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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.
 
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show series
 
Population health data is essential to the forward movement of value-based care. But what is the status of providers' population health strategies? Emily Sokol, director of research at Xtelligent Healthcare Media, shares the results of a recent Insights report and explains how predictive analytics capabilities play a role in the future of both popu…
 
In order to move more decisively toward a value-based care system, the healthcare industry will need to scale its value-based care efforts. But it is hard enough transitioning a single provider from fee-for-service into value-based contracts, much less all of a payer’s provider partners. Troy Smith, vice president of cost of care and value programs…
 
CMS uses the Medicare Shared Savings Program to encourage providers to enter into accountable care organizations, in which they take on greater responsibility for reducing low-value care and high healthcare spending. Gary Stuck, DO, chief medical officer at Advocate Aurora Health, shares how Advocate Aurora Health has leveraged the ACO model to ach…
 
The hospital care setting can pose many risks to seniors. To improve patient experience in acute care, some experts are urging payers and healthcare systems to facilitate moving acute care to the home. Amal Agarwal, DO, vice president of home solutions for Humana and emergency room physician, explains how acute home healthcare can reduce risks for …
 
Advanced payment model uptake received a boost from the coronavirus pandemic as providers shifted away from wholly volume-based, fee-for-service models into value-based care contracts. However, fee-for-service remains strongly present in the healthcare system today and, according to some healthcare professionals, it will persist as a key reimbursem…
 
Americans are experiencing a spike in mental health diagnoses. However, even as mental health challenges become more visible and widespread, mental health stigmas remain. Lana Seiler, LCSW, primary therapist at All Points North Lodge, shares how healthcare stakeholders can combat mental health stigmas and encourage treatment among patients, within …
 
The lack of health equity in the current healthcare system is starkly evident in maternal care. Black patients who are pregnant are at higher risk than their White counterparts for a highly preventable disease called preeclampsia. Joanne Armstrong, MD, executive medical director and chief medical officer for women’s health and genomics at CVS Healt…
 
As the nation emerges from the coronavirus pandemic, healthcare professionals can work to keep health equity as central to their strategies going forward. Sara Heath, managing editor at Xtelligent Healthcare Media, reviews how to define health equity, how the pandemic impacted the industrywide discussion around this topic, and how steps that organi…
 
Nurse practitioners are trained not to take risks in care delivery, but when it comes to starting their own practices they have to accept financial risk and prove their value. Lorraine Bock, co-founder of National Nurse Practitioner Entrepreneur Network (NNPEN), shares her experience starting her own practice as a nurse practitioner, the value that…
 
Community-based paramedics have a unique role in the local healthcare system. By going into individuals’ homes to provide healthcare support, they can gain insight into potential social determinants of health barriers that other healthcare providers may never see. Ken Peach, executive director of the Health Council of East Central Florida, shares h…
 
Remote patient monitoring received a lot of attention when healthcare was forced homeward during the coronavirus pandemic out of necessity. But what does the future hold for these technologies? Are remote patient monitoring technologies worth keeping around and, if so, what is the next step in integrating them into the healthcare system at large, i…
 
Pediatric primary care practices often lack the bandwidth to implement value-based care solutions at the level that childrens' hospitals and health systems can achieve. What is the next step toward value-based care in this setting? Larry Epstein, chief executive officer of Pediatric Urology Associates, shares his perspective on the state of value-b…
 
As the dangers of the coronavirus pandemic subside in the US, how will providers leverage telehealth in the "new normal"? What challenges prevent providers from implementing telehealth effectively? Emily Sokol, director of research at Xtelligent Healthcare Media, shares the results of a recent Insights report on telehealth and the outlook on telehe…
 
Making progress on specific interoperability goals is a key aim for payers in 2021. But what is the overall vision for interoperability? And how does interoperability engage with the other major changes occurring in the industry? Danielle Lloyd, senior vice president of private market innovations and quality initiatives for Clinical Affairs at AHIP…
 
The industrywide movement toward interoperability involves multiple steps and factors. As payers prepare to conform to CMS deadlines, how can they juggle all of these pieces without losing site of the big picture? In the first of our two-part conversation on the subject, Danielle Lloyd, senior vice president of private market innovations and qualit…
 
Seniors have been a particularly vulnerable population during the coronavirus pandemic, estimated to account for approximately eight in ten coronavirus-related deaths in the US. Providers experienced many challenges as they tried to serve this population during this uncertain time. Emily Sokol, director of research at Xtelligent Healthcare Media, s…
 
Pharmacy benefits managers (PBMs) offer one method of delivering pharmaceutical benefits to members, but Highmark Inc. and payers like it have developed an alternative that they argue may boost member engagement and improve drug spending. Sarah Marche, senior vice president of Pharmacy Services at Highmark Inc, discusses how Highmark has implemente…
 
While views on the definition of "value" in value-based care may vary, healthcare professionals can rally around prioritizing patient experience in value-based care. LeChauncy Woodard, MD, director of Humana Integrated Health System Sciences Institute and professor at the University of Houston, and Tray Cockerell, a strategic relationship executive…
 
Healthcare industry leaders have emphasized the need for physical, behavioral healthcare integration, but what actions do payers and healthcare organizations need to take to meaningfully move in the right direction? Brett Hart, Centene’s Chief Behavioral Health Officer, and Indira Paharia, Centene’s Chief Operating Officer for Behavioral Health, di…
 
Payers eliminated cost-sharing for coronavirus treatment when the pandemic hit the US in March 2020. Now they have the opportunity to use those waivers as a model for reducing low-value care spending and investing in high-value care across the industry. Mark Fendrick, director of the University of Michigan Center for Value-Based Insurance Design an…
 
How can practices that engage in collaborative care transition from in-person care to virtual care? What does the future hold for integrating these two forms of care delivery? Sudhir Rao, MD, medical director at Pain and Spine Specialists of Maryland, shares how his practice shifted from in-person to virtual care in just a week during the coronavir…
 
The patient’s experience of care has an impact beyond rankings and retention; it can affect the patient-provider relationship and the patient’s wellbeing overall. Emily Sokol, director of research at Xtelligent Healthcare Media, shares the results of the latest Insights report on patient experience, covering care coordination strategies, relevant t…
 
Progress in mHealth, connected health, and telehealth can be evaluated from multiple angles, including regulatory changes and technological advancements. Eric Wicklund, senior editor of mHealthIntelligence, explains how mHealth technologies and regulations have evolved and what needs to happen for that evolution to continue. He also reviews the con…
 
Home-based healthcare was once the primary nature of healthcare. It took the coronavirus pandemic to bring this care setting back into the spotlight. Kristen McGovern, convener at Moving Health Home, and Chris Johnson, vice president and head of corporate development at Landmark Health, discuss the impact of the coronavirus pandemic on home-based c…
 
All high-value providers will aim for cost-savings, but advanced primary care practices recognize that population health data is key to lowering healthcare spending. John Collier, president and chief executive officer of Proactive MD, and Jeremy VanderKnyff, executive vice president of health data science, value, and validation at Proactive MD, sha…
 
As the healthcare system pivots towards value-based care, some healthcare professionals may now take it for granted that quality measures are essential to high-quality care. But how can healthcare organizations design quality measures with both the provider and the patient in mind? Anthony Romeo, MD, an orthopedic surgeon and chief medical editor o…
 
Throughout 2020, speculations abounded as to the impact that the coronavirus pandemic would have on the progress of value-based care. Emily Sokol, director of research at Xtelligent Healthcare, reveals the trends that emerged through the most recent Value-Based Care Assessment.To access the report, visit our corporate website: https://www.xtelligen…
 
With their member data and member engagement capabilities, payers are uniquely positioned to reduce healthcare disparities. Kedar Mate, president and chief executive officer at the Institute for Healthcare Improvement, and Mark Friedberg, senior vice president of performance measurement and improvement at Blue Cross Blue Shield of Massachusetts (BC…
 
As telehealth continues to expand, healthcare professionals must confront a repercussive question: how should healthcare organizations conduct quality measurement in telehealth? Sheri Winsper, senior vice president of quality measurement at the National Quality Forum (NQF), explains why quality measurement for telehealth is critical to patient-cent…
 
It is well known that housing is a social determinant of health factor, but the implications of poor housing for children's health have gone under-explored until recently. Kelly Kelleher, MD, vice president of Community Health at Nationwide Children’s Hospital and senior author of a recent study on the subject, explains the pediatric implications a…
 
During infectious disease outbreaks, data needs shift. Providers want to see heat mapping, total case count, points of transmission and other data points that are not typically evident in an electronic health record (EHR). April Diaz, vice president of clinical services at Marquis Companies, and Vicki Nordby, nurse consultant at Marquis Companies, …
 
The coronavirus pandemic has exposed the value of genomic data for population health efforts. However, the US lags behind other nations in sequencing genetic data. David Relman, MD—professor of Microbiology at Stanford University and member of the standing committee on Emerging Infectious Diseases and 21st Century Threats at the National Academies …
 
Hospitals often struggle to manage the flow of patients through their intensive care units (ICUs) and the coronavirus pandemic has only exacerbated this issue. Jamie Nordhagen, Director of Capacity Management at University of Colorado Hospital, describes an advanced analytics tool that her team uses to identify when the hospital's ICU is nearing ma…
 
Healthcare entities face a difficult task: eliminating information blocking while preserving patients' privacy. Dan Golder, principal at Impact Advisors, discusses how healthcare leaders can ensure that they are complying with the Office of the National Coordinator's rules on information blocking. He also shares his expectations for the next step i…
 
This special episode features insights from each of Healthcare Strategies's hosts from the editorial and research staff at Xtelligent Healthcare Media. From value-based reimbursement trends to mHealth breakthroughs and regulatory changes, we take a look at what professionals across the healthcare industry can expect in 2021.…
 
The right digital health technologies can address many of the challenges that healthcare systems face, but implementing new technologies can be daunting and complicated. Cheryl Eck, associate vice president of strategy and planning at Edward-Elmhurst Health, shares how hospitals and health systems can leverage new technologies and improve the digit…
 
With the healthcare landscape constantly evolving, how can payers and other healthcare organizations help train healthcare leaders to be prepared? LeChauncy Woodard, MD, director of Humana Integrated Health System Sciences Institute and professor at the University of Houston, shares from her experience bridging the divide between payers and the aca…
 
As seniors continue to adapt to telehealth modalities, how can health systems best leverage these technologies to empower senior-focused care? Renee Buckingham, president of Partners in Primary Care, discusses her practice’s technology solutions and how technology use in senior care might evolve in the future.…
 
As healthcare organizations become more experienced in gathering social determinants of health data, they face the question of how to best utilize it. Shantanu Agrawal, president and chief executive officer of the National Quality Forum, shares how organizations can strategize around SDOH, transition to implementation, and how frontline workers can…
 
Evergreen issues with affordability and quality of care have become even more apparent in light of the coronavirus pandemic. Jason Wolf, president and chief executive officer of The Beryl Institute, shares how the pandemic has shaped patient experience, both financially and clinically, and how healthcare organizations can build on industry successe…
 
Brian Dixon, director of public health informatics at Regenstrief Institute, Inc. and Indiana University Richard M. Fairbanks School of Public Health at IUPUI, details how sharing social determinants of health data can help improve population health. Specifically, he shares about Regenstrief Institute's Indiana Network for Population Health and how…
 
Nicole Caputo, senior director of experience and innovation at UCHealth, and Matt Andazola, project manager for experience and innovation at UCHealth, describe Livi, their artificial intelligence chatbot. They cover factors that motivated the development of their virtual assistant, the chatbot's capabilities in improving patient engagement and pati…
 
Digital therapeutics is both new and old. It is new in that it is a novel form of care delivery with the capacity to solve problems in healthcare, but it is also old in that its building blocks are technologies that many practices already use. Megan Coder, executive director of Digital Therapeutics Alliance, walks through what digital therapeutics …
 
With the healthcare industry experiencing a period of rapid change, whole person health has never been more important. Caraline Coats, vice president of Bold Goal and population health strategy at Humana, explains how payers and other healthcare professionals can engage in value-based, whole person care in a couple of different settings including t…
 
With the recent surge in telehealth services utilization, Chris Waugh, chief innovation officer at Sutter Health, has been facing a question that many leading health professionals are asking: how can providers strike a balance between telehealth and in-person care? Waugh offers his perspective on this and how to appropriately and innovatively lever…
 
Steve Miff, president and chief executive officer of Parkland Center for Clinical Innovation, shares how to use data analytics to identify at-risk individuals. He describes how the center’s proximity risk index can help physicians decide when to direct patients to telehealth, identify patients facing social determinants of health and health dispari…
 
How can healthcare organizations protect their passwords and prevent credential theft? Jessica Davis, senior editor of HealthITSecurity.com, details common misconceptions around password protection. She gives an overview of the dangers of credential theft and explains how multi-factor authentication can dramatically decrease healthcare organization…
 
During a major disruption to the healthcare system, gathering quality measurement data can prove challenging for payers and providers. Frank Micciche, vice president of public policy and external relations at the National Committee for Quality Assurance (NCQA), describes a system of digital quality measures that can make quality measurement data mo…
 
Sri Bharadwaj, vice president of digital innovation and applications at Franciscan Health Information Services, shares a new solution to conducting multi-specialty rounding in the hospital setting. He describes how to improve provider collaboration, increase quality of care, and boost providers’ efficiency through telehealth.…
 
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