Podcasts about Blue Shield

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Best podcasts about Blue Shield

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Latest podcast episodes about Blue Shield

Becker’s Healthcare Podcast
Angie Kalousek, Senior Director, Clinical Strategy and Programs at Blue Shield of California

Becker’s Healthcare Podcast

Play Episode Listen Later May 25, 2025 9:55


This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Angie Kalousek, Senior Director, Clinical Strategy and Programs at Blue Shield of California. Angie shares how her organization is innovating in value-based care, virtual delivery, and health equity initiatives to balance affordability, quality, and access for diverse member populations.

Fostering Change
Corporate Responsibility Shining Through: Supporting Youth in Foster Care

Fostering Change

Play Episode Listen Later May 20, 2025 18:29


On today's episode of Fostering Change, we continue our special acknowledgment that May is National Foster Care Awareness Month. We hope you have taken some moments to reflect on what you can do to support those in the foster care system: donate, volunteer your time, mentor, or even consider taking steps to be a CASA or foster parent. Thank you for all you do!If you'd like a simple way to support Comfort Cases, here's an idea: You can participate in the Hundred X program. Click on the following link, and you'll be guided to complete surveys about brands and companies you are familiar with. Comfort Cases will receive $1.60 for every survey you fill out (and it only takes 2 minutes max for each!) https://programs.hundredx.com/givewithoutspendingNow, on to today's episode: For 8 years, we have worked with the team at Anthem Blue Cross Blue Shield in Indiana, and have expanded that partnership throughout the country, literally giving away THOUSANDS of our Comfort Cases backpacks to social service agencies and youth experiencing foster care.Today, we speak with Aimee Christian, a Fostering Connections Case Manager with Anthem Blue Cross Blue Shield. Aimee and Rob Scheer have a lively discussion that focuses on the positive changes that can be made to improve the foster care system.Some of the points they cover include changing our vocabulary so we're not labeling these youth, changing the focus from just on the child to the entire family, and building and improving relationships with the birth family and the foster family.Aimee and Rob will certainly motivate you to—at minimum—give new thoughts to the foster care system and—at best—possibly motivate you to consider becoming a foster parent yourself!We know you'll enjoy this interview. Thank you again to Anthem Blue Cross Blue Shield for being such a valuable and supportive partner to Comfort Cases all these years! ​​The partnership between Anthem Blue Cross and Blue Shield and Comfort Cases has grown since 2018. Since the expansion, Anthem Blue Cross and Blue Shield's affiliated health plans have hosted dozens of packing parties across 16 states, Washington DC, and Puerto Rico, providing thousands of Comfort Cases and XL duffel bags to youth in foster care nationwide.For more information about the foster care system or how you can support Comfort Cases, please visit our website: www.comfortcases.org. If you have any questions, comments, or guest suggestions, please reach out to us at info@comfortcases.org. Hosted on Acast. See acast.com/privacy for more information.

The Heart of Healthcare with Halle Tecco
A New Era at Optum | Optum Chief Executive Officer Dr. Patrick Conway

The Heart of Healthcare with Halle Tecco

Play Episode Listen Later May 19, 2025 42:51


Over 160 million Americans are served by Optum, yet many still don't fully understand what it actually does—or why it matters.Dr. Patrick Conway, newly appointed CEO of Optum and former head of CMS Innovation Center and Blue Cross NC, joins Steve for a wide-ranging discussion on the state of healthcare delivery, affordability, and the potential of value-based care at a national scale. With experience spanning the frontlines of medicine to top government and corporate leadership, Conway breaks down how Optum aims to improve care while controlling costs—and why he continues to practice as a pediatric hospitalist on weekends.We cover:

KZRG Morning News Watch
Webb City Mayor, Lynn Ragsdale - NewsTalk KZRG

KZRG Morning News Watch

Play Episode Listen Later May 19, 2025 9:59


Webb City Mayor, Lynn Ragsdale, joined NewsTalk KZRG to discuss the city's Blue Shield designation, a smell issue, and Parks & Rec. Join Ted, Steve, and Lucas for the KZRG Morning Newswatch!

Wine After Work
Craft Scalable HR Strategies and Enhance Team Communication

Wine After Work

Play Episode Listen Later May 14, 2025 34:35


In this episode, we sit down with Lisa-Maree Blumenfeld, a seasoned HR leader with over 25 years of experience, to discuss her journey in the world of Human Resources and her passion for helping startups build strong, people-first cultures. As the founder of Retain and co-founder of Eleven, Lisa-Maree shares her insights on scaling businesses while ensuring a solid and compliant HR foundation. Key Topics Discussed: Lisa-Maree's career journey and her extensive experience with startups and established corporations The importance of crafting scalable HR strategies in fast-growing companies How Eleven empowers leaders to enhance communication with their teams The role of empathy in HR leadership and executive coaching Navigating the challenges and chaos of building high-performing teams Insights on work-life balance and the importance of joy in both personal and professional life Guest Background: Before launching Retain and Eleven, Lisa-Maree was the VP of People at Expa, where she played a crucial role in scaling HR for over 20 startups. Her career also includes leadership positions at Lyft, NinthDecimal, and Aria Systems, alongside roles at PG&E and Blue Shield of California. Fun Facts: Lisa is a proud mom of four and loves live music, often attending concerts in her free time. She is currently on a mission to persuade her husband to adopt another puppy! Resources Mentioned: Retain Eleven Connect with Lisa-Maree: LinkedIn: Lisa-Maree Blumenfeld  

Commonwealth Club of California Podcast
Recognizing Mental Health Awareness Month

Commonwealth Club of California Podcast

Play Episode Listen Later May 13, 2025 56:50


Join us for an important discussion of the mental health impact on our youth of the fast pace and changing environment—and the volatility and uncertainty—of the post-COVID era. Afterward, stay for our post-program reception. Clara Armstrong is a 16-year-old sophomore who is deeply committed to advocating for youth mental health. Since November 2024, she has been an active member of the Sacramento County Behavioral Health Youth Advisory Board, where she has taken on leadership roles, including planning and leading youth listening sessions. Mav Li is a perpetual learner, currently focused on healing, exploring new hobbies, and transitioning, while based in San Francisco as a barback at Old Skool Cafe. A Harvard early graduate and former quant trader, Mav once represented the United States in chess and earth science during high school. Brihanna Best, 17, is a high school junior, youth leader, and mental health advocate based in San Leandro, California. As a Digital Media Intern at the Best Buy Teen Tech Center, she uses storytelling and creative technology to uplift the voices of her peers and spark conversations around emotional well-being. She is currently enrolled in a Child Development ROP program and aspires to become a child psychologist, with a focus on creating safe, affirming spaces for youth. Anjali Menon is a serial entrepreneur and founder of tbh, a venture-backed mental health platform built to support high school and college students across the country. As CEO of tbh, Anjali works with colleges and K–12 districts around the country to offer virtual coaching, therapy, and basic needs support. Special Intro: Paula Ambrose is a principal at Blue Shield of California, where she leads the company's signature social impact initiative BlueSky and supports corporate giving efforts. With more than 30 years of experience in program management and leadership, across multiple industries and functions, Paula has a proven track record of developing and implementing effective strategies to drive positive change and results. She is passionate about creating a more equitable and just society, and is committed to leveraging her skills and experience to make a lasting impact. Our moderator Zach Gottlieb is a mental health activist, speaker, and the founder of Talk With Zach, a community and platform that aims to change the culture around wellness for the next generation. He is head of partnerships at Crew Dog, a lifestyle collegiate apparel brand, and consults for startups. He attends Stanford University, has spoken in many media forums, and has been published in the Los Angeles Times, The New York Times, Boston Globe and more. Learn more about your ad choices. Visit megaphone.fm/adchoices

This is Ag!
40. Veronica Luna - Director of Administrative Operations at Rancho Guadalupe, advocacy, empathy, and how to show up for others

This is Ag!

Play Episode Listen Later May 13, 2025 34:13


In this episode of This Is Ag, I'm joined by Veronica Luna—Director of Administrative Operations at Rancho Guadalupe and a passionate advocate for the people who power our fields. With years of experience in agriculture, Veronica has become a quiet but powerful force behind the scenes, using her voice to champion mental health, accessible benefits, and compassionate leadership.Raised by a strong mother, Veronica learned early what it meant to speak up—even when it wasn't easy. Today, she carries that legacy forward at Rancho Guadalupe, where she not only manages Human Resources and benefits but also plays a key role in shaping a workplace culture grounded in care.In this episode, Veronica opens up about helping launch Spring Health before the pandemic—a bold move that brought mental health support to ag workers when they needed it most. She shares how her personal grief journey became the spark to advocate for others, and how leadership at Rancho Guadalupe—especially General Manager AJ Cisney—listens and acts when employees speak.This is an episode about the heart of ag—the unseen labor, the emotional weight, and the deep humanity behind every harvest. Veronica's story is a reminder that care, empathy, and advocacy aren't just nice to have; they're essential tools for building a stronger, more resilient ag community.Veronica Luna: https://www.linkedin.com/in/veronica-luna-88900b199/Rancho Guadalupe: https://ranchoguadalupe.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Barbara Meza, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us

Un Mejor Tú, Ahora.
Salud Mental Oklahoma

Un Mejor Tú, Ahora.

Play Episode Listen Later May 13, 2025 14:33 Transcription Available


Send us a textUna transformación importante ha ocurrido en el panorama de los servicios de salud mental para la comunidad hispanohablante de Oklahoma. Lo que comenzó como una práctica individual ahora se ha expandido a una clínica integral con múltiples proveedores bilingües certificados por el estado: Salud Mental Oklahoma.Nuestro equipo cuenta ahora con terapeutas especializados que ofrecen un enfoque distintivo, centrándonos en tus fortalezas y desarrollando soluciones concretas, en lugar de enfocarnos en fracasos o deficiencias. Esta metodología ha generado excelentes resultados, con pacientes que regularmente destacan la efectividad de nuestro abordaje directo y orientado a soluciones, especialmente comparado con experiencias terapéuticas previas.La accesibilidad es nuestra prioridad. Aceptamos las principales aseguradoras como SoonerCare (Medicaid), Medicare, Blue Cross and Blue Shield, United, y muchas más, lo que permite que muchos pacientes reciban atención sin costo alguno o con copagos mínimos. Para quienes no tienen seguro, ofrecemos opciones económicas con terapeutas bilingües experimentados y estudiantes de maestría supervisados por tan solo $25 por sesión, con flexibilidad para ajustar estos costos según tus posibilidades. Estamos físicamente ubicados en el 6801 Southwestern en Oklahoma City, pero atendemos virtualmente a todo el estado.¿Estás listo para transformar tus obstáculos en oportunidades de crecimiento? Llámanos al 405-338-7674, envíanos un WhatsApp, o visita saludmentaloklahomacom para comenzar tu camino hacia el bienestar emocional. Tu salud mental es nuestra prioridad, y estamos aquí para acompañarte en cada paso.¿Buscas terapia individual, consejería familiar, terapia de pareja, psicoterapia infantil, terapia para adolescentes, terapia cognitivo‑conductual (TCC), manejo del trauma, intervención en crisis, coaching emocional o mindfulness guiado? ¿Necesitas un terapeuta bilingüe que entienda la cultura latina y hable tu idioma? Este episodio es tu brújula. Hablamos sin filtros sobre cómo Salud Mental Oklahoma rompe barreras y acerca la salud mental a la comunidad hispana en Oklahoma City (OKC), Moore, Norman, Edmond, Midwest City, Mustang y todo el estado de Oklahoma.terapia psicológica Oklahoma | psicólogos en Oklahoma City | consejería hispanos Oklahoma | mental health OKC | counseling bilingual OK | terapia trauma Oklahoma | terapia de pareja Norman | terapia familiar Moore | TCC Edmond | EMDR Oklahoma

Finding the Funny: Leadership Tips From a Comedian

Curious what not to do when asking for career advice? In this behind-the-scenes glimpse into the world of humor keynotes and professional speaking, veteran keynote speaker Jan McInnis shares a wild ride of missteps, missed calls, and misplaced expectations—all sparked by a surprise request from an old comedy colleague. It's a true tale filled with lessons on timing, tact, and how not to burn bridges before you've even crossed them. https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker and comedian. She uses short funny stories to emphasize her tips on how businesses can use humor to handle change. Jan is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations

Let's Hear It
A Playbook for Change — Rachael Kagan on Journalism, Philanthropy, and Ending Domestic Violence

Let's Hear It

Play Episode Listen Later May 6, 2025 51:59


Let's Hear It is back after a brief break—and we're diving into one of the most powerful conversations we've had yet. In this episode, Eric sits down with Rachael Kagan, Director of Communications and Public Affairs at the Blue Shield of California Foundation. With a background in journalism and public health, Rachael has channeled her experience into creating The Journalist Playbook—a practical, compassionate, and groundbreaking tool for improving how domestic violence is covered in the media. Together, they unpack the why and how of this innovative resource, the effect it's already having across California newsrooms, and what it means to truly shift the narrative around domestic violence. This isn't just a tool for reporters—it's a model for how philanthropy, journalism, and advocacy can work together to drive lasting change. You'll also hear candid reflections on Rachael's journey from the frontlines of health communications to the strategic heights of philanthropy, plus a moving reminder that domestic violence affects far more people than we may realize—58% of Californians, to be exact. Find the playbook at LetsEndDV.org and the National Domestic Violence Hotline at 1-800-799-7233. We're thrilled to be back—thanks for welcoming us into your ears. Don't forget to follow, rate, and review!

Let's Hear It
A Playbook for Change — Rachael Kagan on Journalism, Philanthropy, and Ending Domestic Violence

Let's Hear It

Play Episode Listen Later May 6, 2025 51:59


Let's Hear It is back after a brief break—and we're diving into one of the most powerful conversations we've had yet. In this episode, Eric sits down with Rachael Kagan, Director of Communications and Public Affairs at the Blue Shield of California Foundation. With a background in journalism and public health, Rachael has channeled her experience into creating The Journalist Playbook—a practical, compassionate, and groundbreaking tool for improving how domestic violence is covered in the media. Together, they unpack the why and how of this innovative resource, the effect it's already having across California newsrooms, and what it means to truly shift the narrative around domestic violence. This isn't just a tool for reporters—it's a model for how philanthropy, journalism, and advocacy can work together to drive lasting change. You'll also hear candid reflections on Rachael's journey from the frontlines of health communications to the strategic heights of philanthropy, plus a moving reminder that domestic violence affects far more people than we may realize—58% of Californians, to be exact. Find the playbook at LetsEndDV.org and the National Domestic Violence Hotline at 1-800-799-7233. We're thrilled to be back—thanks for welcoming us into your ears. Don't forget to follow, rate, and review!

Omega Stereo Panamá
Pauta en Radio, 5 de mayo de 2025.

Omega Stereo Panamá

Play Episode Listen Later May 6, 2025 61:47


“Blue Cross and Blue Shield of Panama, con el respaldo de Internacional de Seguros, presenta la décima edición de la Semana Más Saludable “Fit 4 All”, un evento que este año cobra un significado especial al conmemorar una década promoviendo el bienestar y la solidaridad”.HOY a las 5 de la tarde por los 107.3 FM de @omegastereo1073. Sintonízanos LIVE por Facebook en Omega Stereo o por Grupo Pauta Panamá También por omegastereo.com#solidaridad#decimaedicion#semanamassaludable#fit4all#bcbs

Bizcast NH
Episode 169 - Maria Proulx, Anthem Blue Cross and Blue Shield in NH

Bizcast NH

Play Episode Listen Later May 5, 2025 44:39


Today we talk with Maria Proulx, president Anthem Blue Cross and Blue Shield in NH, about health insurance costs and how she is leading the state's largest health insurance provider and its clients through a turbulent economic time. Sponsored by the Business of the Year Awards.

Today in Health IT
2 Minute Drill: Yale New Haven and Blue Shield of California Data Exposures with Drex DeFord

Today in Health IT

Play Episode Listen Later May 3, 2025 3:41


Drex covers essential cybersecurity reports including the HIMSS Survey, Cincinnati's Healthcare Cybersecurity Benchmarking Study, CrowdStrike's 2025 Global Threat Report, and Verizon's DBIR. Also highlighted: an Oracle engineering error affecting 45 hospitals' EHRs, Yale New Haven's breach impacting 5.5 million patients, and Blue Shield of California's Google Analytics configuration mistake exposing 4.7 million patients' data.Remember, Stay a Little Paranoid X: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

The WEInvested Podcast
Retain: On-Demand HR Professionals ft Lisa-Maree Blumenfeld

The WEInvested Podcast

Play Episode Listen Later Apr 29, 2025 31:08


Retain provides on-demand HR for startups and small businesses that need access to core Human Resources services without having to hire full-time HR staff.  Retain was founded by Lisa-Maree Blumenfeld who has 20+ years of HR experience and was most recently VP of People at Expa, where she lead a centralized HR and Recruiting team that worked on behalf of 20+ startups.  Prior to Expa, Lisa has worked with fast-moving startups (Lyft, NinthDecimal, Aria Systems) as well as with larger Fortune 500 companies (PG&E, Blue Shield of California).  Her passion for early to mid-stage startups encouraged the start of Retain and her deep network of experienced HR professionals make up the team.Lisa-Maree Blumenfeld has revolutionized HR at various levels, from startups like Lyft to larger corporations. Merging HR with financial literacy seems like a natural progression. Her practical tips could empower your listeners to enhance both their organizational culture and financial health.

Gist Healthcare Daily
Monday, April 28, 2025

Gist Healthcare Daily

Play Episode Listen Later Apr 28, 2025 8:30


The Senate HELP committee report calls for reforms within the 340B drug discount program. Blue Shield of California leaked health data of nearly 5-million members to Google. And, measles misinformation is on the rise nationwide, according to a new poll. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Cyber Security Today
Record-Breaking Cybercrime Losses and Data Breaches in 2024

Cyber Security Today

Play Episode Listen Later Apr 25, 2025 9:45


  In this episode of Cybersecurity Today, host David Shipley discusses the FBI's report on cybercrime losses in 2024, which reached a record $16.6 billion, marking a 33% increase from the previous year. The report highlights major types of cyber crimes such as phishing, spoofing, extortion, and investment fraud, with older adults being significantly impacted. Additionally, Blue Shield of California experienced a data breach affecting 4.7 million members due to a Google Analytics misconfiguration. The episode also covers global ransomware trends, revealing that 86% of affected firms paid ransoms, and the Verizon Data Breach Investigation Report's findings that ransomware is a factor in nearly half of all cyber incidents. David also previews upcoming cybersecurity events and hints at further discussions on phishing training and data security. 00:00 Record Cybercrime Losses in 2024 04:07 Blue Shield of California Data Breach 07:03 Ransomware Crisis and Global Impact 08:23 Verizon Data Breach Report Insights 09:20 Upcoming Events and Closing Remarks

The Broadcast Retirement Network
Your Morning Pulse for Friday, April 25, 2025

The Broadcast Retirement Network

Play Episode Listen Later Apr 25, 2025 4:10


Your Morning Pulse for Friday, April 25, 2025 Here are today's top stories from The Morning Pulse: 1.How Tax-Deferred Retirement Accounts Cost the U.S. Government $23 Billion a Year 2.The Fed's Next Move Is Coming Soon. Here's What to Expect for Mortgage Rates. 3.Blue Shield of California data breach leaked millions of users' health data to Google 4.Lee: Is AI to blame for rising food, housing costs? - Boston Herald Subscribe for all these stories and more delivered to your inbox daily by visiting www.broadcastretirementnetwork.com. Your Subscriptions Supports this Great BRN Programming.

Security Squawk
Texas City Systems Offline, Ransomware Surge & Data Leaks

Security Squawk

Play Episode Listen Later Apr 25, 2025 51:11


In this episode of Security Squawk, we dissect a wave of high-impact cyber events: a Texas city forced offline by a cyberattack; a 9% jump in ransomware against U.S. infrastructure; the FBI's record-breaking $16.6 B loss in 2024; North Korean spies posing as U.S. firms to infect crypto developers; global cyberwarfare readiness; and headline-grabbing data leaks—from Legends International to Blue Shield's PHI slip. Plus, Randy breaks down AI's promise (and pitfalls) in cybersecurity, and we unpack Verizon's DBIR warning on third-party breach surges. In our Follow-Up, we revisit DaVita's dialysis response, Sensata's production halt, and Frederick Health's 1 M patient-record breach. Tune in now!

Cyber Security Headlines
Blue Shield of California shared private data,FBI IC3 report, Ex-Army sergeant jailed

Cyber Security Headlines

Play Episode Listen Later Apr 24, 2025 9:43


Blue Shield of California shared private health data of millions with Google The FBI issues its 2024 IC3 report Ex-Army sergeant jailed for selling military secrets Huge thanks to our sponsor, Dropzone AI Security analysts need practical experience to build investigation skills, but getting expert guidance for every alert is impossible. That's why Dropzone AI created COACH—a free Chrome extension that serves as an AI security mentor for SOC analysts at any level. COACH reads alerts across all major security platforms, explains their context, provides alternative hypotheses, and guides analysts through industry-standard investigation methodologies. Unlike our AI SOC Analyst product, COACH doesn't do the work for you—it teaches you how to think through investigations yourself. It supplements human mentoring with always-available guidance that respects your data with zero retention. Develop your security team's skills at Dropzone.ai/coach. For the stories behind the headlines, head to CISOseries.com.

Finding the Funny: Leadership Tips From a Comedian
Climbing to the Top of the Pile, 1 Joke at a Time (writing for Jay Leno)

Finding the Funny: Leadership Tips From a Comedian

Play Episode Listen Later Apr 21, 2025 4:30


Breaking into a crowded field can feel daunting, but persistence pays off in surprising ways. In this behind-the-scenes glimpse into a comedy career, you'll hear about the thrill of receiving that very first joke check from Jay Leno's Tonight Show monologue—without even knowing which joke sold. Not only did I sell jokes to to him, BUT I also got some cool industry perks, memorable introductions, and an unforgettable moment of validation. https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.

Finding the Funny: Leadership Tips From a Comedian
How I Got Cheated Out of My Biggest Break in Comedy

Finding the Funny: Leadership Tips From a Comedian

Play Episode Listen Later Apr 17, 2025 5:10


Trying to get stage time at the Laugh Factory in L.A. is a big deal—especially if you're hoping to get in front of Jamie Masada, the guy who helped launch tons of comedy careers. This story's all about the hustle, calling in favors, and navigating the weird world of showbiz politics. It's a real-life peek into how things almost happen in Hollywood—and what you learn when they don't. https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

Finding the Funny: Leadership Tips From a Comedian

People always ask what it's like being a woman in the male-dominated world of stand-up, and the truth is—it's mostly fine… but there are a couple things that drive me nuts. This is a fun peek into what what I've had people say to my face, and how I've handled it! https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations

Becker’s Healthcare Podcast
Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California

Becker’s Healthcare Podcast

Play Episode Listen Later Apr 5, 2025 17:13


In this episode, Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California, joins Jakob Emerson to discuss the company's ambitious goal of shifting 90% of eligible healthcare spending to pay-for-value models. Dr. Kavasery shares insights on the challenges of transitioning from fee-for-service, the importance of aligning incentives, and the innovative models shaping the future of healthcare affordability and quality.

The Dallas Morning News
Dallas mother sentenced to life in prison in connection with fatal beating of 5-year-old ... and more

The Dallas Morning News

Play Episode Listen Later Apr 2, 2025 5:23


The mother of a 5-year-old boy found dead in South Dallas was sentenced to life in prison last week for beating the child. 29 year old Tiffany Williams was found guilty Friday of injury to a child in connection with the 2022 death of Zamaurian Kizzee. The boy's legal father, 77 year old Ulysses Kizzee, faces a charge of injury to a child by omission. In other news, Southwestern Health Resources, which includes the medical providers and hospitals at Texas Health Resources and UT Southwestern are no longer in-network for Blue Cross and Blue Shield of Texas insurance plans, including commercial plans, as well as Medicaid and Medicare Advantage plans; Big Bend National Park in Texas could soon expand by thousands of acres. Three lawmakers — U.S. Sens. John Cornyn, R-Texas, and Ben Ray Luján D-New Mexico, and U.S. Rep. Tony Gonzales, R-San Antonio — introduced a bill in Congress last month to acquire roughly 6,100 acres along the park's western boundary; and April is Dallas Arts Month and the city is buzzing with fresh, interactive ways to experience art and music. Check out the trends taking over the city in today's edition of the Dallas Morning News. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Becker’s Payer Issues Podcast
Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California

Becker’s Payer Issues Podcast

Play Episode Listen Later Mar 31, 2025 17:13


In this episode, Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California, joins Jakob Emerson to discuss the company's ambitious goal of shifting 90% of eligible healthcare spending to pay-for-value models. Dr. Kavasery shares insights on the challenges of transitioning from fee-for-service, the importance of aligning incentives, and the innovative models shaping the future of healthcare affordability and quality.

America's Work Force Union Podcast
Pete Ielmini, Mechanical Insulators LMCT | Merrilee Logue, NLO, and Lynn Pina, GeoBlue

America's Work Force Union Podcast

Play Episode Listen Later Mar 26, 2025 49:45


Pete Ielmini, Executive Director of the Mechanical Insulators Labor Management Cooperative Trust (LMCT), joined the America's Work Force Union Podcast to discuss the efforts to reintroduce the Federal Mechanical Insulation Act, the success of their Firestop Market Recovery Program and the importance of properly installed mechanical insulation in federal buildings. Merrilee Logue, Executive Director of the National Labor Office at Blue Cross and Blue Shield, and Lynn Pina, Chief Marketing Officer at GeoBlue, joined the America's Work Force Union Podcast to discuss the benefits of GeoBlue, the necessity of additional coverage when traveling abroad and how GeoBlue can assist union members and their families during their international travel plans this summer.

Recipe for Success
Enter the Vault: Where It All Began

Recipe for Success

Play Episode Listen Later Mar 21, 2025 19:10


In the debut episode of Enter the Vault, host Nancy Giacolone takes listeners on a journey through her 30+ years in the employee benefits industry, sharing how she got started and how the field has evolved. From typewriters to cutting-edge technology, she reflects on the changes, challenges, and innovations that have shaped employee benefits today.

Finding the Funny: Leadership Tips From a Comedian
3 Nights in Hawaii for 16 Minutes on Stage

Finding the Funny: Leadership Tips From a Comedian

Play Episode Listen Later Mar 20, 2025 3:10


Imagine flying to Hawaii for a humor keynote, only to have everything shift in a way you never saw coming. As a keynote speaker, comedian, and corporate speaker, I know that timing, adaptability, and engaging an audience are everything—but this was a whole new challenge. With the pressure on and no room for error, I had to think fast and use comedy in business to keep the energy high. What happened next proved that sometimes, the best moments in public speaking come when you least expect them, and that workplace humor can turn any situation into a success. https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.

Finding the Funny: Leadership Tips From a Comedian

In this episode, comedian and keynote speaker Jan McInnis takes us behind the scenes of a high-stakes convention show that could make or break her career. With pressure mounting from every angle—an intimidating crowd, a skeptical agent, and a fellow comic with a history—she had no idea how the night would unfold. Tune in for a gripping and hilarious story about resilience, surprises, and finding the funny in unexpected places.   https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

Outcomes Rocket
Transforming Healthcare with Digital Solutions – Insights from Paul Markovich, CEO of Blue Shield of California

Outcomes Rocket

Play Episode Listen Later Mar 7, 2025 16:57


This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Digital solutions are improving healthcare by streamlining processes to be as easy as credit card transactions, which leads to better efficiency and patient care. In this episode, Paul Markovich, CEO of Blue Shield of California, reveals a collaboration with Salesforce to digitize the prior authorization process, aiming to eliminate fax machines and make it as efficient as credit card transactions. Blue Shield's nonprofit mission focuses on comprehensive digital health records and a complete system overhaul. Paul highlights the importance of starting from scratch to address cumbersome processes like prior authorization. Partnering with Salesforce for real-time data integration, Blue Shield's innovation journey emphasizes collaboration, learning from failures, and aligning with skilled partners.  Tune in to learn how Blue Shield of California and Salesforce are using digital solutions to simplify healthcare processes and create a more efficient and patient-friendly system! Resources: Connect with and follow Paul Markovich on LinkedIn. Follow Blue Shield of California on LinkedIn and visit their website. Fast Track Your Business Growth: Outcomes Rocket is a full service marketing agency focused on helping healthcare organizations like yours maximize your impact and accelerate growth. Learn more at outcomesrocket.com

Oral Arguments for the Court of Appeals for the First Circuit
Cannon v. Blue Cross and Blue Shield of Massachusetts, Inc.

Oral Arguments for the Court of Appeals for the First Circuit

Play Episode Listen Later Mar 5, 2025 15:23


Cannon v. Blue Cross and Blue Shield of Massachusetts, Inc.

Becker’s Payer Issues Podcast
Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 26, 2025 16:33


In this episode, Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California, joins Becker's to discuss how the company is dismantling the traditional PBM model to bring cost transparency and flexibility to pharmacy care. He shares insights on specialty drug pricing, the role of biosimilars, and why health plans must take back control of their pharmacy management.

The CFO Show
Forging a Powerful CFO-COO Partnership to Drive Organizational Success

The CFO Show

Play Episode Listen Later Feb 11, 2025 31:36


The CFO-COO partnership is undeniably one of the most powerful alliances that can make or break a company's success. When working in perfect harmony, this duo creates a formidable force that drives strategic decisions, enhances operational efficiency, and propels growth. In this installment of our finance business partnering series, host Melissa Howatson welcomes Sandra Clarke, Former Executive Vice President and Chief Operating Officer of Blue Shield of California. Sandra, who spent the majority of her career in finance, progressed from analyst to CFO before taking on the COO role. She discusses the unique perspective of having been on both sides of the CFO-COO relationship, addressing the benefits of close collaboration as well as the challenges that may arise from competing priorities. Discover what it takes to build a successful CFO-COO business collaboration that benefits the entire organization and learn how this dynamic partnership directly impacts a company's bottom line. Discussed in This Episode: The role of the COO, its variability across companies, and where it intersects with the CFO role in facilitating company strategy and boosting growth. How finance leaders can bring the most value to the operations team by understanding the business, identifying patterns in numbers that may indicate potential issues, and recommending optimal resource allocation. Key elements of a strong CFO-COO partnership, including humility, mutual trust in each other's expertise, and an unwavering focus on what's best for the business. Navigating tensions between CFO and COO roles when financial data doesn't support perceived operational needs, and strategies for collaboration in these challenging situations.

Finding the Funny: Leadership Tips From a Comedian

Ever wondered what really goes on behind the wheel of a rideshare? As someone who relies on Uber and Lyft for travel, I've had some eye-opening experiences—some hilarious, some frustrating, and some downright nerve-wracking. From reckless drivers to unexpected fare demands and surprising last-minute changes, these rides have taught me a lot about safety, preparation, and the importance of professionalism. Whether you're a frequent traveler or just curious about the wild world of ridesharing, take a listen to the things that happened to me LAST YEAR! https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.    

Becker’s Payer Issues Podcast
Paige Brogan, Principal CalAIM at Blue Shield of California

Becker’s Payer Issues Podcast

Play Episode Listen Later Jan 22, 2025 6:41


This episode, recorded live at the Becker's Healthcare 2024 Fall Payer Issues Roundtable, features Paige Brogan, Principal CalAIM at Blue Shield of California. Paige discusses Medi-Cal transformation through the CalAIM initiative, emphasizing value-based care, health equity, and innovative member engagement strategies to address whole-person needs.

HLTH Matters
HLTH: Transforming Obesity Management with FlyteHealth's Personalized Approach with Gabe Castaneda

HLTH Matters

Play Episode Listen Later Jan 20, 2025 12:57


About Gabe Castaneda:Gabe Castaneda is the Chief Revenue Officer at FlyteHealth, bringing over 25 years of experience in sales, marketing, and customer success in both business-to-business and direct-to-consumer markets. He has held significant roles at Omada Health, Blue Cross and Blue Shield, and UnitedHealth Group. Gabe holds a bachelor's degree in marketing from the University of Minnesota, a law degree from the Mitchell Hamline School of Law, and an MBA from the Thunderbird School of Global Management. His expertise lies in developing strategic sales and marketing organizations, reducing costs, improving health outcomes, and increasing member engagement.Things You'll Learn:Innovative obesity management combines lifestyle strategies with clinical medication management using a patented algorithm for personalized care.Significant weight loss results, averaging 15.8% with non-GLP-1s, reduce costs and minimize side effects.Avoiding compound prescriptions is a critical focus in effective obesity management.Efforts center on building state-level partnerships with healthcare systems and expanding collaborations with payers, consultants, and employer groups.Resources:Connect with and follow Gabe Castaneda on LinkedIn.Follow FlyteHealth on LinkedIn and visit their website. 

Finding the Funny: Leadership Tips From a Comedian
My Recipe For Success: The Secret Ingredients for Achieving Anything!

Finding the Funny: Leadership Tips From a Comedian

Play Episode Listen Later Jan 17, 2025 4:51


Ever thought you could conquer anything with just a mix of enthusiasm and naivety? In this inspiring and humorous episode, Jan McInnis shares her journey from an ill-prepared novice hiker to an experienced explorer of over 25 national parks. Through tales of daunting trails like Angel's Landing and Old Rag, Jan reflects on the surprising life lessons these adventures offer. This episode is packed with laughs, relatable missteps, and valuable leadership insights on fostering enthusiasm while offering the right guidance. Whether you're a hiking enthusiast, a leader looking to motivate your team, or someone who loves a great story of perseverance and humor, this episode is for you. Discover Jan's "recipe for success" and hear how a simple blend of courage and preparation can lead to big achievements—on trails and in life. Tune in to learn, laugh, and maybe even be inspired to visit a national park! https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

HLTH Matters
HLTH: Transforming Mental Health Care with the 90-90-90 Vision with Malekeh Amini & Rebecca (Becky) Messing Haigler

HLTH Matters

Play Episode Listen Later Jan 14, 2025 21:07


About Malekeh Amini:Malekeh Amini is the CEO and founder of Trayt Health, with extensive experience in healthcare innovation. She is dedicated to enhancing mental and behavioral health through data-driven solutions and comprehensive social determinants. Her leadership in the industry is marked by her strategic vision and commitment to transformative healthcare practices.About Rebecca Messing Haigler:Rebecca ‘Becky' Messing Haigler, MPH, MBA, is a seasoned healthcare executive, entrepreneur, and strategist. As CEO of Noe Strategic Advisors, she guides health tech portfolio companies, startups, and VC firms in developing health economics fundamentals and commercialization models. With experience as Health Economics Lead at Verily Life Sciences and roles in organizations like Blue Shield of CA and the Chartis Group, Rebecca has a proven track record in healthcare innovation. She holds degrees from UC Berkeley and the University of Michigan and enjoys family time in the Bay Area.Things You'll Learn:Trayt Health uses comprehensive social determinants data to redefine high-quality symptom definitions in mental healthA systemic approach to behavioral health involves integrating physical and social health considerationsUpdated payment models are necessary to shift from crisis intervention to prevention and evidence-based care in mental health.Partnerships and collaborations are crucial for achieving ambitious goals in transforming mental healthcare.Resources:Connect with and follow Malekeh Amini on LinkedIn.Follow Trayt on LinkedIn and visit their website. Connect with and follow Rebecca Messing Haigler on LinkedIn.Follow The Kennedy Forum on LinkedIn and visit their website. 

This is Ag!
37. Chana Hauben - Vice President of Human Resources at UnitedAg, empathy, collaboration, and creativity

This is Ag!

Play Episode Listen Later Jan 7, 2025 33:49


In this anniversary episode of This Is Ag!, I sat down with Chana Hauben, our Vice President of Human Resources, to reflect on the remarkable culture we've built at UnitedAg and celebrate four years of the podcast. Our conversation explored the heart of what makes UnitedAg not just a great place to work but a unique environment for personal and professional growth.At UnitedAg, we've more than tripled our financial growth over the past decade all the while maintaining the innovative, energetic spirit of a startup. Chana and I discussed how this growth has been driven by intentional culture-building, starting with empathy, collaboration, and creativity. These values are central to everything we do, from hiring passionate and proactive people to fostering innovation at all levels.Initiatives like the Emerging Leaders Program, the Ag-a-thon, and our CULTIVATE values recognition system create opportunities for growth and connection. Our onboarding process, transformed into a comprehensive and immersive experience, ensures new hires feel supported and inspired from the start.A standout moment was celebrating our recent recognition as one of the best places to work in Orange County. This honor symbolizes the dedication and care we pour into creating a positive, people-first environment. It's also a reflection of Chana's exceptional leadership in fostering an inclusive, innovative, and empowering culture.For me, UnitedAg has always been a "lab" where we experiment with ideas—not just for business growth but for human connection. Every day is an opportunity to grow a little more, to connect on a deeper level, and to lead with empathy. Listening to our employees, hearing their stories, and seeing them thrive fills me with pride and reinforces my belief in the work we do.As we wrap up our conversation, I reflect on what makes UnitedAg so special: it's not just a workplace, it's a community where people support each other, challenge each other, and grow together. Whether it's through innovative programs, meaningful connections, or a shared commitment to our values, UnitedAg continues to be a place where we can all thrive.If you're looking for a space to innovate, grow, and make an impact, we'd love to hear from you. This is what makes us UnitedAg: a family where the journey of growth and connection never ends.This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Chana Hauben, Vice President of Human Resources at UnitedAg: https://www.linkedin.com/in/chanah/Agricultural Personnel Management Association (APMA): http://agpersonnel.org/about/bod/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Chana Hauben, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us 

Maximizing Medicare with Paul Sheldon
GEM Care partners with Blue Shield

Maximizing Medicare with Paul Sheldon

Play Episode Listen Later Dec 30, 2024 59:55


GEM Care partners with Blue Shield. Gov wants you to pay Medicare Part B premium.    

CIO Leadership Live
Paul Hlivko, EVP, Chief Information and Digital Officer, Wellmark Blue Cross and Blue Shield

CIO Leadership Live

Play Episode Listen Later Dec 13, 2024 27:27


Join Paul Hlivko, EVP, Chief Information and Digital Officer, Wellmark Blue Cross and Blue Shield as he discusses technology modernization, cloud, data, and the digital talent of the future. 

The Other 80
The Big Squeeze with Paul Markovich

The Other 80

Play Episode Listen Later Dec 11, 2024 27:16


There's a lot of concern right now about healthcare affordability, but not enough action. Paul Markovich, the CEO of Blue Shield of California, is on a mission to bring down health costs by reducing administrative overhead and negotiating lower drug prices. In this episode we dive deep into Paul's call to action for healthcare leaders to tackle the affordability crisis head-on. Paul and I discuss:How Blue Shield slashed the cost of arthritis drug Humira, by offering a biosimilar at 25% of the costWhy reducing healthcare costs is critical to averting a national economic crisisWhether we need a new national mandate for health data sharingPaul's advice on tackling fear and being a brave leaderPaul says healthcare affordability isn't just a pocketbook issues for patients, it's also a huge economic issue for the nation:“The reality is we are facing a huge affordability crisis, a fiscal crisis right now. Even though our economy is running pretty much at or near full employment, we have record fiscal deficits… We cannot keep spending on this program the way that we are. We need to bring the spending down... Even our dysfunctional political system is going to have to deal with that.”Relevant LinksCalifornia's new data sharing law Announcement of new Humira biosimilar Investment in nonprodit Civica for lower cost genericsNew prior authorization platform with SalesforceAbout Our GuestPaul Markovich is Chief Executive Officer of Blue Shield of California, a nonprofit health plan with $25 billion in annual revenue serving 4.8 million members in the state's commercial, individual, and government markets. Markovich has launched and led numerous initiatives to drive innovation and help reimagine healthcare, including funding support for a statewide provider directory to make it easier for Californians to find physicians and facilities in their plan; supporting development of a statewide health information network for patients' records, enabling more seamless and holistic care; and investing in a partnership with the California Medical Association to help physicians pilot new care delivery models and leverage technology.Markovich is a North Dakota native and Rhodes Scholar with a master's in Philosophy, Politics and Economics from Oxford University. He is a graduate of Colorado College, where he earned a Bachelor of Arts in International Political Economy and played Division I hockey.Source: https://www.blueshieldca.com/en/home/about-blue-shield/corporate-information/leadership/paul-markovichStay InformedSign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up.Connect With...

Sharp Squares
Responsible GLP-1 Strategies: Structuring Benefits for Economic Viability and Proven Member Results

Sharp Squares

Play Episode Listen Later Dec 10, 2024 61:18


Leaders from Arkansas Blue Cross and Blue Shield, CVS Caremark, Independent Health and Vori Health explore how healthcare leaders tackle members' weight management challenges by creating comprehensive programs that responsibly integrate GLP-1 medications while controlling costs.  Key Discussion Topics: Benefit Design and Prior Authorization Programs: Crafting strategies to balance access and affordability. Integrated, Whole-Person Care: Addressing weight management holistically to improve outcomes. Leveraging Bright Spots: Applying successful approaches from other areas to optimize GLP-1 management. Future Innovations: Exploring emerging opportunities to enhance weight management programs.   Panel:  Ryan A. Grant, MD, MS, MBA, FAANS, CEO and Co-Founder, Vori Health Martin Burruano, Vice President, Pharmacy Services, Independent Health Mark T. Jansen, M.D., Vice President, Chief Medical Officer, Arkansas BlueCross BlueShield Ilona Smith, SVP of Employer, Government and Coalitions, CVS Caremark Bios: https://www.brightspotsinhealthcare.com/events/responsible-glp-1-strategies-structuring-benefits-for-economic-viability-and-proven-member-results Request Whitepaper To request the whitepaper, Integrating GLP-1s into the Future of MSK Care, from our partner Vori, please submit this form: https://www.brightspotsinhealthcare.com/request-a-copy-of-the-integrating-glp-1s-into-the-future-of-msk-care/   We'd love to hear from you! Send your comments, suggestions and ideas to hello@brightspotsinhealthcare.com

Bright Spots in Healthcare Podcast
Responsible GLP-1 Strategies: Structuring Benefits for Economic Viability and Proven Member Results

Bright Spots in Healthcare Podcast

Play Episode Listen Later Dec 10, 2024 61:18


Leaders from Arkansas Blue Cross and Blue Shield, CVS Caremark, Independent Health and Vori Health explore how healthcare leaders tackle members' weight management challenges by creating comprehensive programs that responsibly integrate GLP-1 medications while controlling costs.  Key Discussion Topics: Benefit Design and Prior Authorization Programs: Crafting strategies to balance access and affordability. Integrated, Whole-Person Care: Addressing weight management holistically to improve outcomes. Leveraging Bright Spots: Applying successful approaches from other areas to optimize GLP-1 management. Future Innovations: Exploring emerging opportunities to enhance weight management programs.   Panel:  Ryan A. Grant, MD, MS, MBA, FAANS, CEO and Co-Founder, Vori Health Martin Burruano, Vice President, Pharmacy Services, Independent Health Mark T. Jansen, M.D., Vice President, Chief Medical Officer, Arkansas BlueCross BlueShield Ilona Smith, SVP of Employer, Government and Coalitions, CVS Caremark Bios: https://www.brightspotsinhealthcare.com/events/responsible-glp-1-strategies-structuring-benefits-for-economic-viability-and-proven-member-results Request Whitepaper To request the whitepaper, Integrating GLP-1s into the Future of MSK Care, from our partner Vori, please submit this form: https://www.brightspotsinhealthcare.com/request-a-copy-of-the-integrating-glp-1s-into-the-future-of-msk-care/   We'd love to hear from you! Send your comments, suggestions and ideas to hello@brightspotsinhealthcare.com

This is Ag!
36. Stan Welsh - Physician Assistant at UnitedAg Health and Wellness Center, prioritizing patient health

This is Ag!

Play Episode Listen Later Dec 3, 2024 30:07


In this episode, I speak with Stan Welsh, a healthcare provider at the UnitedAg Health and Wellness Center in Salinas, about the transformative power of putting people at the heart of healthcare. We explore the importance of compassion, trust, and meaningful human connections in improving patient outcomes and redefining what it means to provide quality care.Stan shares his insights on how human interaction is often missing in traditional, metrics-driven healthcare settings and how the approach at UnitedAg allows providers to fulfill their desire to make a real difference. We discuss how small yet impactful changes—like showing appreciation and building trust—can create a ripple effect, leading to better patient experiences and long-term growth.Stan and I also dive into practical advice for listeners: the importance of self-care, including regular checkups, a balanced diet, and consistent exercise. Stan stresses the value of simplicity and consistency in maintaining health and well-being. Finally, we discuss how UnitedAg's philosophy of putting people first—not metrics or profit—has tripled its impact, proving that prioritizing human beings at the center of care not only makes business sense but is also a step toward transforming the healthcare system.Tune in for an inspiring conversation about challenging the status quo and the power of human connection in healthcare.This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Stan Welsh, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us 

The NetSuite Podcast
The CFO Agenda: Vytalize Health's Jess Wijesekera

The NetSuite Podcast

Play Episode Listen Later Nov 5, 2024 41:07


Learn more about NetSuite Planning and Budgeting: https://tinyurl.com/bdhm7phf   In this special episode of the NetSuite Podcast focusing on the CFO's agenda for 2025, cohost Megan O'Brien sits down with Jess Wijesekera, SVP of Global Accounting at Vytalize Health, a leading value-based care platform. They start the episode by discussing Jess' background and what brought her to her current role [1:55]. Jess then delves into Vytalize Health and its exponential growth over the last several years [6:26]. Megan and Jess discuss technology and talent issues [15:49]. They end the podcast episode by covering Vytalize Health's priorities for 2025 [31:52].   Follow Us Here:   Vytalize Health: https://www.vytalizehealth.com/   Jess Wijesekera LinkedIn: https://www.linkedin.com/in/jessica-wijesekera-7290196/   Oracle NetSuite LinkedIn: https://social.ora.cl/6000wKFhC X (Twitter): https://social.ora.cl/6007wK2zD Instagram: https://social.ora.cl/6003wK2Hv Facebook: https://social.ora.cl/6005wK2Dv   #NetSuite #CFOAgenda, #Accounting   --------------------------------------------------------   Episode Transcript:   00;00;04;21 - 00;00;28;20 Hello, all you Suite listeners. Thank you so much for tuning in to the NetSuite podcast. I'm Megan O'Brien, a co-host of the podcast. Now you all are in luck because today's episode marks the start of a mini series we are doing called The CFO Agenda. As we approach the end of 2024, we wanted to gauge what's on the docket for finance and accounting leaders.   00;00;28;23 - 00;00;50;23 In the first installment of the series, we have Jess Wijesekera, SVP of Global Accounting for Vytalize Health, a leading value based care platform. If you attended SuiteWorld or if you tuned into NetSuite OnAir to watch the main keynote, you would have seen her make an appearance with NetSuite Founder and EVP Evan Goldberg.   00;00;50;25 - 00;01;19;08 Vytalize Health has grown by a casual 90,778% over the last three years, so this episode is a great pulse check on what high-growth companies are prioritizing this coming year. We talk all about Jess' background and her current role of Vytalize Health, the company's exponential growth, and her plans for 2025. With that, let's go ahead and dive in.   00;01;19;11 - 00;01;45;23 You're listening to the NetSuite Podcast, where we discuss what's happening within NetSuite, why we're doing it, and where we're heading in the future. We'll dive into the details about the software and the people at NetSuite who are behind all the moving parts. We'll also feature customer growth stories discussing the ups and downs of running a company and how one integrated system can help your business continue to scale.   00;01;45;25 - 00;02;03;26 Hi, Jess. How are you today? Hey, Megan. Good. Really great to be here. Good. We're so happy to have you. Yeah. Thank you. All right, well, we're going to dive right in because we have so much to cover. We want to hear, first of all, about your background. Did you always know that you wanted to get into accounting?   00;02;03;29 - 00;02;26;29 I did not. But I was always very good at organizing people and organizing projects. And I think that organization has always really been a part of who I am. It's going to sound silly, but in kindergarten I used to and tell them where and how to jump rope, and they always just happily listened to what I had to say.   00;02;26;29 - 00;02;57;23 And I felt really like a natural leader and I knew I wanted to do something that captured my personality. So, for me, accounting is just a really nice because it's taking project management and organization and unpacking a puzzle takes a lot of patience, which I'm learning to have a lot of patience, but it takes a lot of kindness for interacting with other departments and some tenacity with dealing with service providers.   00;02;57;23 - 00;03;31;23 So, I didn't know I always wanted to do it, but it is feeling like a really good fit. I couldn't help but stalk you a little bit on LinkedIn. You majored in accounting at Villanova, which is where I went. Yeah, Wildcats, you know, so I know I just had a great experience there and I chose it really because they had a very solid business school and I had this accounting professor who taught financial accounting, and he told me that accounting was the hardest major in the business school.   00;03;31;26 - 00;03;58;08 And if I could do accounting, that I could do anything, I could do finance, I could do management, I could do marketing. And he was really right. And I followed my accounting degree up with a master's in finance at Boston College. And it's really worked well, I think, to have this understanding of everything that's accounting is past and everything that's finance is future and we meet in the present.   00;03;58;12 - 00;04;28;26 So it's kind of helped shape my career and where it's gone. That is such a cool perspective on it. And, and speaking of your career, could you talk a little bit about your past roles and your path to where you are now? Yeah, so like many accounting majors, I started at the Big Four, so I was at EY and I stayed longer than most. I was there about 15 years and I did a grand tour of about four offices.   00;04;28;29 - 00;04;55;29 So, I started in Palo Alto, and then did Boston, San Francisco, and I also did a three year secondment in the London office. And every time I felt I was going to leave public accounting, I stayed because I got a new opportunity or worked on a new client or with a new team. And it was this feeling that I could really add value, but also learn something completely new, which added to my skill set.   00;04;56;02 - 00;05;20;15 And I can't even tell you the number of times that I've cried in an audit room. I do think about those experiences and really how it shaped me. I got to work on Warner Brothers and Hawaiian Airlines, and towards the end of my career there, I was a national instructor for 606 when that Rev Rec standard was completely new and nobody knew what to do.   00;05;20;15 - 00;05;48;11 So that helped me with my foundation for where I am now. But after 15 years I decided to go into industry, so I started as an assistant controller. I was at a bottling company and my very first day on the job I realized I've never booked a journal entry in my whole life and a few roles since I have taken on kind of new areas of responsibility and kept growing my own skillset.   00;05;48;13 - 00;06;14;09 And I'm actually really lucky now to have brought on a couple of people I've worked with in the past, you know, kind of through EY and other companies because we just really enjoy working together. So that all of that brought me to my life. Well, I mean, I don't think you've really worked for a Big Four unless you've cried somewhere in an office, so you, you sent that experience home. Probably an office without windows.   00;06;14;11 - 00;06;40;07 Yeah, yeah, yeah, I did my crying in a phone booth, so. Yeah, yeah, No windows. We're all here now. We're all here. And better for it. So speaking of Vytalize, you ended up joining Vytalize Health about two years ago? Can you tell our listeners a little bit about what Vytalize Health does? Yeah, so Vytalize is a value-based care company.   00;06;40;09 - 00;07;10;11 Value-based care is a collection of doctors and service providers and payers that work collectively to have better outcomes for patients. And coincidentally, that's usually at a reduced cost. So, what we do is sit between the primary care physician and CMS, which is the Center for Medicare Services. So we help our physicians strengthen the relationship that they have with their patients.   00;07;10;13 - 00;07;41;13 And if we succeed in that and meet certain quality metrics and achieve these better health outcomes, then CMS as the payer, they give us a share of that. So, I'll use a fancy terminology, but it's really aligning incentives, right? So, we're all incentivized for providing better, higher quality care, not necessarily more care. And it's really working because we're giving these doctors more time to spend with their patients.   00;07;41;13 - 00;08;18;00 So, we provide services like care coordination and virtual home care, in-home care. And it's particularly important for the Medicare population. You know, if you think about 65 plus and then people that are, you know, often not able to get to the doctor, in-home care is so critical. And really, we see ourselves as an extension of the physician so that we operate as part of their practice and really preventing hospitalizations and improving the quality of life and, you know, for an accounting major, that's certainly something I can get behind.   00;08;18;00 - 00;08;42;02 And, you know, the mission and kind of what we're doing, it feels really good. What does a typical day in your shoes look like? So like many companies in the pandemic, we went remote. So I have a little office that I use in a coworking space and I bring my puppy with me and we have a lot of meetings.   00;08;42;02 - 00;09;07;10 So back-to back-video meetings, I do a lot of meetings direct with one on ones, with my direct reports. We are constantly meeting with our EY tax team, Connor Group accounting specialists, so treasury and tax report through me. And then I just took on the FP&A function as well. So, this week was a lot of meeting with department heads to try and craft our budget.   00;09;07;12 - 00;09;34;04 But I find my typical day is really helping my team make good decisions and collaborative points of view and just making sure that we're prioritizing the right thing at the right time. Because like so many companies growing as quickly as we are, you know, you're this can be really long and kind of helping decide what comes first and what can come when, as you know, is a really big part of my job when I also have the puppy.   00;09;34;04 - 00;09;57;04 So she's as cute as can be. And we try and get out of some walks in between all of the meetings. Yeah. So for our frequent listeners, the puppies she's referring to is actually the guide dog puppy that attended SuiteWorld that we talked about in our SuiteWorld. recap. We are obsessed with Mayberry. I think she might be the new NetSuite mascot she's so sweet.   00;09;57;04 - 00;10;19;10 So she's training to become a guide dog for the blind. And I'll have her through next June. And she's part of the Walnut Creek Club here in the San Francisco Bay Area. And she's just a little delight. So her having her experience SuiteWorld in Vegas, I think opened her eyes. I mean, she's doing really great.   00;10;19;12 - 00;10;53;13 She did so good. She was all scared of the casino. Yeah, we all are. So Vytalize Health has this crazy growth trajectory. So the company ranked number one on the Inc. 5000 across all industries after achieving $1.5 billion in revenue for 2023 and a three-year revenue growth rate of 90,778%. Can you delve into the Vytalize Health's growth story and how that all came about?   00;10;53;15 - 00;11;22;19 Yeah. So Megan, work with me here on some math backwards. So to get to 1.5 billion, that means we started as a single health care practice. So we had one practice. It was in Rockland, Maryland, and it still exists, but we've grown from about one medical practice to over 200, I'm sorry, 2600 primary care physicians. We found that we were very good at these additional services.   00;11;22;19 - 00;11;49;15 Right. The care coordination and helping the physicians make better decisions. And instead of growing our own practices, the business went through kind of the modeling approach that we would instead partner with physicians and they would join our value based care program, which is it's called Accountable Care Organizations. So those practices joined our ACO and we taught them value-based care.   00;11;49;18 - 00;12;18;21 And through that we shared a part of our savings with them. And in that model, we were really able to grow quickly. So we went from, you know, just a few thousand Medicare beneficiaries to now over 260,000 patients. And that's a staggering number because we're probably taking care of someone that, you know, and it's part of Medicare's goal to have every Medicare patient in an ACO by 2030.   00;12;18;24 - 00;12;41;04 So for people who don't know what value-based care is, all of the sudden they must participate in value-based care by 2030, in six years we'll be there. And Vytalize is really helping with that transition. And it's working. It's working really well. We're seeing a lot improved outcomes for patients and decreased hospital hospitalizations. And yeah, it's going really well.   00;12;41;10 - 00;13;06;23 Yeah, clearly, clearly clear. So were there any challenges that came with this rapid growth? And if so, how did Vytalize help tackle them? Do you remember Facebook? They used to have this tagline and slogan and it said, ‘Move fast and break things,' right? And I was googling it recently and I was like, I think they have abandoned that tagline.   00;13;06;25 - 00;13;35;10 Yeah, maybe with the move to Meta, they're like, Yeah, maybe not and break things. Yes. So that's the hardest part, right? Is because you can move too quickly and break things and sometimes that's an okay thing. But a lot of the times we should really be adding a lot more thought, a lot more time and a lot more considerations to some of the larger decisions that are going on.   00;13;35;10 - 00;14;02;29 So really, to me, the biggest challenge with this rapid growth is taking the time and the thought process to really think through decisions and not move as quickly as you can. So one of the other things that we've done to kind of circumvent that is adding a policy and procedures committee and a policy and procedures role in our organization.   00;14;02;29 - 00;14;37;20 And I'm not going to take any credit for that because it was already in existence and it was already working really well. But we were able to then write some policies pretty early on that helped our controls and helped our vendor contracts who could engage if vendor who could approve a payment. And a lot of those early policies and we're still writing them, but a lot of those early policies helped us, you know, be able to go to the rest of the business and say, ‘Hey, you know, you can't X, Y, Z because of this policy' or ‘You can, but you must do it in this way.'   00;14;37;24 - 00;15;07;28 And kind of making that consistent across the organization was really helpful for me. Well, that kind of leads into a good question for our listeners here. Any best practices for companies that might be looking to grow or any pitfalls to avoid? I think growth in general is having good technology to scale, right? So how do we make something a repeatable process and how do we put it in a system to be able to make it repeatable?   00;15;08;01 - 00;15;39;14 My app director, Lisa Kemper, and I joke all the time that life is full of one-offs, right? Like this is all a one off and if you're tackling something over here and over there, you would need 300 people in your accounting department to be able to support all of the one-offs. So, we very much we do use this Policy and Procedures Committee, but we're also standing up a lot of our tech products and using NetSuite to be able to get, you know, some standardization.   00;15;39;14 - 00;16;07;11 But also I'll call it kill the one offs, right? We can't be doing an exception. Everything has to fit into a process and become part of the rule. And how has Vytalize Health been using NetSuite? Oh my gosh. We're big, you know, signing some new statements of work all the time. So, yes, I love it. I know the one we just signed was the budgeting and planning tool right now.   00;16;07;11 - 00;16;33;05 So we started with the financials and budgeting and planning. But I would say we're really starting to use a lot of the subledgers in the way that they were intended to be used, and that has been really helpful for us. So, our biggest NetSuite, and I spoke about this at SuiteWorld, is our bank reconciliations. We have, you know, 47 bank accounts and transactions galore.   00;16;33;11 - 00;16;58;00 Right? And sort of as we talk about standardization and automation and killing, the one offs, what we're doing is making sure that we can put something in a process and make it repeatable. And the bank reconciliation module has started to learn the way that we're matching off our bank recs and the way that we're matching off transactions. And it will start to do that for us.   00;16;58;00 - 00;17;21;05 So every time we make a bill payment debit this account credit that account it learns it and then it'll just do it in the background and then we approve it. So this used to take three people their whole full-time job. Not to mention there are a lot of errors in this process. And now that we actually turned on the bank rec module, it's kind of all working for us in the background.   00;17;21;05 - 00;17;47;26 And I was even talking with my accounting manager, Kelly Allen, and I said yesterday I was like, Kelly, how's the bank matching going? And she's like, ‘You know, I don't even hear about it.' It's really working for us. And, and it's been helpful to start to automate these things so we don't have to think about it. And it previously it just felt like we were playing catch up, you know, 45 days.   00;17;47;29 - 00;18;06;14 It would take us to close the books. And, you know, 45 days ago was the end of August or August is long gone by now. Right? We're making business decisions all the time. Do we need more? You know, funding from investors? We want to take a loan, whereas, you know, where are these larger payments coming from? We're going to we can't wait 45 days for anything.   00;18;06;14 - 00;18;32;25 So it's helped us, you know, make some real-time decisions. Well, why is having a strong tech stack so important for Vytalize Health specifically and how did it perhaps help facilitate some of the massive growth that you mentioned previously? We had a previous controller at Vytalize and every time we needed financials, he would say, okay, like I need three days.   00;18;32;27 - 00;19;02;08 He would take, you know, we had QuickBooks and, you know, it was the right size and shape for us when we started. So, we're using QuickBooks and he would take three days to prepare a consolidation and then to do the elimination journal entries. And that was a very manual effort. And three days of those financials and, you know, the manual errors that could exist.   00;19;02;08 - 00;19;23;13 And, you know, it was almost like, well, I don't need it anymore that I asked for that three days ago. We've moved on. That wasn't at least, you know, last week. So finally I looked at him and I was like, we have to get this in NetSuite and we have to do like journal entries and post them on the system.   00;19;23;13 - 00;19;43;21 And, you know, we're going to need elimination entries and we're going to need to have this reporting in a moment's notice. And, you know, when we ask for the report, I need it in 20 minutes, not three days. So we moved it all into NetSuite We've also gotten a tool called Workiva and Workiva connects to NetSuite.   00;19;43;21 - 00;20;09;08 And I'll give a shout out to Ryan Mueller, who's our senior manager of tech accounting and NetSuite syncs with Workiva so we can produce financial statements and reports at a moment's notice. And I can say, you know, I want the Q2 report to investors and I want that Q2 report to include these entities and Workiva pulls the information from NetSuite.   00;20;09;08 - 00;20;32;08 And then we can have it ready for an investor immediately. And that has really been a game changer for us. We do a lot of reporting. We have board members and boards of each of our ACOs, so there's about six of those. We need frequent reporting for about six different entities. And then on top of that, we're supporting an audit from Deloitte right now.   00;20;32;08 - 00;20;58;13 For us to pull all of this reporting very quickly and only, you know, I have a team of five here in the US doing accounting, and that is really essential for us to have these tools so that we can, you know, keep our headcount costs low, keep the work interesting for the people that are here, and be also, you know, be providing that to investors.   00;20;58;15 - 00;21;24;18 NetSuite by Oracle, the number one cloud financial system is everything you need to grow all in one place. Financials, inventory, HR, and more. Make better decisions faster so you can do more and spend less. See how at netsuite.com/pod. Well, can you imagine the poor controller just getting an email saying, ‘Hey, we want the numbers' and thinking, ‘Well, there goes three of my days.'   00;21;24;21 - 00;21;47;29 My god, I'd be dreading emails. Yeah. And, you know, sad story about QuickBooks. You have to have separate legal entities. So, we had 16 legal entities that he had. Like, you can't run a report. So we got a bolt on tool. So it's fun. But you know, just to sort of highlight like if you think you can do it, it could probably be done.   00;21;47;29 - 00;22;13;10 So moving to the new technology helped us immensely. Yeah, thank god. Thank god for saving the controller on a click of a button. We've kind of alluded to this, but you participated in a keynote with NetSuite Founder and EVP Evan Goldberg at SuiteWorld this year. What was that experience like? It was so cool. That was really just kind of a highlight for me.   00;22;13;15 - 00;22;35;08 I think the best part was people coming up to me afterwards and saying, you know, they resonate with my message or, you know, they really liked whatever point I had to make. And, you know, yeah, it's cool to be on stage and meet Evan. But really, for me, it kind of came full circle when people, you know, could kind of even tell me back what I said, did I say that?   00;22;35;10 - 00;22;57;26 But yeah, that was that was a really great experience and, you know, fun to kind of share how Vytalize is doing. And, you know, this big award has, has really opened a lot of doors for the company as well. One of the anecdotes really stuck out to me personally in your keynote with Evan was how someone on your team essentially automated himself out of his job doing bank reconcilations.   00;22;57;28 - 00;23;21;26 But he ended up moving to FP&A, which arguably more of a value add for the company. So as more manual task and accounting and finance are automated, what do you think the future of those functions will look like? Yeah, and I have this funny title. My title is global, which you know, often means it's a global company.   00;23;21;28 - 00;23;48;29 But for me, this global title is actually represents to the people on my accounting team and we are all over the world. So the individual who automated himself out of his job, Dether, sits in the Philippines. So it's kind of this added layer, Meggan, that, my goodness, an outsourced role in the Philippines, just automated himself out of a job.   00;23;49;01 - 00;24;21;13 But the people are working to offshore stuff, but like my offshore person is working to automate. And just a quick update on Dether: he has been so helpful with the budgets for us. We are going through our budgeting process right now, as so many companies are, and that budgeting process is really leading to a lot of great conversations with our department heads about what costs we're needing, what vendors we're going to be needing for next year, what strategic initiatives do we have to plan more costs for, where is more revenue to compensate for that?   00;24;21;15 - 00;24;45;29 And he has been so incredibly helpful in that role and I think it's very fulfilling for him so often times, you know, what is the future of the function looks like? It just looks like it's at a higher level and we are starting at the baseline is just moving up, right? So your entry-level position is just doing higher quality work.   00;24;46;01 - 00;25;10;07 Hopefully fewer tears in the audit room now. I think the tears will exist, but I do think people will have a more fulfilling job, start for themselves right out of college or right into the workforce. What skills do you think will become must haves and kind of this new normal? Yeah, I think the go-to skill for me is just a willingness to learn.   00;25;10;10 - 00;25;44;25 You know, I think I even told Evan on stage I don't know everything and I really don't, but at least I know where I can look it up. Or I might know who to ask or, you know, in me and in my team is this willingness to learn and the willingness to change. And I think kind of that positive outlook and that positive environment is something that will forever be a must have, especially as we have all these new these new automation ideas and everything that's new and exciting.   00;25;44;27 - 00;26;09;28 We really just have to embrace it. And getting a little more granular here. What are you looking for when hiring talent? Are there any kind of talent gaps that you are trying to fill? Yeah, and I think especially as a scaling company, I think in any organization you often wear many hats, but as I'm scaling, I'll just use my senior manager of accounting projects as my go to example.   00;26;09;28 - 00;26;36;25 But I'd worked with him before and when I hired him I was like, ‘I just I need help.' And the first thing he says, all the time, Rob Dulgarian, is how can I help? And it's this willingness to learn new skills and the willingness to you know, get in and get your hands dirty, figure something out and, you know, kind of right size, whatever it is that you're working on that.   00;26;36;28 - 00;27;08;13 And that's a skill that the skill that I'm looking for when I hire people, you know, people we have people in Jordan, we have people in the Philippines, and we have people in the US, and kind of across the board. Anytime we're hiring, that's really what we're looking for is, you know, I've never done that before and I don't know how I'm looking for people that say, you know, I've never done that before, but let me explore, you know, how it's just this really positive outlook and where we are.   00;27;08;13 - 00;27;39;27 We especially get that from our global team members. They're just ever so, ever helpful. How do you assuage some of the fears in your team and your leadership, whatever it might be, about being automated out of a job? How do we get people to kind of embrace automation and AI and not really fear it? So I admittedly was unsuccessful at this at my last position, and I have been unsuccessful at this before.   00;27;39;29 - 00;28;24;18 I think it takes the tone from the top and really having, you know, the board, the C-suite, your investors, having those individuals excited and ready to embrace change is where it starts from because not to throw a cliche out there, but it really will all trickle down and having them excited and on board. At my last job, I think the only one that was excited and on board and it was really hard to get change, to get people excited about doing something else because, you know, they often have fear of losing their position and that that fear is very normal and very understandable.   00;28;24;18 - 00;28;51;05 But I think that as long as the, you know, the top of the company is willing to be flexible and encourage that change, I think it'll be a lot more effective. The accounting profession, it's been the news recently due to a shortage of professionals entering the role. So as a leader in accounting, how do you think companies can combat that shortage and attract accounting talent to their teams?   00;28;51;10 - 00;29;17;13 I feel like I'm going to bring this answer back to your previous questions, right? So it feels like automating and, you know, kind of holistically globally, looking at the talent workforce that's there. I mean, I think that's how companies are going to be able to continue to succeed. I kind of saw at the tail end of my career at EY how it was harder to get new accountants in.   00;29;17;13 - 00;29;57;15 And then also combined with COVID, was very difficult to start training people without being without being on site and in the same place together to be able to train. So, you know, from my perspective, I think it'll flex and change over time. Maybe I should teach some more accounting classes and get people excited about being accounting majors. But, you know, I, I do very much think it'll be a combination of roles like global accounting roles throughout the world, combined with this idea of people really embracing and getting change and automation and up and running and tech stack too.   00;29;57;15 - 00;30;31;17 I think one of the other things I wanted to mention is that we've been using Numero and Numero is a tool that we've used through Connor Group. And what Numero does is extract key terms out of documents and summarize technical accounting. So we're using AI to write our technical accounting memos, future state, and we're using a lot of this AI to kind of take and develop things that we would have done manually.   00;30;31;17 - 00;30;56;04 And you don't even think about how manual it is to create a technical accounting memo. But, you know, if I can give this bot a topic and my three lease agreements that can write an ASC 42 memo for me and you know, how cool is that? Because basically what we're doing then is taking the people who used to prepare the work and making them reviewers instead.   00;30;56;06 - 00;31;16;22 And I do think there are some additional challenges of like, how do you review something you've never prepared? But, you know, I think it'll create higher value work earlier in the process for people when they're launching their accounting careers. Yeah, I think taking some of the tedium out of it is going to be huge. So much tedious.   00;31;16;24 - 00;31;38;29 So much teedious staff work. Yeah. And now we have technology. Yeah. I wish I were starting my career now. I think I might consider an accounting career. If we had the. No, I would be terrible at accounting. I'm not organized enough. But then again, I could talk you into it. But maybe someday. But not today. I do come from a family of accountants.   00;31;38;29 - 00;32;06;02 Unknown My family is in medicine. So some helpful lessons for me. Yeah. For a health care company. Yeah. You blended it. Yes. So it was both. Well, we're kind of like coming up on the end of the year, so I wanted to pick your brain kind of around your 2025 agenda. So as SVP of accounting, what are your top priorities going into 2025?   00;32;06;05 - 00;32;32;07 So we are building out all kinds of really great reporting. So we're using the NetSuite Budgeting and Planning tool to also do our financial reporting for us. So what we're doing this year is building our budgets and we're building them at the vendor level. So it'll be able or it'll give us the opportunity to really analyze our budget versus actual at a new level that we've never done before.   00;32;32;07 - 00;32;57;25 So we're pretty excited about that. And then also meeting more regularly with our department heads to be able to have them reflect on how the month went, but then also make any changes in the future, planning for their new hires and any vendor expenses they have. And really, you know, having a well thought out budget and meeting that budget in 2025 is really our biggest priority.   00;32;57;28 - 00;33;22;22 Well, that's huge because, I mean, we keep writing about it, but the role of finance and accounting is becoming so strategy driven, so much about partnering across the rest of the business instead of kind of, you know, reporting after the fact to everyone. It's like working with them and collaborating during the process. Yeah, yeah. And seeing what new contracts are in the pipeline.   00;33;22;22 - 00;34;00;09 How are we going to take those contracts and pull certain levers to be able to maximize them? Yeah, there's a lot to kind of account marrying together, accounting and finance. Are there any challenges that you are worried about or anticipating? Yeah, I think the making sure that as an accounting department we remain inserted into each of the other operating units of the business and that we're working closely with the finance team and kind of ears to the ground with what's going on and when and being able to influence and do that at a much earlier time period.   00;34;00;09 - 00;34;36;21 So I am I am anticipating that to be a new challenge for us. But yeah, we're excited to work on that. And actually, my same bank reconciliation manager who used to do that, this is his new job instead. So we'll hopefully report back on how it goes with his new role. I love it. As advanced technologies such as AI, machine learning, RPA, all that proliferate, do you have any plans to upskill or reskill your existing workforce in the next year and how are you anticipating going about it?   00;34;36;28 - 00;35;07;20 Yeah, so Megan, this answer just makes my heart sing. So we are using our offshore Philippines team to use AI. So our offshore team is going through all of the contracts for us and they're using an AI tool, actually the same AI tool Numero. They're using that tool to go through all of the key contracts that we have and extract the key terms of the contracts.   00;35;07;23 - 00;35;44;07 That is a very typical, you know, staff one accountant role, right? That's what I did as a staff one accountant, and that was my whole job. So now it's been done by a computer. So cool. And it's being reviewed by, by somebody who's offshore and that I mean, it just really makes my heart sing because we're taking this lower-level work and giving more interesting work to the people who are onshore because now they're looking at these contracts and doing things in a way that that they wouldn't have the opportunity to do.   00;35;44;07 - 00;36;05;06 It's often hard to review your own work, right? So now we're getting new skill. We're just going to upskill the people that we have. I think our business right now, we're mainly focused on the current contracts that we have and then expanding our patient population within those contracts. So we're not necessarily taking on new physician practices.   00;36;05;06 - 00;36;28;06 So I think our accounting department will stay steady, but that is the thing we always like to keep on top of our finance folks to see how are we growing the business and how should we grow our accounting department as well. From a broader technology perspective, do you have any goals going into the next year? Yeah, I think just the great financial reporting.   00;36;28;06 - 00;37;01;16 And then we also have Salesforce as a system, and I was super excited to see Evan announce that Salesforce integrations are going to be made a lot easier. So from a tech stack perspective, we are going to start getting the information from Salesforce into NetSuite. And we're yeah, we're pretty excited about that because there's a lot of work that we do with onboarding our customers and that customer onboarding happens in Salesforce, but then it should become part of the customer record that's in NetSuite.   00;37;01;16 - 00;37;30;16 And right now, that's a manual process for us. So having Salesforce integrated would be, would be a really nice to have. Does Vytalize House as a whole company have any overarching objectives going into 2025? Yeah, so very much pure and stable growth. We are really focused on keeping the current physicians that we have and, and as I mentioned, the patients that we're serving or the Medicare patients.   00;37;30;16 - 00;37;56;01 Right. So if you imagine the doctor physician that you go to is your primary, maybe that primary care physician has 2000 patients and 500 of them are Medicare patients. Right. So those 500 lives, that's what's included in our count, right? That 260,000 that I mentioned before. So what we're trying to do next is get access to the other patients.   00;37;56;01 - 00;38;19;19 Right. That would look like contracts with Blue Shield or contracts with Aetna and other payers to be able to influence care over those lives as well. So I'll call that organic growth because we already have those relationships with the PCPs in place. But what we're wanting are contracts and relationships with the other payers, so that that's 2025 for us.   00;38;19;19 - 00;38;39;13 It sounds so exciting. I know. I feel like this business was so hard for me to understand and like the 10th time someone explained it to me, I got it. So I'm sure you guys are getting it in more than more than ten Innovation items. But yeah, it is a really exciting business here. We're thrilled to be a part of it.   00;38;39;17 - 00;39;12;14 Wrapping up here, just you have such a fascinating story coming in, like coming in and working for this high growth company. Is there any final thoughts or takeaways to leave our listeners with? Yeah, and one thing I do on my personal life is that I keep a gratitude journal and it helps me have a really positive mindset and having a positive mindset leaves me open for learning and growth of my personal development.   00;39;12;16 - 00;39;39;26 So I think that's one thing that's just really helped me to stay on top of my game of staying positive and kind of a can-do attitude. You know, I'm certainly not that way all the time. And sometimes my team shakes and says, Just pull back together. But I do really think that, you know, kind of being grateful for where we're at, how well we've done shapes us to have some positivity going into our next chapter for finals.   00;39;40;00 - 00;39;59;02 I love it. What a good note to end on. So being grateful really keeps you open for learning more. Jess, thanks so much for joining us. We really appreciate it. Yeah, thanks for having me. And again, I really am grateful for the opportunity. All right. Back to my journal today. Thank you so much, Megan.   00;39;59;06 - 00;40;26;21 Yeah, thank you. That brings us to the end of another great episode. It's such a great opportunity to get the perspective directly from a high-growth company and from someone like Jess, who has been there and facilitated so much of it. I think it was especially rewarding to hear how she personally was starting to implement AI in the accounting department to increase efficiency as the company expands.   00;40;26;23 - 00;40;47;10 Huge thanks to Jess for taking time out of her busy schedule to chat with us. And as always, a big thanks to our wonderful editing team over at Oracle and to all of you for tuning in. If you want more episodes just like this one, make sure you subscribe to our channel and give us a rating and review until next time.   00;40;47;13 - 00;40;59;08 You just listen to the NetSuite Podcast. Be sure to tune in every week with more NetSuite developments, stories, and insights into the benefits of one integrated system to help you run your business.

Bright Spots in Healthcare Podcast
Innovations in Lifestyle Change & the Role of Primary Care

Bright Spots in Healthcare Podcast

Play Episode Listen Later Nov 1, 2024 60:15


Banner|Aetna, Blue Shield of California, Healthfirst and TytoCare explore innovative strategies that health plans can leverage to drive meaningful lifestyle modifications among members, improve health outcomes and reduce the rising costs of chronic disease.    Our expert panel also discusses the role of primary care in empowering members to adopt healthier behaviors.   Topics include: Building a culture that fosters habit formation for long-term success Supporting members using GLP-1s for weight management Addressing Social Determinants of Health (SDOH) to improve outcomes Leveraging technology to encourage sustainable lifestyle modifications   Panelists: Joe Brennan, Vice President, TytoCare Robert Groves, MD, Executive Vice President and Chief Medical Officer, Banner|Aetna Eric Glazer, Host (moderator) Angie Kalousek, Senior Director, Lifestyle Medicine, Blue Shield of California Amanda Parsons, MD, MBA, Vice President, Clinical Management, Healthfirst Bios: https://www.brightspotsinhealthcare.com/events/innovations-in-lifestyle-change-the-role-of-primary-care-2/   This episode is sponsored by TytoCare   TytoCare is a virtual healthcare company that enables leading health plans and providers to deliver remote healthcare to the whole family through its Home Smart Clinic. Combining a cutting-edge, easy-to-use, FDA-cleared device with AI-powered guidance and diagnostic support, the Home Smart Clinic enables the whole family to conduct remote physical exams with a doctor, replicating in-clinic exams for immediate answers from home. TytoCare drives utilization rates that are six times higher than traditional telehealth services; reduces the total cost of care by an average of five percent; diverts ED visits by an average of 10.8%; and has a high average NPS of 83. The Home Smart Clinic includes Tyto Engagement Labs™, a proven framework of engagement journeys designed for the successful deployment and adoption of the solution. To complete its offering, TytoCare also provides the Pro Smart Clinic, for professional settings outside the home to serve rural clinics, schools, workplaces, and more. TytoCare serves over 250 major health systems and health plans in the U.S., Europe, Asia, Latin America, and the Middle East. For more information, visit us at tytocare.com.

Becker’s Healthcare Podcast
Kristin Cerf on Blue Shield's Four-Star Rating and Expanding Community Health Initiatives

Becker’s Healthcare Podcast

Play Episode Listen Later Oct 18, 2024 14:06


In this episode, Kristin Cerf, President and CEO of Blue Shield of California Promise Health Plan, discusses the plan's recent four-star NCQA rating and the innovative approaches that led to this achievement. She shares insights on the importance of preventative care, data-driven strategies, and impactful community partnerships aimed at improving healthcare access for Medicaid members across California.

This Is Actually Happening
The 82 Percent: Bonus Conversation with Heath Schechinger and Lily Lamboy

This Is Actually Happening

Play Episode Listen Later Jun 20, 2024 53:10


In this special bonus episode, Whit Missildine interviews Heath Schechinger and Lily Lamboy of the Modern Family Institute @modernfamilyinstitute, collaborators on our six-part miniseries, “The 82%: Modern Stories of Love and Family.” In this conversation we discuss the historical roots of the nuclear family and monogamy, how family and relationship structures have changed over the 20th century, the contemporary landscape of diverse families and Consensual Non-Monogamy, and the future of love and family. Dr. Heath Schechinger is a therapist, researcher, and organizer, known for his groundbreaking work within the realm of family and relationship diversity. In addition to his role as Co-Founder and Executive Director of the Modern Family Institute, he serves as the Founding Co-Chair of the American Psychological Association Division 44 Committee on Consensual Non-monogamy, and an Affiliate Faculty at the renowned Kinsey Institute. Dr. Schechinger's work sheds light on the elements that cultivate healthy relationships and the rise of non-nuclear family and relationship configurations. He has authored multiple empirical publications and clinical resources and his work has been featured in major media outlets such as The New York Times, BBC, Vogue, and Time Magazine.Dr. Lily Lamboy is a social impact executive, educator, artist, and scholar with over 15 years of experience building complex systems to support human flourishing. She currently serves as the Co-Founder and Managing Director of the Modern Family Institute. Prior to founding the Modern Family Institute, Dr. Lamboy led the Diversity, Equity & Inclusion functions at both Stripe and Blue Shield of California. She received her PhD in Political Science from Stanford University, where she also taught in the Feminist, Gender & Sexuality Studies and Rhetoric programs, receiving the Gores Award for Excellence in Teaching, Stanford's top prize for education. She has authored peer-reviewed articles addressing persistent sources of social inequality in publications including Cambridge University Press, Theory and Research in Education, and the International Panel on Social Progress. As an artist, she strives to make pieces that inspire lasting change in how we love, act, and organize our society. If you'd like to find out more about the Modern Family Institute, donate to help advance their work, or get engaged, please visit their website, modernfamilyinstitute.org. Producers: Whit MissildineContent/Trigger Warnings: sexual themes, explicit language Social Media:Instagram: @actuallyhappeningTwitter: @TIAHPodcastWebsite: thisisactuallyhappening.comSupport the Show: Support The Show on Patreon: patreon.com/happeningWondery Plus: All episodes of the show prior to episode #130 are now part of the Wondery Plus premium service. To access the full catalog of episodes, and get all episodes ad free, sign up for Wondery Plus at wondery.com/plus Shop at the Store: The This Is Actually Happening online store is now officially open. Follow this link: thisisactuallyhappening.com/shop to access branded t-shirts, posters, stickers and more from the shop. Transcripts: Full transcripts of each episode are now available on the website, thisisactuallyhappening.comIntro Music: "Illabye" – Tipper ServicesIf you or someone you know is struggling with the effects of trauma or mental illness, please refer to the following resources:National Suicide and Crisis Lifeline: Text or Call 988 National Alliance on Mental Illness: 1-800-950-6264National Sexual Assault Hotline (RAINN): 1-800-656-HOPE (4673)See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.