Podcast appearances and mentions of bill lucia

Recently, President Joe Biden’s administration said it was very unlikely that it would mandate any sort of COVID-19 vaccine passport. But, the specter of such a document requirement hangs over policy, as multiple Republican governors are rejecting the concept in orders and statements. Bill Lucia is a Senior Editor for GovExec sibling site Route Fifty. He joined the show to discuss how state government leaders are treating the concept of a vaccine passport.

This week, Congress passed a COVID-19 relief bill that does not include direct funding for state and local governments. There is funding for transit and health-related expenses, which will take some of the burden off local governments, but the direct money is not in the massive bill.  Bill Lucia is a Senior Reporter for GovExec singling site Route Fifty. He joined the podcast now to discuss how the relief bill will impact local governments in the middle of the COVID-19 crisis.

Navigating an unprecedented mix of challenges mayors across the US rely on innovative fiscal and managerial actions to navigate the lasting early impacts of the COVID-19 pandemic and new challenges on the horizon. In discussing these actions panelists touch on the research on city fiscal conditions by Professor Reschovsky as well as a new national survey of municipal leaders by Engaging Local Government Leaders, Route Fifty, and other partners. This special briefing features a panel of experts, including Linda J. Bilmes, Daniel Patrick Moynihan senior lecturer in public policy and public finance, Harvard Kennedy School, Harvard University; Andrew Reschovsky, professor emeritus of Public Affairs and Applied Economics, Robert M. La Follette School of Public Affairs, University of Wisconsin-Madison; Bill Lucia, senior reporter, Route Fifty; Andrew Rein, president, Citizens Budget Commission of New York. Notable Quotes: “A rough scaling up of these estimates to all local governments in the entire United States suggests revenue shortfalls this fiscal year of $103-$165 billion.” - Andrew Reschovsky “Just over 60% of respondents said that capital projects would be the budget item most impacted by revenue shortfalls stemming from the Coronavirus. Among leadership positions the percentage of respondents who said so was even higher.” - Bill Lucia “The Mayor (of NYC) has actually talked about, if we don't get this $1 billion saved, we need to lay off 22,000 workers, or we need to borrow money. We think that is a false choice.” - Andrew Rein “The best run cities that I'm working with are trying to quickly convert at least key portions of their budgets into activity-based budgets.” - Linda Bilmes Be sure to subscribe to Special Briefing to stay up to date on the world of public finance. Learn more about the Volcker Alliance at: volckeralliance.org Learn more about Penn IUR at: penniur.upenn.edu Connect with us @VolckerAlliance and @PennIUR on Twitter, Facebook and LinkedIn Special Briefing is published by the Volcker Alliance, as part of its Public Finance initiatives, and Penn IUR. The views expressed on this podcast are those of the panelists and do not necessarily reflect the position of the Volcker Alliance or Penn IUR.

Bill Lucia is the Chairman, President & CEO of HMS, which provides a broad range of payment accuracy and population health management solutions for healthcare systems – saving billions of dollars annually and helping consumers lead healthier lives. Bill began his career in the life insurance industry, and will share why he made this mid-career change to help make a difference. Visit A Second Opinion's website here: https://asecondopinionpodcast.com/ Engage with us on social media at: Facebook Twitter Instagram

This podcast is a recorded panel discussion from PRI’s second annual policy conference in Sacramento.  The panel focuses on education.  As the attack over charter schools has increased, one false narrative is that they don’t serve the needs of special needs students. To the contrary, school choice options including charter schools give students the diverse educational opportunities they are seeking. This panel discusses the forthcoming PRI book Mia’s Story and the importance of school choice and innovative approaches to learning for special needs children.  You’ll hear presentations from Carrie Carlson, Regional Coordinator for an independent study charter school in Northern California, Sarah Bailey, who started her own homeschool learning center, and Bill Lucia, President and CEO of EdVoice.  The panel was moderated by PRI’s senior director of education studies, Lance Izumi.

On PopHealth Week our guest is Dr. Gary Call, of HMS, "a healthcare technology, analytics and engagement solutions company that helps to reduce costs, improve health outcomes and enhance member experiences." Bio: Gary Call, MD, is Senior Vice President and Chief Medical Officer for HMS. He has a strong collaboration with HMS clients and leads HMS clinical program development and execution. Dr. Call has more than 25 years of experience in the practice of medicine and managed care. Prior to coming to HMS, he most recently served as the corporate vice president of clinical programs at Molina Healthcare. Dr. Call graduated from the University of Washington School of Medicine and completed his residency training at the University of Utah. He is a board certified family physician.   Follow Dr. Call on twitter via @GCall99 Join us! ==##==

Every day, charter schools play an important role in meeting the diverse needs of California’s students. PRI’s Lance Izumi, Fortune School CEO Margaret Fortune, and EdVoice’s Bill Lucia share real-life charter school success stories and explore ideas policymakers can embrace to expand school choice options. Part 2 of our 4-part series on how free-market ideas can build new, diverse coalitions in California. Recorded at PRI’s “California Ideas in Action” conference in Sacramento.

With today’s runaway costs, finding and controlling fraud and abuse is more important than ever. On today’s show, we have special guest Bill Lucia, the CEO, President and Chairman for HMS. They are a leader in the cost containment space, serving over 40 states Medicaid programs, Medicare, 325+ commercial health plans, as well as many large employers nationally. In this episode, Dr. Steve and Bill Lucia discuss: - Reducing healthcare waste is more than a technology fix - Understanding how current and future risk bear on costs - Telehealth as an engagement tool - HMS' acquisition of Eliza for consumer engagement - The power of investing into behavioral & advertising science  

MediStrategy with Kip Piper Episode 09:  Fighting Healthcare Fraud and Ensuring Medicaid Program Integrity: Interview with Bill Lucia, Chairman and CEO, HMS Summary “Fighting health care fraud is like playing Whac-A-Mole.” Our nation’s $3.2 trillion healthcare system is a complex beast. To ensure its integrity, we must combat a range of issues – from unintentional errors to criminal activity. Today’s guest is an industry leader in leveraging data analytics and the benefit of a national perspective to identify bad actors and ensure that Medicaid is the ‘payer of last resort.’ Bill Lucia is Chairman and CEO of HMS Holdings, the nation’s largest and most successful company dedicated to providing the broadest range of healthcare cost containment solutions to help purchasers, plans, and at-risk providers improve performance. HMS works with 45 state Medicaid programs, 250 health plans, Medicare, large employers, and provider organizations to help contain costs and protect our nation’s healthcare system from fraud, waste, and abuse. Lucia joined HMS in 1996, becoming chairman, president, and CEO in 2009. He is responsible for leading HMS through the evolving healthcare landscape, demonstrating the ability to formulate and implement key strategic initiatives. Today he shares HMS’s holistic approach to safeguarding the integrity of the $590 billion Medicaid program via technology, know-how, and advanced analytics. Listen and learn about HMS’s pioneering work in the areas of fraud detection, overpayment recovery, and coordination of benefits as well as the organization’s policy recommendations for Medicaid reform. Subscribe in iTunes | Stitcher | SoundCloud | Libsyn | RSS Feed Topics Covered The mission of ensuring the integrity of nation’s healthcare system by reducing costs and removing fraud, waste, and abuse. The complex nature of the Medicaid system: $590 billion program Over 1 in 4 Americans enrolled in either Medicaid or CHIP (77 million in Medicaid and 6 million in CHIP) Covers more types of services and providers than Medicare or any private insurer Serves the most clinically and demographically diverse and most vulnerable, highest cost populations Constantly changing How HMS works to ensure program integrity in Medicaid: Verify that claims paid by appropriate party (coordination of benefits, third-party liability) Confirm that claims are paid accurately (billed appropriately, medically necessary services, no errors related to policy) How technology, know-how, and analytics are used to: Identify providers with a propensity for incorrect billing Recognize program rules that cause errors Anticipate potentially fraudulent activity How pattern recognition is used to detect inaccuracies and fraud in claims:  Unintentional errors in billings to Medicaid and commercial health plans) Fraud such as billing in excess of 24 hours/day, 230 days/year The significant return on investment from HMS program integrity work: Over $1B in taxpayer dollars recovered annually Far more saved through cost avoidance 90% of their work is done on contingency Average return on investment (ROI) is 15:1 One state reported 900% ROI How to make the case for preventative measures (vs. recovery dollars): States always looking to rein in costs and balance budget Keeps the state in compliance Benefits constituents who might not have healthcare otherwise How HMS has built the industry standard with regard to coordination of benefits: Feed eligibility data to established database Identify beneficiaries with third party coverage (10%-13% of Medicaid enrollees also have private coverage) Ensure that Medicaid is the ‘payer of last resort’ How to leverage advanced analytics: Employ visual and geospatial analysis to identify fraud Track members with chronic conditions (23% of members incur 90% of the costs) HMS policy recommendations to Congress and States: Use third parties to ensure Medicaid is ‘payer of last resort’ Incentivize states to improve oversight Leverage premium assistance programs Expand the use of data aggregation Simplify the system to reduce errors Connect with Bill Lucia and HMS HMS Website Facebook Twitter Resources Mentioned HMS Report: Effective Cost Management for Medicaid Connect with Kip Piper, Host of MediStrategy Website Twitter Piper Report Blog LinkedIn About MediStrategy: The MediStrategy podcast offers informative interviews with healthcare leaders and insights on hot business and policy issues in Medicare, Medicaid, and health reform.  Health executives, policymakers, entrepreneurs, authors, and other influencers share challenges and opportunities in America’s rapidly changing $3.2 trillion health care system. MediStrategy is hosted by Kip Piper, a top expert on Medicaid, Medicare, and health reform. A prominent consultant, speaker, and author, Kip Piper advises health plans, state Medicaid agencies, hospitals and health systems, provider associations, life sciences companies, and investment firms.  Subscribe in iTunes | Stitcher | SoundCloud | Libsyn | RSS Feed