
CEO Agenda gives distinctive insights into how leaders suppose and lead and what retains them busy in a world of fixed change. We glance into the lives, minds and agendas of CEOs on the world’s most iconic firms.
When Iñaki Ereño assumed the function of Group CEO of Bupa in 2021, the worldwide healthcare panorama was being rewritten in actual time. On the helm of an organization serving over 1,000,000 clients worldwide, Ereño faces the problem of reworking a big and established group right into a sooner, extra agile, and digitally enabled supplier of care.
Based in 1947 with the aim of serving to individuals reside “longer, more healthy, happier lives,” Bupa is greater than a well being insurer: It builds hospitals and dental facilities, affords world personal medical insurance coverage, and invests closely in digital well being.
Ereño’s mission? To wake the sleeping large. By what he calls the “elephant technique,” the 61-year-old CEO has sought to digitize the enterprise, embed customer-centric listening (together with 300,000 annual detractor calls), and align a worldwide workforce of round 100,000 individuals behind a single agenda. “The elephant is now working and nearly all of the individuals know the elephant is working. We maintain reminding everybody: don’t let the elephant return to sleep,” he says.
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Bupa’s rank on Fortune 500 Europe
A self-described “fanatic of the digital economic system,” Ereño believes know-how will outline the following period of healthcare. Bupa has accelerated its use of AI and digital platforms equivalent to Blua, launched initially in Spain, to attach medical doctors and sufferers digitally and make consultations sooner, smarter, and extra private.
In an interview with Fortune, Ereño mentioned his evolution from lawyer to retailer to healthcare CEO, defined how his triathlon coaching anchors his management, and why, for him, productiveness isn’t nearly revenue—it’s about delivering higher care, sooner.
This interview has been edited for size and readability.
Right down to enterprise
Fortune: Stroll us via your profession journey.
Ereño: My background is in regulation, and really rapidly I spotted I didn’t need to be a lawyer. So I did an MBA and moved into company life. I view my life in three distinct intervals. For one interval of my life, I labored as a retailer. In one other, I used to be an entrepreneur, and in the newest interval, I’ve labored in healthcare.
I joined Bupa 20 years in the past in Spain [in Spain, Bupa is called Sanitas]. I joined Sanitas and was appointed CEO of Sanitas, and in 2012, I used to be appointed CEO [of a regional division within Bupa]. My evolution has progressed from my preliminary function as advertising director of Sanitas, then CEO of Sanitas, adopted by CEO of a area, and at last Group CEO. It’s been a little bit of a journey.
What was your function within the digital shift?
Covid was an enormous problem for all healthcare programs. For Bupa, we realized that our healthcare system was not digitized sufficient. Well being might be digitized. I used to be within the govt crew of Bupa for a few years and that was my huge struggle: We would have liked to digitize the enterprise extra rapidly. [Since then] it’s been a little bit of a journey.
After Covid, we began calling ourselves the “sleeping elephant,” and so we constructed a method known as the “elephant technique.” I keep in mind I went to the board with one slide: an elephant asleep on the left, an elephant waking up within the center, and an elephant working on the correct, with a giant arrow from 2020 to 2024. We would have liked to get up.
The elephant is now working, and nearly all of the individuals know that the elephant is working. We maintain reminding everybody: Don’t let the elephant return to sleep.
What are you most happy with within the final 5 years?
In each presentation, we spotlight the Triangle of Efficiency. On the prime of the triangle is Monetary Efficiency, supported by the 2 different sides: Buyer Efficiency and Worker Engagement. We have to be good in any respect.
Clients are crucial. We’ve 25 companies in varied nations that comply with the identical sample. We map companies by micro actions, and yearly we do 300,000 detractor calls asking clients: “Why don’t you want us?”
Yearly, we measure the outcomes by way of buyer expertise enchancment and we take this very severely. There’s loads of engineering work and logistics concerned in making this occur.
We even have a crew of 100,000 individuals. You’d assume that every one of them have well being protection offered by Bupa—particularly since we’re Bupa. However that was not the case.
[Despite the fact] that it could value round 50 million kilos to do that [it was essential that our own employees] have well being protection offered by Bupa. Now within the Bupa world, each worker is supported by Bupa.
We attempt to discover out why we’re not good, and work on it.
Which long-term development are you most bullish or optimistic about for society and the economic system for the time being?
The digital economic system. We [Bupa] began a bit late however we’re catching up in a short time. We’re now totally digitized in all nations. Blua [is an example], which Bupa launched years in the past. I just like the digital economic system and am a fanatic as a result of it should assist well being.
If you have a look at Europe versus the U.S., how do you suppose individuals like your self in a management function can handle the productiveness problem?
Bupa and the entire healthcare business are at present extra centered on progress. We [believe we] are productive, nevertheless it’s not on the prime of our thoughts. We take into consideration how we might be extra productive in order that our clients shall be happier and higher served, moderately than excited about, “how can we make more cash?”
We’ll be implementing an AI generative undertaking the place, as an alternative of taking seven minutes for a health care provider to see you [and understand who you are and what your issues are], it should take 30 seconds. So in 30 seconds, a health care provider will be capable to see you and a session that often occurs in possibly quarter-hour will now take solely 30 seconds. That is the productiveness we care about and is the productiveness that has a optimistic influence on our clients.
Being productive
When do you stand up within the morning and what units up your routine for the day?
I don’t sleep that a lot and often get up round 6 a.m. and I begin studying the newspaper. I learn three Spanish newspapers, the FT and the Financial Occasions. I’ve my first espresso, take a bathe, go to the workplace, and usually am in conferences by 8 a.m.
Sports activities have at all times been a giant a part of my life. I’m into triathlons and often go to the fitness center with my youngest son, who lives with me in London. We go to the fitness center collectively, go to the grocery store, purchase dinner (we often go to an Amazon Recent retailer or Complete Meals), have dinner, after which go to mattress. I reside a reasonably primary life and it really works for me.
What sort of espresso do you might have within the morning?
I’ve a black espresso within the morning, a double espresso. Once I share [my coffee intake] with medical doctors, they are saying possibly an excessive amount of, Iñaki! However I can share this with you.
So I begin with a double espresso, after which I’ve one other one within the workplace with a little bit little bit of milk, like a cortado. Then, after lunch, I’ve one other cortado. I do know it’s loads of espresso.
Do you examine again in later within the night? Are you working over the weekend?
I would sound a bit naive, however I just like the job I do and I like my firm. I don’t really feel like I have to be disconnected. When I’m away on vacation, I take my cell phone with me and I’m checking emails. I’m paid properly, I’ve an [important] job and we’re a giant firm, so I would like to remain related.
Do you might have any apps that you just use, or any strategies that you just use to be as productive as potential?
I take advantage of [most digital tools], to be sincere, however I’m not mega techy.
I used to take notes with a pocket book and pencil, however not anymore, as a result of at some point I spotted that it was taking me extra time. I requested myself, “What number of occasions have you ever come again to your notes?” and it was zero. So I finished. I desire to be current and in listening mode.
Getting private
Who’s in your private board and who evokes or motivates you?
I work with a coach whom I met a couple of years in the past. He’s 75, very clever, and a member of my private board. I’ve a Chief Government Committee; there are at all times individuals that you just are inclined to name extra when you might have an issue or want good recommendation. I even have individuals on my crew that I can name. I’ve nice conversations with my son. All of us want individuals who actually care.
Do you might have a favourite firm that you just admire and why?
I like Amazon. Complete Meals can also be unbelievable.
What’s your favourite delicacies to cook dinner and to eat?
I eat an excessive amount of, however thank God I get pleasure from exercising. I like all forms of meals, together with a giant steak, good paella, and seafood. I additionally like candy meals and desserts. My coach taught me to be variety to myself and I’ve learnt through the years to be variety to myself. If I need to eat ice cream, I’ll get pleasure from my ice cream.
CEO Agenda gives distinctive insights into how leaders suppose and lead, and what retains them busy in a world of fixed change. We glance into the lives, minds and agendas of CEOs on the world’s most iconic firms. Dive into our different CEO Agenda profiles.

