Blue Shield of California (BSCA) CEO Paul Markovich speaks with Bob Kocher at Venrock about bringing the healthcare system out of the stone age and the opportunities for entrepreneurs to bring much needed change to the industry. They talk about how Paul’s career path led him to healthcare, how he fosters an open environment that welcomes feedback and what BSCA is doing to create new efficiencies through a collaboration with Anthem Blue Cross, called Cal INDEX. They also discuss “what insurance companies actually do” and who is making money in healthcare. Paul is currently president and CEO of BSCA, a four million-member nonprofit health plan. Their mission is to ensure Californians’ access to high-quality healthcare at an affordable price. Paul was previously an entrepreneur, having cofounded MyWayHealth, a consumer-driven health plan.