B-Time with Beth Bierbower

We discuss many different healthcare challenges on this podcast and we share potential solutions. The one area we haven't discussed enough is the administrative burden on the healthcare ecosystem. This burden is felt by all stakeholders including members, health plans and clinicians. When I refer to administrative burden, I am not just referring to prior authorizations. I am speaking about the additional documentation associated with closures of gaps in care, HCC coding and more.  With us today is Jon Zimmerman, CEO of Holon Solutions. Holon provides an end-to-end platform that helps clinicians efficiently manage all the activities of patient flow from scheduling to prior auth to patient engagement and insights about the population being managed. This isn't a traditional office administrative platform, as it includes AI to drive workflows and next best actions. The platform was designed on the idea that healthcare should feel human and that people should take priority over process. Holon also assists health plans and other stakeholders as well.  Let's hear more from Jon about Holon and how this company is making a positive impact in the healthcare ecosystem.

Today we're discussing a topic that is impactful to an employee's physical and emotional health – yet the topic is invisible in the workplace. The topic is caregiving. Caregiving is an often invisible issue that all employers should worry about: Family caregivers comprise between 18% and 22% of the workforce, and the stress on these individuals can affect productivity, their ability to stay at a job and more. Caregivers face two major challenges – caring for a loved one and caring for themselves. Caregivers routinely put others before themselves and as a result, the caregiver may skip preventive health screenings, fail to eat properly, exercise and get enough sleep and may pull back from social activities. We may wonder if this lack of self-care is brought on by the caregiver not delegating tasks to others. I have known many caregivers over the years and can assure you that for the most part, caregivers would welcome the assistance; however, its difficult to create an ecosystem around a loved one and as a result, the bulk of care typically rests on one person. Today I am pleased to be speaking with Jessica Kim, the co-founder and CEO of Ianacare. Jessica is an entrepreneur at heart. She founded her first company from her dorm room at Brown University and has gone on to develop several other companies. Today we will discuss her current endeavor, Ianacare. Ianacare provides a tech-enabled and multi-layer solution for employers to support their working caregivers. Ianacare helps employees tap into the benefits already offered by their companies. Ianacare is the front door to navigating all the care in the home. Let's learn more about how Ianacare helps employees navigate the complexities of providing care in the home.

We don't often hear from a physician executive. When we do, I always appreciate their unique perspective. Physician executives have on-hands experience as a practitioner as well as an administrator. With us today is Dr. Craig Samitt who is the new CEO of the National Physician Enterprise for Surround Care which is the formation of two prominent organizations in Navvis Health a population health management company and Esse Health large multi-specialty group practice in St. Louis, MO. Craig's unique background affords him a broad view of the healthcare ecosystem. Craig was previously the CEO pf BCBSMN, and currently serves as the managing director for a venture firm. Craig has also worked in Clinical and leadership roles at Anthem, Healthcare Partners, Oliver Wyman and more. I have followed his career and am excited to have him with us today to share his perspective on industry challenges and changes.

Digital healthcare delivery has exploded over the last several years and digital MSK is part of this massive growth. We know that digital MSK services are more convenient for members and can provide more accurate data on outcomes than in-person traditional physical therapy services. We've heard from one other digital MSK company about 6 months ago so now is a good time to get a different perspective and understand how this industry is changing and where it is headed. With me is Mark Luck Olson, who is the CEO of RecoveryOne. If the name Mark Olson sounds familiar, it's because Mark is a former owner and managing partner of Chapter House which was acquired many years ago by Oliver Wyman and where he served a partner. I have always admired Mark's ability to see the big picture and at the same time, understand the details and nuances of healthcare. I am looking forward to getting Mark's perspective on how digital healthcare and digital MSK fit into the healthcare ecosystem. Show notes: Book:  The Hard Thing About Hard Things: Building a Business When There Are No Easy Answers by Ben Horowtiz

Our guest today is Kate Merton, Executive Director of Chicago ARC, a health innovation venture collaborative designed to accelerate equitable health innovation and improve access to affordable quality health. We are going to hear from Kate how Chicago ARC brings together many players from the ecosystem to drive health innovation at scale. Kate has worked with big pharma companies as well as health plans and has experienced healthcare in the US and UK.  I am excited to learn more about Kate's experience and how Chicago ARC's efforts are changing the game in healthcare.   Show notes:  Book: Grains of Gold: Tales of a Cosmopolitan Traveler by Gendun Chopel

When I hear the term value-based care, I think about a provider group taking on full or partial risk for the care of a patient. But I also think of value-based care in terms of the patient journey across a condition or an episode of care. Outside of primary care, health plans have struggled to implement payment arrangements for specialists and hospitals that factors in the cost and quality of care across the continuum.   What has made this so challenging? Data – or the lack thereof. For years payors and providers have struggled to define a true episode of care and attach a payment and quality score to it. There is a company that is addressing this challenge by analyzing patient journeys on a holistic basis to better understand the full constellation of costs associated with healthcare encounters.   With me is Sun Web, co-founder and President at Komodo Health. Komodo Health is a healthcare technology company creating a new standard for real-world data and analytics through its platform, which enables real-time, actionable insight into the treatment, diagnosis, costs, and outcomes of millions of patients across the U.S. The company's foundational belief is that all healthcare stakeholders need a reliable “ground truth” understanding of the patient journey in order to understand the reality of patient experiences and address the burden of disease. With that at its core, Komodo is transforming the way the industry interacts with data and insight — fueling critical intelligence for stakeholders across healthcare.   Show Notes: book: No Rules, Rules: Netflix and the Culture of Reinvention by Reed Hastings and Erin Meyer.

Osso VR is a company that uses virtual reality to teach surgeons how to use medical devices and perform surgeries and assessment. Imagine being able to practice many times over before performing on a live patient. Imagine what this level practice will do prevent medical errors and save lives.   With me is Dr. Justin Barad, a pediatric orthopedic surgeon who also has a passion for gaming. Originally interning to become a game developer at Activision-Blizzard, Justin decided to find a way to combine his passions and use his technology background to solve medical challenges after a personal family health incident introduced him to the world of healthcare. During his residency, he identified what could be one of the most pressing medical challenges of this century: how we are training our surgeons and proceduralists. With a strong interest in gaming and a first-hand understanding of the challenges facing residents and experienced doctors, he co-founded Osso VR with a mission to improve patient safety and democratize access to modern surgical techniques.   Show notes:  Books:  The Pizza Bible: The World's Favorite Pizza Styles, from Neapolitan, Deep-Dish, Wood-Fired, Sicilian, Calzones and Focaccia to New York, New Haven, Detroit, and More; by Tony Gemignani  The Hard Thing About Hard Things: Building a Business When There Are No Easy Answers by Ben Horowitz And Doctors: The Biography of Medicine by Sherwin B. Nuland.

The term Population Health is widely used in this industry. We've talked about it from a health plan perspective and today I would like to look at population health from an employer/employee perspective. And I am thrilled that an accomplished physician and former colleague is with me today to share his deep expertise.   On today's episode, Steve Goldberg, MD, Chief Health Officer of Employee and Population Health at Quest Diagnostics shares his perspective on population health from an employer perspective.   Book: The Blue Zones: 9 Lessons For Living Longer From The People Who Have Lived The Longest by Dan Buettner

: Have you ever wondered what happens to the health data that you collect on your phone or wearable device? Who uses it, how is it used and how does your data stay private? To answer these questions, I asked Christine Lemke, co-founder and co-CEO at Evidation Health to join me.   Evidation is a health tracking platform that rewards users for healthy actions while contributing real-world data to important research projects. As part of my due diligence, I enrolled and it was a simple and easy experience. I have also enrolled to participate in a few research projects as well and I am looking forward to learning more.   Christine was a pioneer in machine learning and the use of personalized health data and I am looking forward to hearing more about the power of personalized health data and what Evidation Health is doing with that data and how Evidation is contributing to important health research.   A favorite book: Good Strategy/Bad Strategy: The Difference and Why It Matters by Richard Rumelt

Many healthcare startups are launched each year and it isn't easy to get traction.  When a company does thrive in this complex industry, you know it has a solid value proposition and Omada Health has just that. Omada Health began almost 12 years ago with a focus exclusively on pre-diabetes. They wanted to get ahead of the problem by helping individuals make lifestyle changes that would help keep them from becoming a diabetic.   Omada health has since expanded into a platform that offers coaching for diabetes – including prevention, hypertension and MSK. Omada Health is a trusted platform for employers and health plans alike.   With me is Sean Duffy, Co-founder and CEO of Omada Health and he will share how Omada Health has transformed into a healthcare platform and how they have had staying power in the business.   Favorite Books:  The Sparrow by Mary Doria Russell; The Martian by Andy Weir; Principles for Dealing with the Changing World Order by Ray Dalio; The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry by Paul Starr.

I wasn't sure that I would enjoy the book Thinking in Bets: Making Smarter Decisions When You Don't Have All The Facts because its author is a former poker champion and trust me, I am not good at poker. I was pleasantly surprised. Duke tells us that to deal with uncertainty, acknowledge the uncertainty and then rely on a good process to help guide you through the decision. The ultimate outcome may still not be what we want or expect but knowing that we thought the situation through gives us confidence that we were on the right track.   She reminds us that it is easy to be a Monday morning quarterback. How many times have you rated someone else's performance after you know they failed? Would you have rated the person differently if you understood the thinking behind that person's decision?   Duke also tells us to stop blaming bad luck when things don't go our way. If we step back and look at our process, how did that play into the negative outcome? What I most appreciated was that Duke reminds us that it is OK to say, “I don't know”. Too often we are afraid to say that we don't know the answer to a question – especially in a business situation.   Duke offers a unique perspective on decision-making and Thinking in Bets is a great and interesting read.

Just when you think we have identified all the conditions that warrant significant attention by employers and health plans, along comes another issue that requires a solution. Pelvic Health fits into this category. I had never heard the term until recently and now it seems that pelvic health is a real issue.   The fact is that pelvic issues have long plagued women and the symptoms were something that we just didn't talk about. I may make some of you uncomfortable when I say that pelvic health includes issues such as incontinence, overactive bladder and organ prolapse. Women have been told over the years that these changes in their body are commonly associated with the aging process or are the result of childbirth. What women often are not told is that there is a solution to many of these issues and it's called pelvic therapy.   Today we are going to talk about pelvic health and why is it important to women of all ages and why you will see more patients and members seeking treatment for these services. It is my hope that at the end of this episode pelvic health will be on your radar and as a healthcare leader, you will be prepared to address the need.   Joining me is Marta Cardeano, the General Manager of Bloom, which is a division of the Digital MSK Company, Sword Health. Marta will help us understand how widespread the problem of pelvic health is and what solutions have historically been in the marketplace and what new solutions are emerging. Marta has the distinction of being the first guest to join us from the beautiful country of Portugal.   Show Notes: Favorite Book: Shoe Dog: A Memoir by the Creator of Nike by Phil Night.

Medicare and Medicaid programs have recognized the importance of social determinants on health and have stepped up to covering services that help individuals with everything from financial to food insecurity and in between. This week's episode with Justin Ley, Co-founder and CEO of Reema Health details how companies are ensuring that Health Plan members can access these very important benefits. Reema Health uses local community guides to close the gap for Health Plan members with social needs. Justin explains how Reema Health helps members and why their role is critical to the health of the population they serve. Show notes: Favorite Books: Anti Fragile: Things That Gain From Disorder by Nassim Taleb; The Making of a Manager: What to Do When Everyone Looks to You by Julie Zhuo.

Have you ever been in a situation where a physician orders a drug and when you ask, “How much will that cost?,” the response you received was, “I don't know, you'll have to call your health plan.” Or you are surprised at the pharmacy when you pick up your prescription and the cost is really high and you ask for an alternative and then deal with that hassle. Arrive Health is changing all that. They are providing real-time, drug pricing data to the physician in the office, at the time the script is being written. With us today is Kyle Kiser the CEO of Arrive Health. Kyle is going to share what Arrive Health is doing to get cost information to the point of care so the physician and patient can make the best decision. Show notes: Favorite Books: The Four Agreements: A Practical Guide to Personal Freedom by Don Migul Ruiz; Radical Candor: Be a Kick-ass Boss Without Losing your Humanity by Kim Scott

With me is Satish Movva, Founder and CEO of CarePredict which offers senior living facilities, home healthcare companies and families a comprehensive solution that helps individuals live as independently as possible as they age. Satish is a seasoned healthcare executive with experiences in physician, hospital, and home healthcare. During his career, Satish has used technology to help streamline the provider and customer experience and now, he is leveraging technology and analytics to help people age in place. I'm excited to learn more about what Satish and the team at CarePredict are doing. Show Notes: Favorite Book Catch 22 by Joseph Heller

Our episode today focuses on a disease that's a significant problem in the US. 15% of US adults or 37 million people, are estimated to have this disease and as many as 9 in 10 adults with this disease do not know they have it. This disease is prevalent in the 65+ population. As of 2018 Medicare was spending $70B annually on the treatment of this disease which represents almost 24 % of spending for this age group. If you haven't yet figured out which disease I am referring to, its Chronic Kidney Disease or CKD. The 21st Century Cures Act brought renal diseases to the forefront and allowed Medicare Beneficiaries with ESRD to enroll in a Medicare Advantage plan. Previously, these beneficiaries were required to stay on Traditional Medicare which often resulted in suboptimal outcomes.  In addition, CMS has launched several innovative payment models in an attempt to help providers focus more on prevention and curbing progression of renal disease. As a result, many health plans and renal providers are now focused on more effectively managing renal conditions and improving outcomes. With us today is Michael Uchrin, CEO of Monogram Health, a Nashville based company that helps patients with renal disease live their best lives. The team at Monogram Health is focused on making treatments as accessible and convenient as possible to the member, by offering in-home services. Michael will help educate us on the changes that are afoot and how companies like Monogram Health are improving outcomes and lowering costs. Show Notes: Book - -Relentless: From Good To Great To Unstoppable by Tim Grover.  Nashville Healthcare Council Fellows Program: https://healthcarecouncilfellows.com/

Data is at the heart of healthcare. Without data, we would not have the myriad of treatments and cures that help people live longer and better lives. Without data, the healthcare system would be subject to more administrative complexity and duplication. Today we're going to discuss data platforms and interoperability and with us is Troy Bannister, CEO & Founder of Particle Health. Particle Health is a company that offers an API platform that allows organizations to develop innovative solutions and access healthcare data through standard interoperability protocols. Show Notes: Books:  The Hard Thing About Hard Things: Building A Business When There Is No Easy Answer by Ben Horowitz; & Shantaram: A Novel by Gregory David Roberts.

Dermatology is a specialty that has been plagued by a shortage of providers resulting in long wait times and little leverage for health plans for fee negotiations. The need for dermatologists is increasing as the population ages and conditions such as skin cancer become more prevalent.   Today we are speaking with an entrepreneur who is broadening the value of dermatology by focusing on increased access and improving the patient experience and health outcomes. With me is Sheena Franklin, Founder of K'ept Health, a company that provides patients with a digital clinic focused on their skin condition, health and wellness needs. As the company's website states, beyond skin. Beyond beauty. Beyond Barriers. K'ept Health is dermatology reimagined.   Show Notes: Book -- Dava Shastri's Last Day by Kirthana Ramisetti

I am excited to have a friend and former colleague with me today on the B-Time Podcast. Our guest is Charles Ritz, the CEO of Anthem BCBS of Colorado. When I think of Colorado, I see beautiful mountains and plains and the opportunity to enjoy nature. While this idyllic picture is true, from a health and health insurance perspective, Colorado has many challenges and many initiatives underway to address these challenges. Today, Charles will outline some of the issues and the proposed solutions that Anthem and other health plans are navigating to ensure all Colorado residents have access to affordable, equitable healthcare. Show Notes: Clash of the Generations: Managing The New Workplace Reality by Valerie Grubb; Sticking Points: How to get 5 Generations to Work Together in the 12 Places They Come Apart by Haydn Shaw.

Description: Today we are diving on Social Determinants of Health with Dan Brillman, Co-founder & CEO of UniteUs, an organization that connects health and care. We'll gain an understanding of SDoH and understand the impact on health and healthcare costs with Dan sharing quantifiable data and outcomes. We'll learn how UniteUs is delivering on its promise to truly connect the community. Show Notes: Book: The Hard Thing About Hard Things: Building A Business When There Are No Easy Answers by Ben Horowitz

You've likely heard of accelerators or incubators – organizations that help entrepreneurs in the early stages of developing their products or services. Once a company begins to raise larger amounts of capital or reach a minimum revenue threshold, the company “graduates” from the accelerator or incubator program. In other words, the company gets resources and assistance for a limited time frame. There is a unique model that sticks with the entrepreneur well beyond the early stages of formation and growth. It is this latter model that Startup Health embraces. Startup Health serves the entrepreneur at every stage of growth, providing entrepreneurs with guidance resources, networking and more to support them over the long-term. If this model isn't impressive enough, Startup Health has also launched Moonshots which are initiatives designed to tackle the biggest, hairiest problems in healthcare. If you are a healthcare leader, you'll want to say tuned to learn more about these Moonshots. With us is Steve Krein, Cofounder and CEO of Startup Health. Steve will tell us about the Startup Health model, how it is different and why the model is so powerful in aiding the entrepreneur. He'll also tell us more about Moonshots and how they are transforming the face of healthcare. Show Notes: Books: Antifragile: Things That gain from Disorder by Nassim Taleb; The Power of Mindset: The New Psychology of Success by Carol Dweck and Traction: Get a Grip on Your Business by Gino Wickman  

The Day the World Came to Town: 9/11 in Gander, Newfoundland by Jim DeFede is an inspirational book that will leave you feeling all that is good and right in the world. As the title implies, the book recounts the air traffic redirections on 9/11, when 38 planes carrying over 6,000 passengers and 470 crew members were instructed to land in Gander, Newfoundland. Gander, Newfoundland has long served as a pitstop for planes traveling across the Atlantic Ocean. For many years, planes were forced to stop in Gander as they did not have the fuel capacity to make it across the Atlantic. Once larger aircraft were manufactured, Gander was no longer needed as a refueling station. The city did, however, remain heavily involved in air traffic control. In the wake of the terrorist attacks on 9/11, the US Department of Transportation ordered all airborne aircraft to land immediately and those planes that were not in the air remained grounded. US airspace was closed for several days. The Day the World Came to Town tells the story of how the tiny town of Gander jumped into action realizing that they were going to become a landing destination. Not only did the local air traffic controller team anticipate the onslaught of aircraft, the team also realized that, with US airspace shutdown, the passengers and crews would need somewhere to sleep, shower and eat. The people of Gander stepped into action. They opened their schools, churches, clubs, and homes to the visitors. They prepared food and gave away their towels, sheets, and other linens as well as clothing – anything they could do to help out. The local retailers chipped in as well. Anything the visitors needed was provided – for free. Clothing, blankets, medication, diapers – even drinks at the bar – all for free. Two women realized that pets were in the planes baggage compartments and crawled into each one to feed the animals until they were allowed to get them out and keep them in a hanger where a veterinarian provided services for free. Neighboring towns helped out by filling in the void when Gander ran out of stock. What was most touching, was that the townspeople of Gander went out of their way to minimize the visitor's stress. For example, they brought toys to the children and celebrated their birthdays. They ensured that dietary restrictions were addressed. They prayed with and held the hands of the visitors who were fearful that they lost loved ones. After the visitors left, the Canadian Government wanted to host a party to honor the townspeople of Gander for their hospitality and generosity. The townspeople politely declined. They weren't heroes, they were just doing what anyone should do in this situation. I was in New York City just one block from the World Trade Center on 9/11. The party I was with was going to try to make its way back to Louisville but I wanted to go home to Pittsburgh so we parted company. I walked in silence to Times Square where a colleague of my husband's opened up her hotel room to share with me until we could find transportation back to Pennsylvania. I will never forget that she greeted me in the lobby with a big hug. When we got to her room, we looked out the window and saw the second tower collapse. I will never forget that image and I will never forget Lucy's generosity over the next few days. Those feelings came flooding back to me when I read The Day the World Came to Town. We live in a world full of challenges and unrest, but every once in a while, the human spirit and kindness emerge and prove that we can live together respectfully and peacefully. I highly recommend this book so that we never forget the horrid events of 9/11 along with the outpouring of kindness from our fellow humans. And hats off to the people of Gander, Newfoundland for showing the world what fellowship and leadership really mean.

With us today is Jared Johnson the Founder of Shift Forward Health which is a media company that delivers thought leadership content through the use of podcasts, blogs, videos and more. Each week, Jared talks with individuals to learn more about who is attempting to transform healthcare and how. Jared's career experiences have helped shape his thinking and developed his expertise on consumers and digital transformation as he has worked with well-known medical organizations such as St. Jude, W.L. Gore & Associates, and Phoenix Children's Hospital to name a few. He also serves on several healthcare and digital advisory boards that reach thousands of organizations monthly.  Today, Jared will share his thoughts with us on consumer transformation in healthcare – what it means, why it matters and which companies are embracing this concept as a means to transform their businesses. Show notes: Favorite Books: Killing Marketing: How Innovatinve Businesses Are Turning Market Cost Into Profits by Jou Pulizzi and Robert Rose; Reframing Healthcare: A Roadmap For Creating Disruptive Change by Zeev Neuwirth, MD  

This episode is a copy of the Innovation Accelerator podcast where Beth Bierbower serves as a panelist along with Gary Druckenmiller, Jared Johnson and Steven Ambrose and we discuss the healthcare consumer

What does Value Based Care really mean? Is Value Base Care gaining momentum? Will Value Based Care be effective at improving outcomes and reducing costs? I've decided to pose these questions to our guest today because he and his team are in the thick of it. With me is Dave Mull, CFO of Honest Medical Group, an organization that assists independent physicians in participating in Value Based Care. Dave and I previously worked together at Humana where he had extensive leadership experience in Medicare Advantage operations and finance. Show Notes: Favorite Books:  When Breath Becomes Air by Paul Kalanithi; Grit; The Power of Persuasion and Perseverance by Angela Duckworth; Atomic Habits: An Easy and Proven Way to Build Good Habits and Break Bad Ones by James Clear; and Passionate Action: 5 Steps to Creating Extraordinary Success in Life and Work by Doug Gray.

Collaborative care allows for a principal physician, behavioral health case worker and psychiatrist to work together to manage patients with both behavioral and medical needs. Spencer Hutchins, CEO & Co-founder of Concert Health tells us what his organization is doing to engage primary care and OB/GYN physicians in this process. Show notes:  website: concerthealth.io.  Books: Aaron Slater, Illustrator by Andrea Beatty and The Death and Life of Great American Cities by Jane Jacobs.

With us is Karen Simonton, Director of Strategic Alliances for the OrthoForum, an organization that connects the nation's largest orthopaedic groups through benchmarking, advocacy, innovation, and networking. Karen shares the provider's perspective as to how providers are reacting to or driving some of the trends and changes we are experiencing in MSK care delivery. Karen will share some of the challenges that these physicians face today, what their thinking is on value-based care and digital MSK.   Show notes: Books Karen is reading: Thank You For Being Late: An Optimist's Guide to Thriving In The Age Of Accelerations; CEO's Guide To Restoring The American Dream by Dave Chase and The Bible.

With me is Dr. Jennifer Schneider, CEO & Co-founder of Homeward, an organization that brings primary and value-based care to rural communities. Dr. Schneider shares information on the lack of access to primary and specialty care in rural America and what her new company, Homeward, is doing to address the issue. Show Notes: Favorite Book: Long Walk To Freedom: The Autobiography of Nelson Mandela by Nelson Mandela

Francois de Brantes is a pioneer in measuring and improving healthcare outcomes. Francois began his career at GE Healthcare which provided him with a solid background in measuring what matters. While at GE, Francois helped create The Leapfrog Group focused on improving quality and safety. From there, Francois spent almost 11 years as the Executive Director of the Healthcare Incentives Improvement Institute before moving to Altarum and now Signify where he continues his focus on payment innovation. On this episode you'll hear Francois' perspective on value-based payment models and what we might expect to see moving forward.  Show notes: To Err is Human: Building A Safer Health System by Institute of Medicine and Committee on Quality of Health Care in America and Crossing The Quality Chasm: A New Health System For The 21st Century by Institute of Medicine and Committee On Quality of Health Care in America

Stress and anxiety levels have risen dramatically over the last few years. Behavioral health providers were overwhelmed with requests over the last two years and utilization continues to be higher than pre-pandemic levels. Initially fueled by COVID concerns, stress and anxiety levels continue to climb due to inflation, supply chain issues and continued global uncertainty. According to a 2021 McKinsey report, psychological distress and substance use reached new levels. How can individuals get help dealing with stress and anxiety when access is challenging and also costly? Our guest today is going to share how his company is helping individuals manage stress and anxiety and practice overall self-care.  With us is Russell Glass, CEO of Headspace Health, a company that brings together mindfulness tools for everyday life with clinical care in moments of need. Show Notes: Untangled: Guiding Teenage Girls Through The Seven Transitions Into Adulthood by Lisa Damour, PhD and Premonition: A Pandemic Story by Michael Lewis.

Over the last several years, new Medicare Advantage plans have emerged, each one attempting to change the consumer experience.  Today we're talking with Myong Lee, the CEO and Co-founder of a unique Medicare Advantage plan called Clever Care.  Based in the greater Los Angeles area, Clever Care incorporates Eastern Medicine into its benefit plan designs to better serve the members of the community.  Myong will share how he is integrating services that are important to his members into the Medicare Advantage experience. Show notes: Book Myong is currently reading: The Essays of Warren Buffet: Lessons for Corporate America, Fifth Edition by Lawrence A. Cunningham.

Today we are going to discuss digital care delivery – specifically for musculoskeletal issues. With me is Dr. Vijay Yanamadala, who is the Chief Medical Officer of Sword Health and is also System Medical Director of Spine Quality and Surgical Optimization at Hartford Healthcare.  Dr. Yanamadala is a Board-certified Neurosurgeon.  We'll hear how the digital MSK business is exploding because, in most cases, digital MSK therapy is equal to or better than traditional physical therapy.  And because it is more convenient than traveling to a physical PT location, patients are more engaged in doing their exercises.  Digital MSK therapy is just one example of how digital care can safely and effectively transform our healthcare system. Show notes: Recommended Book: The Price We Pay: What Broke American Healthcare and How to Fix It by Marty Makary, MD.

ZocDoc was founded in 2007 to help consumers find and book provider visits online. Over the last 15 years ZocDoc has persevered in the helping providers keep their schedules full.  ZocDoc Chief Legal Officer, Bruce Gottlieb joins B-Time to share ZocDoc's journey and how it has made strategic decisions around its business model that has enabled it to scale.   Show notes: Book Recommendations: Empire of Pain: The Secret History of the Sackler Dynasty by Patrick Radden Keefe; Postwar: A History of Europe Since 1945 by Tony Judt; The New Map: Energy, Climate and the Clash of Nations by Daniel Yergin; A Long Walk To Freedom: The Autobiography of Nelson Mandela by Nelson Mandela with Michael Boatman et al; The Years of Lyndon Johnson: The Path to Power, Means of Ascent, Master of the Senate, The Passage of Power by Robert Caro (A 4 book series).

We've mentioned “the race to the home” numerous times on this podcast.  Today, our guest will help us understand what it means to deliver care in the home.  With us is Dan Trigub, Co-founder and CEO of MedArrive, a company that is delivering preventive care in the home. Dan will share MedArrive's approach and how and why it has been successful not only in preventing unnecessary admissions and trips the ER, but also how MedArrive has been successful in engaging marginalized individuals.   Usually when I state that someone has prior healthcare experience, you may wonder for which health plan, health system or another provider did he or she work.  Dan worked for Uber and Lyft in their healthcare divisions. While those may not be the credentials you are expecting when you hear “healthcare experience,” it is exactly the experience needed when you think about in-home delivery of care because these companies deeply understood the concept of a platform, logistics and engagement.   Show Notes: Book:  Beyond Possible: One Man, Fourteen Peaks, and the Mountaineering Achievement of a Lifetime by Nims Purja; Documentary: The Man In The Arena (Tom Brady)  

Today we are going to talk about a variety of topics from AI to care after COVID and Social Determinants of Health.  With me is one of the nation's most well-known healthcare thought leaders.  David B. Nash is the Founding Dean Emeritus, and he remains on the full-time faculty as the Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, at the Jefferson College of Population Health (JCPH).  A board-certified internist, Dr. Nash is internationally recognized for his work in public accountability for outcomes, physician leadership development, and quality-of-care improvement.  He has published and peer reviewed articles and given many lectures that highlighted critical healthcare issues.   Dr. Nash has served on boards for public and private companies, health systems, healthcare accrediting organizations and many more.  His contributions and accomplishments are too numerous for us to share but I will link his profile in the show notes.  I'll wrap this introduction up by saying Dr. Nash has had an immeasurable positive impact in healthcare.   Show Notes:  Dr. Nash's LinkedIn Profile:  https://www.linkedin.com/in/davidbnash/  He follows Robert Pearl, Merrill Goozner (Gooz News) and Leana Wen.  

In today's episode, Rich Powers educates us on the status of value based care in the industry today.  Rich has deep expertise in provider contracting, managing risk-based relationships and value based care.  He spent the bulk of his career at Humana and worked at Alignment Health before joining P3 Health Partners.  Rich will provide his perspective on the role of primary care and will introduce us to P3 Health Partners as well.   Show Notes:  Books: The Bad Guys Won: A Season of Brawling, Boozing, Bimbo Chasing, and Championship Baseball with Straw, Doc, Mookie, Nails, The Kid, and the Rest of the 1986 Mets, the Rowdiest Team Ever to Put on a New York Uniform and Maybe the Best  By Jeff Pearlman ; The Splendid and the Vile: A Saga of Churchill, Family and Defiance During the Blitz by Erik Larsen.

We have a special episode today recorded live at Quest Analytic's annual conference -- Vision Quest.  Dr. Caroline Carney, Chief Medical Officer of Magellan Health joins me to discuss networks, behavioral health, collaborative care and more. 

Our guest today is an accomplished senior healthcare executive, an innovator, and business transformation leader.  With me is Mohan Nair, CEO of Emerge Inc.,a company that help's companies find the Innovator's Mojo, the driving force for business transformation.   Mohan is the former SVP/ CINO (chief Innovation officer) Of Cambia Health Solutions in Portland, Oregon and is an Edmund Hillary Fellow, New Zealand where he helps others bring cause-centered ideas to practical solutions .  Mohan was the founder of transparency company HealthSparq, is the author of three books, one if which we will focus on today.  He is also a musician with twenty copyrighted original songs and has spoken TedX and done much more. Show notes:  People that Mohan follows: Marc Benioff, Tony Robbins, Daniel Kraft, Arianna Huffington, Stefano Bini

You have heard the term “Digital Therapeutics” which the Digital Therapeutics Alliance defines as medical interventions delivered directly to patients using evidence-based, clinically evaluated software to treat, manage, and prevent a broad spectrum of diseases and disorders. Digital therapeutics is offered across a growing number of medical conditions with demonstrated success.  Our guest today is Aaron Gani, Founder and CEO of BehaVR a company that uses virtual reality to help individuals with mental and behavioral health challenges.  I think you will be blown away when you learn how these tools can make a real difference in both outcomes and costs. Show notes: The Digital Therapeutics Alliance.  Aaron's company is BehaVR.com.  Book:  The Content Trap: A Strategists Guide to Digital Change by Bharat Anand. 

The term “payvider” is being used with increasing frequency.  A “payvider” is a provider that also serves as the health plan, taking on risk directly from employers, Medicare, or state Medicaid agencies.  Banner Health is one such payvider.  Founded in 1999 as the result of a merger, Banner Health is headquartered in Phoenix, AZ and owns and operates thirty hospitals including three academic medical centers across six states.   Over the years, Banner Health has morphed into a fully integrated delivery system with its own network and medical groups.  Banner Health offers its own Medicare Advantage, commercial and Medicaid Plans, but also has a joint venture with Aetna and through that JV, has competing plans.    With us today is Donna Sickler the Division CFO for Insurance Operations at Banner Health.  Donna will help us understand the advantages and challenges of being an Integrated Delivery System and an insurer, and she'll walk us through how the organization manages the relationship with a JV partner which is also a competitor. Show notes:  Book: The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race by Walter Isaacson, Kathy Mazur, et al.

Many of our guests on B-Time are focused exclusively on a B2B model.  Today, we are changing it up a bit and are focusing on the direct to consumer model.  Trillions of dollars are spend out of pocket by consumers on health and wellness goods and services.    One company, Intrinsic, is taking full advantage of this consumer spend and is buying smaller consumer wellness companies to become a Brand powerhouse.  With us is Yadin Shemmer, the founder and CEO of Intrinsic and he'll share his view of the market and what he sees as emerging trends in this space.  Yadin has a bachelors from the University of Pennsylvania and an MBA from the London Business School.  I am excited for Yadin to share his thoughts because as we all know, consumer behavior eventually makes it way into the more traditional areas of healthcare.  Over time some of this direct spend will find its way into health plan coverage.  Show Notes: Favorite Book: What You Do Is Who You Are By Ben Horowitz; The Attributes: 25 Hidden Drivers of Optimal Performance by Rich Diviney.

Our guest today needs no introduction to most of you.  With us is Sam Glick, Global Leader of the Health & Life Sciences Practice at Oliver Wyman.  Many of us have spent time with Sam and his colleagues discussing everything from industry opportunities and challenges to new business models and more.  Today Sam is going to share his thoughts on where the industry is headed and how we, as leaders, should be thinking about these changes and their potential impact on our businesses. Sam has been with Oliver Wyman for 16 years and works with health plans, providers, biotech manufacturers and more and has spoken at all the top industry conferences.  He is an economist by training.  He was raised on a citrus farm and his newest side hustle is co-owner along with his wife Emily (who really deserves all the credit) of the charming Stavrand Inn located in California wine country's Russian River Valley.  Show Notes:  Favorite Books:  You're Not Listening by Kate Murphy; Favorite Magazine: McSweeney's (specifically Issue #65 Titled “Plundering”); Favorite Podcasts:  Post Reports from The Washington Post. 

The pandemic placed a spotlight on employee wellbeing.  Many employees have been under increased stress and duress over the last two years.  In survey after survey, employers are sharing that they are altering their benefits programs to include services that move beyond traditional physical and mental health and into total wellbeing.    As with any market shift, there are players including new market entrants ready to fill in the gaps.  One such player is SoulBeing which offers complementary and alternative medicine services through a network of providers.  Their belief is that the divide between tradition and complementary medicine is closing and that many people, including providers and consumers alike, are focused on integrative medicine.   With us today to dive deeper into integrative medicine is Colleen Kavanagh, CEO of SoulBeing.  Colleen will share SoulBeing's vision and how it is creating momentum around the need for integrated medicine.  Prior to joining SoulBeing, Colleen spent 9 years working in GE's healthcare division.   Show notes:  Favorite Books: The Blue Zones By Dan Buettner  The Blue Zones Kitchen by Dan Buettner, Better Than Before by Gretchen Rubin, Atomic Habits by James Clear.    Favorite Podcasts:  B-Time with Beth Bierbower, The Meditative Story Podcast, Willis Towers Watson Cure for the Common Co.  

With us today is the co-founder and COO of Equip Health –  Dr. Erin Parks.  Erin and her co-founder – Kristina Saffron, have created a home-based program (a real departure from the very traditional facility-based programs) to help people recover from eating disorders.  Today we'll learn more about these devasting issues and how the Equip Health team is changing the treatment delivery and recovery in this area.   Show Notes:  Favorite Book:  Essentialism by GregMcKeown.  Podcasts:  The Essentialism Podcast; Work/Life with Adam Grant; Startup from Gimlet Media, In Depth from First Round Review.   Contact the team at Equip Health in one of the following ways: B: https://www.facebook.com/joinequip Twitter: @joinequip and @erinparksphd Instagram: @equiphealth and @drerinparks Linked In: @Equip (https://www.linkedin.com/company/equip-behavioral-health) and @erinparksphd

Susan Dentzer is one of the nation's most respected health policy experts and thought leaders and is the Senior Policy Fellow at the Robert J. Margolis Center for Health Policy at Duke University.  Based in Washington, DC, she works on a range of health policy issues including health system transformation, the use of artificial intelligence and related technologies in health care, biopharmaceuticals policy, and improving cancer care as well as maternity and infant care. She is the editor and lead author of the book "Health Care Without Walls: A Roadmap for Reinventing U.S. Health Care."   Show notes:  Book:  Uncontrolled Spread by Scott Gottlieb.  Podcasts: Hacks on Tap. 

Strategic Business Transformation: The 7 Deadly Sins To Overcome by Mohan Nair is a guidebook to help your business create a secret sauce for longer-term success.  Nair has a lot of business experience in Innovation and Operations.  He takes his direct experience and combines it with pieces of business strategy from well-known business gurus to present tangible and actionable tactics for success.  Nair uses examples of textbook companies like Southwest Airlines but manages to add some insights that may have been overlooked by others.     Here is a quick list of the 7 deadly sins:   Ignoring the new principles of business transformation Driving without a cause Missing market momentum Ignoring the two orders of value Overlooking transformational servant leadership Mistaking capability for strategic competence Expecting flawless execution without a performance platform At its core, Nair has given leaders a playbook to reference repeatedly as they face continuous change in the marketplace.  A good add to your bookshelf.

With me is Daryl Risinger, President & Cofounder of Soda Health, a healthcare technology company focused on building solutions that eliminate health inequities.  The team at Soda Health work with Health Plans to turn ideas around SDOH benefits into reality.  Daryl will share with us some learnings and insights around SDOH and how his company is making a difference in this area. Show Notes: Boos: Little Bets: How Breakthrough Ideas Emerge From Small Discoveries By Peter Sims.  Podcasts: B-Time with Beth Bierbower; Hidden Brain with Shankar Vedantam; UnSILOed with Greg LaBlanc.

Pramod John is the CEO of VIVIO, a company that has built an autonomous solution that allows employers and other healthcare payers to take control over their specialty drug spend.   VIVIO is a Public Benefit Corporation that operates with a transparent business model.  Their only form of compensation is an administration fee allowing them to focus just on the question of cost benefit at the individual patient level. We'll hear how VIVIO's approach differs from that of the traditional PBM and the impact this approach has on both health outcomes and costs. Show notes:  Suggested Books:  Talking To Strangers by Malcolm Gladwell; Uncaring: How The Culture Of Medicine Kills Doctors And Patients by Robert Pearl.

 Health plans and providers alike are focused on population health and ensuring that members are getting the care and support they need to keep chronic conditions in check.  However, often, these entities encounter challenges in obtaining actionable data or insights that allow the organization to intervene in the care process earlier.   Myia Health is tackling this issue and helping both providers and health plans better manage individuals with chronic conditions.  With us is Myia's CEO and Co-founder, Simon MacGibbon.  Simon has a background in strategy, CRM technology, and large-scale digital transformations.  He has worked for companies such as McKinsey and IBM and he was co-founding Partner of the Boston Consulting Group's Digital Ventures business.   Show Notes:  Books:  Crossing the Chasm by Geoffrey Moore; What You Do Is Who You Are: How To Create Your Business Culture by Ben Horowitz; Competing Against Luck by Professor Clay Christensen.  Podcasts:  Relentless HealthValue Podcast; Dylan Johnson – cyclist – on YouTube.

How do you help a company pivot and emerge stronger?  How do you chose what to prioritize versus not?  How do you engage your employees in the company's future vision?  We discuss these issues and more with Matt Levin, CEO of BenefitFocus as he talks about leading his company through a time of change.   Show Notes: Podcasts: Smartless; The Rewatchables with Bill Simmons; Hacks on Tap with David Axelrod & Mike Murphy; Hell & Highwater with John Heilemann.  Books:  Team of Rivals by Doris Kearns Goodwin; Books by Michael Lewis or James B. Stewart; Biographies of Michael Jordan or Walter Peyton.