Podcasts about care management

In this episode, Kelsey Smith, Senior Director of Care Management and Behavioral Health Services at Providence Swedish, and Jenni O'Donnell, Senior Medical Director of Behavioral Health Integration at Swedish Medical Group, discuss the critical importance of caregiver well-being. They explore the impact of burnout, innovative support programs, and the future of well-being initiatives aimed at fostering resilience and retention in healthcare.

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

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 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Learn how to use the new APCM codes for 2025. G0556, G0557, and G0558 See the CMS webpage for official information. Purchase your CCM templates.

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.

As healthcare evolves, the demand for connected, data-driven, and member- and patient-centric systems is at an all-time high. By 2027, 70% of healthcare organizations are projected to adopt digital-first care management strategies, interoperable workflows, and advanced consumer data platforms to empower individuals, enhance experiences, and build trust, according to IDC.When providers are seamlessly integrated as essential contributors and collaborators in care management, organizations can unlock significant benefits, including better health outcomes and enhanced operational efficiency.Join industry leaders from IDC and Medecision for an engaging panel discussion where we will share IDC's latest research, practical insights, and best practices. These discussions will bridge the gap between payers and providers, laying the groundwork for future-ready care management practices.Listeners will hear about:Techniques for leveraging data interoperability and FHIR-based solutions.Best practices for establishing data-sharing transparency.Methods for aligning value-based care objectives.Approaches for promoting digital tool adoption supported by AI and analytics.Frameworks for designing comprehensive wellness and engagement programs.Insights into the importance of closed-loop feedback for sustained, coordinated care efforts.Why Listen? Gain valuable insights and practical strategies from leading experts to empower your organization's digital care management initiatives. This session is essential for healthcare leaders aiming to optimize collaboration and harness the full potential of digital care management solutions.

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

Care management is critical, especially for individuals with chronic conditions like dementia, because it ensures coordinated, comprehensive, and individualized care. Currently, more than 6.7 million Americans are living with dementia and Alzheimer's disease, and this number is projected to continue rising. While the impact of the disease on individuals is widely recognized, the personal and financial burden it places on caregivers is less often highlighted. Today, on Values-Based Care Insights, Dan Marino sits down with JVS Health's CEO Vanessa Guzman and Co-founder Seth Hyman to discuss the GUIDE Model, a Centers for Medicare & Medicaid Services (CMS) supplement for caregivers of patients with dementia and Alzheimer's disease. Gain insights into the valuable services within the GUIDE model that can support and benefit individuals living with dementia and their unpaid caregivers.

Prostate cancer is common: one in four Black men will develop it, and one in eight white men. Professor Mike Kirby talks to MIMS Learning editor Pat Anderson about how GPs should approach diagnosis, and provides tips on best care for people who are undergoing or have undergone prostate cancer treatment. He says GPs have a vital role to play in managing cardiovascular risk and managing treatment-related problems.After listening to this podcast, healthcare professionals should be more able to:Identify symptoms associated with prostate cancerAppreciate why symptoms alone do not paint the whole pictureUnderstand the role of PSA testing for prostate cancerUnderstand what investigations patients with suspected prostate cancer will be offeredReflect on the advantages and disadvantages of different treatment options Manage cardiovascular risk and treatment-related problems in men who have had treatmentYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.Useful linksResources from MIMS LearningGuidance update: NICE guidelines on prostate cancerManaging complications of treatments for prostate cancerBenign prostatic hyperplasia: clinical reviewCharitiesProstate Cancer ResearchProstate Cancer UKThe Errol McKellar Foundation Hosted on Acast. See acast.com/privacy for more information.

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.

In this episode of the Oncology Brothers podcast, hosts Drs. Rahul and Rohit Gosain are joined by esteemed palliative care experts Dr. Janet Abrahm from Dana-Farber Cancer Institute and Dr. Ishwaria Subbiah from Sarah Cannon Research Institute. Together, they delve into the critical topic of palliative care, exploring its evolution from a focus on end-of-life care to an integral part of cancer treatment that enhances both longevity and quality of life. Key discussion points include: •⁠  ⁠The definition and importance of palliative care as an "extra layer of support" for patients, families, and oncologists. •⁠  ⁠The stigma surrounding palliative care and the potential benefits of rebranding it as supportive care. •⁠  ⁠The significant impact of palliative care on symptom management and overall patient outcomes. •⁠  ⁠Innovative approaches to integrating palliative care into oncology practices, including the use of technology and multidisciplinary teams. •⁠  ⁠Effective communication strategies for discussing palliative care and advanced care planning with patients and their families. Join us for this enlightening conversation that aims to demystify palliative care and highlight its essential role in cancer care. Don't forget to like, subscribe, and share your thoughts in the comments! #OncologyBrothers #PalliativeCare #CancerCare #SupportiveCare #QualityOfLife #SymptomManagement #AdvancedCarePlanning Website: http://www.oncbrothers.com/ X/Twitter: https://twitter.com/oncbrothers Contact us at info@oncbrothers.com  

LaborPress Radio's Alex Garrett Talks With Tonia Sorrell-Neal of the Pharmaceutical Care Management Association during the Highspeed Rail Conference Held on September 5th, 2024. Tonia Sorrell-Neal is Senior Director, State Affairs for PCMA and a proud supporter of the Labor Movement! Find out more about PCMA here: https://www.pcmanet.org/about/pcma-staff/tonia-sorrell-neal/. For all things LaborPress, please visit LaborPress.org! 

LaborPress Radio's Alex Garrett Talks With Tonia Sorrell-Neal of the Pharmaceutical Care Management Association during the Highspeed Rail Conference Held on September 5th, 2024. Tonia Sorrell-Neal is Senior Director, State Affairs for PCMA and a proud supporter of the Labor Movement! Find out more about PCMA here: https://www.pcmanet.org/about/pcma-staff/tonia-sorrell-neal/. For all things LaborPress, please visit LaborPress.org! 

Episode Resources:Ostomy Care Management (OCM) ProgramThe Wound, Ostomy, and Continence Nurses Society™ (WOCN®) SocietyThe American Society of Colon and Rectal Surgeons (ASCRS) About the Guests:Jan Colwell, APRN, CWOCN, FAAN, is an advanced practice nurse certified in wound ostomy and continence care. She most recently practiced at the University of Chicago Medicine providing care to patients with ostomies. She is a past president of the WOCN Society and Friends of Ostomates Worldwide USA, and has contributed to ostomy patient care by editing several ostomy care text books, participated in ostomy research projects, authored multiple ostomy based articles and is the co-section editor of the ostomy section of the Journal of Wound, Ostomy, and Continence Nursing (JWOCN®).Bethany Malone, MD, is a board-certified colon and rectal surgeon based in Fort Worth, TX. She practices broad-based colorectal surgery including screening colonoscopies and treats benign anorectal conditions, hemorrhoids, fecal incontinence, colon cancer, rectal cancer, and inflammatory bowel disease. Dr. Malone is an active member of the American Board of Colon and Rectal Surgeons, the American College of Surgeons, and the International Society of University Colon and Rectal Surgeons.Jenny Speranza, MD, attended the Rochester Institute of Technology, graduating in 1994 with her B.S. degree, Magna Cum Laude. She earned her M.D. from the School of Medicine, State University of New York at Buffalo (1999). Dr Speranza finished her surgical residency in 2004 from the State University of New York at Buffalo Consortium. In 2005, she completed a Colon and Rectal fellowship at the University of Miami. Prior to arriving at the University of Rochester, Dr. Speranza was on staff at the Cleveland Clinic Florida where she was an attending surgeon in the department of Colon and Rectal Surgery. Dr. Speranza is a member of American College of Surgeons, the American Society of Colon and Rectal Surgeons, and serves on two committees of the Society of American Gastrointestinal and Endoscopic surgeons.

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.

While traditional telephonic and modern digital self-service care management approaches are necessary for health plans, what both programs need now are data and insights to create deep contextual awareness of health plan members. To be effective at scale, health plans need the technology and automation to strategically leverage all their data to optimize medical costs, reduce administrative expenses, improve outcomes and personalize engagement.What's available to empower care management teams to create that contextual awareness? Cutting-edge digital care management tools with capabilities to rapidly deliver real-time data insights that enable care management teams to build highly personalized digital outreach.During this podcast, attendees will learn:The keys to modern digital care managementThe emerging digital tools that can best support membersLessons from efforts to deliver true personalization to the member experiencePresenters: Katherine Schneider, MD, MPhil., FAAFP, CMO, MedecisionMamata Majmundar, MD, Chief Medical Officer, Evry HealthcareJai Raisinghani, Deputy Chief Information Officer, CenCal HealthRia Paul, MD, Chief Medical Officer, Santa Clara Family Health PlanHoward Brill, Senior Vice President, Population Health & Quality, Monroe Health Plan for Medical Care

Care management is crucial for adding value to value-based care, but gaining stakeholder buy-in on its significance can be challenging. While the return on investment for care management strategies is undeniable, the delayed realization of these returns can be daunting for financial leaders. In this episode of Value-Based Care Insights, Dan Marino sits down with Lisa Stockdale, the Director of Value-Based Care at Silver Cross Health Systems, to look at challenges, as well as the benefits, in implementing successful care management programs. Gain insights into the importance of leadership buy-in, technology, and reinvestment in effective and cost-saving care management programs.

Ep 112- Dr. Lisa Stockdale - Innovating Care Management through operational excellence delivering value Care management is crucial for adding value to value-based care, but gaining stakeholder buy-in on its significance can be challenging. While the return on investment for care management strategies is undeniable, the delayed realization of these returns can be daunting for financial leaders. On this episode Dan sits down with Lisa Stockdale, the Director of Value-Based Care at Silver Cross Health Systems, to look at challenges, as well as the benefits, in implementing successful care management programs. Gain insights into the importance of leadership buy-in, technology, and reinvestment in effective and cost-saving care management programs. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Send us a textEver wonder how the latest advancements in nephrology could transform healthcare? Join us as we sit down with the esteemed Dr. Qasim Butt, nephrologist and innovator whose dual expertise in clinical and interventional nephrology offers a rare glimpse into the world of kidney care. From his hands-on work with dialysis procedures to his transition into telehealth and tech consulting, Dr. Butt shares his inspiring journey of innovation and passion that fuels his exceptional career. You'll discover how Dr. Butt's diverse professional experiences have shaped his unique approach to patient care and driven his relentless pursuit of excellence in nephrology.Unlock the secrets to the future of chronic kidney disease treatment as we dive into groundbreaking medications and the shift towards value-based care. Learn how new therapies like SGLT2 inhibitors are not only managing glycemic levels but also offering renal and cardio protection, marking a significant leap forward in kidney healthcare. We'll also shine a spotlight on the revolutionary Alio Smart Patch, a remote monitoring device that promises to enhance patient safety and reduce healthcare costs by providing real-time data on critical health parameters.Advancements in AI and telehealth are also transforming the landscape of nephrology, and Dr. Butt takes us through the cutting-edge applications of these technologies. From DeLorean's AI platform's role in identifying high-risk dialysis patients to the innovative ways telemedicine is bridging gaps in care, you'll gain insights into how technology is reshaping patient outcomes and clinical workflows. Don't miss out on the future of dialysis technology, patient education, and the potential for wearable artificial kidneys—all discussed in this must-listen episode.

In this episode of "Healthcare on the Rocks: Employee Benefits with a Twist," hosts David Pittman and Brittany Hardaway sit down with Will Rumsey, Senior Vice President of Sales at Specialty Care Management (SCM). Will shares his journey in the healthcare industry and explains how SCM focuses on risk mitigation in the renal space. He discusses their two main solutions: chronic kidney disease (CKD) management and outpatient dialysis risk mitigation. Will emphasizes the prevalence of kidney disease, noting that "90 percent of individuals with kidney disease don't realize they have it," and highlights the demographic disparities, stating, "For every one Caucasian, there can be three African American, Latino, or Hispanic individuals with kidney disease."The conversation dives into the unique aspects of SCM's approach, including their budget certainty model and focus on member experience. Will explains their cost-saving potential, saying, "We went from having $2.7 million to just over $700,000, saving about 73% off of the paid charges." He also discusses their renal risk assessment process, which provides precise data on kidney disease prevalence within a population. Will addresses the challenges in the healthcare market, particularly around data access and scalability. The episode concludes with Will encouraging listeners to reach out for a free renal risk assessment, stating, "Let us do, at no cost, that renal risk assessment exercise and show you what your exposure could be."Key takeaways:SCM offers CKD management and outpatient dialysis risk mitigation solutionsTheir programs can significantly reduce healthcare costs for employersKidney disease is often undiagnosed and has demographic disparitiesSCM's approach provides budget certainty and improved member experienceData analytics and proactive strategies are crucial for future cost containmentStay in Touch!Connect with Will Rumsey on LinkedInVisit Specialty Care ManagementLearn more about the Springbuk Activate Partner Marketplace and get other related resourcesGet the complete 2024 Employee Health Trends report and other related resourcesConnect with our co-hosts Brittany Hardaway and David Pittman Have feedback, questions, or suggestions for show ideas? Send them to us at podcast@springbuk.com. Please rate and review us on your favorite podcast platform, and share it with your friends and colleagues. We appreciate you and thank you for listening! Produced by David Pittman Theme music: "Overboard" by Stay Outside

Did you miss this year's American Association of Naturopathic Physicians Convention? In this interview, Karolyn talks with the organization's president Kasra Pournadeali, ND, FACN, about the mission/vision of the organization, conference highlights, and future directions. In addition to being the AANP President, Pournadeali is the director of the Northwest Center for Optimal Health and on the faculty of Bastyr University.   About the Expert Kasra Pournadeali, ND, FACN, is the founder and director of the Northwest Center for Optimal Health, a primary care residency training facility in Washington State. With over 30 years as a healthcare provider and more than 20 years as a practicing physician, he has been a faculty member at Bastyr University since 1999. Pournadeali serves on the boards of the ACCME-Accredited Foundation for Care Management and the Integrative Health Care Practitioner Consortium. An expert in naturopathic cardiology, insurance coding, and practice management, he has made numerous media appearances and published extensively. Listen to his radio show, Sound Living with the Doctors, Thursdays at 4 PM PST on FM 90.7, FM 89.9, or online at www.kser.org. For more information, visit www.ncoh.net.

The transformative potential of AI in healthcare is no secret, but there are certain limitations and risks associated with its generalization. In this episode of the AHIP 2024 series, Yoni Shtein, CEO of Laguna Health, discusses how his company uses conversational AI to enhance care management for health plans. He explains how Laguna leverages ambient listening and a large language model to analyze conversations between care managers and members, improving efficiency, outcomes, and effectiveness in chronic, high-risk, or acute care management. The technology aligns with the needs of regional and national payers and facilitates better member service and patient outcomes. Yoni emphasizes integrating new technology in Interactive Care Planning (ICP), utilizing virtual, multimodal interactions like telephonic chat text, and highlights companies such as Abridge, Ambience, Nabla, and Suki for capturing language across mediums to gain valuable insight He also covers the pros and cons of conversational AI in healthcare, addressing cybersecurity risks and AI hallucinations while emphasizing the importance of recognizing opportunities and concerns.  Tune in and learn how conversational AI is starting to leave its mark on healthcare! Resources:  Watch the entire interview here. Follow and connect with Yoni Shtein on LinkedIn. Learn more about Laguna Health on their LinkedIn and website. Listen to Yoni's previous interview on our podcast here.

Send us a Text Message.#060 Are you a physical therapist (PT) contemplating a career shift? Or perhaps you're just curious about the versatility of your therapy skills? Danae successfully transitioned from a physical therapist to a general manager at KARE, a tech-driven senior living support company. KARE connects communities with providers and providers with communities, offering increased flexibility and financial independence for therapists. This platform is ideal for working moms, those looking for supplemental income, or anyone wanting to work when and where they want.Therapists possess invaluable skills that can be transferred to various industries, including management and sales roles. In this episode, we debunk the myth that therapists can't excel in non-clinical positions, explain the invaluable skills that therapists bring to any industry, highlight the importance of networking, building relationships and working with a team that aligns with your values, and offer practical advice on how to leverage your therapist background to excel in new roles.Are you contemplating a career shift but unsure if your investment in PT school is worth it? We tackle this crucial question and through self-assessment tips and reflections on past career steps, we emphasize the importance of understanding your strengths, preferences, and goals before making a career shift. Tune in if you're looking to leverage your therapy skills in a new role or seeking guidance on how to navigate a career transition.For links and show notes, head to: https://rehabrebels.org/060Start your Rehab Rebel Journey! Receive access to FREE monthly progress updates, interview schedule, and a BONUS Top 25 Alternative Careers List for Rehab Professionals when you Start your Rebel Career and be part of the Rehab Rebels Tribe!This month's sponsor is Engage Movement, the go-to solution for rehab professionals looking to increase their earnings without extending their work hours. Visit EngageMovement.com/rehabrebels and use the promo code REBELS to unlock your training for FREE!Join us on Instagram and Facebook or your favorite social media @rehabrebels!Subscribe through Apple Podcast or Spotify!Support the Show.

Mike Switzer interviews Amanda Clark, CEO and founder of PulManage in Columbia, S.C.

Principal Care Management (PCM) services are services for a single high-risk disease, 30 minutes a month, personally provided by a physician or NPP. This is for patients with one complex chronic condition expected to last three months which places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death. Does your patient […] The post Principle Care Management (PCM) appeared first on Terry Fletcher Consulting, Inc..

Efficiency in healthcare, like closing care gaps and reducing readmissions, is vastly improved through technological innovation. In this episode, Saul Marquez interviews Yoni Shtein, CEO of Laguna Health, a company revolutionizing care management through automation and technology with a mission to empower care managers with conversational intelligence. By leveraging natural language processing and AI, Laguna streamlines documentation, allowing care managers to focus on patients rather than paperwork, an innovation that, according to Yoni, not only enhances efficiency but also improves patient outcomes, reducing readmissions and optimizing care transitions. He also emphasizes Laguna's unique data set and language model, which differentiate the company in the market. Yoni highlights the significant ROI opportunities for payers, including increased efficiency, effectiveness, and cost savings, and challenges leaders to embrace nuanced thinking in navigating healthcare technology trends to drive better outcomes for patients.  Tune in and learn why building scalable solutions that deliver tangible value to consumers is paramount in today's healthcare landscape! Resources:  Watch the entire interview here. Follow and connect with Yoni Shtein on LinkedIn. Learn more about Laguna Health on their LinkedIn and website.

Norton Healthcare's Plugged in to Nursing is the podcast that celebrates and informs the profession of nursing. Episode 36 Title: Caring For All Patients: Care Continuum and Care Management at Norton Healthcare Summary: In June's episode of Plugged In To Nursing, hear Kirsten McCoy Dietrich, RN, and Cristina Proffitt, RN, system director of Care Continuum and Care Management, discuss patient care management at Norton Healthcare. Listen to learn how the team supports resource needs for a patient's admission, a safe discharge, and next step planning. As Cristina shares, care management is a great career pathway for nurses, as it highlights the importance of an individualized care plan for all patients across the Norton Healthcare system. Speakers:Kirsten McCoy Dietrich, RN Norton Audubon Hospital Cristina Proffitt, RN System Director, Care Continuum and Care Management Show Notes:‘Clark' is Norton Clark Memorial Hospital ‘Scott' is Norton Scott Hospital ‘Auth Management' is Authorization Management ‘CMS' is Centers for Medicare & Medicaid Services ‘HRIP' is Hospital Rate Improvement Program LHC: www.lhcgroup.com ‘EPIC' is Norton Healthcare's electronic medical documentation system   About Norton Healthcare's Center for Nursing Practicecis responsible for readying student nurses for practice and transitioning new graduate nurses into practice.  Our team is committed to serving the profession of nursing, meeting people where they are and taking them to where they want to be. Contact Information:  PluggedInToNursing@nortonhealthcare.org     Audio Editing and Production:  www.unmuteaudio.com 

Today's guests are Wendy Arafiles, MD, pediatric hospitalist and medical director of the CDI program at Phoenix Children's Hospital, Lucinda Lo, MD, pediatric hospitalist and physician advisor for CDI and Care Management at the Children's Hospital of Philadelphia, and Sheilah Snyder, MD, pediatric hospitalist and CDI physician advisor for Children's Nebraska in Omaha. Today's show is part of the “Conversations with Karla” series. In every episode of this series, ACDIS Editor and Product Coordinator Karla Kozak be joined by a guest who's behind one of our most popular and exciting ACDIS educational offerings to share their expertise. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form!  CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/cdi-and-power-dynamics) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Friday, June 7, at 11:00 p.m. eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: Today's show is brought to you by the Leadership in CDI Boot Camp! Click here to learn more! (https://bit.ly/3KnvFIj) ACDIS update: Apply for an ACDIS' committee by the end of the month! (https://www.surveymonkey.com/r/June24-Committee-Application)

✨  Christine Watanabe, Senior Social Media Care Manager at Paramount+☁️  Defining social media customer care management☁️  Overcoming early career struggles☁️  Advancing your career through proactivity☁️  Navigating pregnancy and maternity leave at workJoin the Sky Society Women in Marketing private LinkedIn group.Follow Sky Society on Instagram @skysociety.co and TikTok @skysociety.co

Today, we're discussing Care Management in Managed Medicaid with Tammy Yount, CHESS Application System Analyst. We'll explore why it's essential for organizations to tailor their care management programs to fit their own unique needs, so they can holistically focus on the patient while optimizing value in healthcare.Tammy Yount, welcome to the Move to Value podcast.Thank you Thomas, for inviting me and I'm happy to be here.So, Tammy, let's talk about care management in managed Medicaid. How does a care management program save money and healthcare?I would say that saving money is one goal of a care management program. However, I would offer that the goals of a care management program should align with the triple aim that's born out of the 2001 Institution of Medicine report Crossing the Quality Chasm. So that report underscored 3 aims, if you will, one primary aim and two secondary aims. So the primary aim is to improve the health of populations with the secondary aims of improving the patient experience of care and at the same time reducing the per capita cost. So these are lofty aims given our current healthcare landscape and the payment models that we exist in. Not all organizations are the same. You have some large organizations that have a plethora of resources and smaller organizations with very limited resources. So each organization has its own unique structure and individual challenges and there's no one-size-fits-all care management program. So I would say there are many ways to build a care management program that will allow you to achieve the triple aim and organization needs to find the blueprint that works best for them. So when an organization's doing the right things, measuring the right things and focusing on improving the right things, the cost savings should follow. And I believe it was W Edward Demmings that said it best, you know, manage the cause, not the result. That's not to say that the organization doesn't need to have a clear understanding of the underlying processes, cost drivers, the population characteristics. He also said if you can't describe what you're doing as a process, you don't know what you're doing. And my favorite quote for him is in God we trust, and all other things bring data.Tammy, tell me, how would a practice create a care management program?So it's a bit of a chicken and egg conundrum when you're trying to create your care management program, you need many things in the least of which is data. I would say you need to start with the data, but few organizations have the data to inform their program design. Most organizations design their care management program backwards, meaning they design the program around the resources they have versus identifying the resources that they need based on the characteristics of the populations they're managing. So I would say the first thing you need to do is collect data and evaluate the data. So from the data that you've captured, then you would begin to develop your road map for how you're going to operationalize your care management program. And these would be very specific to each organization because each organization serves different patient populations, has different resources and different needs.What are the keys to a successful care management program?It's going to depend on who you ask. So I'm a data person, so in my world, all things starting in with data. But if you were to ask the payer, the nurse, the CEO, the CFO, the CIO, and most importantly, the patients, their families or caregivers, you're going to get a different response and varying perspectives. For a care management program to be successful, it's going to need to combine all of these perspectives. And critical to any successful program is having a mission, vision and values. And you'll need to operationalize your plan with those elements. And so...

Hosts Gregg Masters and Fred Goldstein welcome Express Scripts President Adam Kautzner to discuss “Embracing Innovation to Improve Healthcare Predictability.” Innovation in healthcare means addressing challenges that others can't or simply won't. No one knows this better than Adam who is reshaping the role PBMs play to keep costs low for patients and payers and improve patient outcomes. 2024 is expected to be another transformative but challenging year in healthcare— the continued expansion of GLP-1s is fueling affordability concerns and a lack of predictability for employers and health plans; meanwhile patients are demanding transparency, and physician shortages are reshaping the critical role pharmacists play in their communities. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

In this week's episode, Dr Nicholas Morris is joined by Dr. Karen Hirsch and Dr. Teresa May to discuss their paper “Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society”.  We discuss the difference between a scientific statement and a guideline, areas of uncertainty, and research priorities for the post-arrest patient. You can read the paper at https://www.ahajournals.org/doi/10.1161/CIR.0000000000001163. 

The so-called Sandwich Generation has a lot on its plate. They are adults who tend to their job responsibilities while raising children and giving those children the best start in life possible. They look after their parents who are getting older and becoming less independent as they used to be. When the parent starts needing a great deal of support, the adult child scrambles to monitor medications, pay the parent's bills, and ensure that the parent is safe and eating. The adult child in the Sandwich Generation can easily burn out under such responsibilities. They need someone to assess the situation, help them find available resources, intervene when an emergency happens, and help the adult child to make difficult decisions.There is help available. Life Care Managers are the hub of the wheel, and they know the many spokes that might make the caregiving journey go more smoothly. In this episode, Ellen Platt of the Option Group explains how Life Care Managers can help with proactive planning for an aging adult and be a partner along the journey.

It's all about the best and brightest in software automation for schools this week, as Kris welcomes Daniel Andrews and Sasha Reiss, co-founders of Playground, an innovative childcare management software company. They first share Playground's unique story of being friends since high school and creating a solution for their own families' childcare centers. Daniel and Sasha highlight Playground's differentiating features, such as drop-in care management and integrated payroll modules, and they share insights into hiring practices and their vision for AI in childcare. At the end of the episode, Daniel and Sasha share lessons they've learned on scaling their own company and fun yet powerful ways to maintain a happy company culture.   Register for our ECE tech webinar with Playground here: https://www.childcaresuccess.com/how-to-navigate-the-evolving-tech-landscape-for-enhanced-operational-efficiency-in-your-ece-business-may-2-2024-webinar/   Key Takeaways: [3:15] Kris announces the two-day virtual challenge, The Road to Freedom. [6:31] Playground's founding story. [8:38] How does Playground's mission and technology stand out in a crowded space? [11:37] Perspective on ECE's past of being a slower adopter of technology, and how that's changing. [12:53] The “grandma test.” [15:38] The lessons Sasha and Daniel have learned about scaling and growing a business. [17:09] Some of the tools and technology Playground uses. [20:09] The grounding and stabilizing force of working with family. [22:44] Personal and professional inspiration. [25:29] What they look for in new hires. [26:36] Playground's short but effective interview process. [31:29] What's next for the Playground team? [33:13] Using AI to improve family interactions, especially with communication, engagement, and lesson plans.   Quotes: “I think our differentiated approach is the new technology that we're bringing. A lot of that comes down to really solving the problems that we are building software for.” — Daniel [8:39] “If we want to be able to compete and if we want to be able to operate at the same level, we need to adopt the same tools that they're using.” — Sasha [14:10] “A lot of the big problems that we faced have become significantly smaller by putting phenomenal people in front of those problems. If you find someone great, you can just trust that they'll get the job done and that you don't need to be managing the day-to-day.” — Daniel [16:54] “Working with family and then also building for family really grounds you on what the work you're doing, who's impacting, and why it's actually getting done.” — Daniel [20:09] “It's ultimately the three of us against the problem. It's not us against each other. So realizing and recognizing what it is that we're working for, and why we're doing it ultimately helps us get into the right direction.” — Sasha [21:25]   Sponsored By: ChildCare Education Institute (CCEI) Use the code CCSC5 to claim a free course!   Mentioned in This Episode: Kris Murray The Child Care Success Company The Child Care Success Academy The Child Care Success Summit Grow Your Center Childcare Education Institute: Use code CDARenewal22 to get $100 off your renewal. podcast@childcaresuccess.com Playground Linear Webinar: Emerging Technologies Revolutionizing the Childcare Industry  

In this week's episode of Pophealth Week, we're excited to showcase Michelle Bounce, the Chief Operating Officer at The J.P. Farley Corporation. Since joining the team in 2007, Michelle has consistently excelled across various roles within the company, demonstrating a deep understanding and innovative approach to the operations of a Third-Party Administrator (TPA). Her initiatives to revamp the conventional TPA structure through automation, cutting-edge technology, and process enhancements across the board have significantly increased efficiency. Michelle's passion for innovation extends to her collaborations with key vendors, fostering relationships that are rooted in a shared enthusiasm for transformative change. As an esteemed member of the Health Care Administrators Association (HCAA) and holding licenses in life and health in Ohio, Michelle brings a wealth of knowledge and expertise to the conversation. Our discussion will delve into the role of TPAs in promoting value-based healthcare, moving beyond the traditional emphasis on cost reduction to explore how Care Management vendors can deliver the real value that self-funded employers seek. Join us for an insightful conversation about the future of healthcare administration and the pivotal role of TPAs in shaping it.

If you're facing the challenge of caring for a parent with dementia, you are not alone. In this episode of BrainStorm Brent Forester, MD, MSc, Psychiatrist in Chief, Chairman of the Department of Psychiatry, and Director of Behavioral Health at Tufts Medical Center, discussed the complexity of dementia care and the importance of a holistic approach with host Meryl Comer. Dr. Forester, author of The Complete Family Guide to Dementia, everything You Need to Know to Help Your Parent and Yourself, provided crucial insight for effective management of behaviors, and tips to facilitate communication with healthcare providers. The needs of both patients and caregivers must always be considered during the decision-making process.  You won't want to miss this episode!This episode is sponsored by Otsuka and Lundbeck.Produced by Susan Quirk and Amber RonigerSupport the show

In the third episode of Season 3, we spoke with Dr. James Min, Founder and CEO of Cleerly Health, about his experience turning his clinical research into Cleerly and how he's managed the business as the treatment of coronary artery disease evolves thanks to new research, new technology like generative AI, or new business models like value-based care reimbursement. Our discuss touches on processes to utilize to ensure product market fit, how firms should think about building healthcare AI products, and the importance of challenging dogma.

There's a good reason Medicare triple-weights medication adherence as a performance measure. Prescriptions aren't effective if patients can't access them easily or take them routinely. One way VHAN's Care Management team supports network members is by helping their patients overcome barriers to filling prescriptions and managing complex medication regimens. In this episode, clinical pharmacist Danya Wilson and nurse practitioner Catherine McMullan discuss the transformative power of personalized patient medication strategies. We explore how a renewed focus on medication adherence can help VHAN members improve health care outcomes and costs, leading to better contract performance and greater financial incentives. 

Hosts Fred Goldstein and Gregg Masters MPH meet Michelle Bounce, the COO at The J.P. Farley Corporation.  Michelle has been with J.P. Farley since 2007 and has been a top performer in every position within the organization.  Her insight into each department has provided her with the knowledge to begin rebuilding the typical structure of a TPA to ensure much greater efficiencies through automation, the use of superior technologies, process improvements throughout the entire organization and valued relationships with integral vendors who carry the same excitement for change she has. Michelle is an active member of the HCAA, licensed in the state of Ohio in life and health. They discuss the the role of TPAs in value based healthcare and that the traditional focus on cost reduction is not creating the value self funded employers are seeking from Care Management vendors. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

To manage costs and advance value-based care models, health plans and health systems that take on risk need effective care management and population health programs. However, many legacy tools involved in these efforts are frustrating to use and produce fragmented data, hindering successful cost and quality management.This conversation will examine the current state of care management, including the top barriers and how organizations can break through them. Learn how to:Efficiently and proactively identify at-risk individualsEmpower patients to achieve better outcomesIncrease collaboration across the care continuumPanelistsKenneth Young, President & CEO, MedecisionDr. Robert Groves, Executive Vice President & Chief Medical Officer, Banner | AetnaJessica Chaudhary MD, Medical Director, CarelonLearn more at https://www.medecision.com/ 

Effective care management is essential for achieving favorable population health outcomes. Yet, the current structure of care management focuses on reacting to health issues and does not adequately anticipate patients' needs. As providers assume risk-based contracts, the abilities to shift to prospective care management allows care managers to more effectively meet the patient's needs by integrating clinical data, lifestyle criteria and clinical pathways. In this episode of Value-Based Care Insights, we sit down with Dr. Riya Pulicharam and Kevin Zhao, as they delve into the limitations of the current care management process and discuss attributes essential to support enhanced patients outcomes while increasing care managers productivity. Gain valuable insights into how to optimize care pathways, leverage technology, and foster cultural change to ultimately achieve better outcomes. --- Send in a voice message: https://podcasters.spotify.com/pod/show/lumina-health-partners/message

Effective care management is essential for achieving favorable population health outcomes. Yet, the current structure of care management focuses on reacting to health issues and does not adequately anticipate patients' needs. As providers assume risk-based contracts, the abilities to shift to prospective care management allows care managers to more effectively meet the patient's needs by integrating clinical data, lifestyle criteria and clinical pathways. On this episode Dan is joined by Dr. Riya Pulicharam and Kevin Zhao, as they delve into the limitations of the current care management process and discuss attributes essential to support enhanced patients outcomes while increasing care managers productivity. Gain valuable insights into how to optimize care pathways, leverage technology, and foster cultural change to ultimately achieve better outcomes. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Procare Solutions recently released our 2024 Child Care Management Software Industry Trends Report, which provides a comprehensive look at the current state of the child care industry's use of technology as well as challenges that early childhood education programs must adapt to, and overcome, to thrive. But the findings detailed in this report go deeper than software. In compiling this data, the goal was to better understand the obstacles being faced by child care providers. To provide more context to the findings, we partnered with experts in several areas of early childhood education.  Listen in as these experts — Beth Cannon, Caroline Jens, Prerna Richards as well as  Kathy Ligon and Kathe Petchel of HINGE Early Education Advisors — discuss topics including enrollment strategies, curriculum and much more! This podcast was recorded during a recent webinar in which all were panelists. 

The executives examined independent market research that surveyed health plan leaders about the current state of UM and what organizations need to transform both Utilization Management and Care Management.Key findings relative to UM include:- More than half of survey respondents say fragmented data (57%), data that doesn't flow into UM workflows (55%), and burdensome data integration are the top barriers to current tools- 68% say inefficient workflows are their organization's primary frustration with current tools, followed by high costs associated with data silos (49%), and provider abrasion (40%)- Why? Because respondents say current tools are not easy to use and they need technologies that are “very effective” at accessing real-time data to drive down administrative and medical costs while improving health outcomesIn addition to sharing the research, the speakers also discussed:- Data types healthcare organizations should be integrating into UM workflows- The power of personalization in making UM more trusted by members and providers- How predictive modeling for risk stratification, as well as UM workflow optimization with AI and automation, can propel UM efficiency, results, and outcomes- What leaders should understand about regulations relative to UM – including the newly-released ePrior Authorization rule  

There is an urgent need for breakthroughs in the American health care system to tackle its fragmentation. In this episode, Kathleen Noonan discusses her efforts to improve health care for individuals with complex medical and social needs, emphasizing the fragmentation of the health care system and the pivotal role of community health workers. She further explores the results of a randomized control trial conducted by the coalition, highlighting mixed outcomes and calling for stronger collaborations between community-based organizations and health systems to address systemic issues in American health care. Tune in to learn about Camden Coalition's commitment to disrupting the status quo and providing personalized care for complex medical and social needs! Learn more about your ad choices. Visit megaphone.fm/adchoices

Show notes at pharmacyjoe.com/episode877. In this episode, I ll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 877: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode877. In this episode, I'll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 877: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.

Care Management services are being reported at an all-time high but they are not all alike. Before submitting claims, many providers have not read the directions — or CPT-published guidance and criteria. Terry breaks down the confusion and discusses why this is more of a value-based service than a monetary windfall. Listen to this informative […] The post Transitional Care Management Services appeared first on Terry Fletcher Consulting, Inc..

Care Management services are being reported at an all-time high but they are not all alike. Before submitting claims, many providers have not read the directions — or CPT-published guidance and criteria. Terry breaks down the confusion and discusses why this is more of a value-based service than a monetary windfall. Listen to this informative […] The post Transitional Care Management Services appeared first on Terry Fletcher Consulting, Inc..