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AmeriHealth Caritas, Health Alliance Plan, Highmark Health and Icario discuss how AI transforms healthcare by creating personalized experiences that drive performance improvements and enhance member engagement. Learn how high-ranking health plans reinvent their approach to member experience to elevate your HEDIS scores, improve health outcomes and streamline data processes. Guests: Vandna Bhrany, MPH, Vice President, HEDIS Strategy and Analytics, AmeriHealth Caritas Tracy Saula. Senior Vice President, Chief Product and Experience Officer, Highmark Health Cory Busse, VP, Strategy, Icario Mike Treash, Senior Vice President and Chief Operating Officer, Health Alliance Plan Bios: https://www.brightspotsinhealthcare.com/events/a-new-era-for-consumer-engagement-and-hedis-combining-the-human-touch-with-ai/ This episode is sponsored by Icario Icario serves health plans by using powerful whole-person data, predictive behavioral science, and a proprietary engagement platform to offer personalized experiences that meet members where they are in their health journey. Icario combines the industry's largest member data repository with unparalleled industry expertise to implement health action programs that deliver personalized member engagement, reduce abrasion and encourage positive health behaviors.
Suicide is the second leading cause of death among young people aged 10-24. In this episode, we explore how families, schools, and communities can work together to recognize warning signs, provide support, and create safe spaces where young people feel comfortable seeking help. I speak with Jessica R. Umbrell, Psy.D., Senior Psychologist Advisor at PerformCare, a behavioral health organization and a member of the AmeriHealth Caritas Family of Companies. Learn more:PerformCare: https://pa.performcare.org/AmeriHealth Caritas: www.AmeriHealthCaritas.comFollow AmeriHealth Caritas:Facebook: AmeriHealth CaritasLinkedIn: AmeriHealth Caritas
This is an episode that will set your heart right. We know that the #1 driver of human happiness across time and culture is meaningful connection to others. So, how to get more of that? David Brooks has some ideas, pulled from his newest book How to Know a Person. Please share widely as the more people around us who are oriented toward connection, the better for all. Thanks to PBS and AmeriHealth Caritas for the support. (Previously aired) To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
“Leaders need to realize today that you can't possibly know it all. You also can't execute alone.”-Larry BaiderHow has your organization adapted to the evolving landscape of leadership development? What we know about effective learning for leaders has evolved over the last decade, and even since before the pandemic. In today's episode, my guest and I explore what has changed. My guest is Larry Baider. Larry has served in several executive HR leadership positions in large organizations and is currently the Vice President of Talent Management, Leadership & Learning at AmeriHealth Caritas. He is enthusiastic about helping individuals and organizations optimize their potential and their capacity to lead. Some of the most impactful contributions his teams have made include award-winning development programming and sustainable talent management and leadership practices. Larry has graduate education in Strategic Communication & Leadership, Applied Positive Psychology, Industrial-Organizational Psychology and is also a graduate of CoachU's coach training program. He is now on his PhD journey in Performance Psychology.Larry is a regular speaker on leadership, organizational psychology, and peak performance. He authored his first book, Leadership to the Fifth Power in 2007 and is currently co-host of the Lean In Leaders Podcast.In this episode of Talent Management Truths, you'll discover:An example of a lifelong learner in actionObservations from Larry and Lisa around what has changed in terms of Leadership Development since ten years ago, and since before the pandemicThe pitfalls of being constrained by personality assessment "identity hooks" or labels.LinksLarry Baider on Linkedin: https://www.linkedin.com/in/larry-baider/ HBR article on blending various leadership styles for best effect (democratic, autocratic, pacesetting, etc.): https://hbr.org/2000/03/leadership-that-gets-results (NOTE - you will have to pay for the article)Episode 133 - AI”s impact on L&D and Workplace Roles with Josh Cavalierhttps://talentmanagementtruths.buzzsprout.com/2267279/15129127-ai-s-impact-on-l-d-and-workplace-roles-with-josh-cavalierAre you a Talent leader who is longing for a safe place to bounce ideas off of? In addition to my group programs I work privately with a select few clients as their Talent Management Thought Partner. I will help you, over the next 90 days, create the space, the intention and the strategy to implement an initiative that is CRITICAL to your team. Let's chat and see if there's a fit. Book me online at greenappleconsulting.ca/contact Share the Show Like what you've heard? Pretty please with an apple on top - kindly leave me a 5* review so that others can find the show and elevate their impact too! Here are the simple instructions: Launch Apple's Podcast app on your iPhone or iPad. Tap the Search icon (on the botton) and search for “Talent Management Truths.” Tap the album art. On the podcast page, tap the Reviews tab. Tap Write a Review at the bottom of this page. Follow me LinkedIn: https://www.linkedin.com/in/lisa-mitchell-acc-ctdp-7437636/ Instagram: @greenappleconsulting Facebook: https://www.facebook.com/greenappleconsulting.ca
In this episode, Laura Dyrda speaks with Joanne McFall, Market President of Keystone First and AmeriHealth Caritas Pennsylvania. Joanne shares her insights on post-pandemic Medicaid unwinding, rising healthcare costs, and the role of managed care in addressing social factors like housing and food insecurity to improve health outcomes.
In this episode, Laura Dyrda speaks with Joanne McFall, Market President of Keystone First and AmeriHealth Caritas Pennsylvania. Joanne shares her insights on post-pandemic Medicaid unwinding, rising healthcare costs, and the role of managed care in addressing social factors like housing and food insecurity to improve health outcomes.
In this episode, Laura sits down with Jim Laughman, President of PerformCare & ID/DD Solutions at AmeriHealth Caritas, who sheds light on the challenges of managing healthcare amidst the financial struggles that many people face today. Jim discusses how these economic barriers can prevent individuals from seeking much-needed mental health treatment. He also underscores the importance of maintaining face-to-face interactions in healthcare, even as AI and telehealth technologies continue to evolve, to ensure effective and personalized care.
Jim Laughman, President PerformCare & ID/DD Solutions, AmeriHealth Caritas joins the podcast to discuss key insights into his background & current role, Federal Affordable Connectivity Program, what the program means to AmeriHealth, and much more. *Note: This interview was recorded in May, prior to the end of all funding for the Affordable Connectivity Program*
Join the Jobsync team for their Recruitment Roundtable featuring Bill Musman of AmeriHealth Caritas where we will be discussing how to align a mission-driven recruitment strategy with business goals.
What is your just cause? Karen Dale is DC Market President for Amerihealth Caritas. She is a bold and fearless leader whose “Why” is to be a catalyst for change to promote equity and deeply support people encountering difficulties. In this episode she shares the leadership practices that support this work from sharing power, to community co-design and embracing disagreement on teams. We discuss:A powerful partnership with the Children's Law CenterThe path to value-based payment for community organizationsThe future of public health education: providing the system, structure and culture that encourages every student to be a catalyst for positive changeHow DC is starting to address decades of under-investment in Wards 7 and 8 through its equity budget reviewKaren discusses the just cause for a school of public health in today's world: “It would be to create … a system, structure and culture that infuses what every student needs to be a catalyst for positive change for human beings … [A] school that creates that culture, gives people the tools, gives them the encouragement, gives them the freedom to try and fail, but learn and apply – that would be amazing. Because … we need a whole generation of people who are in the fight.”Relevant LinksKaren's commencement address to George Mason gradsNPR piece on partnership with Children's Law CenterNew payment approaches for EPSDTGuidance for Health Care Entities Partnering with Community-Based Organizations: Addressing Health-Related Social Needs in Alternative Payment Models. [hcp-lan.org]About Our GuestKaren M. Dale is Market President for AmeriHealth Caritas District of Columbia, a mission-based Medicaid Managed Care Organization in Washington, D.C., and the Chief Diversity, Equity, and Inclusion Officer for the AmeriHealth Caritas Family of Companies. Her focus includes applying a health equity lens to impact all levels of policies, processes, decisions, laws, and outcomes for the communities AmeriHealth Caritas serves.She also leads a decidedly metric-driven business approach to mobilize leaders and accelerate strategies to advance diversity, equity, and inclusion inside and outside the walls of AmeriHealth Caritas. As a result, opportunities for people to experience health, wholeness, and belonging are enhanced by addressing the social, economic, and environmental conditions that are drivers of poor health.Her hobbies include gardening, creating healthy Caribbean recipes, traveling, and watching her son's soccer games.Connect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter...
What does it mean for HR leaders to bring their whole self to work when their identities are not the majority?Being an HR leader is already challenging, but being the only one who looks like you only amplifies those challenges.On this episode of HR Fresh Take, we're revisiting the conversation from our June 2023 event “The Black HR Experience”, hosted by Philly SHRM and the National Association of African Americans in Human Resources (NAAAHR),We'll dive into the Black experience and how that intersects with leadership roles within Human Resources and the organizations at large. We'll also discuss other areas such as allyship, psychological safety, and retaining Black talent.We're joined by Orien Barnes, VP of Organizational Development and Effectiveness at CHOP, Alain Doroseau, VP of Client Services at CCI Consulting, and Dr. Tanya O'Neill, Director of Organizational Development at Temple University Health System & Philly SHRM Board member. Leading the discussion is Co-host and Producer of HR Fresh Take, Kaela Blanks.More about Orien….Orien Barnes serves as Vice President of Organizational Effectiveness and Development, at The Children's Hospital of Philadelphia (CHOP). Orien is responsible for enterprise-wide vision, strategy, development, and communication of best-in-class practices to address organizational effectiveness, leadership development, learning and employee experience.Prior to joining CHOP, Orien spent 18 years at AmeriHealth Caritas in positions of increasing responsibility. Her last role at AmeriHealth was Vice President, HR Learning, Talent Management & Organizational Development, where she was responsible for developing the strategy and overseeing the design, implementation, and evaluation of programs that enhance organizational performance, facilitate professional development, and build strategically necessary capabilities and competencies. Orien holds a bachelor's degree in Computer and Information Science from Spelman College and a master's degree in Adult Training and Organizational Psychology from St. Joseph's University. She believes it is an honor to serve the employees, patients, and families of CHOP. One of her favorite quotes from Robert Greenleaf captures her leadership approach – “The servant-leader is servant first…it begins with the natural feeling that one wants to serve, to serve first.” While Orien has served in many roles in her career, her most important role is mom to her daughters, Madison and Jordyn. More about Alain….As Vice President, Client Services, Alain builds and maintains business relationships with leading HR executives in the Greater Philadelphia region. He has deep expertise in HR services and strategies and helps clients implement human capital management solutions that drive business performance. Prior to joining CCI Consulting, Alain worked for Insperity, a professional employer organization, where he provided human capital solutions and Fortune 500 HR tools to small and midsize business owners. A significant portion of his time was spent providing methods to C-suite executives so they could mitigate owner liability and risk. Additionally, Alain designed and launched successful proposals focused on retaining high potential talent and enhancing team effectiveness. He also created and delivered training and change management programs across functional areas. Known for his dynamic professional style and creative approach to working with clients, Alain thrives on helping businesses provide the healthiest and most bountiful workplace environment. He strives to unlock an organization's potential through analyzing data, identifying key performance indicators (KPIs), and, most importantly, Business, Engagement, Human Resources, Management, Thought Leadership, Return to work, Inclusion, Hybrid work, phillyshrm.org
Well, if you need something to help you believe in people's ability to affect outcomes, if you need a reason for hope that America could be a less unequal place, if you want a good news story about hard work and its proper rewards, this is it. That's really all I want to say. I loved this story, this guest and this conversation. Okay, so some more things I could tell you: Pete Stavros has a huge private equity job that puts him in close contact with companies and workers in all kinds of interesting places. He is also the son of a construction worker who was never paid according to his value. Put those two things together, along with a world class mind, and you have an idea that could totally change income inequality in America. Okay, that's all I'm telling you. Enjoy. Special thanks to PBS and AmeriHealth Caritas.
This is an episode that will set your heart right. We know that the #1 driver of human happiness across time and culture is meaningful connection to others. So, how to get more of that? David Brooks has some ideas, pulled from his newest book How to Know a Person. Please share widely as the more people around us who are oriented toward connection, the better for all. Thanks to PBS and AmeriHealth Caritas for the support.
Arianna Huffington loves her mom, reading, America, adventure and getting to the bottom of things. She has spent a lifetime asking Why and Why Not? Our conversation zeroes in what any one of us can do to thrive, such that we might have more capacity to contribute. We loved being together, comparing notes, figuring out what leads to what. Please share with everyone you know who needs a reminder that we have agency. This episode was made possible by AmeriHealth Caritas and can be viewed anytime you like at PBS.org/kelly.
I have had migraines so bad that I ended up in the ER, so my interest in this episode was personal. Turns out so much of the country is in chronic pain that it is a major national issue affecting economic considerations like productivity and health care costs and existential considerations like depression and hopelessness. Rachel Zoffness is a pain psychologist who is reframing our understanding of what pain is and therefore how better to treat it. Given the numbers of people who live in pain, I think this might be one of the most important conversations we have shared. This conversation was had on the set of my PBS show Tell Me More. Special thanks to the wonderful people at Amerihealth Caritas. Rachel Zoffness' excellent book can be purchased here.
He's good. He's really good. In particular, Pete Buttigieg is good at making connections between pragmatic stuff like infrastructure and the most important parts of our lives — caring for people we love and making full use of ourselves. This is a conversation for anyone thinking about the next election and what it means to “make the trains run on time.” You can watch this conversation — and about 50 more you might really love — anytime you like at PBS.org/kelly. This episode was made possible by the lovely and hard working people at AmeriHealth Caritas.
It's not that common for someone to retain her optimism even as she studies all the ways that health outcomes vary by race. Linda Villarosa, a solutions-based journalist and medical school professor, is such a woman. In this conversation, she pulls from a childhood of doing everything right and still feeling like a fly in the buttermilk as well as her early days in journalism where she was constantly coaching her Essence readers to just behave better. Now, she's seeing a broader picture that includes both lots of kale and walking AND systemic changes to the way we deliver care. Linda's 5-star book, UNDER THE SKIN, was nominated for a Pulitzer Prize. This episode was made possible by PBS and AmeriHealth Caritas, which provides affordable health plans to millions.
Everyone is thinking about war and service. Here's a conversation with someone who has known many battlefields and paid dearly for his commitment to defend and protect. Retired Colonel Greg Gadson was a kid who dreamed of playing football and who ended up with Super Bowl rings after all. You can watch this episode at any time on PBS. Special thanks to AmeriHealth Caritas. Retired Colonel Gadson's book is Finding Waypoints: A Warrior's Journey Toward Peace and Purpose. Feedback is always welcome: hello@kellycorrigan.com
Senior healthcare leaders from AmeriHealth Caritas, AvMed, HealthTeam Advantage, and ReferWell share strategies health plans can use to understand gaps in care throughout the member journey. For health plans participating in risk-based agreements, gaps in care have severe implications for members' health outcomes and their ability to attain higher quality scores necessary to receive financial bonuses and drive member enrollment. Hear how plans leverage data and real-time analytics to effectively and efficiently close time-sensitive care gaps to improve HEDIS, Stars and other quality scores. Topics covered include: Provider Plan Partnerships Building a Relationship with Members Identification & Targeting Systems & Incentives Confirmed Panelists Marsha Barlocker, RN, BSN, MS, Senior Director, Quality & Case Management, HealthTeam Advantage Chad Baugh, Chief Strategy Officer, ReferWell Vandna Bhrany, Vice President, HEDIS Strategy & Analytics, AmeriHealth Caritas Frank Izquierdo, Senior Vice President Provider Solutions and Strategic Alliances, AvMed Bios: https://www.brightspotsinhealthcare.com/events/last-minute-gaps-in-care-strategies/ This episode is sponsored by ReferWell Health plans must be acutely aware of their progress towards achieving their Care Gap Closure targets. Their most significant obstacle is to directly impact those specific areas, even though they have limited capabilities to do so. ReferWell helps health plans improve access to care by efficiently scheduling members for the care they need. ReferWell care navigators find the "Perfect Match" provider right at the referable moment when the member is saying yes to their care). They then seamlessly schedule the member's appointment while still on the call. It's a proven process that provides better access, experience and outcomes for members and better quality performance, which affects the health plan's bottom line.
From WEDI's 2023 Spring Conference. The Health Care Payment and Learning and Action Network (HCPLAN) established the Health Equity Advisory Team (HEAT) to help identify and prioritize opportunities to advance health equity through alternative payment models (APMs). The HEAT's goal is person-centered and focuses on leveraging APMs to help make needed care more accessible, drive better patient outcomes, and reduce disparities. We welcomed HEAT's co-chairs, Dr Marshall Chin from the University of Chicago and Karen Dales from Amerihealth Caritas to discuss the group's work and their mission to address and eliminate health disparities while identifying payment models that aid communities. The session was moderated by Michael Pattwell from Edifecs who also serves as WEDI's Payment Model Workgroup Co-Chair.
Healthcare leaders from AmeriHealth Caritas, Cigna Healthcare, Highmark, Reliant Medical Group and Corporate Insight share innovations in mental health, including how their organizations are incorporating and maximizing digital mental health tools and platforms. Learn strategies and approaches you can implement in your organization. Panelists Yavar Moghimi, MD, Chief Psychiatric Medical Officer, AmeriHealth Caritas Sam Nordberg, PhD, Chief of Behavioral Health, Reliant Medical Group Demetrios C. Marousis, MA, MBA, LPC, Director, Behavioral Health, Highmark William M. Lopez, MD, CPE, National Medical Director-Virtual Care, Senior Medical Director-Behavioral Health, Cigna Healthcare Lauren Roncevic, Senior Director of Healthcare Research, Corporate Insight Bios: https://www.brightspotsinhealthcare.com/events/how-digital-mental-health-is-making-an-impact/ Want more information about our Executive Roundtable Summit on August 24 & 25 in Boston? Visit our website for more information: https://www.brightspotsinhealthcare.com/summit/ This episode is sponsored by Corporate Insight. Corporate Insight delivers competitive intelligence, user experience research and consulting services to the nation's leading healthcare, financial services and insurance institutions. As the recognized industry leader in customer experience research for over 30 years, Corporate Insight has been the trusted partner to corporations seeking to improve their digital capabilities and user experience. Their best-in-class research platform and unique approach of analyzing the actual customer experience helps corporations advance their competitive position in the marketplace. Visit their website at: www.corporateinsight.com
Philadelphia is the poorest big city in the nation, according to The Philadelphia Inquirer. AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, is hosting a special community action poverty simulation to help its associates and invited guests to better understand the impact of poverty on daily living. I speak to Joanne McFall, Market President for AmeriHealth Caritas' Southeastern Pennsylvania Managed Care Plan, Keystone. www.amerihealthcaritas.com,https://www.facebook.com/AmeriHealthCaritas,https://twitter.com/AmCaritas Antisemitism is on the rise and Mural Arts Philly is developing a mural and education program in partnership with the Philadelphia Holocaust Remembrance Foundation designed to emphasize the importance of Holocaust education and remembrance. Arts from around the world are invited to submit designs for the mural. I speak to Mural Arts Philadelphia Executive Director Jane Golden about the project. Website: https://www.muralarts.org/ Instagram: https://www.instagram.com/muralarts/?hl=en First, I speak to Aileen McCullough, District Supervisor for Wynnewood office of Adoptions from the Heart about what people need to know about open adoption and options for expecting and birth parents for placing a child for adoption. website www.afth.org lots of great info for those facing unplanned pregnancy call 800-355-5500 (someone available 24/7)
City Year is a non-profit organization that aims to address educational inequality by providing targeted interventions and support to students in under-resourced schools across the United States. Their primary focus is on improving high school graduation rates and helping students develop the skills they need to succeed in college and beyond. I speak to Darryl Bundrige Senior Vice President & Executive Director, City Year Philadelphia and Wyneshia Foxworth who will be honored as 25th Anniversary Idealist of the Year, City Year Philadelphia at their Red Jacket Gala May 4th. https://www.cityyear.org/philadelphia/Twitter and Instagram: @cityyearphilly We continue our interviews with Philadelphia Candidates for Mayor. I speak to former City Councilmember Cherelle Parker.https://cherelleparker.com/ First, citizens on Medicaid risk losing their benefits if they don't re-enroll. I speak to Joanne McFall, Market President for AmeriHealth Caritas' Southeastern Pennsylvania Managed Care Plan, Keystone First. www.amerihealthcaritas.com
AmeriHealth Caritas, Blue Cross Blue Shield, Optum at Home & Reema Health share bright spots and novel tactics for engaging dual eligible beneficiaries. Discussion topics include: building a foundation of trust through a community approach, engaging hard-to-reach or historically unreachable members, and addressing health-related social needs to improve clinical outcomes Panelists Include: Christopher McDade, Vice President, Medicare Integrated Health Plans and Revenue Management, AmeriHealth Caritas, Leanna Moran, Managing Director of the Duals Market, Blue Cross Blue Shield of Rhode Island Catherine Mitchell, Chief Strategy Officer, Optum at Home Melissa Kjolsing, Head of Engagement Strategy, Reema Health Bios: https://www.sharedpurposeconnect.com/events/unique-approaches-to-building-trust-with-dual-eligible-members/ This episode is sponsored by Reema Health Reema is transforming how people navigate the gaps between health care and social care using technology and Community Guides who share their identity with the members they serve. Reema's approach improves healthcare experiences, leading to higher member engagement and reduced costs. Reema's breakthrough health platform uses proprietary technology and predictive data modeling to identify people with the highest level of unmet social needs, power Community Guides with the right information to engage them meaningfully, connect them with the most relevant resources, and improve their health and lives. Because they believe in guiding all members to better health. Learn more at reemahealth.com
Priscilla Sims Brown, President & Chief Executive Officer of Amalgamated Bank, shared the story behind her title with us on May 8, 2022.Priscilla is a multi-national board director and C-suite executive with 30 years of financial services experience. Prior to joining Amalgamated Bank she was the Group Executive for Marketing and Corporate Affairs at Commonwealth Bank of Australia, where she focused on rebuilding trust and pride in the bank with direct responsibility for end-to-end marketing, branding, stakeholder insights, government and public affairs, and environment and social policy.Prior to Commonwealth Bank, Ms. Brown held senior positions at AXA Financial, Inc., Sun Life Financial, and Lincoln Financial Group. She has advised several digital startups and served as the Chief Executive Officer of Emerge.me, a digital health insurance broker.She was a member of the AXA Financial US Executive Committee, serving as Chief Marketing Officer (CMO), where she directed all aspects of US marketing and led global digital marketing initiatives. Prior to AXA Financial, Ms. Brown served as CMO at AmeriHealth/Caritas, where she developed a new go-to-market strategy for the largest Blue Cross/Blue Shield Medicaid company in response to the Affordable Care Act. At Sun Life, Ms. Brown served as CMO and Chief Strategist, where she negotiated and managed Sun Life Stadium naming rights, Pro Bowl, Super Bowl and other major events with the Miami Dolphins NFL football team.SUE SAYS"Priscilla did not grow up in what society would describe as traditional. She was left by her parents in the U. S. and adopted so that her mother could return to Ethiopia as the first woman to serve as a Senator there. Priscilla describes herself as having both the genetic makeup of her biological mother as well as the influences of her adopted mother. Both shaped her and led her down the path of social justice."Support this podcast at — https://redcircle.com/women-to-watch-r/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Vandna Pandita from AmeriHealth Caritas joins the show at RISE in Nashville, TN sponsored by Episource
In this edition of Wilson Center NOW, Latin American Fellow Niambi Carter discusses where American society stands in dealing with its long struggles with racial inclusion and equality. Also joining us is Karen Dale, Chief Diversity, Equity and Inclusion Officer for AmeriHealth Caritas. She provides an update on her company's efforts to establish an equity, diversity, and inclusion program across the organization.
Listen to this discussion between AmeriHealth Caritas of Delaware and Quality Insights regarding the National Diabetes Prevention program and how AmeriHealth Caritas of Delaware is working to promote the program among their members and providers. If you have any follow-up questions after listening to the podcast, please contact communications@amerihealthcaritasde.com.
Today on Health in 2 Point 00, Jess and Mathhew talk about the importance of a good company name. Some deals today: Truepill gets 142 million in a Series C bringing their valuation to 1.6 billion with 300 million ARR; Stride Health gets 47 million gets, bringing up their total to 86 million; Bardavon Health Innovations gets 90 million, bringing their total up to 109 million; Wider Circle gets 38 million, invested in by AmeriHealth Caritas.
Hosts Tammy Hawes and Clark Buckner talk with Scott Vasey, Senior Vice President for Network Management at AmeriHealth Caritas, about some of the biggest issues and trends for health plan payers today. Vasey also explains how he’s partnering with Virsys12 to create a better system and workflow for the provider network and operations within AmeriHealth Caritas. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
There is a growing body of evidence and experience supporting our understanding of and investing in the social determinants and drivers of health—the conditions in which people are born, grow, live, work and age. We’re seeing that manifest with a wide range of innovations in every corner of our healthcare delivery system, including innovations in health plans, health insurance, and payment and delivery models. In this episode, meet nurse and health plan innovator Karen Dale, MSN, RN, Market President and CEO for AmeriHealth Caritas, and dive deep into the details of how innovations in health plans and health insurance can and should focus on getting you care, helping you stay well and build healthy communities. For additional resources, visit our website at www.seeyounowpodcast.com Contact us at hello@seeyounowpodcast.com
Dr. Andrea Gelzer, Senior Vice President of Medical Affairs at AmeriHealth Caritas, joined hosts Matt Eyles and Laura Evans to discuss new advancements in population health management strategies, the future of telehealth and the health care industry's response to COVID-19.
Dr. Andrea Gelzer, Senior Vice President of Medical Affairs at AmeriHealth Caritas, joined hosts Matt Eyles and Laura Evans to discuss new advancements in population health management strategies, the
Getting your employees excited about making an impact is one of the best ways of creating a good working environment and company culture. However, not many organizations take advantage of employee engagement techniques -- especially during COVID-19 -- and are suffering as a result. An engaged employee feels like they're being heard and they're making a difference, making them happier. Happy employees tend to result in improved production and lower turnover. Jason Magidson joins Jennifer to discuss the merits of employee engagement and what you can do as a business owner or supervisor to cultivate it. Jason is currently a leader at AmeriHealth Caritas and is the author of several books, including his latest work “Engaged.” Act 1: Before the pandemic Jason Magidson introduction and background (0:50) Jennifer introduces Jason, touching on a few of the books he's published, where he's worked, and several of the companies he's impacted. Jason shares some of the important projects he's worked on throughout his career. Rapid deployment and setup (4:19) Jason shares one project he worked on at GlaxoSmithKline where they were able to set up a research and development space within just five weeks. He discusses the importance of the quick turnaround and the impact it has, especially in a crisis like the coronavirus pandemic. What was Jason doing at the start of the pandemic? (6:11) In March of 2020, Jason was working with vulnerable groups, promoting health equity for minority populations at AmeriHealth Caritas. Addressing employee engagement before the pandemic (8:31) The pandemic brought to light many of the issues Jason and his team were trying to address. Jason explains how the company had begun and accelerated an initiative to engage employees to help create ideas to boost efficiency as well as cultural characteristic to improve empowerment internally. Act 2: Employee engagement during COVID-19 The importance of employee engagement (11:43) As Jason notes, employees that aren't engaged tend to be less productive. But when you create opportunities for them to make an impact, they thrive. Combatting company disengagement through difficult times (13:02) When going through a crisis, it can be difficult to find the time to improve employee engagement when it's needed the most. However, Jason believes that by making staff more enthused to give their ideas and by making them a part of the solution, companies can boost enthusiasm and energy. How the shift to remote work has changed company dynamics (14:09) The pandemic has meant more people, and whole companies in some instances, have moved to remote working. Jason details how he's seen those changes impact company dynamics. Fostering employee engagement (15:30) If you haven't been promoting employee engagement at your company previously, now is the best time to start. If you're just starting a company, plan your processes with employee engagement in mind. Jason shares some ways you and your company can do this, like capturing employee ideas and using tribal leadership to improve cross-collaboration. Leveraging tribal leadership to boost employee engagement (19:00) Using Dave Logan's “Tribal Leadership” idea, Jason discusses the five stages of engagement and collaboration, and the impact the fifth and final stage can have on an organization. Act 3: Maintaining employee engagement when you go digital Biggest surprises (21:46) Jason shares what he's been most surprised by as companies have moved to more virtual workplaces, including the technology and the ability for employees to connect in a different way. Ensuring productivity doesn't slip with virtual employees (23:45) Jason details some of the things companies need to keep in mind with their remote staff in order to ensure they keep a high level of employee engagement and productivity. Leveraging people's expertise (24:59) It can be easy to fall into a pattern of having a go-to team...
Host Todd Searls and guest co-host Louise Yinug interview Damika Webb Barr, leader of public policy and government relations at Verily Life Sciences, an Alphabet Company. Damika is an attorney with a passion for health care access and finding equitable solutions to long-standing community challenges. Since joining Verily Life Sciences in 2018, she has led their policy and advocacy efforts. Verily has been a leader in testing solutions for COVID-19, including an innovative partnership with the state of California to establish accessible testing sites. Prior to joining Verily in 2018, Damika served as regulatory compliance counsel for Lyft’s non-emergency medical transportation line of business. She also held health policy positions at Amerihealth Caritas and Lyft. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
In this episode, Scott Vasey, Senior Vice President for Network Management at AmeriHealth Caritas joins Virsys12 CEO and Founder Tammy Hawes to discuss the work he’s doing to build a more effective provider network, where all data and processes are housed in a single workflow and platform. He also shares his perspective on some of the biggest themes that are taking a central focus in the industry today, from patient-first care to data accuracy to telehealth.
We bringing your all kinds of resources this morning. If you are a nonprofit working to ease hunger – ACME Foundation has a grant for you. I speak with Dana Ward, Communications and Public Affairs Manager for ACME Markets about ACME's 130 Days of Giving to mark the company's 130th Anniversary. Local food organizations can apply for funding consideration now through February 12, 2021 by visiting http://acmemarketsfoundation.org and utilizing the invitation code ACME130. The American Heart Association is offering grants to nonprofits in North Philly working to address health disparities. I speak to I speak to Raymond Guthrie Managing Director, Bernard J. Tyson Fund & AHA Social Impact Fund. For more information go to www.heart.org/en/bernard-j-tyson-fund. A virtual town hall event will be held on February 11, 2021, to gain community input and to help identify where additional support is needed to scale impact. COVID 19, community violence and the social unrest of the past year not only impacts adults but children as well. I speak with Kamilah Jackson, M.D., M.P.H., a Medical Director at AmeriHealth Caritas about the mental health of children and teens and how we can support them. Here are some resources:https://www.cdc.gov/childrensmentalhealth/index.htmlhttps://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/index.shtmlFirst, there's an upcoming live streamed event on housing discrimination especially in these COVID-19 times and it's bilingual on February 10th 5:30 to 7:30 p.m. I speak to Adrian Garcia, Director of Fair Housing & Commercial Property Division for the PA Human Relations Commission.https://www.facebook.com/PAHUMANRELATIONShttps://www.phrc.pa.gov/
In this episode of Inside Health Care, AmeriHealth Caritas’ Danielle Brooks, Director of Health Equity, chats with Dr. Michael Barr, NCQA Executive Vice President, about “The Return on Investment for Health Equity and Quality Improvement,” her presentation at this year’s Digital Quality Summit. Danielle also discusses the disproportionate effect of COVID-19 on communities of color […]
Danielle Brooks of AmeriHealth Caritas In this episode of Inside Health Care, AmeriHealth Caritas’ Danielle Brooks, Director of Health Equity, chats with Dr. Michael Barr, NCQA Executive Vice President, about “The Return on Investment for Health Equity and Quality Improvement,” her presentation at this year’s Digital Quality Summit. Danielle also discusses the disproportionate effect of COVID-19 on communities of color and how this might impact addressing health disparities, measures to take when collecting data to address health equity and the importance of having diverse ethnicities and voices in the room when developing health care products. Learn more about NCQA’s Digital Quality Community here.
On this episode, Mrs Yolanda Criss with AmeriHealth Caritas Louisiana shares their member benefits. AmeriHealth Caritas Louisiana is one of the 5 Healthy Louisiana plans that services what once called Medicare.
Routine preventive screenings and vaccination rates have decreased due to the coronavirus disease 2019 (COVID-19) pandemic, while the Director of the National Cancer Institute recently warned delays in cancer screenings are likely to result in thousands of excess deaths. At the same time, a recent study found the pandemic could create losses of up to $15 billion for primary care practices. To find out what can be done about these setbacks, and to learn why it is so critical to continue screenings during the pandemic, we spoke with Andrea Gelzer, MD, senior vice president and corporate chief medical officer for AmeriHealth Caritas. On this episode of Managed Care Cast, Dr. Gelzer discusses the vital role telehealth has played during the pandemic, and how providers and payers can work together to encourage patients to continue routine care.
People get their health care from many different places, and information about their health sits in those many different places. Why does this matter? For providers caring for patients, a fuller picture of the care their patient has received means the provider has the tools to understand their needs and make better recommendations. The HEDIS […]
While open enrollment for Medicare ended on Dec. 7, additional enrollment periods during each quarter give seniors an opportunity to switch to a Medicare Advantage plan or to traditional Medicare and Part D. To explain Loraine Ballard Morrill spoke Tonya R. Moody Vice president of AmeriHealth Caritas' Pennsylvania Medicare VIP plans serving dual eligible members. She is an expert on Medicare Advantage Medicare-Medicaid Plans.www.cms.govwww.keystonefirstvipchoice.comwww.keystonefirstcommunityhealth choices.com833-243-8258
While open enrollment for Medicare ended on Dec. 7, additional enrollment periods during each quarter give seniors an opportunity to switch to a Medicare Advantage plan or to traditional Medicare and Part D. To explain Loraine Ballard Morrill spoke Tonya R. Moody Vice president of AmeriHealth Caritas' Pennsylvania Medicare VIP plans serving dual eligible members. She is an expert on Medicare Advantage Medicare-Medicaid Plans.www.cms.govwww.keystonefirstvipchoice.comwww.keystonefirstcommunityhealth choices.com833-243-8258
Is it a growing epidemic - or is there more awareness? Is there a time when it starts? Is there a way that it starts? Is there a who? Is there a why? Learn the answer to these questions and more from Dr. Ankur Desai, a Medical Director with AmeriHealth Caritas
Your child has mood swings, somedays you don't even recognize her/him. Is this ordinary childhood drive-my-parents-batty behavior? Or is this bipolar disorder - requiring professional evaluation, psychotherapy and medicine? Dr. Gabriel Kaplan joins Dr. Brewer to sort out some of the answers.
Episode #86 - Carol Wilson Pandza, SVP, Chief Human Resources Officer at AmeriHealth Caritas, discusses with us Why a diverse workforce is important to business.