Podcasts about care management

What if educating your people so well that they could leave was exactly the point? At Your Health, that's not a risk to manage — it's the philosophy that built an entire learning ecosystem. In this episode, Jamie talks with Aubrey Wall, who came to Your Health from a background in education and now leads Your Health University, the organization's learning management system and continuous-development engine. Aubrey brings an educator's eye to a fast-evolving healthcare environment, where best practice changes by the day and meeting patients where they are demands that staff never stop learning. Here's what you'll hear: Why a healthcare company runs 12-month, Department of Labor–registered apprenticeships — including programs in management, value-based care, population health, and hospice aide preparation How gamification is being built into nurse instruction (straight from Aubrey's dissertation research) The difference between Your Health University (your classroom) and the Hub (your resource library) How LinkedIn Learning delivered roughly $4.2 million in CEUs to staff last year Meeting Leah — the new AI assistant that helps employees find exactly the right course If you've ever believed growing your people is a cost rather than the whole point, this conversation will change how you think. Press play, then go ask Leah a question. www.YourHealth.Org

What if your healthcare team already knew what happened during your hospital stay — before you even explained it? What if someone on your care team noticed you were struggling on a Saturday and simply showed up? In this episode, Jamie sits down with Christopher Laffey, Nurse Practitioner at Your Health, to break down what a truly connected, proactive model of care actually looks like when it's working. Christopher practices in North Charleston, SC, where his team — nurses, therapists, social workers, community health workers, and more — functions less like a traditional office practice and more like a living, breathing safety net woven around each patient's real life. What you'll hear in this episode: Why most patients are failing not because nobody cares, but because the system itself is fragmented — and what doing it differently actually looks like on a Tuesday morning The real difference between "patient-centered" as a marketing phrase and patient-centered as a daily practice (hint: it involves seeing the medication bottles on the kitchen table) A powerful real-life story of a bedbound patient whose caregiver suddenly disappeared — and how the team mobilized over a weekend, on their own time, to prevent a hospitalization The single mindset shift every clinician needs to make the transition from visit-based thinking to longitudinal care Why "value-based care" doesn't mean discounted care — it means the organization is accountable for your outcomes, not just your appointments If you've ever left a doctor's appointment feeling more confused than when you walked in, this episode will show you what healthcare can feel like when it's actually designed around you. www.YourHealth.Org

It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system. In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering. What you'll hear in this episode: The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing. www.YourHealth.Org

"If we can do it for Whole Foods, which is a very large organization, why can't we do this for other employers?"Is the era of relying on national, opaque "BUCA" networks finally coming to an end?My guests this week are Blake Allison, CEO of Employers Health Network (EHN), and Philip Eaves, from Ascension. Together, they break down the exact blueprint they used to build a direct-to-employer, high-performance network for Whole Foods - and how they are scaling that exact same model for self-funded employers across the country.In this episode, we explore the hospital system's perspective on direct contracting. Phil explains why massive health systems like Ascension are eager to bypass traditional carriers to work directly with employers, citing faster payments, zero collection risk, and the ability to proactively manage patient care. We also discuss how to successfully integrate Direct Primary Care (DPC) into a localized network, the lessons commercial plans must learn from Medicare Accountable Care Organizations (ACOs), and why the future of healthcare relies on "re-localizing" how we buy medical services.If you are an employer, benefits consultant, or healthcare provider who is fed up with the transactional, nickel-and-dime nature of traditional insurance carriers, this conversation proves that a better, more collaborative model already exists.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Whole Foods and the Move Away from BUCAs  (00:07:29) The Whole Foods Case Study: Building a Direct Network (00:12:15) Why Health Systems Want Direct Employer Contracts (00:17:15) The Evolution from RBP to High-Performance Networks (00:19:21) Integrating Direct Primary Care and Care Management (00:23:41) The Challenges of Scaling Direct Contracts Nationally (00:28:15) Re-Localizing Healthcare: Buying Care in Your Community (00:33:36) Overcoming the Negative Stigma of "Networks" (00:36:55) Applying Medicare ACO Lessons to Commercial Populations (00:42:31) Defining True Value-Based Care and Downside Risk (00:45:51) The Ideal Employer Profile for Direct Contracting (00:50:52) Lowering Costs with Local, Community-Based Care (01:05:17) Future Predictions: Site Neutrality and Price Transparency (01:11:25) Closing Thoughts: Providers Are Open for BusinessKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"If we can do it for Whole Foods, which is a very large organization, why can't we do this for other employers?"Is the era of relying on national, opaque "BUCA" networks finally coming to an end?My guests this week are Blake Allison, CEO of Employers Health Network (EHN), and Philip Eaves, from Ascension. Together, they break down the exact blueprint they used to build a direct-to-employer, high-performance network for Whole Foods - and how they are scaling that exact same model for self-funded employers across the country.In this episode, we explore the hospital system's perspective on direct contracting. Phil explains why massive health systems like Ascension are eager to bypass traditional carriers to work directly with employers, citing faster payments, zero collection risk, and the ability to proactively manage patient care. We also discuss how to successfully integrate Direct Primary Care (DPC) into a localized network, the lessons commercial plans must learn from Medicare Accountable Care Organizations (ACOs), and why the future of healthcare relies on "re-localizing" how we buy medical services.If you are an employer, benefits consultant, or healthcare provider who is fed up with the transactional, nickel-and-dime nature of traditional insurance carriers, this conversation proves that a better, more collaborative model already exists.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Whole Foods and the Move Away from BUCAs  (00:07:29) The Whole Foods Case Study: Building a Direct Network (00:12:15) Why Health Systems Want Direct Employer Contracts (00:17:15) The Evolution from RBP to High-Performance Networks (00:19:21) Integrating Direct Primary Care and Care Management (00:23:41) The Challenges of Scaling Direct Contracts Nationally (00:28:15) Re-Localizing Healthcare: Buying Care in Your Community (00:33:36) Overcoming the Negative Stigma of "Networks" (00:36:55) Applying Medicare ACO Lessons to Commercial Populations (00:42:31) Defining True Value-Based Care and Downside Risk (00:45:51) The Ideal Employer Profile for Direct Contracting (00:50:52) Lowering Costs with Local, Community-Based Care (01:05:17) Future Predictions: Site Neutrality and Price Transparency (01:11:25) Closing Thoughts: Providers Are Open for BusinessKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Grant Veldhuis (software engineer at Thatch, former Ribbon Health) and Misha Nasrollahzadeh (co-founder and CEO of Joyce Health, formerly Castlight Health and Ribbon Health) have both spent significant stretches of their careers trying to solve this. They walk through what they've learned, where they've hit walls, and what they'd do differently. What we cover - A working definition of Provider Directory: provider identity, location, specialty, phone number, and network status. Everything else: subspecialty inference, cost data, scheduling, is a layer on top. Don't get it twisted - Then you layer things on top of that working definition: NPPES (National Plan and Provider Enumeration System) gives you specialty. Claims data lets you infer subspecialty. CPT codes have to be translated into human language before care navigation is actually possible. Scheduling (Zocdoc's territory) is hideously complex and you don't want that smoke - Ways to constrain the problem (and *maybe* justify building in-house): Castlight maintained separate employer-by-employer directories built from claims data. Grant built a localized directory for the University of Michigan's 60,000-person campus. Both found success through scope restriction. Nationwide coverage is usually the enemy of accuracy. - Be suspicious: Someone is going to tell you their data is 99% accurate. Maybe a vendor. Maybe an internal team lead. You need to dig into what that number actually means. One payer's head of provider directory once defended that figure but his definition was *whether or not the fields were populated*. Not whether the phone number actually worked or whether the address was still a functioning practice (The address turned out to be a car wash) - Sharing is NOT caring: why CAQH (Council for Affordable Quality Healthcare) exists but payers don't have a great incentive to improve the underlying data, even when it benefits everyone. - Oblique, non-obvious signals for keeping data fresh: referral coordinators at a value-based primary care group were the best signal Ribbon ever found, because they were calling offices every day and had direct incentive to log corrections. Published research papers are another: "they just published with this institution, so they must still be affiliated." - Network effects and why they're hard: small care navigation companies can be required to contribute edits in exchange for data access. National payers paying orders of magnitude more cannot be asked the same thing. - Build vs. buy, the age-old question: default to buying unless your use case is genuinely outside what vendors have mapped. ACA (Affordable Care Act) individual market plans are one example where standard data quality may not hold. University of Michigan campus resources are another. Brought to you by Basata AI - Basata builds AI agents for specialty practices. They answer phones 24/7, schedule appointments, process referrals and faxes, and take repetitive work off healthcare teams so they can focus on patients. For inquiries about sponsoring the podcast, email sales@outofpocket.health

Tom Kim, Chief Medical Officer at Sound Long-Term Care Management, discusses the role of accountable care organizations, ACOs, in improving healthcare for the long-term care population. The unique complexities and challenges of these patients include multiple medical conditions, frequent hospitalizations, and fragmented care.  By using predictive analytics, telemedicine, and value-based care principles to deliver more coordinated care, patients are avoiding hospitalizations, receiving higher-quality care, and experiencing reduced costs. Tom explains, "So, in essence, an accountable care organization (ACO) is a group of healthcare providers that come together with a commitment to Medicare to improve the quality of care for the Medicare beneficiaries they serve and to decrease the cost of care for that population. And it's a way to really better coordinate care for those residents or for those Medicare beneficiaries to really receive the best outcome possible."   "Yes, so in the fee-for-service world, there is a lot of focus, at least from a provider standpoint, on volume. So you're really focused on seeing as many patients as you can. In a value-based care model, we're really moving away from the volume model toward one focused more on quality. So, instead of being rewarded for high volume, you're being rewarded as a provider for the quality of care you provide. And not only is this beneficial to the provider, but it's also beneficial to the patients. So, there's having more time with their provider, receiving better care, and hopefully avoiding unnecessary or avoidable care. And so it's really a win across the board, from both a provider and a patient standpoint."  "Our patient population tends to be more complex with more medical problems. They tend to be hospitalized more often. They tend to rely on others to make healthcare decisions and closer to the end of life. And so, care is really different from those who are still living at home and in the community. And on top of that, in terms of the long-term care space, and why it's so challenging is that you just kind of mentioned it a little bit, is that the population is aging."   #SLTCM #ACO #AccountableCareOrganizations #AccountableCare #LongTermCare #ValueBasedCare #HealthcareInnovation #Telemedicine #SeniorCare #HealthcareLeadership #PatientCare #HealthTech #Medicare sltcm.soundphysicians.com Download the transcript here

Tom Kim, Chief Medical Officer at Sound Long-Term Care Management, discusses the role of accountable care organizations, ACOs, in improving healthcare for the long-term care population. The unique complexities and challenges of these patients include multiple medical conditions, frequent hospitalizations, and fragmented care.  By using predictive analytics, telemedicine, and value-based care principles to deliver more coordinated care, patients are avoiding hospitalizations, receiving higher-quality care, and experiencing reduced costs. Tom explains, "So, in essence, an accountable care organization (ACO) is a group of healthcare providers that come together with a commitment to Medicare to improve the quality of care for the Medicare beneficiaries they serve and to decrease the cost of care for that population. And it's a way to really better coordinate care for those residents or for those Medicare beneficiaries to really receive the best outcome possible."   "Yes, so in the fee-for-service world, there is a lot of focus, at least from a provider standpoint, on volume. So you're really focused on seeing as many patients as you can. In a value-based care model, we're really moving away from the volume model toward one focused more on quality. So, instead of being rewarded for high volume, you're being rewarded as a provider for the quality of care you provide. And not only is this beneficial to the provider, but it's also beneficial to the patients. So, there's having more time with their provider, receiving better care, and hopefully avoiding unnecessary or avoidable care. And so it's really a win across the board, from both a provider and a patient standpoint."  "Our patient population tends to be more complex with more medical problems. They tend to be hospitalized more often. They tend to rely on others to make healthcare decisions and closer to the end of life. And so, care is really different from those who are still living at home and in the community. And on top of that, in terms of the long-term care space, and why it's so challenging is that you just kind of mentioned it a little bit, is that the population is aging."   #SLTCM #ACO #AccountableCareOrganizations #AccountableCare #LongTermCare #ValueBasedCare #HealthcareInnovation #Telemedicine #SeniorCare #HealthcareLeadership #PatientCare #HealthTech #Medicare sltcm.soundphysicians.com Listen to the podcast here

How is Temple Health showing up in your neighborhood? I'm Loraine Ballard Morrill with Care that Connects—bringing you stories that uplift, inform, and inspire you to take control of your health and connect to care right where you live.In this episode, we're joined by Lakisha Sturgis, Director of Community Care Management at Temple Health. With more than 20 years of experience, Lakisha is leading efforts to make healthcare more accessible and equitable for communities across Philadelphia—meeting people where they are and removing barriers to care.Want to connect with Temple Health in your community? Visit templehealth.org/events to find free screenings, health fairs, and more. Follow @TempleHealth on social media to see where mobile health teams will be next. Many programs welcome walk-ups—with no insurance or pre-registration needed. Together, we're building healthier communities—one neighbor at a time.

America spends nearly double what the fourth-ranked country spends on healthcare per capita — and still ranks among the worst in outcomes. So what exactly are we paying for? In this episode of the Experiencing Healthcare Podcast, Jamie Preston and Your Health CEO Matt Staub examine what happens when healthcare gets treated like gasoline: something people expect to be available, can't easily compare on quality, and ultimately choose based on price or convenience. When brand and price stop mattering, the only differentiator left is how patients are made to feel — and whether they trust the person across from them enough to actually change. What you'll hear in this episode: Why Matt ranks service above outcomes and access — and the patient story that changed how he thinks about both The "Chick-fil-A problem": how your healthcare experience is now being compared to your best service experience anywhere, not just the clinic down the street What provider burnout really looks like when a clinician closes their notes at 11pm wondering if their patient listened How insurance billing creates distrust that bleeds directly into the patient-provider relationship — and what healthcare organizations can do about it Why the most caring thing a doctor can do sometimes feels like the worst customer service in the room If you've ever felt like a number in a waiting room — or if you've ever been the one trying to help someone who wouldn't listen — this conversation will stay with you. Press play.

In this episode of The Disrupted Podcast, Jamie and Scott have a  raw, specific, and deeply personal conversation about Care Managers: who they are, what they're actually supposed to do, and why getting this role wrong is costing patients their health and organizations millions of dollars. Scott opens with a story that hits hard: his 91-year-old father's recent hospitalization, the mistakes that nearly happened, and what it cost him — financially and emotionally — to navigate a system that wasn't built for the patient. What you'll hear in this episode: Why care managers are controllers, not schedulers — and what happens when organizations get that wrong The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance The shared bonus model designed to stop care team members from fighting over visits — and start winning together What care managers should never be doing — and the analytical skill set that separates great ones from average ones If you're building care teams, leading a healthcare organization, or just trying to keep a loved one safe in a broken system, this episode will change how you think about the people standing between your patients and the hospital. www.YourHealth.Org

Altmayer, Christian www.deutschlandfunk.de, Campus & Karriere

What does it actually take to say yes in healthcare when the system is wired to say no? In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up. Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day. From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare. If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you. www.YourHealth.Org

MedZed's Chief Growth Officer Enrique Balaguer joins host Gavin Ward to discuss MedZed's impact as one of the largest enhanced care management and community supports providers in California.

Healthcare didn't get expensive because patients got worse — it got expensive because the system got fragmented. In this episode of The Disruptive Podcast, Scott Middleton breaks down why hospice can't live “over there,” separate from primary care, nursing, therapy, and care management.Scott explains the Your Health Hospice rollout, the staffing reality that determines whether integration is real, and the math behind a new model: caseload reductions for nurses when hospice patients are added, plus incentives that acknowledge the complexity of end-of-life care.This conversation is about building a care system where the patient doesn't have to juggle providers, phone numbers, and handoffs — because they shouldn't have to. One team. One plan. One umbrella. www.YourHealth.Org

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 Effective value-based care depends on tight care coordination, clinician trust, and financial alignment that prevents avoidable hospitalizations. In this episode, three healthcare leaders discuss why proactive kidney care depends on early identification and ongoing patient education, long before dialysis decisions become urgent. Colette Boroch, Director of Clinical Services at PRINE Health, explains how early screening, repeated education, and removing barriers like transportation help prevent patients from “crashing” into the hospital. Kathryn Anderton, Vice President of Clinical Operations at ThoroughCare, shares how care management platforms reduce documentation burden, standardize workflows, and free clinicians to focus on patients, while Jonathan Goldstein, Chief Financial Officer at PRINE Health, outlines how care coordination lowers avoidable utilization, improves quality metrics, and supports shared savings. Together, they explore provider buy-in, fragmented data, AI-enabled scalability, and why value-based care must be treated as a strategic asset. Tune in and learn how clinical care, technology, and finance must work together to successfully scale value-based care. Resources Connect with and follow Colette Boroch on LinkedIn. Follow PRINE Health on LinkedIn and discover their website! Follow and connect with Kathryn Anderton on LinkedIn. Learn more about ThoroughCare on LinkedIn and explore their website. Listen to Kathryn's previous interview on the podcast here. Email Kathryn directly here.

What exactly does an aging life care manager do—and when should families consider one? In this episode, host Karen Summey, ACAPcommunity and Ms. Tracy Johnson, RN, CCM, CDAL; Registered Nurse Care Consultant, Aging Life Care Professional, Certified Dementia Care Practitioner, and CEO of Premier Care Management of Georgia, break down the care management process, how it differs from home care, warning signs that care management may be needed, and how these services support caregivers, including those at a distance. You'll also learn what care management assessments look like, what these services cost, and how care managers help families navigate complex aging challenges with confidence. For information on additional podcasts, FREE in-person programs for care partners (caregivers), and more, please visit the ACAPcommunity website here.   No chapter in your area? Stay tuned! ACAP is growing nationwide. Check our website often for a chapter near you. Meanwhile, we hope you'll take advantage of our audio podcast archive, our YouTube archive, and more.   This episode of The Caregiver Community is made possible by our podcast sponsor, Senior TLC in Newton, NC, and sustaining partner EveryAge.  

Time-based coding can be a powerful, defensible approach for E/M services—when it's documented the right way. But vague or incomplete time notes can open the door to denials, audits, and compliance problems. In this episode, Terry breaks down the exact language, documentation elements, and inclusions you need to make time-based E/M coding hold up. She also covers Care Management Services, their time requirements, and how to avoid overlapping time pitfalls. Tune in for a clear, practical walkthrough. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874 Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/ The post Time Based EM and Care Management Compliance appeared first on Terry Fletcher Consulting, Inc..

In this first Disrupted Podcast episode of 2026, Jamie and Scott unpack the reality of a new “High Needs ACO” and what it demands from frontline care teams. Scott explains why spending more in primary care reduces total cost, how care management codes are expanding, and why the real win is keeping patients out of the hospital through proactive, consistent engagement.The centerpiece is a clear operational playbook for facilitated visits: facilitators gather the full story in the home or facility, loop in the provider through audio/video when possible, document in the system, and never delete encounters—because billing isn't just revenue, it's the data trail that proves prevention works. The conversation closes with the bigger picture: this isn't a workflow tweak—it's a way to reduce hospital dependency, protect families, and help stabilize the healthcare economy.  www.YourHealth.Org

Gina and Don replay #186 Dementia. In this episode of the Focused Healthy Family podcast, Gina and Don sit down with Jennifer Douds from AnswersforAging.com to dive into the world of Care Management. We explore what Care Managers do, how they guide families through complex senior care decisions, and why their role is such a valuable support system for caregivers. Jennifer also shares insights about the Second Wind Dreams Virtual Dementia Tour, a powerful program that helps people step into the shoes of someone living with dementia—offering a deeper understanding and empathy for both families and caregivers. Whether you're currently caring for an aging loved one or preparing for the future, this conversation provides clarity, resources, and inspiration for navigating the journey.  Jennifer Douds Jennifer has over 30 years of experience as an Occupational Therapist, specializing in helping older adults maintain their independence, reducing anxiety around aging, and providing support to help them continue living in the places they love. She understands the challenges families face when they can't always be there for every appointment or medication reminder, or what services are available and where to find them.  She helped both of her husband's parents and is now helping her parents with these same concerns. Jennifer's company, Answers For Aging, takes on the heavy lifting involved with caring for older adults, ensuring that your loved one's care is handled with the utmost care and attention. https://www.answerforaging.com #FocusedHealthyFamily #CareManagement #CareManagers #AgingParents #ElderCare #SeniorCare #DementiaAwareness #VirtualDementiaTour #SecondWindDreams #CaregivingSupport #FamilyCaregivers #AnswersForAging

In this episode, nurse practitioner Nichole Halliburton from Cincinnati Children's Hospital shares practical, real-world guidance on managing epidermolysis bullosa (EB). She breaks down EB subtypes, key stages of wound healing, and everyday challenges patients and caregivers face. Nichole offers actionable strategies for bathing, blister care, dressing changes, and the use of birch triterpenes in wound management. She also highlights the emotional and logistical burden of EB and the importance of support, education, and individualized care. This conversation is a helpful resource for clinicians, caregivers, and anyone involved in EB care. This podcast is being hosted by PeDRA and sponsored by Chiesi. PeDRA will evaluate content for suitability for its audience, but is not responsible for creating content, selecting speakers, or delivering presentations. Learn more about Nichole Halliburton, MSN, APRN-CNP

Doi Guinanao is Founder at AYO Biomedical Technologies.AYO Biomedical Technologies offers advanced wound care management solutions. The company is headquartered in Bacolod City, Philippines where most don't have access to high-quality biomedical services such as the Negative Pressure Wound Therapy (NPWT). AYO Biomedical Technologies offers advanced wound care solutions at unparalleled rates accessible to all, especially in third world countries. Its co-founders value social impact above all else and believe health is a universal right. While the company continues to develop disruptive advances in the advanced wound care management industry, it keeps in mind that any advances should not result in barriers to access among marginalized communities. This episode is recorded live at the Bacolod Accelerator Hub (ALPHA Hub) in Bacolod City.In this episode:00:47 Ano ang AYO Tech?03:23 What problem is being solved? 07:41 What solution is being provided? 21:33 What are stories behind the startup? 32:18 What is the vision? 41:27 How can listeners find more information?AYO BIOMEDICAL TECHNOLOGIESWebsite: https://ayobiomed.comFacebook: https://facebook.com/profile.php?id=100071273176777BACOLOD ACCELERATOR HUBFacebook: https://facebook.com/profile.php?id=61566996707356THIS EPISODE IS CO-PRODUCED BY:Yspaces: ⁠⁠https://knowyourspaceph.com⁠⁠Apeiron: ⁠⁠https://apeirongrp.com⁠⁠Twala: ⁠⁠https://twala.io⁠⁠Symph: ⁠⁠https://symph.co⁠⁠Secuna: ⁠⁠https://secuna.io⁠⁠MaroonStudios: ⁠⁠https://maroonstudios.com⁠⁠AIMHI: ⁠⁠https://aimhi.ai⁠⁠CompareLoans: ⁠⁠http://compareloans.ph⁠⁠CHECK OUT OUR PARTNERS:Ask Lex PH Academy: ⁠⁠https://asklexph.com⁠⁠ (5% discount on e-learning courses! Code: ALPHAXSUP)Argum AI: ⁠⁠http://argum.ai⁠⁠PIXEL by Eplayment: ⁠⁠https://pixel.eplayment.co/auth/sign-up?r=PIXELXSUP1⁠⁠ (Sign up using Code: PIXELXSUP1)School of Profits: ⁠⁠https://schoolofprofits.academy⁠⁠Founders Launchpad: ⁠⁠https://founderslaunchpad.vc⁠⁠Hier Business Solutions: ⁠⁠https://hierpayroll.com⁠⁠Agile Data Solutions (Hustle PH): ⁠⁠https://agiledatasolutions.tech⁠⁠Smile Checks: ⁠⁠https://getsmilechecks.com⁠⁠CloudCFO: ⁠⁠https://cloudcfo.ph⁠⁠ (Free financial assessment, process onboarding, and 6-month QuickBooks subscription! Mention: Start Up Podcast PH)Cloverly: ⁠⁠https://cloverly.tech⁠⁠BuddyBetes: ⁠⁠https://buddybetes.com⁠⁠HKB Digital Services: ⁠⁠https://contakt-ph.com⁠⁠ (10% discount on RFID Business Cards! Code: CONTAKTXSUP)Hyperstacks: https://hyperstacksinc.comOneCFO: ⁠⁠https://onecfoph.co⁠⁠ (10% discount on CFO services! Code: ONECFOXSUP)UNAWA: ⁠⁠https://unawa.asia⁠⁠Wunderbrand: ⁠⁠https://wunderbrand.com⁠⁠DVCode Technologies Inc: ⁠⁠https://dvcode.tech⁠⁠NutriCoach: ⁠⁠https://nutricoach.com⁠⁠Uplift Code Camp: ⁠⁠https://upliftcodecamp.com⁠⁠ (5% discount on bootcamps and courses! Code: UPLIFTSTARTUPPH)START UP PODCAST PHYouTube: ⁠⁠https://youtube.com/startuppodcastph⁠⁠Spotify: ⁠⁠https://open.spotify.com/show/6BObuPvMfoZzdlJeb1XXVa⁠⁠Apple Podcasts: ⁠⁠https://podcasts.apple.com/us/podcast/start-up-podcast/id1576462394⁠⁠Facebook: ⁠⁠https://facebook.com/startuppodcastph⁠⁠Patreon: ⁠⁠https://patreon.com/StartUpPodcastPH⁠⁠PIXEL: ⁠⁠https://pixel.eplayment.co/dl/startuppodcastph⁠⁠Website: ⁠⁠https://phstartup.online⁠⁠This episode is edited by the team at: ⁠⁠https://tasharivera.com⁠

In this Bright Spots in Healthcare episode, host Eric Glazer brings together health system leaders transforming how care continues beyond the hospital stay—using digital coordination, subspecialization, and AI-enabled virtual care to reduce readmissions and improve patient experience. Our guests include: Matthew Sakumoto, MD, Medical Director, Connected Care Clinic, and Regional Chief Medical Informatics Officer, Sutter Health Sean O'Grady, President of Acute and Ambulatory Operations, Endeavor Health Sarah Schenck, MD, Executive Director, Center for Virtual Health, ChristianaCare Tina Nelson, Strategic Partnership Manager, TytoCare Together, they explore: How Sutter Health virtualized Transition-of-Care Management visits to improve post-discharge follow-up, eliminate transportation barriers, and connect hospitalists directly with patients at home. How Endeavor Health is scaling a subspecialized hospital model—combining orthopedics, spine, and cardiovascular centers of excellence with Epic-driven coordination to deliver big-system outcomes in community settings. How ChristianaCare's Center for Virtual Health delivers "high-frequency, low-intensity" primary care—83% asynchronously—supported by Patient Digital Ambassadors who create human-centered, always-on engagement. How TytoCare and Sanford Health are expanding specialty access across rural communities with FDA-cleared diagnostic technology that brings high-quality remote exams to local clinics. How digital tools and aligned incentives are building a new care ecosystem—one that integrates human connection, data, and technology to keep patients home, healthy, and connected. Panelist Bios: https://www.brightspotsinhealthcare.com/events/from-hospital-to-home-scaling-remote-specialty-care-to-close-gaps-and-reduce-readmissions/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/11/EpisodeGuideFromHospitaltoHome.pdf  Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation. https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/11/Key-Insights-Summary-and-Erics-Notes-From-Hospital-to-Home_-Scaling-Remote-Specialty-Care-to-Close-Gaps-and-Reduce-Readmissions.docx.pdf  Resources:  Case Studies: Scaling remote exams to improve access, reduce costs, and enhance the patient experience These companion resources explore how digital care coordination, subspecialization, and virtual specialty models are reshaping transitions of care. It includes data and stories from Baptist Health and Sanford Health on how to reduce readmissions, enhance clinician satisfaction, and expand access. To request your copy, email jtenzer@brightspotsventures.com. Podcast Recommendation: Check out Access Amplified, brought to you by TytoCare and hosted by Joanna Braunold - a podcast about how digital health is helping increase access to care and equity, one innovation at a time. We'll shine a light on what's actually working to make care more accessible and  inclusive. If you're a healthcare leader, an innovator, a policy shaper, or anyone passionate about health equity, this podcast is for you. New episodes drop every two weeks. Follow or subscribe wherever you get your podcasts. https://www.tytocare.com/resources/access-amplified/ Thank You to Our Episode Partner, TytoCare. TytoCare enables health systems and plans to deliver high-quality remote exams anytime, anywhere. Their FDA-cleared devices and AI-powered diagnostic platform support virtual specialty care, school-based programs, and home health models—reducing unnecessary ED visits and improving patient experience. To learn more, visit tytocare.com. Schedule a Meeting with a Senior Leader at TytoCare: To explore how TytoCare can help your organization expand virtual specialty access and improve care coordination, reach out to jtenzer@brightspotsventures.com  to schedule a meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.   We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.  

Show notes at pharmacyjoe.com/episode1077. In this episode, I'll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 1077: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.

About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

The Westfair Business Journal's 2025 Women Innovators In Our Region event, held on September 18 at The Waters Edge at Giovanni's in Darien, CT, brought together an extraordinary group of women who are driving progress and redefining leadership in the Westchester and Fairfield business communities. The evening featured networking, an awards ceremony, and inspiring guest speakers who reminded everyone of the power of innovation when guided by determination and purpose. The event stood as a powerful testament to the impact trailblazing women can make when they unite to shape a brighter tomorrow. Westchester Talk Radio was on hand to capture the evening's energy, with host Joan Franzino speaking with Amy Silva-Magalhaes, Chief Operating Officer of Ultimate Care Management.

In this episode of the Game Changing Health podcast, host Gianna speaks with nurse practitioner Chace Franks, an expert in GLP-1 medications. Chase is a nurse practitioner at IVIM Health which is a telehealth company that recently published exciting new data with semaglutide efficacy rivaling tirzepatide with the IVIM model of care involved in treatment. They discuss the evolution of GLP-1s, their effectiveness in weight management, and the role of telehealth in providing accessible healthcare. Chace shares insights from his experience in prescribing GLP-1s, the importance of supportive healthcare providers, and the challenges of insurance coverage. The conversation also touches on the impact of social media in educating patients and the personal experiences of both speakers with GLP-1s. They emphasize the need for patients to advocate for themselves and seek providers who listen to their concerns.  Follow Chase on TikTok: https://www.tiktok.com/@bourbonrx?_t=ZT-8zeFAlyoBEk&_r=1Follow Chace on Instagram: https://www.instagram.com/bourbonrx1?igsh=MWdrZ3g3N2VzZXU1NQ==Check out IVIM here: https://ivimhealth.sjv.io/QjdoYAKeywords:GLP-1, obesity management, telehealth, weight loss, healthcare providers, insurance coverage, patient education, social media, chronic conditions, health investment ✨ The GLP-1 Circle Membership is opening the doors soon, available for all GLP-1 users, it's your hub for dietitian/personal trainer support on your GLP-1 journey for only $99/month. Get first dibs on membership spots here: Join the waitlist

Tune in Friday, September 5, 2025 @ 7pm EST for the next “He Said, He Said, He Said Live!” A Look at the World from A Seasoned Black Man's Perspective for “Caring with Pride: Navigating Aging in the LGBTQIA+ Community.” www.seaburyresources.org  Aging touches us all — but for members of the LGBTQIA+ community, it often comes with unique challenges:social isolation, lack of traditional family support, and the effects of historical discrimination in healthcare and caregiving systems. This special episode dives into these issues with honesty, care, and practical insight. Our conversation will explore:The Unique Challenges of Aging in the LGBTQ Community: Social isolation, family dynamics, and how discrimination shapes care. Balancing Roles: What it means to be LGBTQand a caregiver, while managing your own emotional and physical health. Chosen Family & Caregiving: How friends and community fill the gaps whenbiological families aren't present. Care Management & Advocacy: Practical steps for navigating healthcare, advanced directives, and knowing your rights. Breaking Stigma & Finding Support: Creating safe spaces and connecting to affirming care providers.  Planning Ahead: Why advance planning is critical for LGBTQ individuals and families. To conclude this conversation, we'll highlight Seabury Resources for Aging's Four Pillars of Care — a holisticframework for supporting older adults in our community: Good Housing: Safe, inclusive senior living and supportive housing. Good Food: Nutrition programs that sustain health and independence. Good Community: LGBTQ programs, transportation, older blind services, and affirming socialconnections. Good Resources: Advocacy, information, and tools to help seniors navigate the aging journey. Special Guests: Christine Bitzer – Program Manager, Care Management, Seabury Resources for Aging and BrigetteJohnson – Outreach Community Partners Manager, Seabury Resources for Aging Together, we'll discuss not only the struggles but also the resilience, resources, and solutions that empowerLGBTQIA+ individuals and families to age with dignity, pride, and community. New Episodes of “He Said, He Said, He Said” - Live stream Fridays, 7 p.m. EST on all these links: https://linktr.ee/hesaidhesaidhesaid  FACEBOOK: facebook.com/hesaidhesaidhesaidlive   #HeSaidHeSaidHeSaidLIVE #CaringWithPride #LGBTQIAging #ChosenFamily #Caregiving #SeaburyResources #LGBTQCommunity

With all the attention focused on Alzheimer's biomarkers and amyloid antibodies, it's easy to forget that comprehensive dementia care is more than blood draws and infusions. On today's podcast, we buck this trend and dive into the complexities and challenges of comprehensive dementia care with the authors of two pivotal articles recently published in JAMA. We've invited David Reuben and Greg Sachs to talk about their two respective trials, published in JAMA — D-CARE and IN-PEACE — aimed at improving the evidence for care models supporting individuals diagnosed with dementia. D-CARE tested the comparative effectiveness of health system-based dementia care, a community-based program, and usual care, while IN-PEACE assessed the addition of palliative care to dementia care programs for individuals with moderate to severe dementia. Despite their pragmatic trial designs and high expectations, both studies' primary outcomes were negative, although there were some intriguing positive secondary outcomes. We discuss how some critical questions about the integration of these findings into practice, and how they fit in with previous research that did show benefits (see this past podcast on using health navigators to improve dementia care). If you want to learn more about comprehensive dementia care, check out these past podcasts: Our previous podcast on comprehensive dementia care with Lee Jennings and Chris Callahan Our podcast on the GUIDE Model with Malaz Boustani and Diane Ty Our podcast on Transforming the Culture of Dementia Care with Anne Basting, Ab Desai, Susan McFadden, and Judy Long Lastly, here is the link to Greg Sachs' NEJM article that describes his maternal grandmother decline from Alzheimer's disease.  

Video games are big fun and even bigger money.The International Trade Administration estimated that the value of the global video game industry in 2023 was $184 billion – with more than 3.2 billion gamers worldwide. Recognizing this new trend in media consumption and content engagement, medical marketers have been trying to break through in the gaming world.Few have had as much success as Level Ex – which develops video games for physicians.Almost a year ago, Level Ex was bought by Relevate Health, a 2025 MM+M Agency 100 honoree. Recently, the Level Ex brand was dissolved and the studio now operates under the Relevate Health branding.Level Ex's founder Sam Glassenberg is the father of a child living with type 1 diabetes. He recently worked with his team to launch a free game for newly diagnosed patients and their caregivers to onboard them to diabetes care management management.For this week's episode, Pharma Editor Lecia Bushak spoke with Glassenberg about the diabetes video game's launch over the summer, an update on the first year under Relevate Health and what opportunities video games present to medical marketers.And for our Trends segment, we're talking about some recent AI projects launched by Real Chemistry and Eversana Intouch.Music: “Deep Reflection” by DP and Triple Scoop Music. Step into the future of health media at the MM+M Media Summit on October 30th, 2025 live in NYC! Join top voices in pharma marketing for a full day of forward-thinking discussions on AI, streaming, retail media, and more. Explore the latest in omnichannel strategy, personalization, media trust, and data privacy—all under one roof. Don't wait—use promo code PODCAST for $100 off your individual ticket. Click here to register! AI Deciphered is back—live in New York City this November 13th.Join leaders from brands, agencies, and platforms for a future-focused conversation on how AI is transforming media, marketing, and the retail experience. Ready to future-proof your strategy? Secure your spot now at aidecipheredsummit.com. Use code POD at check out for $100 your ticket! Check us out at: mmm-online.com Follow us: YouTube: @MMM-onlineTikTok: @MMMnewsInstagram: @MMMnewsonlineTwitter/X: @MMMnewsLinkedIn: MM+M To read more of the most timely, balanced and original reporting in medical marketing, subscribe here.Music: “Deep Reflection” by DP and Triple Scoop Music.

In this episode, Michelle Fullerton of Blue Cross Blue Shield of Michigan and Connie S. Ducaine of MyndYou, explore how AI is streamlining workflows, improving patient engagement, and helping care teams operate at the top of their licensure. They share real-world use cases, tips for integration, and insights on measuring value across efficiency, quality, and outcomes.This episode is sponsored by MyndYou.

Today's guest is Raheel Retiwalla, Chief Strategy Officer at Productive Edge. Productive Edge is a digital transformation consultancy specializing in healthcare that helps payers, providers, and health tech companies use data to streamline operations, reduce costs, and improve outcomes. Raheel returns to the program to outline how agentic AI is helping payers and providers shift from reactive workflows to proactive, real-time engagement. Raheel explores practical use cases already in deployment—from AI agents that monitor benefit utilization and prevent care disruptions, to systems that surface behavioral health risks through missed appointments or medication gaps. Want to share your AI adoption story with executive peers? Click emerj.com/expert2 for more information and to be a potential future guest on the ‘AI in Business' podcast! This episode is sponsored by Productive Edge. Learn how brands work with Emerj and explore media options at emerj.com/ad1.

Ray Schwetz and Donyshia Boston-Hill get business empowerment from Andrea Kiliaris, Associate Director for Care Management at CABS Social Care Network.  CABS provides home care services to elderly and disabled residents of Brooklyn, the visible embodiment of a long-term effort by its parent company, CABS Corporation, to create community owned and controlled, non-profit enterprises to provide essential services and employment opportunities for neighborhood residents.  Andrea will talk about one of CABS' special programs—Care Management,  just one example of how CABS is innovating to meet the needs of individuals and families, providing not just care, but truly coordinated support.

The Big Unlock Podcast · When Technology Meets Care Management, Outcomes Improve. – Podcast with Rob Posner In this episode, Rob Posner, Chief Technology Officer, AbsoluteCare discusses how the organization is transforming care delivery through a member-centric, value-based model that emphasizes advanced care management and the social determinants of health. Rob explains AbsoluteCare's proactive, longitudinal care management approach – enabled by technology that empowers mobile care teams to engage with members wherever they are, whether at home, in the community, or within hospital settings. He underscores the importance of real-time data access, EMR availability at the point of care, and the role of transitional care managers in ensuring continuity post-discharge. Rob also emphasizes how governance, change management, and attention to operational details such as connectivity, mobility, and privacy are critical to success. Rob also explores AbsoluteCare's innovation strategy, including the use of ambient clinical documentation, AI-driven diabetic retinopathy screening, and organization-wide adoption of Microsoft Copilot. Rob shares his vision for the future of AI agents and robotic process automation to streamline workflows, reduce provider burden, and ultimately improve care outcomes. Take a listen.

Deborah Ault, known to most as “Nurse Deb”, has been a Registered Nurse for over 30 years. Before getting into Care Management, her bedside nursing experience included ER, ICU, Doctor's ...

Richard Mackey, Chief Technology Officer at CCS, focuses on the challenges faced by patients with diabetes and multiple morbidities, as well as their healthcare providers, in managing their conditions.  CCS has developed the Living Connected approach to connect patients, providers, and payers, and promotes the role that durable medical equipment companies and pharmacists can play in supporting patients and doctors. Recognizing that patients are more than their disease, CCS addresses social determinants of health to provide education and care coordination. Richard explains, "CCS is a company that is in the business of chronic care management. We focus on delivering products and services to patients with a variety of chronic care conditions. But foremost among these for us is diabetes. We're very focused on being able to provide solutions and services for folks who are managing their diabetic condition."  "On the machine learning side, we have a tremendous amount of data and information about how our patients will understand the devices they might be using. For example, continuous glucose monitors or CGMs are an important standard of care that we work with a lot of patients across the US to equip them, find the right device, help them begin using that device, and best understand what it can do and how it can help them make better decisions to manage their conditions." "We might talk to the patient once or twice a month. We might be talking to them multiple times within a quarter. In some cases, we're interacting with a patient more often than others in the ecosystem, maybe more often than even their physician in terms of the number of interactions per month or period, even their health insurance provider. So all that interaction helps give us information and data to draw insights on what those patients might need, what's most important to them, and how they interact with us. We can also work with a variety of other sources to bring information together. And by using the machine learning tools that we've developed, we can understand things that are important to them. So, it might be around the product or specific information related to the plan or the payer they're working with." #CCSMed #Diabetes #ChronicCare #CGM #Healthcare #DigitalHealth #MedicalAI ccsmed.com Download the transcript here

Richard Mackey, Chief Technology Officer at CCS, focuses on the challenges faced by patients with diabetes and multiple morbidities, as well as their healthcare providers, in managing their conditions.  CCS has developed the Living Connected approach to connect patients, providers, and payers, and promotes the role that durable medical equipment companies and pharmacists can play in supporting patients and doctors. Recognizing that patients are more than their disease, CCS addresses social determinants of health to provide education and care coordination. Richard explains, "CCS is a company that is in the business of chronic care management. We focus on delivering products and services to patients with a variety of chronic care conditions. But foremost among these for us is diabetes. We're very focused on being able to provide solutions and services for folks who are managing their diabetic condition."  "On the machine learning side, we have a tremendous amount of data and information about how our patients will understand the devices they might be using. For example, continuous glucose monitors or CGMs are an important standard of care that we work with a lot of patients across the US to equip them, find the right device, help them begin using that device, and best understand what it can do and how it can help them make better decisions to manage their conditions." "We might talk to the patient once or twice a month. We might be talking to them multiple times within a quarter. In some cases, we're interacting with a patient more often than others in the ecosystem, maybe more often than even their physician in terms of the number of interactions per month or period, even their health insurance provider. So all that interaction helps give us information and data to draw insights on what those patients might need, what's most important to them, and how they interact with us. We can also work with a variety of other sources to bring information together. And by using the machine learning tools that we've developed, we can understand things that are important to them. So, it might be around the product or specific information related to the plan or the payer they're working with." #CCSMed #Diabetes #ChronicCare #CGM #Healthcare #DigitalHealth #MedicalAI ccsmed.com Listen to the podcast here

Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Podcast for 4 Years: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://blog.feedspot.com/medical_billing_and_coding_podcasts/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sonal's 14th Season starts up and Episode 15 features a Newsworthy update on the OIG Work Plan for March 2025.Sonal's Trusty Tip and compliance recommendations focus on advanced primary care management services.Spark inspires us all to reflect on change based on the inspirational words of Kakuzo Okakaura.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Paint The Medical Picture Podcast now on:Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id153044217⁠7⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Amazon Music: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Find Paint The Medical Picture Podcast on YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Find Sonal on LinkedIn:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/sonapate/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠And checkout the website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://paintthemedicalpicturepodcast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PaintTheMedicalPicturePodcast@gmail.com⁠

Traditional care management strategies are struggling to keep pace with rising administrative burdens, workforce shortages and increasingly complex member needs. Outdated processes — like relying on phone calls — fail to scale engagement and leave care teams overwhelmed.Health plans are turning to AI-driven technologies, such as co-pilots, to modernize care management. These tools enhance traditional care management by automating outreach, improving data-driven decision-making and expanding digital engagement across all risk levels.Join industry leaders as they share real-world insights on how AI and automation are transforming care management. Learn how your organization can:Expand digital reach and engage more members effectivelyOvercome key challenges, from data quality to adoption hurdlesStreamline workflows and reduce operational burdensImprove member outcomes and measure the ROI of digital strategies

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 Nurses are integral to care coordination, and their efforts directly influence the ability of providers to bill for services, yet their role is often undervalued.  In this episode, Amanda Schleede, CEO, and Dr. Kelly Ayala, co-founder of Streamline Flow, discuss how their platform helps visualize and manage patient care plans across specialties. Streamline Flow is an EHR-agnostic solution that extracts data to create a visual timeline, alerting providers and patients to potential care plan deviations. Originally developed after nurses in a pulmonary clinic noticed patients missing appointments, the platform now supports diverse care settings, including assisted living. Amanda and Dr. Ayala also highlight the challenge of securing investment due to the non-billable nature of nursing services, revealing a misalignment of incentives. Tune in and learn how this nurse-led innovation is transforming patient care! Resources:  Connect and follow Amanda Schleede on LinkedIn and email her here. Connect and follow Dr. Kelly Ayala on LinkedIn. Learn more about Streamline Flow on their LinkedIn and 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

Top healthcare leaders from HAP, Independent Health, Johns Hopkins Health Plans and Prealize Health explore how predictive analytics and artificial intelligence (AI) revolutionize risk management and care delivery. The discussion delves into real-world applications of AI-driven predictive analytics to enhance patient engagement, improve outcomes, and reduce costs. Learn how leading health plans use AI to identify high-risk populations earlier, optimize care pathways, and improve patient outcomes. If you're interested in the future of healthcare innovation, this is a must-listen! Key Takeaways: How health plans are leveraging AI to transition from segmentation to personalization The role of unified data lakes in driving insights and improving member experiences Real-world examples of AI in chronic disease management, risk stratification, and end-of-life care The power of AI-driven predictive models in enhancing underwriting accuracy How Generative AI is transforming customer service and operational efficiency Our expert panel includes: Bethany McAleer – Chief Actuary & Chief Analytics Officer, Johns Hopkins Health Plan Amin Serehali – SVP & Chief Data & Analytics Officer, Independent Health Mike Treash – SVP & COO, Health Alliance Plan Dean Noble-Tolla – Chief Product Analytics Officer, Prealize Health https://www.brightspotsinhealthcare.com/events/predictive-analytics-proactive-healthcare-leveraging-ai-to-transform-risk-management-and-care-management/ This episode is sponsored by Prealize Health Founded by two industry thought leaders from Stanford University and through continuous partnership with Stanford, Prealize is a leading provider of AI-driven predictive analytics and insights to health plans, specialty care management companies, healthcare technology companies, employers, and providers across the nation. Committed to transforming healthcare from reactive to proactive, reducing healthcare costs and enabling more people to live healthier lives, Prealize and its partners positively influence the health trajectory of millions of people. www.prealizehealth.com

Value Based Care is at a turning point. In this episode, Adam Torres and Krista Smolda, Chief Brand & Product Officer at CareTalk Health, explore Value Based Care and how CareTalk Health is helping its clients with outsourced care management. Follow Adam on Instagram at https://www.instagram.com/askadamtorres/ for up to date information on book releases and tour schedule. Apply to be a guest on our podcast: https://missionmatters.lpages.co/podcastguest/ Visit our website: https://missionmatters.com/ More FREE content from Mission Matters here: https://linktr.ee/missionmattersmedia

This episode, recorded live at the Becker's Healthcare 12th Annual CEO + CFO Roundtable, features Zachary Lenert, Vice President of Integrated Care Management at Sharp HealthCare. Zach discusses the importance of cybersecurity in healthcare, the transformative role of AI in case management, and Sharp's innovative approaches to improving patient care and payer relationships in 2025. In collaboration with R1.

IN THIS EPISODE...This episode features Will Stokes, the Co-Founder and Chief Growth & Performance Officer of Strive Health, a leader in value-based kidney care. Strive Health partners with payors, health systems, and providers, utilizing technology and care integration to transform patient journeys from chronic kidney disease to end-stage care, serving over 121,000 patients nationwide.Today's conversation explores Will's journey from biomedical engineering to co-founding Strive Health, its mission to improve chronic kidney disease outcomes, value-based care models, patient-centric solutions, and more.------------Full show notes, guest bio, links to resources mentioned, and other compelling episodes can be found at http://LeadYourGamePodcast.com. (Click the magnifying icon at the top right and type “Will”)Love the show? Subscribe, rate, review, and share! Learn more about us! https://shockinglydifferent.com/-------------WHAT TO LISTEN FOR:1. What is Strive Health's mission in kidney care?2. Who is Will's role at Strive Health?3. How does Strive Health address challenges faced by kidney care patients?4. Why is early detection vital for chronic kidney disease (CKD) management?5. What role do partnerships play in Strive Health's value-based care model?6. How does Strive Health ensure care for patients in rural areas?7. What inspired Will to co-found Strive Health?8. How does Strive Health personalize the patient's experience?9. What are some non-clinical issues Strive Health helps patients manage?10. What does Will identify as the biggest challenge in kidney care?------------FEATURED TIMESTAMPS:[02:39] Will's Background and Personal Life[04:21] Will's Career Journey in Healthcare[07:33] Strive Health's Mission and Approach[09:53] Challenges and Solutions in Kidney Care[13:27] Strive Health's Business Model and Partnerships[18:16] Signature Segment: Will's entry into the LATTOYG Playbook: Patient Experience and Care Management[24:44] Geographic Challenges and Solutions[26:40] Future Goals and Wishes for Kidney Care[28:34] Signature Segment: Will's LATTOYG Tactic of Choice: Leading with Strategic Decision Making[32:01] Connect with Will------------ADDITIONAL RESOURCES FOR YOU:Overview: Our Signature Leadership Development Experience: http://bit.ly/DevelopYourGame

On episode 494 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Jeannine Raymond, RN, MS, the Chief Nurse Executive and Senior Vice President of Client Success at Nursa.com, regarding the significant differences between nurses being W2 employees vs 1099 contractors. From financial and tax implications to the freedom of being a contractor or the relative reliability of being an employee, Ms. Raymond breaks it all down for us in easy-to-understand terms. Jeannine Raymond, R.N., M.S., is the Chief Nurse Executive and Senior Vice President of Client Success at Nursa, a nationwide platform that exists to put a nurse at the bedside of every patient in need. In this role, she harnesses her extensive industry knowledge to optimize workforce solutions. Her journey began as an ICU staff nurse, eventually transitioning into administration as a nursing supervisor at a 350+ bed trauma center. Over the years, she has held executive roles such as Vice President of Care Management and Vice President of Utilization Management at some of the nation's leading hospital management companies and health plans. Additionally, she serves as a trusted advisor for healthcare technology companies seeking to gain more insight into operational realities of the health care and health plan sector to ensure product market fit. Now more than 25 years into her career, Jeannine offers a holistic understanding of the healthcare sector with a focus on workforce optimization. Her passion is anchored in cultivating and steering high-performing client management teams within the healthcare technology realm. Her demonstrated success includes constructing, expanding and guiding client management teams across payer, provider and channel partner segments. In her role at Nursa, Jeannine draws upon her experience from clinical front lines to executive board rooms as she drives revenue growth, bolsters recruitment and retention strategies, ensures client retention, and delivers unparalleled user experience for health system partners and professionals. With her clinically-informed consultative approach, Jeannine serves as a trusted advisor for growth initiatives, helping clients achieve objectives and strategic visions thanks to her deep comprehension of their operations. Jeannine is a graduate of West Chester University with a BSN in Nursing and earned a Master of Science in Organizational and Strategic Leadership from Neumann University. Connect with Jeannine Raymond and Nursa.com: Nursa.com Facebook Instagram X LinkedIn Contact Nurse Keith about holistic career coaching to elevate your nursing and healthcare career at NurseKeith.com. Keith also offers services as a motivational and keynote speaker and freelance nurse writer. You can always find Keith on LinkedIn. Are you looking for a novel way to empower your career and move forward in life? Keith's wife, Shada McKenzie, is a gifted astrologer and reader of the tarot who combines ancient and modern techniques to provide valuable insights into your motivations, aspirations, and life trajectory, and she offers listeners of The Nurse Keith Show a 10% discount on their first consultation. Contact Shada at TheCircelandtheDot.com or shada@thecircleandthedot.com.

All Home Care Matters and our host, Lance A. Slatton were honored to welcome Pamela Mills as guest to the show.   About Pamela Mills:   Pamela Mills, Associate Director of Care Management for Corewood Care holds master's degrees in Counselor Education and Management of Aging Services. She holds certifications as a care manager through the National Academy of Certified Care Managers and as a Certified Alzheimer's Disease and Dementia Care Trainer with the National Council of Certified Dementia Practitioners.   She is also an advanced professional with the Aging Life Care Association. With over 30 years in the field of aging services, Pamela guides people living with cognitive change, through the journeys of caregiving and receiving, where each person can feel independence, comfort, joy, and achievement. In addition to spending time with family, Pamela enjoys kayaking, photography, volunteering, and tending to the flock of backyard fowl and household animal companions.   About Corewood Care:   Corewood Care, founded in 2016 by Mary O'Donoghue, is an expanding home care and care management agency serving older adults in Virginia, Maryland, and Washington, D.C. Mary's background as a certified nursing assistant (CNA) and her personal experience with her father's early-onset dementia have deeply influenced her approach, making Corewood a trusted partner in the community. Initially, Corewood was a one-person operation, with Mary herself providing care to the first clients. She collaborated with local schools to recruit younger adults passionate about senior care.   These individuals offered light assistance and companionship, making it easier for clients to transition to more comprehensive care when needed. Corewood's innovative approach of integrating care management services—initially seen as a risky move—proved beneficial, setting the agency apart in the industry. Mary's collaborative attitude fostered partnerships with other care managers and home care agencies, enhancing Corewood's reputation and credibility. As the company grew, so did its team.   Her CNA training helped her build strong relationships with the care team. Additionally, the Company is committed to caregiver satisfaction, highlighted by benefits like 401k plans, contributes to a positive work environment and better care for clients. Corewood Care stands out for its personalized, relationship-driven approach, its collaborative spirit within the industry, and its proactive, forward-thinking strategies that keep it ahead of industry trends.