Healthcare Strategies ציבורי
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost. Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
 
As a healthcare professional your expertise is not only needed in direct patient care, but the healthcare industry needs your clinical knowledge to help solve healthcare's most challenging issues. Join us weekly if you are a aspiring or established healthcare or nurse consultant interested in learning the strategies and systems to launch and grow a successful consulting firm.
 
The Compliance Mastermind podcast is a weekly show designed for healthcare compliance professionals where the goal is to provide inspiration, strategies, and tips for your healthcare compliance program and your career. Host Rebekah Latchis will cover everything from the Medicare Shared Savings Program, to productivity, to compliance best practices, to leadership, and everything in between. Rebekah is a lawyer turned compliance officer with over 16 years experience in health care compliance.
 
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show series
 
Social determinants of health philanthropy can have an impact, but it can also injure the very communities it is intended to support. Tiffany Benjamin, chief executive officer of the Humana Foundation, shares how payers and healthcare organizations can approach social determinants of health philanthropy in an effective, community-oriented way.…
 
Transitioning to value-based care has been a marathon, not a sprint. Providers have experimented with different care delivery and payment models to improve care quality and coordination while earning savings. Scott Anders, MD, MBA, FAAGP, CPE, chief medical officer of value-based care and ambulatory quality at Providence, shares the top lessons lea…
 
Health insurers face a couple of key obstacles as they implement digital health solutions, such as the lack of payer alignment around digital quality measures and the slow development of interoperability. Peter Long, executive vice president of strategy and health solutions at Blue Shield of California and co-author of a National Academy of Medicin…
 
In 2023, leaders in health IT analytics, mHealth, EHR, and health IT security will see innovation around healthcare consumerism and provider burden. Experts from HITRUST, Surescripts, Mass General Brigham Health System, and Mayo Clinic Platform share their projections for the new year.Multimedia Manager's Note (1/17/2023): This is an updated versio…
 
In 2023, payers, providers, revenue cycle, life sciences leaders will face extreme financial pressures that will shape their decisionmaking but that may also open their eyes to new opportunities in value-based care and other areas of healthcare. Healthcare leaders from Blue Shield of California, Cook Medical, Forrester Research, and Providence Heal…
 
Gender-affirming care, including social, psychological, behavioral, and medical interventions, is supportive healthcare that affirms a person’s gender identity when it conflicts with their assigned birth gender. Though proven to result in overwhelmingly positive outcomes, such as reducing suicide ideation and attempts, gender-affirming care access …
 
Seniors in the LGBTQ+ community today are aging in a country that is much more open to conversation about LGBTQ+ care and wellness than when they were young, but they still face barriers to care and coverage. Sachin Jain, MD, president and chief executive officer of SCAN Group and SCAN Health Plan, and Jill Selby, senior vice president of product d…
 
Because the effects of fertility treatment such as in vitro fertilization can often be traumatic and taxing, patients see many disruptions in their daily lives and have rated the stress of undergoing this procedure as more stressful than or almost as stressful as any other major life event, including the death of a family member or divorce. In this…
 
Third-party health apps can help patients manage chronic diseases, log vital signs, and take charge of their health. But these apps often fall outside of HIPAA's purview, leaving them in a regulatory gray area. Tina Grande, executive vice president for policy at the Healthcare Leadership Council and chair of the Confidentiality Coalition, Robert Te…
 
Supporting care coordination for incarcerated individuals is challenging due to fragmented care systems and data sharing barriers. Kim Dong, DrPH, RD, assistant professor in the Department of Public Health and Community Medicine at Tufts University School of Medicine, and Lynda Rowe, senior advisor of value-based systems at InterSystems, share find…
 
In the second part of a two-part series on specialty pharmacies, Shaunte Law Rhames, RN, BSN, an infusion care nurse supervisor working in inpatient management services, and Nichol Marrero Nieves, PharmD CSP, a patient management service pharmacist who specializes in neurology, behavioral health, and chronic inflammatory diseases at AllianceRx Walg…
 
Considering specialty pharmacies provide highly accessible healthcare to patients, pharmacies have the chance to extend their role by advocating for better patient outcomes and supporting patients in navigating the complexities of dealing with a chronic disease. Shaunte Law Rhames, RN, BSN, an infusion care nurse supervisor working in inpatient man…
 
The nation’s progress toward value-based care is impeded by the siloed nature of the healthcare industry. Joe Castiglione, principal program manager of Industry Initiatives at Blue Shield of California, shares how Blue Shield implemented an industry collaboration team to increase momentum in value-based care progress.…
 
To meet the needs of an increasingly independent senior population, primary care organization Heal leverages in-person and virtual care services to provide care in the home. Justin Zaghi, MD, Heal's chief medical officer, joined the podcast to discuss Heal's model, how it uses telehealth and RPM to supplement in-person care, and how care in the hom…
 
Global capitation models are the most high-risk form of advanced payment model that a health system could adopt, but they have proven advantageous for promoting alignment around value-based care. Michael Weiss, MD, vice president of population health for Children’s Hospital of Orange County (CHOC), shares how his health system moved toward global c…
 
The accountable care organizations (ACO) model is one of the greatest tools in the value-based care toolbox, with ACOs in the Medicare Shared Savings Program producing savings five years in a row. Sam Starbuck, VP and GM at Privia Quality Network, shares how physician engagement, patient access, and data transparency are all key to savings and qual…
 
One of the key challenges in value-based care is achieving collaboration between healthcare stakeholders who would normal be in competition with each other. Crystal Eubanks, senior director of care redesign at the Purchaser Business Group on Health (PBGH), shares how the California Quality Collaborative programs pursued effective collaboration on v…
 
From the patient’s perspective, physical and behavioral healthcare are already integrated in their wellness experience, but the healthcare industry has a long way to go in matching this reality in patients’ treatment journeys. Ewa Matuszewski, chief executive officer and co-founder of MedNetOne Health Solutions, explains how healthcare stakeholders…
 
Artificial intelligence and machine learning are increasingly integral to value-based care models, which rely heavily on data and data analytics. However, these resources can also work against value-based care if they introduce or perpetuate negative biases. Marzyeh Ghassemi, a principal investigator at MIT’s Jameel Clinic, shares how to avoid nega…
 
Cancer treatment is full of challenges for patients and their families. A lack of patient-centered care can amplify these existing challenges and introduce new ones. André Dahinden, managing director at Accenture, shares how healthcare providers can make their oncology treatment processes more patient-centered in order to facilitate better patient …
 
To support business growth and promote the shift to patient-centric care, health system CEOs are implementing digital tools and diversifying their workforce. Jiban Khuntia, PhD, director of the University of Colorado, Denver's Health Administration Research Consortium, shares the results of a health system CEO survey highlighting these trends and d…
 
Artificial intelligence has a variety of useful applications in healthcare. But algorithmic bias, along with data privacy and security concerns, have prompted significant ethical and legal concerns. Linda Malek, partner at Moses & Singer and chair of the firm’s healthcare, privacy, and cybersecurity practice group, discusses the risks associated wi…
 
Many unknowns surround Alzheimer’s Disease prevention and management, but blood testing might pave a way forward. Michael Racke, MD, Medical Director of Neurology at Quest Diagnostics, shares how a new type of diagnostic testing might help identify Alzheimer’s Disease early and change the healthcare system’s approach to the disease.…
 
Investing in primary care services can be key to the success of organizations’ value-based care and health equity efforts. Vivek Garg, MD, chief medical officer for Humana’s Primary Care Organization, shares how organizations can invest strategically to support primary care, from investing in more sustainable EHRs to aligning around health equity.…
 
Amid evolving telehealth policy and regulations, federal agencies are working to prevent fraud and abuse. In part two of a two-part series on telehealth, Jacob Harper, an associate with law firm Morgan, Lewis & Bockius, Christa Natoli, executive director of the Center for Telehealth and E-Health Law (CTeL), and Ben Steinhafel, policy director of CT…
 
In part one of a two-part series on telehealth, to ensure access to telehealth after the public health emergency has ended will require lawmakers to pass new legislation extending or making permanent regulatory flexibilities enacted during the pandemic. Jacob Harper, an associate with law firm Morgan, Lewis & Bockius, Christa Natoli, executive dire…
 
By bringing primary care services into the home through in-home primary care, providers can improve patient satisfaction while lowering healthcare costs. Chris Dodd, MD, chief medical officer at Emcara Health, sheds light on how in-home advanced primary care interacts with the rest of the healthcare system to lower costs and boost patient experienc…
 
Access to comprehensive patient health data at the point of care is critical for care coordination. Holly Miller, MD, chief medical officer of MedAllies, shares how 360X specifications can help healthcare organizations streamline data sharing to support patient-centered care during care transitions.על ידי Xtelligent Healthcare Media
 
Broader uptake of virtual care has broken down many of the geographic- and stigma-related barriers of the past, but has also erected new barriers in their stead. Adam Hornung, executive director of telehealth operations at Intermountain Healthcare, shares how his organization has tackled barriers to virtual care access and involved patients in the …
 
Pharmacogenomics and precision medicine are evolving fields that are full of opportunities for advancement and improving patient outcomes, but seizing these opportunities may require a concerted effort from healthcare stakeholders. Cynthia Yu, PharmD, director of precision medicine at The Profero Team, and Scott Betzelos, MD, chief medical officer …
 
Since chronic disease management has a significant impact on patient outcomes and spending, it is often a central focus of healthcare stakeholders' value-based care efforts. Hayden Schmidt, assistant editorial researcher of Insights at Xtelligent Healthcare Media, dives into the recent Insights report which sheds light on value-based care efforts r…
 
The new DOJ Civil Cyber-Fraud Initiative includes provisions related to whistleblowers and may change the way that healthcare providers are viewed in cybersecurity cases. Lisa Rivera, a member of the law firm Bass Berry & Sims, and co-chair of the firm's compliance and government investigations practice group, delves into how the initiative might i…
 
Despite the high demand for healthcare workers during a years-long workforce shortage and the demonstrated benefits of workforce diversity, large disparities exist between women and men in the medical field including leadership transitions and promotions. Shikha Jain, MD, a hematologist and oncologist at UIC Cancer Center and the founder of Women i…
 
Electronic medical records (EMRs) and electronic health records (EHRs) are essential tools that allow the storage and maintenance of protected health information (PHI). Unfortunately, PHI is also extremely valuable to threat actors. Salwa Rafee, global managing director for healthcare security at Accenture Security, discusses EMR security risk fact…
 
In part two of this introduction to the life sciences, Alivia Kaylor, senior editor of LifeSciencesIntelligence, addresses the other three categories of life sciences: medical devices, medical imaging, and reproductive health. Each of these categories is prime for growth and presents many opportunities and challenges to the healthcare industry as a…
 
Life sciences is a broad field of study, but it has significant implications for stakeholders across the healthcare industry. Alivia Kaylor, senior editor of LifeSciencesIntelligence, explains how being knowledgeable about biotechnology, genetics, genomics, and other aspects of the life sciences can be valuable for healthcare professionals.…
 
Predictive analytics covers a broad range of functions and tools. Tom Selva, chief medical information officer of University of Missouri Health Care, shares how his healthcare system implemented a a predictive analytics-powered early intervention tool for sepsis and what the future of predictive analytics could hold.Thanks to our sponsor:Lark utili…
 
Providers know that preventive care services are critical to achieving positive patient outcomes, but how do they educate patients about the need for preventive care and encourage patients to follow through on preventive care appointments? Sara Heath, managing editor at Xtelligent Healthcare Media, covers how healthcare organizations have been impr…
 
We are celebrating 100 episodes of Healthcare Strategies with 100 seconds capturing a couple of highlights. Thank you to all of our guests, hosts, sponsors, and--of course--a big thank you to you, our listeners, for making this possible!על ידי Xtelligent Healthcare Media
 
When hospitals and healthcare systems require an EHR enterprise solution that will meet a variety of unique needs, EHR vendor solutions may fall short. Jessica Cox, director of product solutions at Holy Name Medical Center, explains how Holy Name Medical Center designed and implemented a customized EHR enterprise solution, offering lessons learned …
 
The legal debate around the coronavirus vaccine mandate that CMS issued in November 2021 has surfaced many questions around workforce management and drew attention to the nation’s clinician labor shortage. Sarah Coyne, partner at Quarles and Brady and adjunct professor at the University of Wisconsin-Madison School of Law, and Jon Kammerzelt, partne…
 
As the healthcare industry seeks to improve health equity and reduce care disparities, Healthfirst has introduced seven principles for orienting an organization around health equity. Susan Beane, executive medical director of partnerships for medical outcomes at Healthfirst, and her colleagues Rashi Kumar, director research and policy in partnershi…
 
What responsibility do employers have to address social determinants of health among their employees and how should they act on that responsibility? Mike Thompson, president and chief executive officer of the National Alliance of Healthcare Purchaser Coalitions (National Alliance), and Christa-Marie Singleton, chief medical officer of the Office of…
 
When a crisis disrupts claims volume and payments processes, what can payers and providers do to adjust? April Todd, senior vice president of CORE and explorations for CAQH, explores the coronavirus pandemic's impact on administrative transactions and how the past two years can inform healthcare stakeholders' reactions to future crises.…
 
The coronavirus pandemic has sparked an increase in substance abuse, but many Americans who struggle with substance abuse do not seek out mental healthcare support. Jasleen Chhatwal, MD, chief medical officer at Sierra Tucson, shares the findings of Sierra Tucson's survey on substance abuse in the US and dives into how those results can inform heal…
 
As ransomware attacks continue to overwhelm the healthcare sector, organizations will have to decide whether to pay the ransom or potentially risk patient safety. Erik Weinick, a seasoned litigator and co-founder of Manhattan-based law firm Otterbourg's privacy and cybersecurity practice, discusses the consequences of paying or not paying the ranso…
 
As the national conversation around interoperability moves forward, it is time to progress beyond defining what interoperability is and instead make sure that all of the impacted stakeholders' voices are represented, including patients' and payers' perspectives. Alan Swenson, executive director for Carequality, shares how to better engage payers an…
 
After a couple of years of rapid healthcare technology innovation and uptake, healthcare professionals want to know what 2022 might have in store. Executives from the HIT security space, legal advisors, leaders in digital and artificial intelligence strategy, and HIT consultants share their perspectives on key 2022 trends in telehealth, remote pati…
 
2020 and 2021 highlighted the critical need for more consumer-centered strategies. Health insurance plan leaders, healthcare nonprofit founders, and industry consultants share how healthcare organizations will rally around the consumer in 2022, both independently and across sectors.על ידי Xtelligent Healthcare Media
 
As the number of urgent care clinics around the country continues to grow, their role in helping communities access care perpetually evolves. Jackie McDevitt, PA-C, lead advanced practitioner at Northwell Health-GoHealth Urgent Care, explains how urgent care clinics help patients navigate the healthcare system and utilize appropriate care at a lowe…
 
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