We track, report, inform and engage thought leaders, entrepreneurs and disruptive companies or health systems in the emerging field of Population Health Management. This Week in Population Health will foster an ongoing conversation on the convergence vendor supplied and provider hatched population h…
On this special edition of PopHealth Week Fred Goldstein and Gregg Masters discuss critical healthcare issues, systemic challenges, and political developments. The episode opens with the tragic news of Brian Thompson, the United Healthcare CEO's death and its potential implications on the healthcare landscape. Key themes include: Healthcare System Challenges: A critique of the managed care model's failure to meet its promises and the burden it places on individuals, highlighting inefficiencies, rising costs, and access disparities. Political Forecasting: Exploration of the incoming administration's healthcare policies, including potential changes to Medicaid, privatization of Medicare, and efforts to repeal the Affordable Care Act, coupled with skepticism about the lack of a coherent replacement plan. Public Health and Policy Appointments: Commentary on controversial nominations for federal healthcare leadership roles, raising concerns about public health direction under individuals with anti-vaccine sentiments or alternative scientific stances. Structural Reform Needs: Advocacy for a shift towards addressing systemic inefficiencies, such as the dominance of large healthcare entities, and a call for reimagined care delivery to align with the Triple Aim of improved outcomes, patient experience, and cost efficiency. Personal Reflections: The hosts reflect on their professional and personal encounters with healthcare's operational challenges, emphasizing the system's inability to support mission-driven healthcare professionals. The conversation is rich with professional insights and underscores the urgency of addressing longstanding issues within the U.S. healthcare system while navigating political and industry dynamics.
This week on PopHealth Week, Fred Goldstein had the pleasure of hosting Dr. Ashley Reynolds, Chief Product and Experience Officer at Glytec, a health tech company revolutionizing the management of glycemic control in healthcare settings. With a dynamic career path that began in the Navy as a corpsman and evolved through nursing, emergency care, and a Ph.D. in digital health, Ashley brings a unique perspective to the healthcare industry. His journey is a testament to his passion for transforming patient care through technology. Ashley's journey into healthcare began in an unexpected way. Originally a pre-med student, financial constraints led him to join the military, where he served as a Navy corpsman—essentially a combat medic. This early experience laid the foundation for his nursing career, where he worked in intensive and critical care settings. It was here that he discovered a passion for understanding the "why" behind patients' health conditions. This curiosity led him to pivot into population health and eventually to pursue a Ph.D. focused on how digital tools can drive behavioral change in healthcare. Over the years, Ashley has held leadership roles in health tech startups and healthcare systems, leading to her current role at Glytec, where he oversees product and customer experience with a focus on leveraging technology for better clinical outcomes.
In this edition of PopHealth Week, we're excited to spotlight Dr. Mike Edgeworth, MD, MS, a distinguished neurologist and the Chief Population Health Officer at Octave Bioscience. Octave is at the forefront of transforming the care and treatment landscape for Multiple Sclerosis (MS), offering a groundbreaking precision care approach for those living with this condition. With a rich background that spans over two decades, Dr. Edgeworth has held roles ranging from academic and clinical settings to hospital administration and medical executive positions within a national health plan, before making his mark at Octave in 2021. Dr. Edgeworth's educational journey includes completing his neurology residency and fellowship at Vanderbilt University, where he also earned a Master of Science in Clinical Investigation. He embarked on his medical career after graduating from the University of Mississippi Medical School and holds a Bachelor of Science in Chemistry from Mississippi State University. Today, he resides in Nashville, TN, contributing significantly to the field of MS through his work at Octave Bioscience. Stay connected with Dr. Edgeworth's pioneering work in MS care by visiting Octave Bioscience online at www.octavebio.com and following him on Twitter @OctaveBio. Don't miss this insightful episode!
In this episode of Pophealth Week, we are honored to feature Cliff Frank, President of Healthcare Management Solutions. With over three decades of experience in the managed care sector, Cliff has worked across the spectrum, from payers and hospitals to IPAs, PHOs, and Clinically Integrated Networks (CINs). Our conversation delves into the current landscape of the managed care industry, focusing on the evolution of value-based healthcare and the potential implications of upcoming CMS risk adjustment updates for Medicare Advantage operators. Cliff's career has been dedicated to minimizing inefficiencies and enhancing the quality of patient care. He has consistently championed the cause of fostering clinical and financial harmony between providers and payers, contributing his expertise in diverse healthcare environments. Leading CINs in managing shared savings arrangements with payers and Medicare, Cliff also offers strategic consultation to organizations navigating managed care contracts, risk transfer preparation, and the creation of innovative provider-payer partnerships. Join us for an insightful exploration of managed care's future and strategies for achieving optimal healthcare delivery.
In this edition of Pophealth Week, we welcome David Muhlestein, PhD, JD, an influential figure in healthcare research and entrepreneurship with a passion for reforming healthcare payment and delivery systems. Our conversation centers on the advancement and, potentially, the maturation of the market towards value-based care models, spanning from HMOs to ACOs and including a variety of initiatives in both public (Medicare, Medicaid) and private sectors. David offers his expertise to define the landscape, shedding light on the hurdles and prospects facing practitioners in this evolving space. A proclaimed data and policy enthusiast, David is renowned for his contributions to discussions on value-based care and the progression of healthcare systems. His roles include Visiting Policy Fellow at the Margolis Center for Health Policy at Duke University and Adjunct Assistant Professor at The Ohio State University College of Public Health. His previous positions have seen him as the Chief Research and Innovation Officer for Health Management Associates, and Chief Strategy and Chief Research Officer for Leavitt Partners, along with a tenure as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at Dartmouth College. David's academic credentials are comprehensive, holding a PhD in Health Services Management and Policy, JD, MHA, and MS from The Ohio State University, alongside a BA from Brigham Young University. Dive into a thought-provoking discussion on the future of healthcare with us!
In this week's episode of Pophealth Week, we're excited to showcase Michelle Bounce, the Chief Operating Officer at The J.P. Farley Corporation. Since joining the team in 2007, Michelle has consistently excelled across various roles within the company, demonstrating a deep understanding and innovative approach to the operations of a Third-Party Administrator (TPA). Her initiatives to revamp the conventional TPA structure through automation, cutting-edge technology, and process enhancements across the board have significantly increased efficiency. Michelle's passion for innovation extends to her collaborations with key vendors, fostering relationships that are rooted in a shared enthusiasm for transformative change. As an esteemed member of the Health Care Administrators Association (HCAA) and holding licenses in life and health in Ohio, Michelle brings a wealth of knowledge and expertise to the conversation. Our discussion will delve into the role of TPAs in promoting value-based healthcare, moving beyond the traditional emphasis on cost reduction to explore how Care Management vendors can deliver the real value that self-funded employers seek. Join us for an insightful conversation about the future of healthcare administration and the pivotal role of TPAs in shaping it.
On this episode of Pophealth Week, we feature Kehlin Swain,CEO and Co-founder of Xplosion Technology, a software engineer who has created a suite of digital health products in the rehabilitation, diabetes, and obesity management sector, and Dr. Zeev Neuwirth a healthcare executive whose most recent role was Chief Clinical Executive for Care Transformation at Atrium Health. Dr. Neuwirth has over 15 years of clinical practice experience and 15 years in clinical operations, population health and strategic services. In 2017, he launched the award-winning 'Creating a New Healthcare' podcast. In 2019 he published his first book, Reframing Healthcare - a Roadmap for Creating Disruptive Change. In September 2023, he published a second book, Beyond the Walls - the Megatrends, Movements & Market Disruptions Transforming American Healthcare. We discuss the state of tranformation of the U.S. ecosystem and the upside impact of digital health on chronic disease.
On this episode of Pophealth Week, we feature Hesham Hessaballa MD, a pulumonary and critical care medicine specialist practicing for more than 20 years. Dr. Hassaballa is board certified in internal medicine, pulmonary medicine, critical care medicine and sleep medicine, serves as Assistant Professor Rush University & Medical Center, and Editor of the popular blog @MedikaLife keep up with Dr. Hassaballa's work on Twitter profile @HAHassaballaMD or on linkedIn, or on the web via www.drhassaballa.com. We discuss his journey into critical care medicine and explore his '11 rules for the ICU' recommendations outlined in 'How Not to Kill Someone in the ICU'. Follow Dr. Hassaballa's work on Twitter via @HAHassaballaMD, on linkedIn, or on the web via www.drhassaballa.com.
On the latest episode of PopHealth Week, we're joined by Dr. Mike Edgeworth, who brings over two decades of diversified experience in healthcare. Dr. Edgeworth's expertise as a neurologist has been honed through his time in academic and clinical practice, hospital leadership, and his role as a medical executive for a national health plan. Currently, he is at the forefront of innovative healthcare solutions as the Chief Population Health Officer at Octave Bioscience. At Octave, he is a pivotal figure in revolutionizing the management and treatment of Multiple Sclerosis (MS) with precision care approaches. His impressive academic background includes completing a neurology residency and fellowship at Vanderbilt University, where he also earned a Master of Science in Clinical Investigation. His foundational medical education was attained at the University of Mississippi, and he holds a Bachelor of Science in Chemistry from Mississippi State University. Nashville, TN, is where he calls home today. To learn more about Dr. Edgeworth's contributions to the transformation of MS care, visit Octave Bioscience at www.octavebio.com. Keep abreast of the latest developments and insights by following @OctaveBio on Twitter. Tune in to gain valuable insights from Dr. Edgeworth's extensive knowledge and experience in the field of population health and neurological care. ==##==
This episode of PopHealth Week features Lauren Barca, MHA, RN, BSN, VP of Quality and Stars at 86Borders, a technology platform and care coordination company that connects health plans with their inactive, unable to reach, and underserved members. With over a decade of experience at United Healthcare, Lauren boasts a proven track record in driving success across Stars, HEDIS, CAHPS, and HOS initiatives. Recognized for her versatility and innovation in healthcare and clinical operations, she is an expert in navigating and fulfilling regulatory requirements. Lauren is deeply passionate about public health and is committed to enhancing the quality of care for economically disadvantaged and medically underserved populations. We discuss the challenges of member engagement and the need to focus on problems in living in order to optimize health care outcomes for plan members
This episode of PopHealth Week features Yael Swerdlow, CEO/Founder at Maestro Games SPC. Yael is co-founder of the Women's Empowerment Foundation, a board member of the International Visitors Council of Los Angeles and a board member of the humanitarian organization, Shelters for Israel. Yael also serves on the Advisory Boards of MILO Cognitive, First Amendment Voice, Solution Point+, and is a consultant at USC's award winning Game Pipe Labs. Additionally, she serves on both the National Small Business Association's Leadership Council Advisory Board (NSBA) and the Small Business Technology Council (SBTC). Formerly, she was co-chair of the national leadership council of Games for Change, and a board member of the Hadassah Brandeis Gender Research Institute. Yael also held the position of Independent Visiting Scholar in the Gender Studies Department of the University of Southern California where she created and taught Spy Novel Diplomacy - a groundbreaking class that examines the role of gender in espionage, intelligence gathering and propaganda. A native Angeleno, Yael was a freelance photojournalist based in Los Angeles for over twenty years, shooting for United Press International, the Associated Press, and the Los Angeles Times, where she was a part of the Pulitzer Prize winning teams for the Los Angeles Riots in 1992 and the Northridge Earthquake of 1994. In summer of 1994, Yael went to Somalia, Southern Sudan, and Rwanda for International Medical Corps, to document the reestablishing of the medical infrastructure in those war-torn countries. Yael also writes fiction, including the cinematic script for Activision's best selling video game, “True Crime: Streets of LA”.
This episode of PopHealth Week features Caitlin Donovan, Global Head of Uber Health. The Uber Health platform 'helps improve patient care by enabling healthcare organizations to arrange rides and services on behalf of others by using a centralized, easy-to-use dashboard or an API'. We discuss their role in the healthcare industry, the January 1st, 2024 nationwide launch of their new program and need for select channel partner participation. Being a relatively new player into the emerging transporation needs space, their platform enables innovative solutions to address patients' needs with the technical processes they already know and manage well. Consistent their 'legacy' service, Uber Health counts on independent contractors to transport patients or deliver medications to them, an option that can benefit people like seniors, patients with complex chronic conditions, and employees who work for self-insured employers. Caitlin also discusses Uber Health's approach to overcoming care barriers and addressing patients' social determinants of health by designing benefits for them and aligning incentives across healthcare. She also speaks about the three different ways they help employers facilitate access to care for their employees, and why it's important to scale solutions while still meeting individual needs. Join us! ==##==
On today's episode of PopHealth Week, our guests are:Caitlin Donovon, Global Head, Uber Health, Rick Leach, JD, an Expert in Food Security and Public Health, Founder and former CEO, World Food Program, USA and current Chairman of the Food as Medicine Board at Avesis, LLC, and Benny DiCecca, CEO and President, Validation Institute. We discuss the role of certification of programs from an impact and efficacy point of view.
This special edition of PopHealth Week was recorded live from the Michael J. Fox Foundation 2023 Parkinson's Progression Markers Initiative (PPMI) Annual Meeting, our guests are Ronald B. Postuma, MD, MSc, Professor at McGill University and the Research Institute of the McGill University Health Centre and Alastair Noyce, MRCP, PhD, Consultant Neurologist at Queen Mary University of London, Barts Health NHS Trust. The landmark Parkinson's Progression Markers Initiative (PPMI) study has built the most robust data and biospecimen library in Parkinson's research history. It is a cornerstone of our growing understanding of Parkinson's pathology and clinical experience and has heavily influenced emerging clinical trials. We discuss recent developments in the race to detect, treat and optimally cure Parkinson's Disease. The interview was conducted live at the recently concluded Michael J Fox Foundation's Annnual gathering in New York. PopHealth Week is produced by PopUp Studios dot Productions. a service of Health Innovation Media, streaming LIVE and sydicated on demand by HealthcareNOW Radio5:30am, 1:30pm and 9:30pm Eastern via all major podcasting platforms including iTunes, Google Play, Amazon and Spotify/Anchor FM. ==##==
On today's episode, our guest is Harvey Castro, MD, MBA, FACEP, author, writer, 'go-to' medical media expert & speaker. Follow on twitter & Instagram via @HarveycastroMD. Dr. Castro is the author of 'Bing Copilot and Other LLM: Revolutionizing Healthcare With AI' and 'ChatGPT and Healthcare: The Key To New Future of Medicine'. He is a critically acclaimed author, writer, and sought-after medical media expert & speaker who shares his experiences and knowledge nationally and locally in the Dallas/Fort Worth areas. A board certified emergency medicine physician and healthcare leader Dr. Castro thrives on motivating teams by providing the most technologically advanced healthcare services to local and outlying communities throughout the state of Texas. His passion is in balancing innovative healthcare approaches with individualized patient care, believing in building sincere trust with patients, doctors, staff, and community leaders by displaying unwavering compassion, care, and understanding. ==##==
In this episode of PopHealth Week, hosts Fred and Gregg are joined by Reyn Archer MD, a legislative and policy expert in public health and international diplomacy, and Jaime Bland DNP, the President & CEO of CyncHealth. Dr. Archer has extensive experience in public health, having served as Chief of Staff for a member of the House Appropriations Committee and Commissioner of Health at the Texas Department of Health among many other leadership roles both consulting and operations. CyncHealth is a 501(c)(3) organization founded in 2008 with a mission to help providers in Nebraska exchange healthcare data and provide holistic care to patients. During the episode, the guests discuss the novel concept of health savings accounts at the community level, which incentivizes typically underserved areas to take ownership of their health plan and outcomes. The guests also explore the role of information technology in promoting health equity and reducing disparities. The use of technology in healthcare can help to address disparities by providing access to information and resources that were previously unavailable to underserved populations. Additionally, by enabling providers to exchange health data, patients receive more comprehensive care, and providers can make more informed treatment decisions. Overall, the episode highlights the importance of empowering communities to take an active role in their healthcare and leveraging technology to promote health equity and reduce disparities. ==##==
On today's 3rd and final episode, our guest is Cameron Lewellen, Director of Healthcare ISVs (independent software vendors) & Alliance Partners at VMware, a leading provider of multi-cloud services for all applications. We discuss innovation enabling health systems and other operators to improve their engagement platforms, the continued refinement of digital health tools enabling retail operators to better position themselves into legacy healthcare via value based care and consumer oriented, population based, whole person friendly system archeticture, Cameron leads enterprise development efforts to build strategic relationships with key mission-critical business application partners that further drive VMware's growth into the Healthcare domain. He cultivates new and expands existing partnerships that drive net new revenues across sell to, buy from, sell with, sell through and sell against motions with an assigned set of partners via executable business plans with strong governance and measures of success. ==##==
On today's episode of PopHealth Week, co-hosts Fred Goldstein and Gregg Masters welcome Enrique Estrada, Senior Director of Healthcare Solutions for VMware, a leading provider of multi-cloud services for all applications. Enrique weighs in on the qualities and characteristics that enable digital store fronts to potentially position retail footprints as 'medical homes' or health hubs (generically speaking) that mimic intergrated delivery systems (IDNs), ==##==
On today's episode of PopHealth Week on HealthcareNOW Radio, our guests are Thomas E. Dobbs, MD, Dean of the John D. Bower School of Population Health, at the University of Mississippi Medical Center, and Melissa R. Stephens, MD, Associate Dean of GME and Population Health and Professor of Clinical Sciences at the William Carey University College of Osteopathic Medicine. We discuss the intersection of population health with public health and the potential for systemic relief afforded by better alignement of public health 'infrastructure' with health system, health plan or risk bearing medical groups or physician networks as sponors of population health initiatives. We also address the value add of the John D, Bower School of Population Health for clinicians who are expanding their interest in population level outcomes. In addition to his role as Dean, Dr. Dobbs serves as the executive director of the Myrlie Evers-Williams Institute for the Elimination of Health Disparities. He has a clinical position within the Division of Infectious Disease, working specifically in the fields of HIV and sexually transmitted infections with a focus on the intersection of disease and the social determinants of health. Dr. Dobbs has a long career working at the crossroads of clinical medicine and public health as a physician, researcher and public health leader. He has held numerous leadership roles within the Mississippi State Department of Health including State Epidemiologist and State Health Officer (a role through which he directed the state's response to the COVID pandemic). As State Health Officer, Dr. Dobbs focused the agency on addressing the numerous health inequities that plague the state. Additionally, he has worked in leadership roles in the fight against diseases such as HIV and tuberculosis. ==##==
On today's episode of PopHealth Week, co-hosts Fred Goldstein and Gregg Masters welcome Enrique Estrada, Senior Director of Healthcare Solutions for VMware, a leading provider of multi-cloud services for all applications. Enrique weighs in on the qualities and characteristics that enable digital store fronts to potentially position retail footprints as 'medical homes' or health hubs (generically speaking) that mimic intergrated delivery systems (IDNs),
On a special edition of PopHealth Week, co-hosts Gregg and Fred weigh in on select topline takeways from the 41st JP Morgan Healthcare Conference. In addition to topline takeaways, they discuss current state of population health management and key innovation themes likely to drive the 2023 narrative. ==##==
On today's episode of PopHealth Week, our guest is Amelia Bedri, MHSA,Content Engineer & Policy Development Manager at NCQA (the National Committee on Quality Assurance). Serving as the subject matter expert for NCQA's Health Equity Accreditation programs, Amelia leads the development cycle and maintainence of the the core knowledge of the health care industry and regulatory environment to enhance NCQA's 'Standards and Guidelines'. She provides policy expertise to internal teams and external stakeholders including CMS, state Medicaid agencies, managed care organizations, and care delivery organizations. We discuss the role of NCQA in advancing health equity via their traditional audience, health plans, and preview the accrediting entity's role in the health system or provider markerplace. ==##==
On today's episode of PopHealth Week our guests are Andrey Ostrovsky, MD, FAAP, Managing Partner, Social Innovation Ventures, and the Former US Medicaid Chief Medical Officer & Lisa Palko, PharmD, Vice President and Head of Medial Affairs at Akili We discuss the ADHD landscape, prevalence in the population, care gaps, challenges and progress including trends, ouitcomes and Akili's digital therapeutics value proposition as the first FDA authorized prescription video game treatment. ==##==
This episode of PopHealth Week, with hostFred Goldstein and executive provducer, Gregg Masters features a conversation with colleague and host of 'The Incrementalist' on HealthcareNOW Radio, Nick van Terheyden MD aka 'Dr. Nick'. We discuss the current state of the clinical trials industry including key headwinds, tailwinds and near term prospects to accelerate benck to beside innovation in the therapeutics space. Join us! ==##==
On today's episode of PopHealth Week, our guest is industry veteran Seth Serxner, PhD, MPH, the Chief Health Officer for Edlogics a digital communications and engagement company dedicated to improving health literacy and empowering individuals to make better healthcare decisions. Dr. Serxner brings an extensive background in health literacy, public health, population health management, health equity, and well-being. We discuss Dr Serxner's career trajectory and the current state of the population health industry including key headwinds, tailwinds and near term prospects to meaningfully impact key healthcare challenges. Enjoy! ==##==
On today's episode of PopHealth Week our guest is Eddie Martucci PhD, co-founder & CEO of Akili Interactive a company getting to the root of cognitive impairment by creating personalized digital therapeutics engineered to directly improve cognitive impairments. Akili's medicines look and feel like high-end interactive action video games but, unlike typical video games, they are informed by decades of neuroscience research and built with proprietary technology developed to target and treat cognitive impairments at their specific sources in the brain. We discuss the Akili's vision, mission and progress as well as the first FDA authorized prescription video game treatment for cognitive impairments in patients with conditions including ADHD, multiple sclerosis, depression, autism and COVID brain fog. Join us! ==##==
On today's episode of PopHealth Week our guest making an encore appearance is Leandro Mena MD MPHdirector Division of Sexually Transmitted Diseases Prevention in the CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, where he manages the implementation and evaluation of CDC-supported sexually transmitted infections prevention programs in the United States. Dr. Mena is also founding chair of the Department of Population Health Science at the University of Mississippi Medical Center John D. Bower School of Population Health and serves as Professor of Population Health Science and Professor of Medicine in the Division of Infectious Diseases; and directs the Center for HIV/AIDS Research, Education & Policy at the Myrlie Evers-Williams Institute for Elimination of Health Disparities. We discuss the division's mission and progress as well as the national trends in STDs and likely impact of the pandemic on public health.Do follow Dr. Mena and CDC's work via www.cdc.gov/std and on Twitter via @CDCSTD. ==##==
Today's episode features Dr. Sean Gregory, Vice President, Health Economics and Market Access for Cognito Therapeutics a company developing a novel device-based approach to treating Alzheimer's disease. We discuss the innovative nature of their device, the results to date and emerging signals in neuroscience research for a range of neurodegenerative disorders including parkinson's disease and MS. Join us! ==##==
This episode of PopHealth Week features Caroline Yang, MD. Dr. Yang is an attending hospitalist physician at Brigham and Women's Hospital, Home Hospital Program. She is interested in the intersection between healthcare and policy, business, and innovation. Her academic background is in neuroscience and entrepreneurship & management (Johns Hopkins University), with extensive leadership and research experience. Her interests include intergrating medical, political, and business capacities to ultimately improve patient outcomes and care delivery, reduce costs, and innovate better solutions. We discuss the continued trend towards higher acuity in home hospital services, the range of patients and services provided and screening criteria for elignbility.
This episode of PopHealth Week, our guest is: John Casillas, founder & Executive Director of Global RIse, a non profit that works with "indigenous tribes who are passionate about rising above disease and poverty, GlobalRise harnesses the power of good nutrition, culture, technology and food systems to transform the lives of orphans, families and communities building “Digital Food Systems” in Subsaharan Africa, India and Guatemala, while providing a platform of hope for extremely poor communities to tackle disease, poverty, climate change and other critical themes."
On today's episode of PopHealth Week, our guest is arguably the 'father' of population health David Nash MD MBA, founding dean emeritus of the College of Population Health at Jefferson University, Fred Goldstein and Gregg Masters engage Dr. Nash in his new book 'How COVID Crashed the System'. We discuss the propsects for healthcare transformation and identify reasons for both optimism and concern. Join us! ==##==
On today's episode of PopHealth Week, our guest is: Mark Clements MD PhD, Chief Medical Officer of market leading Glooko, Inc, a digital health platform supporting real time diabates management.. In addition to his role at Glooko, Dr. Clements is also a clinical researcher of new diabetes treatments and technologies, having served as a principal investigator or co-investigator in more than 30 clinical studies and patient registries. We discuss the impact of diabetes on the nation's public health and how a digital platform can enable the behavior change required for mitigation and management of this chronic condition, Do follow his work on Twitter via @DrDrMark and @GlookoInc respectively and on the web via www.glooko,com. ==##==
On today's episode, our guest is: Prashant Natarajan, Vice President at H20.ai. Prashant is a seasoned global tech entrepreneur tasked with strategy and product-led growth at H20.ai, he is a best-selling author with his most recent release of “Demystifying AI for the Enterprise”, and also serves as co-faculty at Stanford Medicine. We discuss the growing body of AI and machine learning applications (both administrative and clinical) integrating #health #data, via #analytics driving value in the #insurance, #infomatics and clinical operations via #AI. Do follow his work on Twitter via @natarpr and @h2oai, respectively and on the web via www.h20.ai.
On PopHealth Week, our guest is Oraida Roman, vice president of value-based strategies for Humana. She leads the organizational advancement of innovative payment models that enable Humana to support providers as population health managers in value-based care relationships. The value-based strategies organization develops, supports and deploys the best programs, practices and capabilities that assist Humana's provider partners and internal customers to successfully achieve enterprise value-based goals. Ms. Roman's career with Humana spans more than 20 years. She has held various management roles, including regional president, director of operations and director of provider contracting. Prior to being vice president for Humana, Ms. Roman worked for several years with DaVita Medical Group as COO of the Florida market and market president for Colorado. She holds a master's degree in health administration from University of South Florida and an undergraduate degree in biology from Florida State University. Do follow Humana's work on Twitter via @Humana and on the web via www.humana.com ==##==
On PopHealth Week, our guests are Weill Cornell Medicine faculty: Dr. Louis Aronne and Dr. Katherine Saunders, co-founders of Intellihealth, a company fighting the global obesity epidemic. They also host the podcast Weight Matters. Louis J. Aronne, MD, FACP is the Director, Comprehensive Weight Control Center,Weill Cornell Medicine and Past Chairman, American Board of Obesity Medicine. Katherine H. Saunders, MD, DABOM is an Assistant Professor of Clinical Medicine at Weill Cornell Medicine and an Assistant Attending Physician at New York-Presbyterian Hospital. Do follow their work on Twitter via @ljaronne and @Intellihealth1 and on the web at Comptehensive Weight Control Center or atIntellihealth. ==##==
On this episode of PopHealth Week Fred and Gregg chat with Linda K. Riddell, MS, Vice President Strategic Initiatives - Validation Institute an independent 3rd party that peer reviews outcome measures for member companies. An epidemiologist, specializing in poverty and social-economic status issues and founder of 'Gettin' By'. Riddell dedicates her career to helping clients measure, understand, and improve health especially for low-income and disadvantaged people. Riddell is the Chief Data Scientist for the Validation Institute. In this capacity, she works with a wide range of health and wellness program vendors to measure their results. The Institute seeks to promote cost-effective, successful, high-impact programs and, in turn, make everyone's health care dollars go further. Linda is also the founder of Health Economy, LLC, focusing on health policy and health data analysis. Her clients range from state governments to private insurers to start-up technology companies. Linda is a population health scientist, poverty educator and independent validator with 30 years' experience in health care, public and private health insurance, and health policy. She specializes in measuring outcomes for health and wellness programs, such as coaching, behavior incentives, and novel interventions. We discuss the effects of scarcity on our brains, Linda created a unique, experiential game in 2018 where players experience for themselves the brain changes that occur in poverty. Gettin' By is meant for people whose work affects those in poverty -- such as teachers, legislators, and medical care providers. After playing the game, participants learn about how poverty changes the brain and how they can take this into account in their work. ==##==
On today's show our guest is Atul Deodhar, MD, Professor of Medicine and Medical Director of rheumatology clinics in the Division of Arthritis & Rheumatic Diseases at Oregon Health & Science University. This is the second in a two part series unbundling research insights and treatment innovation recapping key takeaways from The American College of Rheumatologists (ACR) Convergence, 2021, the world's premier rheumatology experience, which took place online on Nov. 5-9, 2021. The event showcased the latest updates in rheumatology research, including treatments, basic and clinical science, and more. More information can be found at https://acr21amcp.amcpmeetings.org/ For more information on the AMCP Podcast Series Powered by PopHealth Week, go to www.amcp.org/podcast ==##==
On today's show our guest is Atul Deodhar, MD, Professor of Medicine and Medical Director of rheumatology clinics in the Division of Arthritis & Rheumatic Diseases at Oregon Health & Science University. We discuss key takeaways from The American College of Rheumatologists (ACR) Convergence, 2021, the world's premier rheumatology experience, which took place online on Nov. 5-9, 2021. The event showcased the latest updates in rheumatology research, including treatments, basic and clinical science, and more. More information can be found at https://acr21amcp.amcpmeetings.org/ For more information on the AMCP Podcast Series Powered by PopHealth Week, go to www.amcp.org/podcast ==##==
On today's show our guest is Atul Deodhar, MD, Professor of Medicine and Medical Director of rheumatology clinics in the Division of Arthritis & Rheumatic Diseases at Oregon Health & Science University. We discuss key takeaways from The American College of Rheumatologists (ACR) Convergence, 2021, the world's premier rheumatology experience, which took place online on Nov. 5-9, 2021. The event showcased the latest updates in rheumatology research, including treatments, basic and clinical science, and more. More information can be found at https://acr21amcp.amcpmeetings.org/ For more information on the AMCP Podcast Series Powered by PopHealth Week, go to www.amcp.org/podcast ==##==
This week on PopHealth Week Fred and Gregg chat with Amy Price PhD, a Stanford, Senior Research Scientist, Anesthesia Informatics and Media Lab. Dr. Price's background is in international relief work, clinical neuro--cognitive rehabilitation, and includes service on the boards of multiple patient organizations. As a trauma survivor she's developed a flexible mindset to relate to all stakeholders and cultures. This week's episode we discuss the patient's voice in reseach, product development, the human experience and how vulnerabilty is a gateway to healing and progress.
PopHealth Week (@PopHealthWeek) is brought to you by Health Innovation Media and candidly explores population health management strategies sourced from leadership at health systems, physician enterprises, legacy and provider sponsored health plans, regulators and aligned vendor/supplier ecosystem with indusrty veteran hosts Fred Goldstein MS and Gregg Masters, MPH. This week's episode features patient engagement with Abner Mason @AbnerMason, Founder and CEO, ConsejoSano Health @ConsejoSano_US, a digitally empowered patient engagement initiative focused on promoting health equity and reducing healthcare outcomes disparities. Before creating ConsejoSano, Abner was Founder and CEO for the Workplace Wellness Council of Mexico, now the leading corporate wellness company in Mexico.From 2003-2008, Abner was founder and Executive Director of AIDS Responsibility Project, leading efforts to create CONAES and JaBCHA, the first business councils on HIV/AIDS in Mexico and Jamaica.He previously served as a member of the Presidential Advisory Council on HIV/AIDS (PACHA) where he was Chairman of the International Committee. Abner also worked as an Associate Consultant for Bain & Company. Abner is a graduate of Harvard.
PopHealth Week (@PopHealthWeek) is brought to you by Health Innovation Media and discusses population health strategies for providers with your hosts Gregg Masters and Fred Goldstein. This week meet Joseph Webb, D.Sc., MSHA, FACHE, the chief executive officer of Nashville General Hospital, a 150-bed academic system with more than 22 clinics. Nashville General is proud to serve as the teaching hospital of the historic Meharry Medical College. Tune in to hear their discussion on the role of safety net hosptials in a market heavily dominated by both for profit and non-profit health systems that primarily serves underserved commubities. Dr. Webb weighs in on the pandemic and value proposition of academic medical centers in the overall healthcare ecosystem. Since joining the hospital in 2015, Dr. Webb has successfully led efforts to improve patient outcomes, enhance the patient experience and grow revenues. During his tenure, Nashville General has earned multiple accreditations from its evidence-based measures and practices that provide quality healthcare. These include The Joint Commission's Gold Seal of Approval accreditation, NCQA Patient-Centered Medical Home accreditation, the NCQA Diabetes Recognition Program and Silver-Level recognition by the Commission on Cancer for Nashville General's Dr. Robert E. Hardy Cancer Center. The hospital also has increased its revenue sources through expanded healthcare services and launched initiatives to attract new commercially insured patients. These efforts ensure that every patient, regardless of their ability to pay, receives high-quality care at Nashville General Hospital. ==##==
PopHealth Week (@PopHealthWeek) is brought to you by Health Innovation Media. The show engages thought leaders, innovations, health system and health plans leaders and the vendor ecosystem in hard hitting conversation on the efficacy and impact of population health strategies. Your hosts are Gregg Masters (@GreggMastersMPH), the show producer and co-host and veteran consultant Fred Goldstein (@fsgoldstein). This week's episode guest is digital health thought leader, author and national speaker Douglas Goldstein (@eFuturist). Tune in to hear their discussion on real time healthcare, trends in digital healthcare, the integration of wearables into active health maintenance strategies, and whether digital health tools and platforms can reduce aggregate healthcare spend while improving outcomes and driving health equity through greater access. For more information or to suggest a guest or sponsor an episode go to PopUpStudio.Productions. ==##==
PopHealth Week (@PopHealthWeek) is brought to you by Health Innovation Media and discusses population health strategies for providers with your hosts Fred Goldstein & Gregg Masters. On this episode their colleague Nick van Terheyden MD aka 'Dr Nick' (@DrNic1) joins them for a quarterly update on the pandemic. Tune in to hear their discussion on a wide range of topics from vaccine boosters, to a growing portfolio of therapeutics to potential 'lessons learned' from widespread disruption in the healthcare and financing sectors and the hope for health system reform & possible alignment of acute health system with #publichealth infrastructure and policy. ==##==
On today's show, our guest is Caitlyn Tung, a 4th year student at the University of Washington (UW) School of Pharmacy. Caitlyn received her undergraduate degree in biochemistry at UW, as well as a dual-degree MBA. She has experience as a market analyst for a small consulting firm whose clients are smaller biotech companies. Caitlyn was also the AMCP Foundation/Pfizer Manager Care Summer intern at Cigna and Pfizer this past summer, where she learned a lot about the pharmaceutical industry and managed care. We discuss the role of analytics to improve the quality of care and outcomes for diabetic populations, her career trajectory and the attractive role of the pharmacist innovating in the managed care space. For more information or to learn more about school of pharmacy at UW, go to www.sop.washington.edu or follow on twitter via @UW_Pharmacy
TheAMCP Podcast Series powered by PopHealth Week (@PopHealthWeek) discusses population health strategies for providers with your hosts Fred Goldstein and Gregg Masters. This week we discuss the 'digital therapeutics' space, a fascinating and rapidly growing area of medicine that will undoubtedly become increasingly relevant in the digital age. Our guests include: Patrick Gleason, PharmD, FCCP, FAMCP, BCPS, Assitant, VP for Health Outcomes and Nick Friedlander, PharmD, Clinical Programs Pharmacist, Health Outcomes at Prime Therapeutics. A PBM, Prime Therapeutics launched in 1998 by two Blue Cross and Blue Shield plans, Prime has grown steadily. Prime partners with 19 Blue Plan owner clients. This unique ownership structure makes it possible for Prime to remain absolutely committed to the health of the members served. Prime manages pharmacy benefits for nearly 33 million members through our relationships with health plans, employers, and government programs, including Medicare and Medicaid. Dr. Pat Gleason leads Prime's clinical health outcomes assessment team in developing and improving pharmacy benefit management programs. Through integrated medical and pharmacy claims data analysis, he assesses clinical program opportunities and post-implementation outcomes. In addition, he negotiates and fulfills pharmaceutical manufacturer value-based purchasing agreements. Dr. Nick Friedlander is a clinical programs pharmacist in the Health Outcomes division of Prime Therapeutics. He completed my PGY-1 managed care residency with Prime earlier this year and gained exposure to the realm of digital therapeutics as Prime developed a digital strategy designed to improve member outcomes and deliver quality care through novel channels.
Our guest today is Colin Hung Chief Marketing Officer & Editor @HealthcareScene. Colin also serves as co-moderator of the popular tweetchat Healthcare Leaders aka #hcldr Colin Hung has enjoyed a 20 year career in software and information technology, the last 10 years in the healthcare IT industry. He has helped to design and launch over a dozen health and healthcare related products including solutions for: infection control, risk management, claims processing, electronic health records, performance improvement, patient feedback and patient engagement. Colin lives and works in his hometown of Toronto, Ontario, Canada and is actively involved in the healthcare community. He not only hosts #hcldr, but is also a regular participant in #hcsmca and #HITsm tweetchats. As well, Colin is a member of Hacking Health, an organization dedicated to improving healthcare through collaborative innovation. He is a registered Professional Engineer in the province of Ontario and is passionate about improving healthcare.
On today's episode of PopHealth Week our guest is Scott Haas, Sr. Vice President of Integrated Healthcare Metrics at Wells Fargo Insurance Services USA, Inc. We discuss innovation in the employee health benefits space and the vital role of primary care to advance the interests of the triple aim especially countering the legacy incentives of fee-for-service motivated specialists as agents of the 'heads in beds'model of most U.S. health systems - with some IDN exceptions embracing capitation of value based care models. Scott earned a B.S. in business administration and economics from the University of Nebraska at Kearny. He holds Chartered Life Underwriter (CLU) and Registered Health Underwriter (RHU) designations. Scott has over 30 years of employee benefits experience developing and validating acute and chronic care management programs; prescription benefit management (PBM) solutions; provider network evaluation, valuation, and negotiation; and underwriting. Scott started and operationalized a Third-Party-Administrator (TPA) and a PBM platform from scratch and has worked in the arena of alternative funding for the majority of his career. He has held officer-level positions within Blues plans and TPAs as Vice President of Sales and Marketing; Vice President of Underwriting; and President. Scott also served as trustee for both union and non-union health and welfare and pension plans and frequently shares his consulting expertise speaking at national events hosted by the International Foundation of Employee Benefits; Health and Welfare Plan Management Conference; Western Pension and Benefits Council; and the Self-Insurance Institute of America. For more information or to follow Scott's work go to www.usi.com/ ==##==
On today's episode of PopHealth Week our guest is Michael Abrams co-founder and Managing Partner of Numerof & Associates a consulting firm that notes: 'For more than 25 years, Numerof's rigorous, structured approach has solved complex strategic and operational problems for clients in industries in transition.' We discuss the key take aways of their recent report titled:"State of Population Health: The 6th Annnual Numerof Survey Report'.The report measures sentiment from c-suite executives including physician organizations or medical groups and health system executives nationwide. The report reveals minimal progress towards embracing the riskof implementing a population based strategy. Over the last 25 years Michael has built a portfolio of strategy and business performance successes as an internal and external consultant to Fortune 500 corporations. Leveraging the corporate management experience he acquired prior to founding Numerof, Michael has shaped the development of Numerof's approach, including the firm's emphasis on innovative and realistic strategies for changing markets, as well as rigor in managing the complex change necessary for improving organizational performance. Michael completed his doctoral work in business policy at St. Louis University and received his MA degree from George Washington University in Washington, DC. He co-authored Bringing Value to Healthcare: Practical Steps for Getting to a Market-Based Model, and his articles have appeared in more than a dozen leading business journals. Enjoy! ==##==
This week another special edition of PopHealth Week recorded live in the HealthcareNOW Radio studio booth at HIMSS 2021 in Las Vegas, our guest is George Valentine, Executive Director, Cox Communications. We discuss digital solutions for health systems and related healthcare enterprises. Cox Communications is committed to creating meaningful moments of human connection through technology. The largest private broadband company in America, we proudly serve six and a half million homes and businesses across 18 states. Cox Communications is dedicated to empowering others to build a better future and celebrate diverse products, people, suppliers, communities and the characteristics that make each one unique. Cox Communications is the largest division of Cox Enterprises, a family-owned business founded in1898 by Governor James M. Cox. ==##==
This week another special edition of PopHealth Week recorded live in the HealthcareNOW Radio studio booth at HIMSS 2021 in Las Vegas, our guest is Ardy Arianpour co-founder & CEO @Seqster. Seqster was founded on the vision of a world where individuals own and truly understand all of their health data. Seqster believes that combining multiple data types such as electronic health record (EHR), genetic, and fitness data in one secure place is the key to unlocking optimal health and wealth. In this episode, we discuss Seqster's health data management platform which is capable of aggregating, standardizing. amd harmonizing all of your health data along with allowing you to share on your terms. ==##==