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The Friday Five for October 11, 2024: CMS Final Guidance on Round 2 of Medicare Drug Price Negotiations HHS Releases ACA Marketplace 2026 Proposed Rule Apple Intelligence Features Coming October 28? Setting the Record Straight on Cigna & HCSC CMS Announces Medicare $2 Drug List Model Request for Information Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail. CMS Final Guidance on Round 2 of Medicare Drug Price Negotiations: “HHS Releases Final Guidance for Second Cycle of Historic Medicare Drug Price Negotiation Program.” CMS.Gov, Centers for Medicare & Medicaid Services, 2 Oct. 2024, www.cms.gov/newsroom/press-releases/hhs-releases-final-guidance-second-cycle-historic-medicare-drug-price-negotiation-program. “Medicare Drug Price Negotiation Program Final Guidance ...” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/fact-sheet-medicare-drug-price-negotiation-program-ipay-2027-final-guidance-and-mfp-effectuation.pdf. Accessed 9 Oct. 2024. HHS Releases ACA Marketplace 2026 Proposed Rule: Tong, Noah. “CMS Proposes Risk Adjustment Changes, Broker Fraud Crackdown for 2026 Plan Year.” Fierce Healthcare, Fierce Healthcare, 4 Oct. 2024, www.fiercehealthcare.com/payers/cms-proposes-risk-adjustment-changes-fraud-crackdown-and-more. “HHS Notice of Benefit and Payment Parameters for 2026 Proposed Rule.” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Oct. 2024, www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2026-proposed-rule. Apple Intelligence Features Coming October 28? Chen, Brian X. “Apple's A.I. Is Landing Soon on iPhones. Here's What It's Like.” NYTimes.Com, The New York Times, 2 Oct. 2024, www.nytimes.com/2024/10/02/technology/personaltech/apple-intelligence-iphone.html. Clover, Juli. “Here Are All of the Apple Intelligence Features in IOS 18.1.” MacRumors, MacRumors, 8 Oct. 2024, www.macrumors.com/guide/ios-18-1-apple-intelligence/. Shakir, Umar. “Here's What Your iPhone 16 Will Do with Apple Intelligence - Eventually.” The Verge, The Verge, 10 Sept. 2024, www.theverge.com/2024/9/10/24237714/apple-intelligence-generative-ai-features-update-schedule. Davis, Wes. “Your iPhone 16 May Get Its First Apple Intelligence Features Later This Month.” The Verge, The Verge, 6 Oct. 2024, www.theverge.com/2024/10/6/24263398/ios-18-iphone-16-apple-intelligence-coming-october-update-ai-notification-summaries. Setting the Record Straight on Cigna & HCSC: “CIGNA Healthcare Offers Medicare Customers Value, Stability and Choice with 2025 Plans.” Cigna Healthcare Newsroom, Cigna, 1 Oct. 2024, newsroom.cigna.com/cigna-healthcare-medicare-2025-plans. Minemyer, Paige. “Cigna Inks Deal to Sell Medicare Business to HCSC for $3.7B.” Fierce Healthcare, Fierce Healthcare, 31 Jan. 2024, www.fiercehealthcare.com/payers/cigna-inks-deal-sell-medicare-business-hcsc-37b-deal. “HCSC Agrees to Acquire Medicare Businesses and CareAllies from Cigna.” HCSC Agrees to Acquire Medicare Businesses and CareAllies from Cigna, Health Care Service Corporations (HCSC), 31 Jan. 2024, www.hcsc.com/newsroom/news-releases/2024/agreement-acquire-cigna-medicare-careallies-businesses. CMS Announces Medicare $2 Drug List Model Request for Information: “Biden-Harris Administration Takes Next Step on Proposed Model to Lower Prescription Drug Costs for People with Medicare.” CMS.Gov, Centers for Medicare & Medicaid Services, 8 Oct. 2024, www.cms.gov/newsroom/press-releases/biden-harris-administration-takes-next-step-proposed-model-lower-prescription-drug-costs-people. Fowler, Liz, and Vino Mitta. “CMS Innovation Center's One-Year Update on the Executive Order to Lower Prescription Drug Costs for Americans.” CMS.Gov, Centers for Medicare & Medicaid Services, 11 Oct. 2023, www.cms.gov/blog/cms-innovation-centers-one-year-update-executive-order-lower-prescription-drug-costs-americans. “Executive Order on Lowering Prescription Drug Costs for Americans.” The White House, The United States Government, 14 Oct. 2022, www.whitehouse.gov/briefing-room/presidential-actions/2022/10/14/executive-order-on-lowering-prescription-drug-costs-for-americans/. “Medicare Two Dollar Drug List Model.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/priorities/innovation/innovation-models/medicare-two-dollar-drug-list-model. Accessed 9 Oct. 2024. “Medicare $2 Drug List Model - Request for Information (RFI) - Responses Due December 9, 2024.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/priorities/innovation/files/x/newdirection-rfi.pdf. Accessed 9 Oct. 2024. Resources: 2025 Medicare Advantage and Medicare Part D Premiums: https://link.chtbl.com/ASGF20241004 Cigna to Sell Medicare Business to HCSC: https://ritterim.com/blog/cigna-to-sell-medicare-business-to-hcsc Key Changes for ACA Open Enrollment 2025 ft. Ross Baker from HealthSherpa: https://link.chtbl.com/ASG2024RossBaker Preparing Clients for the New Medicare Prescription Payment Plan Program: https://link.chtbl.com/ASG621 Staying Motivated Amidst Change & Disruption: https://link.chtbl.com/ASGM20240710 Webinars & Events: https://ritterim.com/events/ What to Do if Your Medicare Part D Plans Become Non-Commissionable: https://link.chtbl.com/ASGN20241005 Follow Us on Social! 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The Friday Five for February 2, 2024: FOMC January 2024 Meeting Cigna Sells Medicare Business to HCSC Bipartisan Tax Package Instagram Threads Legislation on Social Media for Kids Find your Ritter Sales Specialist: https://ritterim.com/meet-your-sales-team/ Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/ Resources: ACA 2024 Open Enrollment Final Numbers: https://link.chtbl.com/ASGF20240126 Increase Sales and Productivity with the Busy Medicare Agent's Sales Planner: https://link.chtbl.com/ASG570 Social Media Marketing Apps: https://link.chtbl.com/ASGA52 Stay Organized with the Busy ACA Agent's Sales Calendar: https://link.chtbl.com/ASG571 Things to Think About Post-OEP: https://link.chtbl.com/ASG572 FOMC January 2024 Meeting: A Comparison of PCE and CPI: https://www.bls.gov/osmr/research-papers/2017/st170010.htm Consumer Price Index (CPI) December 2023: https://www.bls.gov/news.release/pdf/cpi.pdf Fed Keeps Rates Steady: https://www.nytimes.com/live/2024/01/31/business/fed-meeting-interest-rates Fed meeting: Stocks slump as Powell says March rate cut unlikely: https://www.marketwatch.com/livecoverage/fed-meeting-s-p-500-futures-slip-as-investors-juggle-megacap-earnings-fomc-decision Federal Open Market Committee Meeting Schedule 2024: https://www.federalreserve.gov/monetarypolicy/fomccalendars.htm Federal Reserve holds interest rates steady as consumer confidence improves and inflation slows: https://www.nbcnews.com/business/economy/federal-reserve-interest-rate-decision-january-2024-increase-decrease-rcna136429 Personal Consumption Expenditures (CPE) December 2023: https://www.bea.gov/news/2024/personal-income-and-outlays-december-2023 Cigna Sells Medicare Business to HCSC: Cigna inks deal to sell Medicare business to HCSC for $3.7B: https://www.fiercehealthcare.com/payers/cigna-inks-deal-sell-medicare-business-hcsc-37b-deal Cigna to sell Medicare business to HCSC for $3.3B: https://www.modernhealthcare.com/mergers-acquisitions/cigna-health-care-service-corporation-medicare-advantage-deal The Cigna Group to Sell Medicare Businesses and CareAllies to Health Care Service Corporation (HCSC): https://www.prnewswire.com/news-releases/the-cigna-group-to-sell-medicare-businesses-and-careallies-to-health-care-service-corporation-hcsc-302049322.html Bipartisan Tax Package: H.R.7024 - Tax Relief for American Families and Workers Act of 2024: https://www.congress.gov/bill/118th-congress/house-bill/7024 House passes bill to enhance child tax credit, revive key tax breaks for businesses: https://apnews.com/article/child-tax-credit-house-republicans-speaker-johnson-4da25a4188ad27693e9d8755e7481b76 House passes bipartisan tax bill to expand child tax credit: https://www.npr.org/2024/01/31/1228209266/house-passes-child-tax-credit-expansion Instagram Threads: Instagram Threads triples downloads in December, reaching the top 10; X falls to No. 36: https://techcrunch.com/2024/01/30/instagram-threads-triples-downloads-in-december-reaching-the-top-10-x-falls-to-no-36/ Meta's Threads climbs the ranks of world's most downloaded apps again: https://www.zdnet.com/article/metas-threads-climbs-the-ranks-of-worlds-most-downloaded-apps-again/ Sarah on Threads: https://www.threads.net/@thesarahjrueppel Threads App Downloads Spike as Interest in Musk's X Wanes: https://www.pcmag.com/news/threads-app-downloads-spike-as-interest-in-musks-x-wanes Legislation on Social Media for Kids: 200 groups push Senate to vote on Kids Online Safety Act in 2024: https://www.nbcnews.com/tech/social-media/kosa-kids-online-safety-act-speech-censor-rcna128249 Bill to ban minors from social media and terminate youths' accounts passes Florida House: https://www.usatoday.com/story/news/politics/2024/01/25/florida-social-media-ban-bill/72351219007/ Bipartisan Bill Aims to Protect Children Online: https://www.nytimes.com/2024/01/31/technology/congress-social-media-safety.html CS/HB 1: Social Media Use for Minors: https://www.flsenate.gov/Session/Bill/2024/1 Florida House of Representatives approves bill to ban social media for kids under 16: https://abcnews.go.com/GMA/Family/florida-house-representatives-approves-bill-ban-social-media/story?id=106672586 Florida Senate HB-1 Bill Text: https://www.flsenate.gov/Session/Bill/2024/1/BillText/e1/PDF Kids Online Safety Act (S.1409): https://www.congress.gov/bill/118th-congress/senate-bill/1409/text Introducing Stricter Message Settings for Teens on Instagram and Facebook: https://about.fb.com/news/2024/01/introducing-stricter-message-settings-for-teens-on-instagram-and-facebook/ Meta's Mark Zuckerberg issues dramatic apology at Senate hearing on child safety: https://www.ft.com/content/87840b12-08b5-4b90-9afc-bc8fba730ff9 Meta, TikTok, and other tech companies go to Congress: all the news: https://www.theverge.com/2024/1/31/24056136/congress-child-safety-hearing-kosa-meta-x-discord-snap-tiktok Ohio, more states push for social media laws to limit kids' access: Where they stand: https://www.usatoday.com/story/news/nation/2024/01/12/social-media-laws-parental-consent-teens-kids-netchoice-lawsuits/72182348007/
This episode features MGMA independent consultant Tracy Bird. Tracy has earned her FACMPE, CPC, CPMA, CEMC and CPC-I, and in this podcast, she discusses her journey to healthcare, including an early connection to Hallmark, earning her FACMPE, rev cycle solutions, and adventures in Alaska. Resources: MGMA Consulting: https://www.mgma.com/consulting/meet-the-team/tracy-bird-facmpe-cpc-cpma-cemc-cpc-i Tracy on LinkedIn: https://www.linkedin.com/in/tracy-bird-97993a1a/ MGMA Fellowship: https://www.mgma.com/apply-for-fellowship Sponsor: This episode is sponsored by Care Allies. CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Additional Resources: Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview This episode is sponsored by MGMA Events. If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's Consultants Corner podcast.
In this episode of MGMA's Ask An Advisor podcast, we feature Senior Advisor Cristy Good talking about APP and NP compensation structures. MGMA Resources discussed: Physician compensation model tables: https://www.mgma.com/member-tools/sample-physician-compensation-model-tables Provider Compensation Data Report for 2023: https://www.mgma.com/data-report-provider-comp-2023 July Connection Magazine: https://www.mgma.com/content/july-2023-mgma-connection-magazine AMA study on physician shortages: https://www.ama-assn.org/practice-management/sustainability/doctor-shortages-are-here-and-they-ll-get-worse-if-we-don-t-act Roadmaps to Value-based Profitability: https://www.mgma.com/books/roadmaps-to-value-based-profitability-a-practice-transformation-guide RVUs: Applications for Medical Practice Success: https://www.mgma.com/books/rvus-applications-for-medical-practice-success-3rd-edition Sponsor: CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Additional Resources: Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview Mentorship Program: www.mgma.com/membership/landing…rogram-application This episode is sponsored by MGMA Events. If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's Insights podcast.
Early careerists are beginning their healthcare journey at a time when the industry faces challenges on several fronts, including increased administrative burden, technology challenges, and severe staffing shortages, just to name a few. This leadership panel of early careerists shares ideas about the challenges they're facing and the opportunities and solutions they are implementing to address them. Panelists include: Nina Cloven, MHA, 2022 MGMA Future Five Award recipient Anna Dunbar, 2022 Andrea M. Rossiter, FACMPE scholarship recipient David Comiskey, MA, 2022 MGMA Future Five Award recipient Sponsor: CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview MGMAStat: https://mgma.com/mgmastat MGMA Awards: https://www.mgma.com/awards If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's podcast network.
We welcome Kris Baird to the MGMA Insights podcast. Kris is the president and CEO of Baird Group. She's here today to talk about the power of the first call and provide best practices for converting call-ins to patients. Sources: White paper: https://baird-group.com/mystery-shopping-research/ Kris Baird: https://www.linkedin.com/in/krisbaird/ Baird Group: https://baird-group.com/ Baird Group Blog: https://baird-group.com/blog/ Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview Mentorship Program: www.mgma.com/membership/landing…rogram-application If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's podcast network. If you have opportunities you'd like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.
We welcome Meredith Hirsh to the Women in Healthcare podcast. Meredith is the CEO of the Hirsh Center, a college professor, and has earned her MBA and her FACMPE. She's here today to talk about her personal business success and share stories about being inspired by her single mom, her early success as a Girl Scout, and the fierce independence she's carried with her throughout her personal and professional life. Sources: Meredith Hirsh: https://www.linkedin.com/in/meredith-hirsh-mba-facmpe-33263217/ Hirsh Center: https://www.thehirshcenter.com/ Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview Mentorship Program: www.mgma.com/membership/landing…rogram-application If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's podcast network. If you have opportunities you'd like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.
In this episode of MGMA's Ask An Advisor podcast, we feature Senior Advisor Cristy Good talking about Modifier 25 and Modifier 57 in medical billing and coding. Sources: Cigna to rescind latest modifier 25 policy: https://www.mgma.com/advocacy-letters/april-18-2023-mgma-and-partner-healthcare-stakeholders-urge-cigna-to-rescind-latest-modifier-25-policy-2 2023 Medical Coding and Billing Toolkit; https://www.mgma.com/member-tools/2023-medical-coding-and-billing-toolkit Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview Mentorship Program: www.mgma.com/membership/landing…rogram-application This episode is sponsored by MGMA Events. If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's Insights podcast. If you have opportunities you'd like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.
Today, we welcome PJ Gupta to the MGMA Business Solutions podcast. PJ is the founder and CEO at iPlum, which offers HIPAA-compliant secure communications, including HIPAA-compliant calling, text messaging, and HIPAA-secure voicemail. Resources: The iPlum Story: https://www.iplum.com/about HIPAA Texting Requirements Blog: https://www.iplum.com/blog/hipaa-texting-requirements HIPAA Compliance Case Study: https://www.iplum.com/blog/how-does-a-healthcare-practice-use-iplums-phone-tree-with-extensions-and-hipaa-compliant-texting Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
Today, we welcome Rachelle Daugherty to the MGMA Business Solutions podcast. Rachelle is chief executive for Provider Solutions & Development (PS&D), a Providence-owned, not-for-profit company that delivers provider staffing solutions to a diverse range of healthcare organizations. Resources: PS&D: https://psdconnect.org/ Rachelle Daugherty: https://www.linkedin.com/in/rachelledaugherty/ Deloitte Study: https://www2.deloitte.com/us/en/insights/industry/health-care/evolving-health-care-delivery-models.html Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Patricia MacTaggart, MBA, MMA, CAHIMS, Program Director/Teaching Instructor, George Washington University, to this episode of the MGMA Insights Podcast. Patricia recently spoke on the topic of Innovative Comprehensive Care Models at the MGMA Summit digital event. If you registered for the Summit event you can access this and all the sessions through July 10th. Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
Today, we welcome Mike Seyfer to the MGMA Business Solutions podcast. Mike is chief executive officer of Hailey Sault. Mike is here to talk about a variety of topics including brand performance, human-centered design, AI, ChatGPT, and humanizing medicine. Resources: Hailey Sault: https://haileysault.com/ Mike Seyfer: https://www.linkedin.com/in/mikeseyf Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
Michael chats with Becky Trotter, Vice President, Population Health Solutions, at CareAllies, where she leads the implementation, design, and delivery of population health technology that enables CareAllies clinical and value-based care solutions and supports the organization's provider engagement strategy. In this episode, Michael and Becky discuss the role of data and technology in at-risk populations and value-based care, achieving greater health equity, the tech-driven future of health care, and much more. This episode is sponsored by CareAllies, careallies.com. The views in this podcast do not necessarily reflect those of our sponsors.
We welcome Dr. Ashok Roy to the MGMA Insights podcast. Dr. Roy has his MD, his MPH, and his MBA, and he's Chief Medical Officer of Value-Based Care Solutions at Signify Health. Dr. Roy recently spoke at the MGMA Summit Digital event on the topic of Applying Data, Analytics and Techonology to Improve Value-Based Care Outcomes. For anyone who registered for that event, you can still access the session on demand until July 10th. Sources: Dr. Ashok Roy: https://www.linkedin.com/in/ashok-roy-m-d-m-p-h-m-b-a-3981624/ Signify Health: https://www.signifyhealth.com/?utm_term=signify%20health&utm_campaign=Signify+Health+-+Brand+-+Exact&utm_source=adwords&utm_medium=ppc&hsa_acc=2655586638&hsa_cam=12031073921&hsa_grp=117016843118&hsa_ad=618672368562&hsa_src=g&hsa_tgt=kwd-603228925166&hsa_kw=signify%20health&hsa_mt=p&hsa_net=adwords&hsa_ver=3&gad=1&gclid=CjwKCAjwp6CkBhB_EiwAlQVyxd2JpHhToGtlZwEs4uwS15GgqVbU_fINw7U5pFYEB_v-kW2DISMauBoC2HQQAvD_BwE Sponsors: MGMA Events: Join us on-demand through July 10th, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by accessing the sessions at your own pace through July 10th. Please check the email you received for the Summit Digital event to access your on-demand learning experience. CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Brandy Mabra to the MGMA Insights podcast. Brandy is the CEO of Savvy Clover Coaching & Consulting and a CEO Coach for private practice owners in healthcare. Brandy has been featured in Forbes, Fast Company, Entrepreneur, PopSugar, and Create & Cultivate, as well as appearing on numerous healthcare podcasts. She's here today to talk about her personal business success and share stories of working with healthcare executives to streamline their operations, engage teams and take ownership of their executive roles. Sources: Brandy Mabra: https://www.linkedin.com/in/brandy-mabra-businesscoach/ Savvy Clover: https://savvyclover.com/ Sponsors: MGMA Events: Join us on-demand through July 10th, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by accessing the sessions at your own pace through July 10th. Go to mgma.com/events/2023-mgma-summit to access your on-demand learning experience. CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
Today, we welcome Tony Stajduhar to the MGMA Business Solutions podcast. Tony is the president of Jackson Physician Search. Tony is here to talk about an important topic and a white paper developed by Jackson Physician Search: "How to Prepare for the Wave of Physician Retirements.” Resources: Preparing for the Physician Retirement Wave: https://www.jacksonphysiciansearch.com/white-paper-preparing-for-the-wave-of-physician-retirements-survey-results/ Jackson Physician Search: https://www.jacksonphysiciansearch.com/physician-recruitment-experts/?utm_source=google&utm_medium=cpc&utm_campaign=Brand-JPS-BMM&gad=1&gclid=CjwKCAjw1YCkBhAOEiwA5aN4AfF1ygM_lnkm4aTyu5DW4WDmLR4l4WB0vdBZvPJUU-IXeLCIdsVVUBoCNhwQAvD_BwE Tony Stajduhar: https://www.jacksonphysiciansearch.com/about/ Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Stephen A. Dickens, JD, M.Ed., FACMPE, Vice President, Medical Practice Services, SVMIC, to this episode of the MGMA Insights Podcast. Steve will be speaking at the MGMA Summit Digital Event, June 8, at 1:30pm ET, on the topic of, "Critical Conversations." Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Katie Lawrence, MHA, CMPE, Vice President – South Carolina Operations, UpStream, to this episode of the MGMA Insights Podcast. Katie, along with Steve McMillen, MHA, Senior Manager, ECG Management Consultants, will be speaking at the MGMA Summit digital event Thursday, June 8, at 10:00am ET, on the topic of, "Optimizing Referrals Through Cultural and Operational Preparedness." Sources: Katie Lawrence: https://www.linkedin.com/in/katie-murphy-lawrence-mha-cmpe-1b783539/ Upstream: https://www.upstream.care/ Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome CJ Wolf, MD, M.Ed., CPC, Faculty -- Health Services, BYU-Idaho, to this episode of the MGMA Insights Podcast. Dr. Wolf will be speaking at the MGMA Summit digital event Wednesday, June 7, at 2:10pmET, on the topic of, "Coding and Billing Compliance Enforcement Updates." Sources: CJ Wolf: https://www.byui.edu/health-services/faculty/c-j-wolf Compliance Reality: https://www.youtube.com/channel/UC7I3GA93amvMBwl-PSEUfmQ Certified Professional Coder (CPC®) Certification: https://www.aapc.com/certification/cpc/?utm_medium=ppc&utm_source=adwords&utm_term=certified%20professional%20coder&utm_campaign=Search_Google_NB_Medical-Coding_Exact&hsa_cam=6962872009&hsa_tgt=kwd-312281870611&hsa_kw=certified%20professional%20coder&hsa_ver=3&hsa_ad=526524502762&hsa_acc=8669576186&hsa_grp=94403949820&hsa_src=g&hsa_net=adwords&hsa_mt=e&gclid=Cj0KCQjwyLGjBhDKARIsAFRNgW_Ae_Ey4kmfOcX0MahhZyAnbQlW3wdiw9c3iith5ooub2YgD4ZCJ4oaAsizEALw_wcB&gclsrc=aw.ds Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Matt Griswold, keynote speaker, People Centric Consulting Group to this episode of the MGMA Insights Podcast. Matt will be speaking at the MGMA Summit digital event Tuesday, June 6, on the topic of, "Knowing the Score: Making the Case for Financial Transparency." Sources: People Centric Consulting: https://peoplecentric.com/ Matt Griswold bio: https://peoplecentric.com/about/ Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
Today, we welcome Dr. Joe Nicholson and Becky Trotter to the MGMA Business Solutions podcast. Dr. Joe is chief medical officer, Care Allies, and Becky is vice president, population health solutions, Care Allies. Dr. Joe and Becky are here to talk about an important topic: "Prioritizing Patient Outreach: How Analytics Can Offer Direction without Disruption.” Resources: Rethinking Care for the Most Frail Patients: https://www.chiefhealthcareexecutive.com/view/rethinking-care-for-the-most-frail-patients-joe-nicholson Improving Care for the Frailest Patients: https://www.healthcarebusinesstoday.com/improving-care-for-the-frailest-patients-how-two-value-based-care-best-practices-can-help/ Care Allies: https://www.careallies.com/ Care Allies Leadership: https://www.careallies.com/about-us/leadership/ Sponsors: CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Jonathan K. Leer, MHA, MSA, CHFP, Division Administrator — Geriatric Medicine and Gerontology, Johns Hopkins Medicine, to this episode of the MGMA Insights Podcast. Jonathan will be speaking at the MGMA Summit digital event Wednesday, June 7, on the topic of, "What Docs Don't Get Taught: Tools for Talking Finance with Your Clinicians." Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Kevin Mulcahy to the show. Kevin has earned his FACMPE, and he's Senior Director, Provider and Payer Service, Professional Billing Office at Mass General Brigham. Kevin will be speaking at the MGMA Summit digital event Wednesday, June 7, on the topic of, "Payer Contracting is More Than Just Reviewing Rates ." Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Michael Tutty, PhD, MHA, FACMPE, group vice president, American Medical Association, to this episode of the MGMA Insights Podcast. Michael will be speaking at the MGMA Summit digital event Wednesday, June 7, on the topic of, "Post-COVID-19 Trend Watch: Implications for Practices." Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: Healthcare is complicated. But you don't have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
We welcome Henna Pryor, MSA, PCC, workplace performance expert, keynote speaker, and professional executive coach to this episode of the MGMA Insights Podcast. Henna Pryor is a two-time TEDx speaker and will be speaking at the MGMA Summit digital event Wednesday, June 7, at noon Eastern time on the topic of, "How Awkwardness Can Be Your Greatest Asset for Taking More Professional Risks ." Go to www.mgma.com/events to learn more about the event and to register today. Sources: Henna Pryor website: https://pryoritygroup.com/ Henna Pryor book: https://pryoritygroup.com/book/ Henna Pryor Tedx Talk: https://youtu.be/8L0uvH1wpqg Sponsors: MGMA Events: Join us June 6-8, 2023, for a robust and convenient learning experience featuring education from industry leaders covering a wide variety of challenges facing medical practices today. MGMA Summit is a signature online event that allows you to take control of your journey by attending live or by accessing the sessions at your own pace until July 8. Additionally, new networking opportunities will make it easy for you to meet industry peers and discuss solutions to your biggest challenges. Go to mgma.com/events/2023-mgma-summit to learn more and to register today! CareAllies: CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask An Advisor: advisor@mgma.com Practice Resources: mgma.com/practice-resources/f…is-for-medical-pract Auditing Toolkit: www.mgma.com/practice-resources…d-auditing-toolkit MGMA Membership: www.mgma.com/membership Rev Cycle Certificate Program: www.mgma.com/certification/acmp…e-management-on-de Thanks again for listening to MGMA's podcasts.
Rob Cetti, President of CareAllies, joins the podcast to discuss his experience in healthcare, the biggest opportunities for innovation or evolution health care providers will soon face, the role he sees collaboration playing in the success of health care going forward, the developments or innovations he's excited about, what qualities health care leaders will need to possess in the next 2-3 years, and how healthcare leaders can stay ahead of the curve when it comes to adapting to new technologies, regulations and patient needs.Want to network with peers and hear more conversations like this? Apply to be one of our complimentary guest reviewers at our upcoming Annual Meeting April 3-6, 2023 here.
Rob Cetti, President of CareAllies, joins the podcast to discuss his experience in healthcare, the biggest opportunities for innovation or evolution health care providers will soon face, the role he sees collaboration playing in the success of health care going forward, the developments or innovations he's excited about, what qualities health care leaders will need to possess in the next 2-3 years, and how healthcare leaders can stay ahead of the curve when it comes to adapting to new technologies, regulations and patient needs.Want to network with peers and hear more conversations like this? Apply to be one of our complimentary guest reviewers at our upcoming Annual Meeting April 3-6, 2023 here.
Dr. Julian Harris developed a personal passion for home health and shifting care towards value watching his father and his grandfather serve as caregivers for his mother and grandmother, who both had complex health conditions. He started his professional life as a primary care doctor in community health centers and safety net hospitals, but with an interest in business, gravitated towards a career that has spanned the highest levels of provider, payer, government and many other organizations. He is now applying his knowledge and experience towards his passion for care at home, serving as chairman and CEO at ConcertoCare, a value-based provider of at-home, comprehensive care for seniors and other adults with unmet health and social needs.In addition to his role leading ConcertoCare, Dr. Harris is also an operating partner at the healthcare investment firm, Deerfield Management, and earlier in his career served as an advisor to Google Ventures (GV). He also led the healthcare team in the White House Office of Management and Budget (OMB) and before that, served as the chief executive for the Massachusetts Medicaid program. Most recently, before joining Deerfield, Dr. Harris worked at Cigna, where he led U.S. Strategic Operations and internal investment in technology and innovation, and then served as President of CareAllies, a group of Cigna-affiliated population health management and home-based primary care companies.In this episode of Healthcare is Hard, Keith Figlioli's conversation with Dr. Harris covers a wide array of topics related to healthcare innovation and new care delivery, including:The levers of shifting care towards value. Drawing on his perspectives from clinical, innovation and policy roles (at both the federal and state level), Dr. Harris describes how he thinks about the different levers that can be adjusted to improve quality while ensuring that healthcare is affordable. He talks about the main goal of incentivizing providers to practice evidence-based medicine and adjusting key levers including the number of people covered, level of benefits, negotiated rates with providers, and utilization, and how they all impact each other.The VBC journey for each category of home care. Dr. Harris discusses the broad range of services delivered in the home – from PT and OT, to infusion services, palliative care, hospice, and even home-based primary care. He talks about how organizations focused on individual components of home care are finding their way towards value, how Medicare and Medicaid are driving the movement, and the end goal of combining all the pieces for comprehensive care.Thoughtful acceleration of digital tools. While there are many barriers for aging patients to engage with digital tools, Dr. Harris is seeing thoughtful and effective execution by companies addressing issues like remote patient monitoring, medication adherence, and chronic condition management. He sees the most success with patients utilizing these tools in an integrated model and talks about the increasing role digital tools will naturally play as people engage more as they age, or before they develop complex health conditions.To hear Dr. Harris and Keith talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.
Chief Healthcare Executive is joined by Joe Nicholson, DO, chief medical officer at CareAllies, a personalized online coaching platform that works with payers and providers to install value-based care customs. We discussed why instilling a good payer/provider relationship is important for both patients and practices and what can be done to ensure that relationship is well maintained. We also talked about Dr Nicholson's personal experience with developing a functional payer/provider relationship and advice he has for other practices.
In this episode, we are joined by Dr. Joe Nicholson, III, DO, Chief Medical Officer at CareAllies. He discusses why we need to fundamentally change the way we reimburse for care delivery and how the pandemic drove innovation. Dr. Joe highlights the need to evolve into a value-based model and how organizations can move through the value-based continuum. This podcast is sponsored by CareAllies
Aparna Abburi, President of Medicare and CareAllies for Cigna, joined the podcast to talk about whole-body, social determinants of health and virtual care for the Medicare Advantage beneficiaries.
Host David Harlow talks to Joseph Nicholson, MD, CMO of CareAllies. “Dr. Joe” shares about his work as CMO at CareAllies, a value-based care innovation platform and a CIgna company, that has added to its traditional services additional tools that are instrumental in addressing needs in the realm of social determinants of health exacerbated and exposed by the pandemic. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Julian Harris, M.D., is a Partner on the Healthcare Services team at Deerfield and Chairman & CEO at ConcertoCare. Launched in 1994, Deerfield Management Company is an investment firm dedicated to advancing healthcare through information, investment and philanthropy — all toward the end goal of cures for disease, improved quality of life and reduced cost of care. ConcertoCare was formed recently by a combination of the assets of ConcertoHealth and Perfect Health. ConcertoCare is one of the nation's leading risk-based health care companies focused on providing integrated care for seniors where they are best served: in their homes. Before Deerfield, Dr. Harris was the founding President of CareAllies, Cigna's family of multi-payer provider services and home-based care businesses. Previously, he led US Strategic Operations for Cigna and managed a $500M internal investment portfolio focused on technology and innovation. Dr. Harris was also an Adviser to Google Ventures (GV) focused on tech-enabled health care services. Before GV, he led the health care team in the White House Office of Management and Budget (OMB). As the federal government's chief health care finance official, he oversaw a $1 trillion budget and provided management and policy oversight for a range of programs, including Medicare, Medicaid, FDA, NIH and CDC. He also served as the chief executive of the $11 billion Massachusetts Medicaid program. Dr. Harris trained in internal medicine and primary care at Harvard Medical School's Brigham & Women's Hospital and practiced as a hospitalist at Cambridge Health Alliance and as a clinical consultant for BestDoctors. He graduated summa cum laude with a B.A. in Health Policy & Medical Ethics from Duke University and holds an M.Sc. from Oxford University, where he studied as a Rhodes Scholar. He is also a graduate of The Wharton School of Business and the University of Pennsylvania's School of Medicine, where he currently serves as an Adjunct Professor. Dr. Harris is a trustee of the New York Academy of Medicine and a member of the advisory boards for the Leonard Davis Institute for Health Economics at Penn and the NYU Department of Population Health.
Karthik Ganesh is the CEO of EmpiRx Health, the industry’s only value-based PBM, with a clinically focused, technology-enabled approach to bending the Rx cost curve. Prior to EmpiRx Health, Karthik was the founding operations leader of CareAllies. He is a senior health care executive with a solid track record of comprehensively scaling, transforming, and maximizing value at tech-enabled health service companies while driving dramatic before-and-after results across all facets of the organization. Karthik is recognized as a thought leader on health care, leadership, and resilience. He is a published author and has been featured in leading industry journals. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care market intelligence firm specializing in health care delivery systems. He’s a two-time health care entrepreneur, and his first company, FaxWatch, was listed twice on the Inc. 500 list of fastest-growing American companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade. John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University, and is an active member of the American College of Healthcare Executives. About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz., with a satellite office in Princeton, N.J.