held on May 1st at 1:00 p.m. Eastern. Then RIMS takes a little break from webinars.

[19:43] On May 22nd, webinars are back with GRC, a TÜV SÜD Company, and their newest session, "Asset Valuations in 2025: Managing Tariffs, Inflation, and Rising Insurance Scrutiny".

[19:55] On May 29th, Origami Risk returns to present "Strategic Risk Financing in an Unstable Economy: Leveraging Technology for Efficiency and Cost Reduction". On June 5th, Zywave joins us to discuss "Today's Escalating Risk Trajectory: What's the Cause and What's the Solution?" [20:17] More webinars will be announced soon and added to the RIMS.org/Webinars page. Go there to register. Registration is complimentary for RIMS members.

[20:29] Spencer Educational Foundation will be present at RISKWORLD 2025. Spencer's Grants Program is starting soon.

[20:38] Spencer's goal to help build a talent pipeline of risk management and insurance professionals is achieved, in part, by its collaboration with risk management and insurance educators across the U.S. and Canada.

[20:51] Since 2010, Spencer has awarded over $3.3 million in General Grants to support over 130 student-centered experiential learning initiatives at universities and RMI non-profits. Spencer's 2026 application process will open on May 1st, 2025, and close on July 30th, 2025.

[21:14] General Grant awardees are typically notified at the end of October. Learn more about Spencer's General Grants through the Programs tab of SpencerEd.org.

[21:25] On the 7th of October, the New Jersey RIMS Chapter will return to the beautiful Fiddler's Elbow Country Club in Bedminster, New Jersey for their Annual Charity Golf/Pickleball Event.

[21:37] Registration is open and the event proceeds are used to fund the chapter's Spencer and Kids' Chance Scholarships. It was the filming location for the upcoming movie sequel Happy Gilmore 2. For more information, and to register, please NewJersey.RIMS.org.

[21:59] Let's Return to My Interview with Kirti Mutatkar!

[22:07] Justin remarks on Kirti leading with compassion and empathy. Both at HCAA and as CEO of UnitedAg, she puts humans at the center. People remind her it's a business, but she has found that using compassion and empathy has an impact on real numbers.

[23:26] Kirti reminds people she has a degree in finance and is a businessperson. UnitedAg has tripled in size. It is a quarter-billion-dollar trust. Its admin costs are very low and its loss ratio is very low. It's done very well financially.

[23:53] Kirti makes a decision based on the financial aspect of it and then fits in the compassion and empathy. Eventually, compassion has a big impact on the financial. Now at HCAA, people are looking at how compassion translates into numbers. UnitedAg is a perfect example of it.

[24:52] Some people may want to look at it purely from a business standpoint. Kirti feels that adding compassion and empathy manages the risk factor and has a financial impact. It's better for your business than you think it is. It's not a fluff word, you can show it in numbers.

[25:52] Kirti is part of the Claims Committee at UnitedAg. Appeals come in and they make decisions on what can or cannot be approved. There is legal representation, client representation, and financial representation. Kirti shares an example of a mental health appeal.

[26:41] The appeal was denied and Kirti listened to the compliance and financial positions for why it was denied. She didn't feel right about it, and after the meeting, she reached out to the employer. Then she came back to the committee and asked them to rethink it.

[27:34] The committee found a solution within the compliance needs, to approve the claim. In the future, that employer will be apt to renew with UnitedAg because trust was created and help was provided to the employee. It was a financial decision that started with compassion.

[29:16] UnitedAG's customer retention is over 90%. That speaks for itself.

[29:26] RIMS Plug! From Ryan Harris, upcoming Keynote on the Main Stage on May 6th at RISKWORLD 2025, "Greetings RIMS members and global risk professionals! I'm Ryan Harris, Champion of Super Bowl 50, best-selling author, and award-winning broadcaster.

[29:46] "I'm thrilled to be your Main Stage Keynote for RISKWORLD 2025, where we will discuss the transformative five steps to building a championship team and leading to winning! You can learn more about me and my story by listening to RIMScast.

[30:01] "And more than anything, make sure to register for RISKWORLD 2025 by visiting RIMS.org/riskworld. I'm so thrilled to see you and I'm looking forward to us building together so that you can reach your greatest success!"

[30:16] Thank you, again, Ryan. We look forward to seeing you at RISKWORLD 2025 on May 6th. A link to Ryan's episode of RIMScast, #325, is in this episode's show notes. Get a preview of the Super Bowl Champion and remember to register for RISKWORLD 2025.

[30:33] Let's Return to the Conclusion of Our Interview with Kirti Mutatkar!

[30:46] Kirti says that bringing mental health into the Enterprise Risk Management strategy starts with the HR department. UnitedAg does a lot of training around mental health. There are good products available, but just saying we have this product, as a check mark, is not enough.

[31:16] Go deeper, listen to your members, and train your supervisors and managers to identify some of the tell-tale signs of needs and bring them forward. Kirti's Chief of Staff remarked to her that physical scars can be seen, but mental scars cannot be shown.

[31:49] You have to go deeper to understand mental scars. Spread the word. Talk to your employees and HR teams. Be OK with someone getting emotional at work. Give them a safe space and a trusting environment. Everybody goes through anxiety and stress.

[32:20] Providing a safe space does more than providing a program. Engaging, building relationships, and having a connection would be helpful.

[32:35] As a CEO, Kirti's biggest takeaway is to maintain a connection with everybody. She tries to do that as much as possible. She goes to CEO lunches and roundtables and is constantly talking to people. You never know what someone will say or do that is a tell-tale sign of need.

[33:06] Kirti's advice for risk management professionals is to go a little deeper. Don't take things at face value. Take a step back and ask what is the true problem. Go one or two layers deeper looking for the real issues. Understanding the issue is good from a risk standpoint.

[33:50] Are there not enough mental health professionals or should we look at the model for how we provide care for people?

[34:10] Kirti also has a podcast, This Is Ag!, available on Spotify and other podcast platforms. She loves podcasting! The reason behind it is relationship and connection. It's to tell people what ag is all about. This year's focus will be on the ground workers and telling their stories.

[34:58] There is so much to learn from agriculture! A lot of things still happen with a handshake in agriculture. There's a lot of trust and a lot of relationship and connection. Kirti loves working in the industry. She's very grateful for that.

[35:14] Kirti tells what she likes about leading a not-for-profit organization. She runs it as a business but the core of it is the mission it serves. HCAA serves the underserved and she is testing how compassion and empathy play a role in the process.

[35:44] Special thanks again to Health Care Administrators Association President and UnitedAg President and CEO, Kirti Mutatkar. There is a link to her podcast, This Is Ag!, in this episode's show notes.b Let her know you heard her first on RIMScast.

[36:02] Plug Time! You can sponsor a RIMScast episode for this, our weekly show, or a dedicated episode. Links to sponsored episodes are in the show notes.

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[37:22] For the best reporting on the profession of risk management, read Risk Management Magazine at RMMagazine.com. It is written and published by the best minds in risk management.

[37:36] Justin Smulison is the Business Content Manager at RIMS. You can email Justin at Content@RIMS.org.

[37:44] Thank you all for your continued support and engagement on social media channels! We appreciate all your kind words. Listen every week! Stay safe!

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