Podcasts about Digital health

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  • 719PODCASTS
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  • Jan 20, 2022LATEST
Digital health

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Best podcasts about Digital health

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Latest podcast episodes about Digital health

Relentless Health Value
EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD, From AHealthcareZ

Relentless Health Value

Play Episode Listen Later Jan 20, 2022 36:00


In this healthcare podcast, I'm speaking with Eric Bricker, MD, about how so many entities in healthcare are getting up in other people's business and swimming in other people's traditional lanes. Consider last week's show with Katy Talento, for example. She mentions employers who are not only doing their own direct contracting (ie, cutting out the traditional carriers and negotiating directly with provider organizations) but also employee benefit consultants who are working on setting up their own hospital—an employer-owned hospital. That was episode 350, and while this hospital idea is a little future oriented, right now today, across the country, we have employers and also unions who are owning their own primary care clinics, which I discussed at some length with Mark Blum from America's Agenda (EP248).   In this episode with Dr. Bricker, we start from the beginning. We kick off the conversation talking about the payer, PBM, and hospital system horizontal consolidation that has transpired over the past decades (that's plural). Horizontal consolidation is pretty much the easiest way to decimate all competition in your own swim lane so that you can charge more and not worry so much about patient/customer/member experience because the patients/customers/members have no better alternative. They effectively have nowhere, or few other places at best, to go if they leave you. So, what's the impact of horizontal consolidation? We get into this in the podcast, but subsequent to this recording, there was a study that came out in JAMA: “The Dysfunctional Health Benefits Market and Implications for US Employers and Employees.” This was by David Scheinker, PhD; Arnold Milstein, MD; and Kevin Schulman, MD. This study showed that commercial insurance costs have gone up 4x the rate of other benchmark goods and services. Bottom line, “It is assumed that insurers compete intensely to improve the value received by employers and employees by negotiating to keep prices down and advocating for employers and employees.” Ha ha … NOT.   With peak horizontal consolidation, there is little meaningful competition—so ixnay on that premise. By the way, if anyone knows any of those authors that I just cited in that study, hit me up. I'd love to get one of them on the show. But let's spend a moment, shall we, on the human impact of all this extreme consolidation. The impact is your sister, your neighbor, your son, your friend. So many feel so much pressure financially in our country today because of healthcare costs. Even families earning significantly more than median household income are forgoing care because of costs. Again, this was in a recent paper. (The authors are Alyce S. Adams, Raymond Kluender, Neale Mahoney, Jinglin Wang, Francis Wong, and Wesley Yin.)   But the direct observable financial toxicity resulting from high healthcare patient costs is really only the tip of the iceberg here. As Dave Chase from Health Rosetta has said a million times already, high healthcare costs have a multitude of effects on employers, big and small. One big one is, if healthcare costs more, then there's less money for salaries. Dave, citing lots of evidence, has long attributed wage stagnation in this country to accelerating healthcare costs, which became even more rampant during periods of industry consolidation. Dave Chase leads Health Rosetta, by the way. Here's another human toxicity: Listen to episode 337 with Oliva Webb on the impact on her life as a result of the undeniably and unquestionably common non-excellent treatment by the PBMs and SPPs that she has to deal with. Because, as Dr. Bricker also says, no competition means basically not a whole lot of concern about patient experience. Why should a for-profit business spend money to improve something when there's nothing really to be gained for them financially to do so? I mean, the best a patient can do most of the time is hop from the frying pan into the fire. That's what happens when there's no competition or no real competition. Also consider the burned-out clinicians who have to get stuck in the middle of this nobody-really-cares-at-the-monopoly customer service paperwork quagmire.  By the way, here's a sidebar that might come as a surprise to some people, but please take this in the spirit with which it's intended. All of us innovators and lifelong learners, we want to update our beliefs when the facts show us an updated conclusion. So, I have learned that all of this consolidation was going on long before the ACA (Affordable Care Act). My point here is to please look into this well-documented trend line before reflexively tweeting that the ACA drove consolidation. Dr. Bricker and others like Dr. Mai Pham have told me that, in their opinion, low interest rates, cheap debt, and a desire to eliminate competition are wildly powerful drivers of consolidation. Anyway, about nine minutes into the interview with Dr. Bricker, if you're one of the ones who knows all you care to know about horizontal consolidation, we get into vertical integration, vertical consolidation—and this is where things get interesting. And when I say interesting, I mean it in a “we live in interesting times” kind of way. The vertical consolidation conversation segues into whose swim lane that the digital health and other innovators or, dare I say, disrupters are diving into and whose lunch they are aiming to eat. Dr. Bricker probably needs no introduction. He is the force behind AHealthcareZ, which you can find online, on Twitter, YouTube, and LinkedIn. He has worked as a clinician, in healthcare finance, and currently serves as a chief medical officer. If that weren't enough, he's also been an entrepreneur—a very successful entrepreneur, I might add. He started one of the first healthcare navigation firms called Compass Professional Health Services. Compass had something like 2000 employer clients serving about 1.8 million people when it was purchased in, I believe, 2018.   You can connect with Dr. Bricker on Twitter at @DrEricB and on LinkedIn.  Eric Bricker, MD, is an internal medicine physician and former cofounder and chief medical officer of Compass Professional Health Services. Compass is a healthcare navigation service that grew to 2000+ clients, including T-Mobile, Southwest Airlines, and Chili's/Maggiano's restaurants. Compass was acquired by Alight Solutions in July 2018. Alight is a 10,000-person employee benefits and HR outsourcing company that separated from Aon in 2017. Dr. Bricker has since started AHealthcareZ.com, with 170+ healthcare finance videos with approximately 90,000 views per month across all platforms. He is also the author of Healthcare Money Campfire Stories.  06:30 What is this “megatrend” happening in healthcare right now? 07:52 How has consolidation changed the healthcare landscape? 10:22 What is vertical integration within healthcare? 11:48 Why doesn't inorganic growth benefit patients? 13:33 “What is best for the patient does not necessarily make the most money.” 14:43 “It's not that it's above the law … it is just intentionally obscured.” 18:58 “Healthcare is glacial. It is slow.” 23:23 “The largest source of healthcare costs is hospitals.” 25:48 EP330 with John Marchica.29:17 “What have the historical priorities been of the administrators of those hospitals?” 29:32 “Every hospital CFO knows that they need sick people.” 30:18 EP343 with David Carmouche.30:59 “The payment change has to come first.” 32:17 “The money wins.” 34:12 “You've got to put the financial incentives in place … to make people actually behave the way that they should.” You can connect with Dr. Bricker on Twitter at @DrEricB and on LinkedIn. @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth What is this “megatrend” happening in healthcare right now? @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth How has consolidation changed the healthcare landscape? @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth What is vertical integration within healthcare? @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth Why doesn't inorganic growth benefit patients? @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “What is best for the patient does not necessarily make the most money.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “It's not that it's above the law … it is just intentionally obscured.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “Healthcare is glacial. It is slow.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “The largest source of healthcare costs is hospitals.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “What have the historical priorities been of the administrators of those hospitals?” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “Every hospital CFO knows that they need sick people.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “The payment change has to come first.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “The money wins.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth “You've got to put the financial incentives in place … to make people actually behave the way that they should.” @DrEricB discusses #healthcare's changing landscape on our #healthcarepodcast. #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica  

If Not Now Wen
Success from a Global Venture Partner Perspective - Interview with Omar Zaki

If Not Now Wen

Play Episode Listen Later Jan 18, 2022 39:06


In today's episode, you will meet my special guest Omar Zaki. Omar is a Venture Partner with TechRanch, where he supports startups in Digital Health and MedTech, as well as empowering venture and innovative ecosystems & programs around the world. By age 25, he pioneered an international Telehealth and EdTech startup which connected thousands of physicians across the MENA region in real-time, disrupting the traditional Continuous Medical Education industry. Since then, he has been building and managing international ventures and projects for the past 20 years. Today's episode was one of my favorites! With his global perspective, Omar shared deep insights from his successful personal journey. I welcome you to join in as well! In this episode, you'll learn that: ✅ Diversity is a fruitful foundation for successful minds ✅ There are multiple pathways to success and you need to find the best one for you ✅ Optimism and curiosity can be your allies in face of challenges ✅ Perseverance, timing, and understanding people are crucial for your success ✅ Failure teaches you more than success does

OffScrip with Matthew Zachary
The Urge: Our History of Addiction

OffScrip with Matthew Zachary

Play Episode Listen Later Jan 18, 2022 32:11


Today I talk to author and addiction physician Carl Erik Fisher. Carl is an assistant professor of clinical psychiatry at Columbia University, where he works in the Division of Law, Ethics, and Psychiatry. He also maintains a private psychiatry practice focusing on complementary and integrative approaches to treating addiction. He is the author of a new book – The Urge: Our History of Addiction, which is out now on Penguin Press. He is the host of the amazing podcast “Flourishing After Addiction.” And last but not least, Carl Erik Fisher is a recovering high school marching band geek. Find out more about Carl's book and podcast at carlerikfisher.com. For more information on us, visit https://OffScrip.com and follow @MZOutofPatients, @MatthewZachary, @VaxOnPod, and @OffScripMedia on Twitter. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Relentless Health Value
EP350: Employers Direct Contracting With Hospitals, in Real Life, With Katy Talento

Relentless Health Value

Play Episode Listen Later Jan 13, 2022 35:31


In this healthcare podcast, I'm talking about direct contracting IRL (in real life) with Katy Talento. This is a conversation that's more about the reality of direct contracting than the theory of direct contracting, and this was not an accident. So much of healthcare transformation is really easy to say and much harder to actually do. So … direct contracting. In the context we discuss in this episode, generally direct contracting means when an employer or their benefits consultant, more likely, hooks up with a provider organization, lots of times a hospital or a health system. Moving forward here, I'm just gonna say employer when I sort of really mean the employer and their TPA and their repricer, the constellation of consultants and other vendors that are working with the employer. So, just for simplicity, the employer says to the provider organization, “Hey, let's cut out the middleman here” (middleman likely being some insurance carrier). “I will just pay you directly, and it will be a win-win because no one is sucking out up to 15% to 20% right out of the middle, and also I'll steer my employees/patients/members your direction, which is great for us as a self-insured plan because money saved and also because I've done some quality analytics and I think you're relatively good at delivering care … so I'm happy to help my members find you.” The employer will, in general broad strokes, pay the provider organization some percentage over the Medicare rate for procedures or codes or bundles. By the way, the dollar amount over Medicare for the bundles or procedures or codes can vary depending on factors like what service line it is because, unlike RBP (reference-based pricing), direct contracting is a negotiation. It's a two-way deal. RBP, a lot of times, is the payer/employer deciding what they're gonna pay and then paying it—without sitting around a table with the provider figuring all this out together. So, if only from this one dimension, direct contracting is something that you'd think that hospitals/health systems/providers would be kind of into and up for. One thing that I didn't really understand before this conversation is that, if we're talking about an employer direct contracting with, say, a hospital, the list of direct-contracted procedures or codes or bundles might include pretty much all of the services that the hospital can perform; but, in general, the employer is only going to steer members there or make it financially attractive to go to the hospital for, for example, emergency or unavoidable procedures. Why? Because no employer wants patients going to the hospital for things that they could get a whole lot cheaper in an outpatient setting with no less quality. So, unless a hospital is willing to compete on price with other care settings, then an employer is not going to steer their members there. If you're a hospital, you might take this as a con. But, on the other hand, consider that if there's a few hospitals in the area, the general direction will be to go to the one with the direct contract. Furthermore, if a plan is gonna steer members, they're gonna steer them whether they have a direct contract with you or not. Katy makes one point early and often throughout this conversation. From a hospital perspective, doing a direct contract is and should be pretty easy. From an employer perspective, too, there should not be a lot of disruption or friction for employees. There doesn't need to be. Done right, it should be a win-win for the employer, provider, and, most of all, the patient who doesn't get stuck with high bills, balance bills, and lower-quality care than might be available to them through their benefits. Katy goes through the steps to create a direct contract and the challenges she has faced along the way. We also get into the wonderful world of payviders, so you could consider this an extension to the episode with Jeb Dunkelberger (EP348) from last month. My guest today, Katy Talento, started out as an infectious disease epidemiologist (which I did not realize). She ended up doing public health policy. She's worked on Capitol Hill for various senators and, in the last administration, as health policy lead. Katy is the CEO of AllBetter Health and works with the Health Rosetta organization. She is a benefits advisor for employers who are looking to create better health plans that reduce costs dramatically while, at the same time, improving benefits. I mean, you can only do that in healthcare, right?—where there's basically no relationship between price and quality. You can learn more at allbetter.health or contact Katy directly at katy@allbetter.health. Katy Talento is an infectious disease epidemiologist, a veteran health policy advisor, and healthcare consultant. She is CEO of AllBetter Health, an insurgent benefits advisory firm building innovative health plans for employers that are free of misaligned financial incentives. Katy served as the health policy lead in the White House on the Domestic Policy Council where her portfolio included public health issues such as eliminating domestic HIV/AIDS, ending secret healthcare prices, lowering prescription drug prices, expanding health IT interoperability, combating the opioids and other drug addiction crisis, and promoting bioethics in the life sciences. Katy has appeared on or been published in a number of media outlets, including CNN, Sky News, Newsmax, The New York Times, The Hill, The Morning Consult, RealClearPolitics, and others. Prior to her White House appointment, Katy served five U.S. Senators over a 15-year period, including as top health advisor and manager of legislative staff and oversight investigators. She also worked in the private sector helping multinational energy companies protect their global workforce from infectious diseases and on the research faculty at Georgetown University Medical School. Katy served as the director of speechwriting for the Republican National Committee and has written a number of published opinion pieces, Web copy, and video scripts. She spent two years as a Catholic nun and has worked with the poorest of the poor from East Africa to industrial Russia and inner-city America. Katy received a master of science degree in infectious disease epidemiology from the Harvard School of Public Health and an undergraduate degree in sociology from the University of Virginia. 05:21 Why are employers direct contracting? 06:37 “When you directly contract … you don't have to chase patients.” 07:43 Why the growing 501(r) movement is making direct contracting more enticing. 10:16 “They're going to be giving better rates, whether they want to or not.” 11:46 “I think it's the future hospitals want, too.” 12:58 What is the primary driver of increased healthcare costs? 14:56 “The fixed costs that the hospitals … have may not be so fixed.” 15:08 “A hospital should not be a freestanding profit center. … The hospital is a failure of healthcare. It alone should not be profitable.” 15:35 “We have the system we have, but why do we have to live with it? We don't have to.” 17:15 What's step 1 of direct contracting? 24:12 What's the TPA's role in direct contracting? 25:21 What's the repricer's role in direct contracting? 33:28 “I think the thing that makes all this work is having a benefits advisor that knows how to do all this.” You can learn more at allbetter.health or contact Katy directly at katy@allbetter.health. @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth Why are employers direct contracting? @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth “When you directly contract … you don't have to chase patients.” @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth Why the growing 501(r) movement is making direct contracting more enticing. @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth “They're going to be giving better rates, whether they want to or not.” @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth “I think it's the future hospitals want, too.” @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth What is the primary driver of increased healthcare costs? @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth “The fixed costs that the hospitals … have may not be so fixed.” @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth “A hospital should not be a freestanding profit center. … The hospital is a failure of healthcare. It alone should not be profitable.” @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth “We have the system we have, but why do we have to live with it? We don't have to.” @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth What's step 1 of direct contracting? @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth What's the TPA's role in direct contracting? @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth What's the repricer's role in direct contracting? @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth “I think the thing that makes all this work is having a benefits advisor that knows how to do all this.” @KatyTalento discusses #directcontracting on our #healthcarepodcast. #healthcare #podcast #hospitals #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly

EinBlick – Der Podcast
EinBlick – nachgefragt mit Laura Richter: Mehr Vernetzung, Nutzer:innenfreundlichkeit und Patient:innenfernüberwachung

EinBlick – Der Podcast

Play Episode Listen Later Jan 13, 2022 11:11


EinBlick – nachgefragt Podcast mit Interviews und Diskussionsrunden mit Expert:innen des Gesundheitswesens In dieser Folge spricht Fachjournalistin und EinBlick-Redakteurin Mirjam Bauer mit Laura Richter. Richter ist Partnerin im Berliner Büro von McKinsey & Company. Sie studierte Volkswirtschaftslehre in Oxford und London, ferner absolvierte sie einen MBA an der Harvard Business School. Als Expertin für eHealth gibt sie gemeinsam mit ihrem Kollegen Tobias Silberzahn jährlich den eHealthMonitor von McKinsey mit Beiträgen u.a. aus der Politik, der Pharmaindustrie sowie der Digital Health Szene heraus. Zudem ist Laura Richter Co-Leiterin des McKinsey Healthtech Networks in Europa mit über 1.000 DigitalHealth Companies.

OffScrip with Matthew Zachary
Vax On: New Year, Aerosol Arguments, and Testing Shortages

OffScrip with Matthew Zachary

Play Episode Listen Later Jan 13, 2022 31:48


In this episode of Vax On, Matthew Zachary and Elura Nanos discuss the Supreme Court's COVID-19 precautions during Tuesday's oral arguments. They also discuss a nationwide COVID-19 testing shortage and NYC Mayor Eric Adams' questionable remarks about the city's workforce.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Lindzanity with Howard Lindzon
Jeff Richards of GGV Capital on the Cloud, Digital Health, E-Commerce, and the Digitization of Everything (EP.184)

Lindzanity with Howard Lindzon

Play Episode Listen Later Jan 13, 2022 51:45


We're off to a bit of a rocky start to the new year. And that's why I called in my friend Jeff Richards to help make sense of it all. This episode marks Jeff's fourth stop on Panic with Friends since we started almost 2 years ago. People talk about bubbles all day, and I've been talking about these tiny bubbles we're witnessing right now --the ones that just pricked. So Jeff's here to talk about fundamentals versus valuations and the big picture as we come 70, 80, 90 percent, whatever it is, out of COVID for better or worse.  Guest - Jeff Richards, Managing partner at GGV Capital  howardlindzon.com, ggvc.com  Twitter: @howardlindzon, @jrichlive, @GGVCapital, @knutjensen  linkedin.com/in/jeffrichards  #fintech #invest #investment #venturecapital #stockmarket #finance 

Digital Insurance Podcast
Das InsurLab Germany Accelerator-Programm - mit Anna Kessler

Digital Insurance Podcast

Play Episode Listen Later Jan 12, 2022 15:03


In dieser Folge des Digital Insurance Podcast spreche ich mit Anna Kessler, Senior Startup Manager bei InsurLab Germany. Die Initiative InsurLab Germany wurde im Jahr 2017 von diversen Start-ups, Versicherungsunternehmen und staatlichen Einrichtungen gestartet. Inzwischen verfügen sie über 90 namhafte Mitglieder. Ihr Ziel liegt in dem Vorantreiben von Digitalisierungs- und Innovationsprozessen in der Versicherungsbranche. InsurLab Germany bringt Versicherungen und andere Partner mit Start-ups zusammen, damit sie voneinander profitieren können. Ziel sei es, als Brückenbauer zwischen etablierten und jungen, innovativen Unternehmen zu fungieren, um die Versicherungsbranche in Digitalisierungsfragen voranzubringen, erklärt mir Anna Kessler. Unter anderem stelle InsurLab den aufstrebenden Unternehmen Mentoren über einen längerfristigen Zeitraum zur Seite. Zu Beginn steht die Bewerbungsphase, die aktuell und noch bis zum 15. Februar 2021 läuft. Anschließend werde eine interne Auswahl getroffen. Grundsätzlich stehe die Tür allen Start-ups mit innovativen Produkten offen. Idealerweise können die Gründer des Start-ups den USP (Unique Selling Proposition) ihrer Software o. Ä. aufzeigen und ihr Produkt überzeugend präsentieren. Die Anmeldung findet über die Webseite von InsurLab Germany statt. Ein Batch im Jahr mit jeweils rund 15 Start-ups bringt so ständig neue Kooperationen an Use Cases zustande. Diese werden am Ende dieser Phase dem Netzwerk von InsurLab präsentiert. Im letzten Batch sind so über 40 Projekte entstanden. Für 2022 sucht das InsurLab Germany für die Versicherungsbranche innovative Lösungen in den Bereichen New Business Models, Customer Centricity, Core Tech & Transformation, Digital Health and Sustainability! Startups können sich noch bis zum 15. Februar 2022 hier bewerben. Links in dieser Ausgabe Zur Homepage von Jonas Piela Zum LinkedIn-Profil von Jonas Piela Zum LinkedIn-Profil von Anna Kessler Über diesen Podcast Folgt uns auf LinkedIn für mehr Podcast-Updates Zur Podcast-Website Wir suchen immer nach neuen und spannenden Gesprächspartnern. Meldet euch bei Susan.

OffScrip with Matthew Zachary
Kasey Altman: Diagnosed with Next-Level Badassery

OffScrip with Matthew Zachary

Play Episode Listen Later Jan 11, 2022 38:34


Today I talk to Kasey Altman, an intrepid 25-year-old living with late-stage cancer. Before her diagnosis, Kasey landed her dream job working as an Account Executive for Google. She crisscrossed the country. She was an athlete with an active fitstagram. Then in October 2020, at age 24, Kasey was diagnosed with a rare cancer - stage IV pediatric soft tissue sarcoma, fusion positive alveolar rhabdomyosarcoma. Since then, Kasey started her own podcast, Reroute, about life's unexpected detours. She launched a hackathon to help develop a cure for her type of cancer. And she's now roadtripping across the U.S. enrolling in different clinical trials. She's wise beyond her years and has an infectious laugh and lust for life. Follow Kasey on instagram @kasey.altman. For more information on us, visit https://OffScrip.com and follow @MZOutofPatients, @MatthewZachary, @VaxOnPod, and @OffScripMedia on Twitter. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Relentless Health Value
INBW33: Thank You, and a Few Thoughts

Relentless Health Value

Play Episode Listen Later Jan 6, 2022 14:00


As one of our guests, Dr. Tony DiGioia (EP332), has said, healthcare has been pushed to its limits this past year; but that doesn't mean that nothing good has come of it. Celebrating our bright spots and using our experiences to inform future innovations is really the key to more accessible, equitable, and higher quality of care. While the timing of the celebration could, in general, be better given the latest pandemic news, as they say, there's no time like the present. So, let's do this thing. Also, it's just definitely good from a mental health perspective to find bright spots and to be grateful for them. So, let me kick this off with all of the gratitude I can hold in my two hands for anybody listening who is on the so-called front line of healthcare. My appreciation cannot be expressed more fiercely. I wish, in fact, that there was more that I/we could do to address the systemic issues that plague our healthcare industry and really impact you directly. Speaking of doctors as one of these frontline healthcare groups, in the Doximity Physician Compensation Report that was released for this past year, here's four stats to know:   Twenty-two percent of physicians are considering early retirement because of overwork. Sixteen percent of physicians are looking for another employer because of overwork. Twelve percent of physicians are looking for another career because of overwork. Twenty-seven percent of physicians said they're not overworked, so I guess there's that—that's a bright spot. So, all you docs, nurses, PAs, social workers, therapists of all kinds, any other healthcare workers: Thank you for all that you do even in the face of these adversities and a bunch of seemingly shortsighted policy and/or administrative decisions. Take care of yourself first and foremost. We need you; we appreciate you. Thank you. I'd also like to thank everybody who listened to Relentless Health Value this past year. Thank you for being part of an inspired and inspirational community of individuals who are trying hard to do the right thing and learn and connect with others on a similar journey—even in the face of all the perverse incentives and calcified status quo processes, the whole host of factors that add up to formidable barriers to positive change. All of us—and I'm thinking that includes you—we continue to press forward. This is important because the more of us there are, the more of us who link hands and do some combination of educate, cajole, scold, guilt into, demand, lead, vote, wear down … the more of us who consider ourselves part of the change, the more effective we can be. So, recruit your fellow thinkers and let's continue to make inroads. I want to give a special thank you to the many of you who have reached out to me over this past year. You have encouraged, coached, and debated with me. You have added details and case studies. You've provided context. You have offered up topics to explore and introduced me and our team over here to some great guests. You have changed my mind. You have made me realize that there's some maybe underlying reason for something that is, in fact, valid or a consequence that maybe hasn't been thought through well enough by me and/or others. I couldn't be more thankful or appreciative to every single one of you. For more information, go to aventriahealth.com.   Each week on Relentless Health Value, Stacey uses her voice and thought leadership to provide insights for healthcare industry decision makers trying to do the right thing. Each show features expert guests who break down the twists and tricks in the medical field to help improve outcomes and lower costs across the care continuum. Relentless Health Value is a top 100 podcast on iTunes in the medicine category and reaches tens of thousands of engaged listeners across the healthcare industry. In addition to hosting Relentless Health Value, Stacey is co-president of QC-Health, a benefit corporation finding cost-effective ways to improve the health of Americans. She is also co-president of Aventria Health Group, a consultancy working with clients who endeavor to form collaborations with payers, providers, Pharma, employer organizations, or patient advocacy groups. 03:36 Thank you to our listeners and the feedback you've given the show over the years. 05:10 “Good and bad is a matter of extremes.” 06:20 Thank you to Dr. Steve Schutzer, Dr. George Mathews, Dr. Ge Bai, Troy Larsgard, Dr. Hugh Sims, Vinay Eaton, Dr. Brian Decker, Jeff Hogan, Peter Hayes, Dr. Aaron Mitchell, Parker Edman, Andre Wenker, Doug Aldeen, Cristy Gupton, LynAnn Henderson, Chad Jackson, and Darrell Moon. 07:27 Thank you to our iTunes reviewers. 07:47 If you haven't given us a review yet, please do here. 08:01 Thank you to Malfoxley, Jopo1234, and Teresa O'Keefe for your 2021 reviews. 08:19 Thank you to Dr. Nadia Chaudhri, who sadly died this past year of ovarian cancer but who did so much to advance the awareness of ovarian cancer and pursue better outcomes and better patient care. Look through her Twitter feed. 08:39 Thank you to Brian Klepper, who is a great writer but also runs what might be the largest Listserv for those on the innovative self-insured employer side of healthcare. What I most admire about Brian is his ability and dedication to fact-based and productive debate. Brian is featured on several RHV episodes this past year. You can check them out here: EP335 and AEE16. 09:09 I'd also like to thank Dr. Eric Bricker for his series called AHealthcareZ. Dr. Bricker is a guest on an episode coming up that I'm so looking forward to publishing. 09:45 Thanks to these writers for taking the time and effort to put out such worthwhile content: Brendan Keeler, Kevin O'Leary, Nikhil Krishnan, Olivia Webb, Joe Connolly, Christian Milaster (Telehealth Tuesday), Gist Healthcare daily/weekly newsletter and podcast, John Marchica's newsletter and podcast, and Merrill Goozner.10:10 If you don't already, I'd also recommend following these individuals on LinkedIn: Darren Fogarty, Leon Wisniewski, and Christin Deacon (listen to Christin's episode about the CAA this past fall). 10:26 David Contorno and Emma Fox, thanks so much for all of your work motivating collaboration and inspiring self-insured employers to wield the power they possess in meaningful ways. There's a symposium coming up that anyone interested should check out. 10:42 I appreciate and periodically check out Julie Yoo from Andreessen Horowitz's collection of resources on a Google doc. 10:55 Thanks to Rohan Siddhanti and Ezequiel Halac for organizing events in NYC. 11:03 People often ask me for podcast recommendations, so here's a few I listen to regularly: John Lynn's podcasts, Creating a New Healthcare with Dr. Zeev Neuwirth, Race to Value with Eric Weaver, Radio Advisory, Gist Healthcare Daily, The #HCBiz Show! with Don Lee, and Primary Care Cures with Ron Barshop (I was on the show released Thanksgiving week). There's also the Pharmacy Podcast Network.11:42 Also thanks to the following publications who have given us press credentials and passes to conferences: STAT News, NODE.Health, HealthIMPACT, and JAMA. 12:03 Lastly, we have a tip jar on our Web site which we don't really publicize. I say this to emphasize that those who choose to donate are just simply kind and gracious individuals: Alex Dou, Linda Garcia, James Farley, Arthur Berens, Lois Drapin, James Cheairs, Robert Matthews, Lois Niland, Teresa O'Keefe, Richard Klasco, Hugh Sims, Matt Warhaftig, Meredith Fried, Chad Jackson, Vidar Jorgensen, and Brandon Weber. 12:38 Thank you ALL for your continued leadership in improving healthcare. 12:42 Christin Deacon has said, “What we need more of in the healthcare industry are leaders who are willing to take on legacy institutions and their lobbyists, in both public and private discourse. We need leaders that are willing to take on an industry that makes up about 20% of our GDP and is willing to go on record stating that the goal is not just to curb growth but, rather, stop it and rebuild this whole thing better for patients.” For more information, go to aventriahealth.com. From all of us at Relentless Health Value, THANK YOU for your listenership and support. Our host, Stacey, shares highlights and resources from this past year on our latest #healthcarepodcast. #healthcare #podcast #digitalhealth Did you know you can review our #podcast? https://relentlesshealthvalue.com/4-steps-rate-review-podcast-itunes/ Our host, Stacey, shares highlights and resources from this past year on our latest #healthcarepodcast. #healthcare #digitalhealth In memory of @DrNadiaChaudhri, check out her Twitter feed for info on better #patientoutcomes and care. Our host, Stacey, shares highlights and resources from this past year on our latest #healthcarepodcast. #healthcare #digitalhealth Check out @DrEricB's AHealthcareZ for in-depth industry information. Our host, Stacey, shares highlights and resources from this past year on our latest #healthcarepodcast. #healthcare #digitalhealth Thanks to @healthbjk, @olearykm, @nikillinit, @OliviaWebbC, @JConnol, @GistHealthcare, @DarwinHealth, @_GoozNews, and @HealthChrism for putting out great content. Our host, Stacey, shares highlights and resources from this past year on our latest #healthcarepodcast. #healthcare #digitalhealth We appreciate and recommend following @julesyoo for more #healthcareinsights. Our host, Stacey, shares highlights and resources from this past year on our latest #healthcarepodcast. #healthcare #digitalhealth Thanks to @RSiddhanti and @halac_ezequiel for their event organizing in NYC. Our host, Stacey, shares highlights and resources from this past year on our latest #healthcarepodcast. #healthcare #digitalhealth We love #podcasts! Check out some of Stacey's recs in our show notes, including @techguy, @ZeevNeuwirth, @Eric_S_Weaver, @raemwoods, @Alexolgin, @The_HCBiz, @RonBarshop, and @PharmacyPodcast. #healthcare #healthcarepodcast Thanks to the following #healthcarepublications as well: @statnews, @HITHealthIMPACT, @JAMA_current, and @nodehealthorg. Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen  

Pain Matters
How to Unlock Digital Health Opportunities in Pain Medicine

Pain Matters

Play Episode Listen Later Jan 6, 2022 19:07


Is the emergence of digital health changing how we think about progress in pain medicine? It should.In this episode, host Shravani Durbhakula, MD, sits down with Sara Silacci, Chief Strategy Officer and Co-Founder at the Center for Innovation of Digital Health at Massachusetts General Hospital to share how can healthcare leaders can capitalize on the growth of the digital health space, and ways providers can get solutions into the hands of their patients faster than ever before. This episode is a continuation of episode 1 in which Bryan Marascalchi, MD, discusses his success with a digital health product in pain medicine, Pain Scored. Tune in to hear about:How you can bring ideas to market quickly and effectively through software developmentWhat is the advantage of digital health innovation over pharmaceutical and device innovation? Tips to cultivate the necessary industry partnerships that will lead to a common vision and shared successWhat you need to know to protect your intellectual property in the digital health space

OffScrip with Matthew Zachary
Best Of 2021: The Medidata Show with Glen de Vries

OffScrip with Matthew Zachary

Play Episode Listen Later Jan 5, 2022 29:20


Today, we revisit one of our favorite episodes from 2021 featuring Glen DeVries, Co-CEO at Medidata, the most used platform for clinical trials worldwide. Tragically, Glen died in a plane crash in November. We remember him for his great work, including his book, "The Patient Equation: The Precision Medicine Revolution in the Age of COVID-19." Glen was unique in the annals of woke brainiacs who lived in the hyper multi-syllable world of science, data, and related semantic geekery AND YET he was hyperaware that average Jane's and Joe's like you and me prefer to actually understand the words emanating from the mouths of "science people" that may or may not be critical in helping us make life-altering medical decisions. Enjoy our conversation about Moore's Law and how it applies to the intersection of biology and technology, how we might need to reframe the concept of an impending robot apocalypse, and whether HAL from 2001: A Space Odyssey could be our future gatekeeper to a clinical trial. More on Metadata at medidata.com. More on us at OffScrip.com and @MZOutofPatients, @MatthewZachary, @VaxOnPod, and @OffScripMedia on Twitter. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Raise the Line
Healthcare As an Information Service - Dr. Geoffrey Rutledge, Co-Founder and Chief Medical Officer of HealthTap

Raise the Line

Play Episode Listen Later Jan 4, 2022 25:15


“It's astonishing how many health-related questions are asked on Google every day,” observes Dr. Geoffrey Rutledge. “What we set out to do at HealthTap was create a place where people could get trusted answers.” On this episode of Raise the Line, learn about Dr. Rutledge's longstanding interest in the potential of technology to assist in healthcare delivery. Hear how Dr. Rutledge and his team saw early on the opportunity to deliver healthcare through mobile and electronic devices, and followed through to create a pioneering firm in the virtual healthcare space. Tune in to discover HealthTap's unique question-and-answer interface that features physician crowdsourcing and a peer review process, and hear about their virtual primary care clinic, where patients can have a long-term relationship with a doctor of their choice. Plus, learn why Dr. Rutledge believes technology can enable the interactions that are fundamental to the doctor-patient relationship, and why he envisions a huge role for a consistent virtual care platform in the field.

The Game-Changing Women of Healthcare
Lisa Rometty: Leading Without a Blueprint

The Game-Changing Women of Healthcare

Play Episode Listen Later Jan 4, 2022 41:24


The Game-Changing Women of HealthcareToday, on Episode 4 of the podcast, Meg speaks with Lisa Rometty, President at CVS Kidney Care. Meg and Lisa discuss Lisa's realization of her deep ambition to make a positive difference in people's lives based on a significant loss early in her life; her shift in perspective when she became a parent; the need for greater awareness of the real lives of all patients in order to enable widespread access to care; the enormous amount of innovation unfolding in healthcare thanks to AI and virtual care; the critical importance of strong customer segmentation when commercializing new technology; and more.About Lisa Rometty:Lisa Rometty is currently President at CVS Kidney Care.Lisa is responsible for overseeing CVS Kidney Care as it expands and seeks to transform the industry with an innovative, personalized approach to disease identification, care management, and home-first treatment. Prior to that, Lisa served as president of Global Client Solutions at Syneos Health, where she led the strategy and global expansion of the company's commercial partnerships.Before that, Lisa was general manager, Oncology and Life Sciences, for IBM Watson's Health Solutions organization, where she partnered with stakeholders from across the global health ecosystem to develop and commercialize artificial intelligence and advanced analytics solutions. She joined IBM in 2015 from Baxter Healthcare where she was Vice President, Global Home Therapies, and Global Franchise Head – Hospital Products, a $2.4B infusion therapy business operated in over 70 countries.Lisa brings more than 25 years of commercial leadership experience in global business development, strategic partnerships, product development and marketing. She advocates for diversity, equity, and inclusion to close racial and gender gaps in the workplace, including partnering with multiple not-for-profit boards and committees, such as the American Diabetes Association-Chicago Community Board.She earned an MBA from the University of Notre Dame and a BA in international business from Michigan State University.LinkedIn | Twitter: @Lisa_RomettyFurther Reading: CVS Health Kidney CareAetnaSyneos HealthIBM Watson HealthBaxter HealthcareGE CapitalAmerican Diabetes Association - Chicago Community BoardEpisode Credits: The Game-Changing Women of Healthcare is a production of The Krinsky Company. Hosted by Meg Escobosa. Produced, edited, engineered, and mixed by Calvin Marty. Theme music composed and performed by Calvin Marty. Intro and outro voiced by John Parsons. ©2021 The Krinsky Company

Speed Change Repeat
Eugene Borukhovich - Health Start-Ups, Big Tech in Health, Pharma & Digital Health

Speed Change Repeat

Play Episode Listen Later Jan 4, 2022 39:32


Eugene has spent more than two decades in the healthcare industry taking on different shoes by both driving digital health in pharma, consulting and being an entrepreneur. Among the many things he has been involved in, he used to be the global head of Bayer's digital health partnership and investment arm G4A.  Being a US citizen he had the opportunity to live in multiple countries, which allowed him to see similarities and differences in the developments of the digital health space from a geographical point of view. Nowadays together with his wife he is building up a digital health coaching start-up, which we dove deeper into breaking down the space of telehealth and health coaching.     

OffScrip with Matthew Zachary
Best Of 2021: Michele Rhee on Thyroid Cancer, a Heart Tumor, and Traversing All Seven Continents

OffScrip with Matthew Zachary

Play Episode Listen Later Jan 4, 2022 36:46


Today, we revisit one of our favorite episodes from 2021 featuring Michele Rhee, young adult cancer survivor of thyroid cancer, whose ordeal left her having over a dozen major surgeries, including open-heart surgery for a related underlying rare disease. Michele received both her MBA and MPH in three years and, because she's such an underachiever, went on to pursue a storied career representing the voice of the patient at every company she's worked for including The National Brain Tumor Society, Takeda Oncology, Bluebird Bio, and now as the VP of Patient Affairs at X4 Pharma. She's also traversed all seven continents in a quest to find herself, make sense of the madness, and live her life on her terms. For more information on us, visit https://OffScrip.com and follow @MZOutofPatients, @MatthewZachary, @VaxOnPod, and @OffScripMedia on Twitter. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Information Morning from CBC Radio Nova Scotia (Highlights)
Healthcare Hacks #139: Why protecting digital health info should be a top priority in 2022

Information Morning from CBC Radio Nova Scotia (Highlights)

Play Episode Listen Later Jan 4, 2022 7:41


Healthcare columnist Mary Jane Hampton explains why keeping our vulnerable digital medical information safe and secure from potential hackers should be one of the top priorities on the healthcare agenda for 2022.

Surfing the Nash Tsunami
S2-E64.3 - SurfingNASH's 2021 NAFLD Year-In-Review Covers The Growing Energy and Impact of NASH Patient Advocacy

Surfing the Nash Tsunami

Play Episode Listen Later Jan 2, 2022 35:30


This conversation is part of SurfingNASH's 2021 NAFLD Year-In-Review. Andrew Scott, Global Policy Lead for the Global Liver Institute joins Louise Campbell and Roger Green to discuss the growing energy and impact of NASH patient advocacy.This episode focuses on the steps that have increased reach and effectiveness of NASH patient advocacy dramatically in 2021. Andrew starts by noting some of the pivotal steps this year through which patient advocates began or expanded collaborations with the medical community in 2021, and then describing the activities that resulted from these collaborations: Global Liver Institute's (GLI) US NASH Action Plan, the range of guidelines and recommendations emerging from medical societies, the externally-led Patient-Focused Drug Development (PFDD) meeting with FDA, and a range of legislative initiatives in the US Congress and many states. Andrew notes that much of this activity emanated from decisions GLI took in 2017 to promote the importance of NASH in the constellation of liver diseases. Also, he notes the importance of discussing not only Fatty Liver disease but also the constellation of non-communicable metabolic conditions linked to it.Today, GLI focuses on providing appropriate therapeutic options and support for every stage of NAFLD. Activities like the PFDD meeting focus on the need for drug development and approvals. Others, like GLI's collaboration in building and promoting a nutrition app, focus on earlier stage disease and helping patients live healthier lives before they experience disease. All activities address the needs to educate stakeholders and develop products to support, diagnosis, treatment and management at every stage of disease progression.The conversation shifts to the need to conceptualize Fatty Liver in a broader context. Louise notes the statement that the liver is a mirror on the metabolism, or perhaps the patient. Andrew states that GLI will increasingly focus on the idea that LIVER HEALTH IS PUBLIC HEALTH and on overall wellness.This leads Roger to wonder why other patient advocacy organizations silo patients so that the focus is on an individual disease as compared to overall patient wellness. Andrew observes that focusing narrowly on a single disease and serving as advocate for patients with that disease has been extremely effective for some patient advocacy groups  in fund raising and public clout. However, Andrew notes, we are coming to a place in society where we need to view many of these issues in a more integrated way.Louise observes from experiences in the UK that organizations competing for funds will not collaborate if they foresee an economic or PR downside. Andrew acknowledges this possibility, but reports that GLI has found success by collaborating with community liver groups to help them raise more money. This engenders good will and strengthens bonds within the community.Roger shifts the conversation in the direction of metrics to point out that we do not yet have a concise, widely used and accepted test or metric to indicate success in slowing or stopping the growth in NASH. Andrew agrees and notes this is a particular challenge on Capitol Hill, where legislators are looking for hard numbers to demonstrate the need for (and later success of) programs. The GLI-supported NASH Care Act, which was initially entered in 2021 and will  hopefully be passed this year, creates a Task Force charged with determining what the national metric(s) should be.The next phase of this conversation reverted to broader issues around the liver as part of a holistic health system. Andrew's key points: (i) GLI recognizes that given the diverse levels and settings in which it operates, there is no viable "one size fits all" approach; and (ii) GLI is finding effective strategies for working more closely with government regulators. Finally, Andrew's goal: To get a vote on the NASH Care Act sometime this year.

Surfing the Nash Tsunami
S2-E64.2 - SurfingNASH's 2021 NAFLD Year-in-Review Covers the Emerging NAFLD Public Health Agenda

Surfing the Nash Tsunami

Play Episode Listen Later Jan 2, 2022 40:14


This conversation is part of SurfingNASH's 2021 NAFLD Year-In-Review. Professor Jeffrey Lazarus of ISGlobal and the University of Barcelona joins Louise Campbell and Roger Green to discuss the emerging NAFLD public health agenda. Jeff Lazarus comes to the effort to create a global NAFLD Public Health agenda from his experiences spearheading similar efforts in HIV and Hepatitis C. The conversation begins with Jeff describing the path by which he shifted focus from each liver disease to the next. Just as reduction in HIV transition rates revealed the high level of Hepatitis C infections among HIV patients (particularly intravenous drug users), the reduction in Hepatitis C incidence following advent of the direct-acting antivirals revealed still-significant levels and growth rates of liver cirrhosis. This in turn revealed the degree to which NASH is driving the continuing growth of cirrhosis in the global population. It also revealed the degree to which efforts to reduce or eliminate NAFLD were lacking a strategy, an idea of the burden or sense of economic consequences. From here, the discussion shifts to looking at similarities and differences between HIV and Fatty Liver Disease. One key similarity: a patient can have this disease for a long time before having to address it. A key difference: the steps one takes to combat infectious disease vs. what is more of a "lifestyle" disease.Next, the group discussed  Jeff's path to help shape a global consensus around the need to treat Fatty Liver and an action plan regarding how to do so. The first key was to determine how many countries are prepared to deal with NAFLD. Answer: out of 102 the group explored, none were prepared. This led to a two-year process with 218 global stakeholders to develop a global consensus statement on goals and actions, which we discussed on S2 E59. With these pieces in place, the global stakeholder group is working on a framework of sustainable development goals.In response to a question from Louise regarding the impact of COVID-19 on these efforts, Jeff stated public leaders have not and will not educate the public on the impact of diet and exercise on the disease.. As a result, NAFLD Public Health advocates need to educate leaders on why public safety and nutritious diets are goals for fighting Fatty Liver. NOTE: It emerges that the countries with the best public preparedness for NAFLD are those that take guidance from hepatologists.In response to a question from Roger, Jeff suggested the attitude that bad health behavior is an individual right but paying the costs of the result disease is a social cost is not new.  Specifically, he noted that this attitude is not different from what we see with tobacco or alcohol. He went on to discuss the importance of promoting public health, not only as a way to improve individual behaviors but also to create and focus advocates. Today, he states, we are failing both to diagnose the disease earlier and to invigorate providers, patients and social actors to behave in ways that reduce the rate and severity of what is in many ways a lifestyle disease.A comment by Roger about the relationship between urgency and action leads Jeff to discuss the "terribly unsexy"attribution fraction, a statistical analysis that estimates the percentage of severe liver outcomes that are attributable to a specific disease (for example, NAFLD vs. Hep C.)As the conversation closed, Jeff discussed his priorities for 2022: (i) to create and work with partnerships to take actions that give life and substance to the consensus recommendations; and (b) to create more consensus opportunities around the work of Wilton Park and possibly a similar meeting in the Americas. 

Who Would Have Thought - Digital Health Innovation
2021 Year in Review - Presented by Sacha Francois Heppell and Robert Niichel

Who Would Have Thought - Digital Health Innovation

Play Episode Listen Later Dec 31, 2021 79:36


Today we launch a special episode to recap the year at SmartTab and review our 2021 podcast conversations. Breakthrough into 2022 with a brand new perspective as we prepare for tremendous growth. Learn about what's ahead with SmartTab and the future of digital health. SmartTab is driving the future of digital medicine by developing a superior patient-centered personalized drug delivery platform in the form of a wireless ingestible capsule. The patient experience fuels SmartTab's commitment to create novel, effective therapies that improve patient outcomes and compliance. For more information on SmartTab visit: https://www.smarttab.co/

Relentless Health Value
INBW32: The Ultimate Impact of Telehealth: A Thought Experiment

Relentless Health Value

Play Episode Listen Later Dec 30, 2021 18:47


This episode is a little bit of a thought experiment, so hang with me as I bumble my way through it and then hit me up with your comments. The plan is to do another episode in the future where some of you with thoughts share your version of your own thought experiment. Here's the topic: The ultimate impact of telehealth—in 20 minutes or less. In my version of this thought experiment, I want to do something a little bit different (maybe) than everybody who seems to be putting up a poll on Twitter right now. I want to look at telehealth as a leading indicator, not as a trend. The goal here is not to inform you of things that you don't already know because I am entirely confident that much of what I'm gonna say right now the majority of you are already eminently familiar with—probably more familiar with than I am, frankly. So, the goal here is to put this information into a context that maybe is new—at least I hope it's new. The goal of that is to hopefully inspire some of you to take action, right now, with all haste. This whole telehealth thing started in the middle of one of the many conversations I've had lately about what will be the future of telehealth. You have probably had similar chats about the future of telehealth and know what I am going to say. They all seem to devolve into someone ticking off all of the states who have extended temporary telehealth measures and the 1000 telehealth bills pending in state legislatures that might mandate public and private payers cover it. Anyway, in the middle of one of these “let's all study this updated spreadsheet” exercises, I started to wonder if we were missing the bigger takeaway. So, let me tick through a few background points which are all pillars in my “what's the ultimate impact of telehealth” contemplation and the realization that telehealth in and of itself has no impact. What has impact is who is using it and whether their goals are reactionarily (if that's a word) short term and/or shortsighted, or if there's anything that approximates a strategic long game in that mix. For more information, go to aventriahealth.com.   Each week on Relentless Health Value, Stacey uses her voice and thought leadership to provide insights for healthcare industry decision makers trying to do the right thing. Each show features expert guests who break down the twists and tricks in the medical field to help improve outcomes and lower costs across the care continuum. Relentless Health Value is a top 100 podcast on iTunes in the medicine category and reaches tens of thousands of engaged listeners across the healthcare industry. In addition to hosting Relentless Health Value, Stacey is co-president of QC-Health, a benefit corporation finding cost-effective ways to improve the health of Americans. She is also co-president of Aventria Health Group, a consultancy working with clients who endeavor to form collaborations with payers, providers, Pharma, employer organizations, or patient advocacy groups. 02:30 Should provider organizations be getting rid of telehealth? 02:40 EP330 with John Marchica. 04:36 EP349 with Lisa Trumble. 05:07 Should telehealth be viewed as a threat? 05:40 “Virtual is a ‘head in the bed at the hospital' demand destroyer.” 06:45 “‘Virtual' is the scapegoat.” 07:42 Patients/Consumers: Is in person really better? 10:42 EP338 with Nikki King; EP347 with Ian Tong, MD; EP320 with Christian Milaster; and EP302 with Blake McKinney, MD. 11:06 How one VP of finance justifies a facility fee for a telehealth visit. 11:54 Do patients actually act like consumers in the digital age? 12:12 Why are virtual-first entities steering patients to clinically integrated networks? 13:08 How is telehealth changing healthcare costs? 14:21 “It adds up to telehealth being inexorable. It's a done deal. It's not a trend.” 15:17 “If telehealth is a leading indicator, anybody in the care delivery business who isn't … trying to figure out how to make telehealth work in their core business is gonna find themselves … in a very problematic position.” 16:50 “When will tele-whatever become an existential problem for laggard traditional provider organizations?” For more information, go to aventriahealth.com. Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Should provider organizations be getting rid of telehealth? Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Should telehealth be viewed as a threat? Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Virtual is a ‘head in the bed at the hospital' demand destroyer.” Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth “‘Virtual' is the scapegoat.” Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Patients/Consumers: Is in person really better? Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Do patients actually act like consumers in the digital age? Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why are virtual-first entities steering patients to clinically integrated networks? Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth How is telehealth changing healthcare costs? Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It adds up to telehealth being inexorable. It's a done deal. It's not a trend.” Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If telehealth is a leading indicator, anybody in the care delivery business who isn't … trying to figure out how to make telehealth work in their core business is gonna find themselves … in a very problematic position.” Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth “When will tele-whatever become an existential problem for laggard traditional provider organizations?” Our host, Stacey Richter, discusses the impact of #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye  

OffScrip with Matthew Zachary
Holiday Tidings and Gratitude

OffScrip with Matthew Zachary

Play Episode Listen Later Dec 30, 2021 15:49


Brave Dynamics: Authentic Leadership Reflections
Brian Toh: Digital Health, Combating Medical Misinformation and Seeking Advice

Brave Dynamics: Authentic Leadership Reflections

Play Episode Listen Later Dec 30, 2021 35:32


Brian Toh is a Singaporean software engineer and entrepreneur. He is the Founder & CEO of AskDr, a health information platform aiming to make reliable health information accessible to all, and is involved in product management, growth, remote culture, partnerships, and fundraising. Prior to that, he ran a digital product agency as the lead engineer focused on building, designing, and marketing digital products for clients across different industries. Brian received his Bachelors degree at University College London. Outside of work, Brian enjoys a good BBQ and is passionate about paying it forward by helping others learn how to code. Show notes at: https://www.jeremyau.com/blog/brian-toh You can find the community discussion for this episode at: https://club.jeremyau.com/c/podcasts/brian-toh

MedStreet Journal
Episode 59: Finding the Right Digital Health Solutions for Telehealth Practice

MedStreet Journal

Play Episode Listen Later Dec 28, 2021 19:59


In this episode, our guest is Sam Lippolis. Sam works with clinicians, organizations, and digital health companies using step-by-step methods for scaling a successful telehealth program the right way. She is an OG in telehealth having been in the field since 2010. Sam specializes in clinical training and has been implementing telemedicine for 12 years, across 19 specialties, and trained over 3000 clinicians from MA to doctor.

Pharmacy Podcast Network
Digital Health & the Pharmacist | A Special Discussion with Dr. Nick Van Terheyden, the Incrementalist

Pharmacy Podcast Network

Play Episode Listen Later Dec 28, 2021 33:41


Dr. Nick Van Terheyden is no ordinary medical Doctor, bringing not just deep clinical experience and understanding of healthcare systems from around the world and a broad range of business and technology insights from a diverse career with some of the most prestigious hospitals, consulting firms, and technology companies. Dr. Nick has successfully identified, designed, built and launched products in the complex world of healthcare. He has a strong track record of leadership and team building with diverse groups and stakeholders, building market share and successfully implementing technology in the health care industry.   Dr. Nick brings his extensive experience in strategy and innovation to his clients offering them a fast track to success by avoiding the pitfalls hidden in the complexity of the healthcare system. Learn more about your ad choices. Visit megaphone.fm/adchoices

OffScrip with Matthew Zachary
The Many Lives of Warrior Megsie

OffScrip with Matthew Zachary

Play Episode Listen Later Dec 28, 2021 32:21


Today I talk to writer, influencer, and breast cancer survivor extraordinaire, Megan-Claire Chase. When Megan got her cancer diagnosis in 2015, her life took a big left turn. Her health and her future were suddenly thrown off course. But Megan also learned new things about herself. She discovered her knack for writing when she began documenting her cancer journey. Her blog, Life on the Cancer Train, became a runaway success, and Warrior Megsie, Megan-Claire's online persona, was born! She has since written for Cancer Health magazine, co-authored an academic paper, and has been featured in The New York Times and People magazine. What's next, a one-woman show? Follow her on Twitter @warriormegsie. And for information on us, visit https://OffScrip.com and follow @MZOutofPatients, @MatthewZachary, @VaxOnPod, and @OffScripMedia on Twitter. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Surfing the Nash Tsunami
S2-E62.2 - SurfingNASH's 2021 NAFLD year-in-review Covers MRE and the Broader View of Non-Invasive Liver Testing

Surfing the Nash Tsunami

Play Episode Listen Later Dec 24, 2021 33:13


This conversation is part of SurfingNASH's 2021 NAFLD Year-In-Review. Professor Alina Allen of the Mayo Clinic joins Louise Campbell and Roger Green to discuss the rapid progress the profession has made in improving user-friendliness and ease of interpretation of MRE and the coming expansion in the role that non-invasive liver testing will play in the years to come.Alina notes some specific new information about MRE and other non-invasive testing methods that have come to light in the past year. Key new points about MRE include (1) Alina's statement that "we an actually diagnose NASH" using MRE and MRI-PDFF, (2) Alina's comment that we can execute MRE in a five-minute session, and (3) there are demonstrated correlations and precision prediction data for MRE and cirrhosis. The predictive power of MRE on likelihood of progression allows a way to match pairs in clinical trials more accurately by adding the act of pairing by active and control groups. Alina also notes that the same probability metrics that allow researchers to match pairs in a trial will also power the treating physician to schedule the next MRE in 1-5 years depending on relative risk of progression. In the end Alina suggests that we do not need MORE biomarkers, but instead we need to determine the best way to explore the ones that have been developed in the last few years.If you listen closely, you will hear Alina discuss some questions that will be answered and data that will be presented at NASH-TAG 2022.

Via Oral
Estresse ou Distresse com a Dra. Regina Canzi

Via Oral

Play Episode Listen Later Dec 24, 2021 35:28


Saúde mental, equilíbrio da vida pessoal com a profissional são assuntos que viraram hot topics durante a pandemia. Mas você sabe o que é estresse? distresse? E reconhecer as suas emoções?Conversei no último episódio do Via Oral com a Dra. Regina Canzi que está Gerente de Treinamento América Latina na Medtronic - acesse AQUI o Instagram dela.E você, separa a vida profissional da pessoal? Será?Feliz Natal e Um 2022 Maravilhoso. Obrigado por tudo ouvintes!#viaoral

Surfing the Nash Tsunami
S2-E62.1 - SurfingNASH's 2021 NAFLD year-in-review Covers AI in Histopathology

Surfing the Nash Tsunami

Play Episode Listen Later Dec 23, 2021 32:13


This conversation is part of SurfingNASH's 2021 NAFLD Year-In-Review. Dr. Mazen Noureddin, Director of the Fatty Liver Program at Cedars Sinai, Los Angeles, joins Louise Campbell and Roger Green to discuss advances in AI in histopathology.Mazen Noureddin notes that while non-invasive tests are important and likely to become more so over time, drug development today will need to rely on AI to interpret and ultimately improve histology reads. One benefit he notes is the ability of AI reads to reveal differences between cirrhosis patients in terms of percentage of liver that is F4 vs. F3. In one study, AI also reduced the percent efficacy in a placebo group when compared to human readers. Mazen raises the pivotal question, "When are we going to use these AI techniques in clinical trials?" He and Louise Campbell suggest that we might have enough confidence today to analyze via AI, if only to compare results to what traditional, error-ridden approaches. He notes thats Louise suggests strongly that adopting the Ishak score might be a good way to go. Ultimately, Mazen suggests we can detect more liver features and also clarify unclear results.

Relentless Health Value
Encore! EP294: Building a Center of Excellence: A Playbook for Physician Entrepreneurs, With Steve Schutzer, MD

Relentless Health Value

Play Episode Listen Later Dec 23, 2021 33:52


Believe me, filling in for the uncontested master of podcasts, Stacey Richter, is just a tad unnerving! My name is Dr. Steve Schutzer. I'm an orthopedic surgeon specializing in joint replacement surgery, and I think it's fair to say that I'm more comfortable, in my own lane, doing complex surgery than doing this introduction to our encore podcast 294 entitled “Building a Center of Excellence: A Playbook for Physician Entrepreneurs,” which aired originally in October 2020. But when Stacey graciously offered me the honor of doing so, I said to myself (sic: Steve, suck it up) what an opportunity to share with the devoted listeners of this show my humble perspectives on the prominent position COEs (also known as Centers of Excellence) are playing in this rapidly accelerating, evolving, and exciting healthcare landscape. So, there's an ancient Chinese proverb that goes like this: “When the wind of change blows, some build walls, and others build windmills”—or in this case, Centers of Excellence! And the winds of change in healthcare are blowing, maybe even reaching gale force. In the year since episode 294 aired, there's been unambiguous upsurge of activity, in part fueled by the pandemic, that has collectively and finally moved the healthcare value agenda across the chasm, over the inflection point—and there's no turning back. Unaccountable fee for service as the predominant payment model for healthcare services is, well, shall we say, on its last legs—being replaced by reimbursement models that are aligned with the clinical and financial outcome of the services actually delivered to our patients. For COEs, that's characteristically in the form of predictable bundled payments and fully warrantied episodes of care. Question: Where do COEs fit in this new landscape? Answer: COEs are the common pathway for all healthcare purchasers (whether they're self-funded employers, advanced primary care groups, Medicare Advantage—all of them) to steer agnostically to high-quality specialists focused on a defined set of healthcare services and who are willing to assume total cost of care for their product. And the favorable impact of COEs on the ROI for purchasers has now moved beyond the realm of theory to indisputable. Take, for example, the recent report by the RAND Corporation published earlier this year in Health Affairs: A study of over 2300 patients who had either total joint, spine, or bariatric surgery done under the Carrum Health program at one of their COEs. Carrum Health is a value-based national COE platform that connects self-insured employers with top providers under standardized bundled payment arrangements. And now in full disclosure, I serve as medical advisor for the company; and our program, the Connecticut Joint Replacement Institute in Hartford, Connecticut, is actually a Carrum COE. But in this independent RAND analysis of two years of medical claims data, the savings per procedure when the surgery was done at a Carrum COE was over $16,000 per procedure. Readmission rates were reduced 80% on average. Out-of-pocket cost to the patient? Zero. And an astonishing 30% of patients who were in the queue awaiting surgery ultimately were treated nonoperatively! Peter Hayes is president and CEO of the Healthcare Purchaser Alliance of Maine and a frequent guest on this podcast. His organization has been under contract with Carrum for approximately two years and recently reported an ROI of 58% and plan savings approaching $1 million. And these data also closely reflect that reported in the Harvard Business Review two years ago by Ruth Coleman and colleagues from their experience with Walmart COEs. Finally, you know, I heard Stacey say of COEs in one of her podcasts, “This is not something you can do on a Tuesday.” Agree. Prescient advice. As you will hear once again in just a moment, this takes work. But physician leaders and entrepreneurs, take heed. Although you won't be able to stand this up on a Tuesday, there's no reason why you can't begin next Monday. You can contact Dr. Schutzer at steve.schutzer@gmail.com and learn more at the Novel Healthcare Solutions website.   Steven F. Schutzer, MD, graduated with honors from Union College and the University of Virginia School of Medicine. Following a surgical internship at the University of Rochester, he served as lieutenant in the Medical Corps of the United States Navy. After his tour of duty, Dr. Schutzer did his general surgical training at the University of Rochester and then completed his orthopedic residency at the University of Connecticut. He was then a fellow in adult hip and reconstructive surgery at the Massachusetts General Hospital, after which he entered practice in Hartford, Connecticut. Dr. Schutzer is a founding member and medical director of the Connecticut Joint Replacement Institute (CJRI), a Center of Excellence at Saint Francis Hospital in Hartford, where he served as medical director between 2007 and 2021. He is currently the physician executive for the orthopedic service line at Trinity Health of New England. He is on the staff of Saint Francis Hospital and a member of Advanced Orthopedics New England. In 2014, Dr. Schutzer and two colleagues, Ms. Steph Kelly and Ms. Maureen Geary, launched a consulting company, Novel Healthcare Solutions, whose mission is to establish effective and trusting business relationships between physicians and hospital partners—and then create orthopedic Centers of Excellence. Dr. Schutzer is also vice president and co-founder of Upswing Health, a health technology start-up whose charge is to help 10 million lives alleviate suffering from musculoskeletal pain by the end of 2023. 04:52 Why would competitive physician groups gang together? 09:02 “Even if you never … bundle, going through the implementation process … will yield incredible unrecognized value.” 10:19 “It demands an end-to-end care redesign process.” 11:40 “The value of a COE is really unquestionable.” 11:48 “For every dollar saved [in a COE], two-thirds was in the quality side, and one-third was in the price point.” 14:38 Slide deck discussing the definition of a COE and its seven building blocks.15:06 “I'm talking about business relationships between the physicians … these are the most fundamental [relationships].” 16:24 “It is all about trust.” 16:49 What is the most central issue as to why a COE does well or fails? 17:26 “It's not just data. It has to be actionable data because physicians naturally don't trust data.” 22:55 “Employers are definitely taking note to patient-reported outcomes.” 23:38 What is the seventh element that is necessary for a COE, and what is fundamental to that element? 24:28 Where will fee-for-service doctors be in 2 to 3 years? 25:46 “The only way that we can accrue the value that we deserve is through these types of relationships.” 26:12 “The supreme motivator is opportunity.” 28:03 How do physicians and providers begin a transformation of the marketplace they're in? 28:38 “What they need from us is product. They need products to disrupt the status quo.” 31:27 “The problem is that there are vendors who are working at the margin.” You can contact Dr. Schutzer at steve.schutzer@gmail.com and learn more at the Novel Healthcare Solutions website.   @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech Why would competitive physician groups gang together? @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech “It demands an end-to-end care redesign process.” @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech “The value of a COE is really unquestionable.” @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech “It's not just data. It has to be actionable data because physicians naturally don't trust data.” @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech “Employers are definitely taking note to patient-reported outcomes.” @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech Where will fee-for-service doctors be in 2 to 3 years? @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech How do physicians and providers begin a transformation of the marketplace they're in? @SSchutzer of @THOfNewEngland discusses #centersofexcellence on this week's #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech Recent past interviews: Click a guest's name for their latest RHV episode! Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried

OffScrip with Matthew Zachary
Vax On: An Omicron Christmas

OffScrip with Matthew Zachary

Play Episode Listen Later Dec 23, 2021 29:58


In this episode of Vax On, Matthew Zachary and Elura Nanos get ready for another holiday season with Covid in everyone's vision. They talk about school woes, cruise ship outbreaks, and toxic influencers. They also discuss the latest Sermo poll!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Surfing the Nash Tsunami
S2-E62 - Mazen Noureddin, Alina Allen And Wayne Eskridge Join SurfingNASH's 2021 NAFLD Year-in-Review

Surfing the Nash Tsunami

Play Episode Listen Later Dec 23, 2021 57:24


The last half of December marks our annual NAFLD Year-in-Review. Episodes 62-64 each include ~20 minute segments of longer interviews with Stakeholders who have made a dent in Fatty Liver disease in 2021. In this episode, Louise Campbell and Roger Green are joined by Mazen Noureddin,  Alina Allen, Wayne Eskridge.Highlights: 7:51 – Mazen Noureddin begins talking about AI and histopathology by pointing to recent review papers listeners should read, one from Mayo Clinic and another from Mazen and colleagues. 8:21 – AI tools: machine learning and deep learning. Key AI targets: non-invasive testing and histology. More recent progress in histology.10:09 – History of why histology in NASH has become increasingly controversial over time and how the challenge will grow. AI can address many of these controversies.12:42 – Paper earlier this year: three expert pathologists working in tandem can strengthen reliability AND their results correlated with PathAI. AI also provided more granularity on specific disease levels within a cirrhotic liver and reduced placebo success rate.17:10 – Louise: Should Intercept use AI methods in their re-read of 18-month biopsy data? Mazen: yes. We need a path to get regulators to accept AI this way.19:40 – Louise: Why don't we use Ishak instead of Metavir for cirrhosis coding? Mazen:  another great question!  22:01 – Alina Allen begins23:20 –  In the past year, we have learned that not only is MRE the most accurate estimator of fibrosis, but we can diagnose now based on liver stiffness (LSM) + PDFF, all in an automated 5-minute process.24:51 – Mayo CGH study (2021) proves we can correlate LSM today with five-year outcomes. Provides far better trial screening and matching data than simple biopsy. 27:07 – Roger: how can this change how we coach and advise patients?  29:04 – Alina: we can use LSMs today to inform patients better, improve their care and allocate use of expensive tests more properly.  30:55 – Roger: how does this fit into a Critical Care Pathways world. Alina: we can improve 1st-line granularity via AI analysis of patient's medical history. If this filters more people out, it makes elastography or a blood-based biomarker more efficient, therefore more affordable,.33:07 – Roger notes that sounds more like common commercial uses of AI than the AI-based histology reading we discussed with Mazen.   35:43 – Louise: if you had a magic wand, what model would you create to make MRE available when appropriate. Alina – first, teach people it is not too expensive or  difficult, then create regional centers of excellence by putting software on existing MRI machines. Finally, educate patients and physicians. 38:10 – Alina: you do not need a full 45-minute MRI to get an MRE, but only a  5-10 minute process. thereby saving time and money.41:03 – Wayne Eskridge begins42:35 – Wayne: decision to start the SUNN study borne of dissatisfaction over recommended standard NOT to screen for NAFLD. 43:35 – Study pitch received unexpectedly positive reception from industry but learning about IRBs and trial management was a “real education.” 46:12 – Wayne: point of study was to go outside medical system to asymptomatic, uninformed people, in the belief they had underlying health concerns and would tbe motivated to learn.47:48 – Louise: "Amazing" study identified potential clinical trials candidates.  Why does SUNN show far higher levels of fibrosis than the other studies?48:56 – Wayne: this is not a general population study, numbers probably are higher. 52:19 – Peak age of 40-50 is younger than with most studies; we know it progresses steadily. Message: we should be screening high-risk patients younger.55:14 – Wayne: Hard cost was ~$120. Took 8 months to complete running heavy patient loads.

10 Minute HealthBizCast
Album 4, Track 11: Creating NextGen Healthcare Companies: Digital Health Transformation

10 Minute HealthBizCast

Play Episode Listen Later Dec 22, 2021 8:07


Host Bobby Guy of Polsinelli interviews Lisa Phillips, Journalist and Principal Analyst for Digital Health at Insider Intelligence, about her thoughts on recent advances in our country's Digital Health Transformation.Music by Banks & Guy. Listen on Apple Music or SpotifyFor more information about the 10 Min. HealthBizCast podcast, visit https://www.healthbizcast.net/

NORDpod
Dr. Edward Neilan: NORD's Chief Medical and Scientific Officer

NORDpod

Play Episode Listen Later Dec 22, 2021 29:36


On the show today, we welcome Dr. Edward Neilan, NORD's own Chief Medical and Scientific Officer. In this role, Ed oversees medical and research initiatives, including the Rare Disease Cures Accelerator-Data and Analytics Platform (RDCA-DAP) program that NORD established in partnership with FDA and the Critical Path Institute (C-Path) He carries a unique perspective as a physician and researcher and would like to focus this episode of NORDpod on the value of data sharing from a clinician's perspective (which was also the topic he spoke about during the virtual 2021 RDCA- DAP Annual Workshop). Patient participation in the RCDA-DAP programs is a "pay it forward" opportunity to advance critical research and you're going to learn how you – yes you the listener – can choose to take an active role in this really important advocacy. NORDpod is the official podcast of the National Organization for Rare Disorders. For more information, visit https://rarediseases.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Becker’s Healthcare Podcast
Megan Ranney, Emergency Physician, Director at Brown-Lifespan Center for Digital Health, and Associate Dean at Brown University School of Public Health

Becker’s Healthcare Podcast

Play Episode Listen Later Dec 22, 2021 14:38


This episode features Dr. Megan Ranney, Emergency Physician, Director at Brown-Lifespan Center for Digital Health, and Associate Dean at Brown University School of Public Health. Here, she discusses working as an emergency physician during the pandemic, creating digital mental health services that are accessible to all, and more.

Tacos and Tech Podcast
Bringing Empathy to Healthcare with PatientPartner

Tacos and Tech Podcast

Play Episode Listen Later Dec 21, 2021 27:27


Listen on Apple, Google, Spotify, and other platforms.  Many patients go through stressful medical experiences due to a lack of support or understanding of their procedure and treatment, experts say. George Kramb and Patrick Frank saw this issue and created PatientPartner, a community platform for new and prospective patients to come and engage with past patient mentors for support and empathy. The co-founders built a network of doctors and patients to share their experience and expertise with those who need it. George and Patrick were both born and raised in San Diego County. George started his career in medical device sales, working in operating rooms and helping surgeons properly use the products. During that time, he would listen to patients and doctors, learning about their experience and what brought them to the hospital. He noticed a gap in the patient-doctor relationship, where many patients were in need of resources and support throughout the surgical process that doctors couldn't provide. He began connecting pre-op patients with post-op patients and saw the potential in creating a network of relatability and support. He then contacted Patrick who was involved in consumer technology and scaling out platforms and bringing them to the market. Together, they built up PatientPartner and brought value to the healthcare industry by focusing on patients.  PatientPartner went through multiple changes, helping them realize that the best solution is to connect patients to individuals who went through similar treatments and knew the experience firsthand. Empowering patients with resources improves their medical experience, helping them and other patients in the long run as well, they discovered. Listen to Neal chat with George and Patrick about the company's impact on the healthcare industry and their goals for the future.  Their favorite local tacos: George: Ramiro's Taco Shop in Pacific Beach The Taco Stand in La Jolla Patrick: Maritza's Mexican Food Restaurant in Clairemont    Connect with them: George Kramb Patrick Frank Learn more about PatientPartner: Website: https://www.patientpartner.com/  Facebook: @PatientPartner1 Twitter: @patientpartner1 Instagram: @patient_partner LinkedIn  Thanks to our partners at Cox Business & Cox Edge for their support in enabling us to grow the San Diego ecosystem.

OffScrip with Matthew Zachary
The Cancer Mavericks EP7: Cancer Doesn't Suck Equally

OffScrip with Matthew Zachary

Play Episode Listen Later Dec 21, 2021 36:29


A cancer diagnosis sucks no matter what — but factors like income, education, racism, geography, housing, and access to health care, known as "social determinants of health," can worsen the burden. When researchers zoom out from individual experiences and survey cancer survivors, they see patterns called social determinants of health. Individual circumstances such as economic stability, physical environment, racial bias, proximity to a provider, or fluency in that provider's language can influence a survivor's health outcome before any cancer treatment begins. In this episode, we share stories of cancer mavericks who rebelled against the foreshadowing of health disparities. 23-year survivor Mary P. Lovato started a support group at her pueblo in New Mexico that expanded to reach American Indian and Alaska Native tribes across the United States. After learning she had breast cancer at 31, Maimah Karmo made it her mission to advocate for young women, Black women, and those with metastatic disease — and to end health disparities in our lifetime. Finally, health disparities researcher Dr. Carmen Guerra shares how the University of Pennsylvania's Abramson Cancer Center nearly doubled the number of Black patients in its clinical trials. For more information about this series, visit https://CancerMavericks.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Relentless Health Value
EP349: How Integrated Is a Clinically Integrated Network, Actually? With Lisa Trumble

Relentless Health Value

Play Episode Listen Later Dec 16, 2021 31:15


This interview with Lisa Trumble is mostly about clinically integrated networks (CINs)—what they are, how they work, how data get shared. Furthermore, we talk about hybrid CINs, meaning, for example, a virtual front door that might lead to in-person care. After that, we talk about the potential impact of direct contracting, which Lisa says could significantly change the healthcare marketplace. The hybrid talk, by the way, is toward the middle of the show; and we talk about direct contracting—that's near the end if you're short on time and you want to skip around. But before we go there, let's just level set a little bit, shall we, on the topics of accountability and integration as general constructs. Specifically, what's the impact, or lack thereof at times, when the provider is not accountable for patient results? I'm talking here about fee for service, in general, where the provider is not accountable for patient results. Like, if we're talking about a fee-for-service world and what it incents, it goes like this: Transaction happens. Somebody sends a bill. The end. I mean, in a fee-for-service world, the patient encounter may be the highest- or the lowest-value patient-doctor transaction in the history of humankind; but either way, the payment is the same. So, the incentive is to figure out how to encounter lots of patients and/or upcode wildly, I guess. The incentive is not to coordinate care or teach a patient how to take advantage of a telehealth offering to mitigate some social determinant of health or spend 10 minutes doing some education or shared decision making or establishing rapport and being culturally sensitive. Any docs who are doing that stuff are doing it on their own time in an FFS world. Here's the good news and the bad news—and I don't often hear it spelled out this bluntly, so I'll do the honors: If anyone wants to get paid to create patient health, they have to be accountable for the outcomes created—upside and downside. Frankly, when an organization is super worried about the downside, that could be—not in all cases, but it certainly could be—a clue that maybe their approach is a little bit more transactional and/or inefficient than perhaps they would like to admit. There's been much talk over the years about the importance of giving patients so-called “skin in the game,” but what might work out better is to mandate that providers have so-called skin in the game. Providers have to be accountable so good providers can reap rewards and bad ones don't. The episode with Sunita Desai (EP334) is all about how providers have proven to actually be better “consumers” than “consumers,” so there could be a constellation of rationales here.   Now, if you're accountable for care, you must actually create outcomes, as just discussed. And to actually create outcomes, there must be integration. Integration is necessary. Care coordination is necessary both with internal and external other providers and entities. There are very, very few cases where a chronic condition can be appreciably improved by a random assortment of 7- to 15-minute patient encounters. Managing chronic conditions requires a longitudinal journey that weaves together most often more than one doctor, also nurses and a PA and a speech pathologist and a nutritionist and a Certified Diabetes Educator and maybe a physical therapist or two. Considering that 85% of healthcare spend in this country has to do with chronic conditions also ... yeah, integration is really required. And, yeah, how many decades later, we're still talking about interoperability. Here's a tidbit I found kinda apropos: Female doctors make $2 million less, apparently, over a 40-year career than their male counterparts. That's per research in Health Affairs, recently reported in the New York Times. More men become surgeons, and women have been shown to spend more time with their patients, leading to fewer services that can be billed for.   What's the actionable takeaway there, I wonder? In this healthcare podcast, I have the honor and pleasure of speaking with Lisa Trumble. Lisa is president and CEO of a CIN, a clinically integrated network, called the Southern New England Healthcare Organization, or SoNE. SoNE was formed in January 2020 to integrate three ACOs [accountable care organizations] in two states. The CIN manages a population of over 200,000 patients—about $1.5 billion in total costs of care. Previously, she worked at Cambridge Health Alliance building their pop health and value-based structure to the point where about 60% of their business was in some form of risk or alternative payment models. There is one disclaimer that I would just ask you to keep in mind when listening to any conversation about value-based care—and there are lots of them going on right now—but I just want to tuck this in here because I'd be remiss not to mention it at some point. Dr. Mai Pham (EP325) has put this better than I ever would. She said recently, “After a decade of value-based payment contract negotiations in both public and private sectors, I would like to point out that [health systems] can talk a good value game, but if their ... organizations push for ever-higher unit prices, the word value is meaningless. I've seen trends in unit prices for a given health system outstrip the legitimate savings it produces by reducing volume, which was the plan all along.” Dr. Pham is currently writing a piece about this exact topic that's going to appear in AJMC soon, so definitely look out for that.   You can learn more at sonehealthcare.com.   Lisa M. Trumble, MBA, president and CEO of SoNE HEALTH, has had a career showcased by successes in generating strong clinical and financial operating results for healthcare organizations. She has 30+ years' experience at integrated delivery systems and physician organizations. Prior to joining SoNE HEALTH, Lisa served as senior vice president of accountable care at Cambridge Health Alliance (CHA); the scope of her responsibility included systemwide duties for accountable care and population health management, incorporating payer contracting, financial medical economics, regulatory compliance, and administrative and clinical programming. Under her leadership, the organization realized significant improvements in clinical and financial outcomes. Lisa joined CHA from Berkshire Health Systems, where she served as vice president of physician services and executive director of the Berkshire Health Systems Physicians Organization. She was instrumental in transforming physician operation, restructuring provider employment agreements and provider compensation plans, and enhancing patient satisfaction. Prior to Berkshire Health Systems, she served as the vice president of finance and operations at the Cambridge Health Alliance Physician Organization, where she achieved similar outcomes. Previously, Lisa was administrative director for anesthesia and surgery services lines at North Shore Medical Center and chief financial officer of North Shore's Physicians Organization, a subsidiary of North Shore Medical Center. Additionally, she held positions in operations and finance at Commonwealth Health Management Service and Independent Physicians Association. Lisa holds a bachelor's degree in business administration from North Adams State College and a master's degree in business administration and healthcare finance from Western New England University. 06:20 Why do accountability and integration go hand in hand? 08:56 “Aggregation just for the point of aggregation doesn't necessarily produce better outcomes.” 09:18 What questions should we be asking when considering aggregation? 09:45 Does aggregation equal integration? 11:42 What exactly is a clinically integrated network? 12:26 What is the intention of a clinically integrated network? 13:22 Are all CINs ACOs? Are all ACOs CINs? 17:22 What entities make up a clinically integrated network? 19:26 “We want providers that are able to generate the outcomes that we're expecting.” 20:44 “There is a lot of work that goes into data integration.” 23:14 What is a hybrid CIN model? 25:22 Encore! EP206 with Ashok Subramanian.26:53 “Everyone is sitting around the table proactively.”—Stacey 29:37 What kind of structure could move the Medicare market quickly? You can learn more at sonehealthcare.com.   Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN Why do accountability and integration go hand in hand? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN “Aggregation just for the point of aggregation doesn't necessarily produce better outcomes.” Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN What questions should we be asking when considering aggregation? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN Does aggregation equal integration? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN What exactly is a clinically integrated network? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN What is the intention of a clinically integrated network? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN Are all CINs ACOs? Are all ACOs CINs? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN What entities make up a clinically integrated network? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN “We want providers that are able to generate the outcomes that we're expecting.” Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN “There is a lot of work that goes into data integration.” Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN What is a hybrid CIN model? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN “Everyone is sitting around the table proactively.” Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN What kind of structure could move the Medicare market quickly? Lisa Trumble discusses #ClinicallyIntegratedNetworks on our #healthcare #podcast. #healthcarepodcast #digitalhealth #CIN Recent past interviews: Click a guest's name for their latest RHV episode! Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera

OffScrip with Matthew Zachary
Vax On: Faucc on a Couch, College vs. COVID, and Bill Gates' Pandemic Predictions

OffScrip with Matthew Zachary

Play Episode Listen Later Dec 16, 2021 30:14


In this episode of Vax On: Matthew Zachary and Elura Nanos discuss New York's COVID-19 surge and how some schools are taking steps to reduce the number of cases among students and staff. They also walk through what society has learned from the second year of a global pandemic.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Healthcare is Hard: A Podcast for Insiders
Size Doesn't Matter: Innovation Happens Everywhere, Says Anthem's Bryony Winn

Healthcare is Hard: A Podcast for Insiders

Play Episode Listen Later Dec 16, 2021 42:47


Bryony Winn is a Zimbabwe native and Rhodes Scholar who says her background growing up in the developing world contributed to her innate desire to pursue a career with an element of social impact. And she says that background had a fundamental impact on the voice she brings to the U.S. healthcare market and to her leadership style.Bryony spent the first decade of her career at McKinsey & Company providing strategic and operational counsel to a wide variety of clients across Europe and Africa. After relocating to the U.S. in 2011 and being named a Partner in McKinsey's Chicago office, she worked with the Center for Medicare and Medicaid Innovation (CMM) and advised numerous healthcare CEOs and government leaders seeking to improve systems of care and transform payment models.After leaving McKinsey, Bryony spent two years as Chief Strategy Officer at Blue Cross North Carolina and then joined Anthem as Chief Strategy Officer. In September 2021, she was named President of Anthem Health Solutions where she is now responsible for ensuring that the more than 45 million consumers in Anthem's family of health plans have access to high-quality, affordable care.On this episode of Healthcare is Hard: A Podcast for Insiders, Bryony shared her perspective with Keith Figlioli on a number of topics, including:The Fundamental roles of a payer. In Bryony's view, there are two central issues that define a healthcare payer and its ability to deliver higher quality, lower cost care: how it partners, and how it pays. She points out that organizations signal what they value by the way they pay for care. For example, how paying for care that drives affordability and quality incentivizes collaboration.Innovation inside incumbents. There's a misconception that innovation is not occurring inside large incumbent healthcare organizations, according to Bryony. She says startups do not have a monopoly on smart people taking thoughtful approaches to the complexities and challenges of the U.S. healthcare system that have developed over decades. While the journey may be slower in these organizations, she says the difference is that they have a longer track record for sustainability – one of the most important factors in U.S. healthcare. She believes in approaching the market with a deep sense of humility for the people and companies that have come before us.Advice for entrepreneurs. Bryony says so many potential partners and vendors looking to do business make promises on issue like financial savings or Medicare star ratings. She jokes that if she added up these promises, Anthem would be a 23-star plan. When asked how entrepreneurs and startups can work best with Anthem, she warns of the importance of honesty – but says it needs to come from both sides of the table. Startups should expect honesty from a large company on things like payment and implementation cycles. But they need to be honest about what they have actually delivered versus what they hope to deliver. Don't pretend you have a track record when you do not, because if you're honest about what you hope to deliver, a company like Anthem could work closely with you to help make it happen.To hear Bryony and Keith talk about these topics and more, listen to this episode of Healthcare is Hard.

Shot of Digital Health Therapy
Shot of #DigitalHealth Therapy - Ankit Jain

Shot of Digital Health Therapy

Play Episode Listen Later Dec 15, 2021 38:14


And... we are back! Welcome to this Euronext edition of #TheShot of #digitalhealth therapy - Congrats to Jim Joyce Kieran Daly and the rest of the HealthBeacon team today on the new ticker symbol $HBCN - also Jim - cant believe you made time for this. Today, Jim and I had an amazing pleasure of having Ankit Jain on with us where we talked a lot about entrepreneurial drive and his experience at Google and beyond:

The Mix Tape by Mix Talent
The Mix Tape | Digital Health | Season 01 Episode 08

The Mix Tape by Mix Talent

Play Episode Listen Later Dec 15, 2021 40:34


Sometimes patients can't make it out of their house and to the doctor. That's where digital health comes in. On today's episode, Mix Talent's Andrew Jones asks an expert about the digital health industry landscape: Michael Seggev. Seggev is the Vice President of Commercial at Donisi Health, a company pioneering contact-free and hassle-free health monitoring.

Radio Advisory
99: Part 2: What health care CEOs need to know in 2022

Radio Advisory

Play Episode Listen Later Dec 14, 2021 25:46


The year is coming to an end, so what's in store for health care executives in 2022? In this episode, host Christopher Kerns sits down with Advisory Board's Yulan Egan for part two of their discussion on the state of the union in health care, looking at the major trends shaping the industry in the future and what health care CEOs need to know for 2022. Links: 16 Things CEOs Need to Know in 2022 The CEO's Role in Advancing Health Equity Radio Advisory Playlist: Health equity and racism episodes The price transparency trifecta 2021 Strategic Planner Survey Results We've been defining the independent physician landscape wrong—here's a new approach How Covid-19 transformed virtual care preferences, according to our 7,000-patient survey 4 key takeaways from our home-based care executive retreat

OffScrip with Matthew Zachary
A Show That's ACTUALLY Good for You

OffScrip with Matthew Zachary

Play Episode Listen Later Dec 14, 2021 34:35


Today I talk to Kara Goldin — health product entrepreneur, breast cancer advocate, and the Founder and CEO of HINT Inc. Kara calls herself an accidental entrepreneur because she invented a product that she wanted but couldn't find: unsweetened, fruit-infused water. Now HINT is available everywhere as a healthy and natural alternative to diet drinks. Kara honed her chops working at AOL and Time magazine, and she even interned for John McCain way back when. Today Kara is expanding HINT to include a line of natural sunscreen and is out with a new book, Undaunted: Overcoming Doubts and Doubters. Kara Goldin talks about overcoming her diet soda addiction, disrupting the beverage industry, and the importance of knowing what we put in and on our bodies.And for information on us, visit https://OffScrip.com and follow @MZOutofPatients, @MatthewZachary, @VaxOnPod, and @OffScripMedia on Twitter. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Relentless Health Value
EP348: Your Burning Questions About Payviders Answered! With Jeb Dunkelberger

Relentless Health Value

Play Episode Listen Later Dec 9, 2021 32:03


The discussion to follow is probably a 400-level class in payviders. If I just said the word payvider and you're scratching your head wondering where you may have heard that term before, this show is probably not the best place for you to start. I'd go back and get some context by listening first to the episodes with Steve Blumberg from GuideWell (EP304) and/or the one with John Moore from Chilmark (EP172); and for a really retrospective lookback, check out the one episode with Dr. Kris Smith from Northwell (EP127) from back when they were still trying to become an insurance carrier. It's like a time capsule into their ambitions.   OK, if you're still with me, in this episode I'm looking forward to digging into payviders with Jeb Dunkelberger, who is the CEO of Sutter Health | Aetna. Sutter Health | Aetna is the payvider joint venture between, you guessed it, Sutter Health and Aetna. Not only is Jeb one who would obviously know a whole lot about payviders and how they operate given his role, but he's also super articulate and thoughtful in terms of the potential impacts that this type of entity can have on patients and the surrounding healthcare ecosystem. I started to get really curious about payviders and what they're up to because the term keeps coming up in conversations, number one. And the more it came up, the more it started to become really obvious that payvider is one of those terms that everybody tosses around and may or may not define it the same way. Jeb refers to a payvider as an entity that delivers care but also writes insurance products and takes risk for them—not just taking capitated payments or doing direct contracting. While it's the employer who actually takes the risk, this is the definition of payvider that we explore in this healthcare podcast. Two kinds of interesting points that Jeb makes, which I'll just underscore here: One is “demand destruction.” I like the idea of the term because it brings a really obvious point into stark focus. Bottom line, taking on risk or value-based programs is easier if you are a smaller percentage of the healthcare spend. The bigger a percentage of the healthcare spend that gets cha-chinged into your cash register, the more you destroy your own demand by creating value-based programs that minimize downstream costs. Those downstream costs are your revenue, after all. Value-based care is all about demand destruction at its core. In the last question of this interview (so, this is the second thing I'm underscoring here), I ask Jeb if he thinks payviders will ultimately lower healthcare costs; and he comes back with a reframe of my question. He says if we take costs out of the system, will hospitals close? And if the hospitals close, then people get laid off. Fair point, since in many places the health system is one of the biggest employers in town if not the biggest—and also a political tour de force. So, there's more nuances here; but you'll have to either get to or skip to almost the end of the episode to hear them. Jeb Dunkelberger began his career as a health economist and consultant. He became the CEO of Sutter Health | Aetna to focus on alternative reimbursement models and value-based care. Jeb also wrote a book called Rich & Dying. You can learn more at sutterhealthaetna.com.   You can also connect with Jeb on LinkedIn and follow him on Twitter.   Jeb Dunkelberger, MSc, MHCI, currently serves as CEO of Sutter Health | Aetna (SH|A), a commercial insurance plan serving Northern California. The health plan aims to combine the value of retail, provider, and payer via its partnerships with CVS, Sutter Health, and Aetna. Prior to SH|A, Jeb led growth for two bay-area healthcare start-ups: Cricket Health and Notable Health. Jeb has also held executive roles at Highmark, McKesson, and EY. Jeb holds healthcare-related degrees from Virginia Tech, The London School of Economics, Cornell University, and University of Pennsylvania. 03:58 What all does Sutter Health | Aetna entail? 04:31 What does it mean to be a “performance network”? 04:48 What does it mean to be a payvider? 06:35 How common are payviders? 07:31 “We are writing direct risk.” 09:21 How does the fully insured product work? 12:30 “You want to hold their feet to the fire, from a value-based perspective.” 12:42 What's the incentive for providers to partner with payers? 15:25 “It's just math. It's the amount of lives times the amount of utilization multiplied by your unit costs.” 20:58 “You have to have a day of reckoning, and that only comes from financial incentives creating that gateway out.” 24:55 How do we think about reform and taking money out of the healthcare system? 26:58 “We also have to talk about repurposing the workforce.” 27:27 “We need to upskill our workforce.” 30:14 “Can a health system survive as the largest employer, year over year, if they give unit cost concessions, year over year? … The answer is no.” You can learn more at sutterhealthaetna.com.   You can also connect with Jeb on LinkedIn and follow him on Twitter.   @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth What all does Sutter Health | Aetna entail? @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth What does it mean to be a “performance network”? @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth What does it mean to be a payvider? @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth How common are payviders? @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth “We are writing direct risk.” @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth How does the fully insured product work? @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth “You want to hold their feet to the fire, from a value-based perspective.” @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth What's the incentive for providers to partner with payers? @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It's just math. It's the amount of lives times the amount of utilization multiplied by your unit costs.” @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth “You have to have a day of reckoning, and that only comes from financial incentives creating that gateway out.” @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth “We also have to talk about repurposing the workforce.” @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth “We need to upskill our workforce.” @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Can a health system survive as the largest employer, year over year, if they give unit cost concessions, year over year? … The answer is no.” @Jeb_Dunk discusses #payviders on our #healthcarepodcast. #healthcare #podcast #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham

NORDpod
The 2021 NORD Breakthrough Summit

NORDpod

Play Episode Listen Later Dec 8, 2021 43:39


Today's extra-long, extra-special BONUS episode is brought to you from the 2021 NORD Breakthrough Summit. Every year, NORD hosts its flagship conference in October to discuss what's new, relevant, and on the horizon in the rare disease space. The session we're featuring is “Designing Trials for Inclusivity, Equity, and Engagement,” The discussion addresses health care inequities and what we can do to create clinical trials that are more representative of and beneficial for the community. We hope you enjoy it, and if you get inspired to learn more about the event behind this episode, visit nordsummit.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

FemTech Focus
Lin Health supports those struggling with Chronic Pain - Episode 145

FemTech Focus

Play Episode Listen Later Dec 7, 2021 48:56


FemTech Focus is a 501c3 non-profit organization founded to empower, equip, and bring together healthcare professionals, life-science entrepreneurs, and forward thinking investors to revolutionize women's health and wellness. FemTech Focus elevates the FemTech industry through increased awareness, providing resources to FemTech founders, & creating opportunities to support FemTech startups through exposure, networking, and access to capital.The FemTech Focus Podcast with Dr. Brittany Barreto is a meaningfully provocative conversational series that brings femtech experts – including doctors, scientists, inventors, and founders – on air to talk about the innovative technology, services, and products (collectively known as femtech) that are improving women's health and wellness. The podcast gives our host, Dr. Brittany Barreto, and guests an engaging, friendly environment to learn about the past, present, and future of women's health and wellness.Dr. Brittany Barreto is a scientist, serial entrepreneur, and venture capitalist. While finishing her PhD in Molecular and Human Genetics at Baylor College of Medicine, Brittany founded Pheramor, the first nationwide DNA-based dating app. She then embarked into venture capital as the Senior Venture Associate at Capital Factory and was tasked with launching the fund's Houston branch. Brittany now has her sights on advancing women's health. She is host of the FemTech Focus podcast which has 150+ episodes and 30 thousand downloads in 105 countries. Brittany is the co-founding partner of Coyote Ventures, a US-based venture fund investing in early-stage women's health startups

FemTech Focus
Big Health Digital Therapeutics for Insomnia and Anxiety - Episode 144

FemTech Focus

Play Episode Listen Later Dec 7, 2021 53:27


FemTech Focus is a 501c3 non-profit organization founded to empower, equip, and bring together healthcare professionals, life-science entrepreneurs, and forward thinking investors to revolutionize women's health and wellness. FemTech Focus elevates the FemTech industry through increased awareness, providing resources to FemTech founders, & creating opportunities to support FemTech startups through exposure, networking, and access to capital.The FemTech Focus Podcast with Dr. Brittany Barreto is a meaningfully provocative conversational series that brings femtech experts – including doctors, scientists, inventors, and founders – on air to talk about the innovative technology, services, and products (collectively known as femtech) that are improving women's health and wellness. The podcast gives our host, Dr. Brittany Barreto, and guests an engaging, friendly environment to learn about the past, present, and future of women's health and wellness.Dr. Brittany Barreto is a scientist, serial entrepreneur, and venture capitalist. While finishing her PhD in Molecular and Human Genetics at Baylor College of Medicine, Brittany founded Pheramor, the first nationwide DNA-based dating app. She then embarked into venture capital as the Senior Venture Associate at Capital Factory and was tasked with launching the fund's Houston branch. Brittany now has her sights on advancing women's health. She is host of the FemTech Focus podcast which has 150+ episodes and 30 thousand downloads in 105 countries. Brittany is the co-founding partner of Coyote Ventures, a US-based venture fund investing in early-stage women's health startups

Relentless Health Value
EP347: Rolling Out Healthcare Initiatives That Actually Get Uptake With the Populations You Aim to Serve, With Ian Tong, MD, About the Black Community Innovation Coalition

Relentless Health Value

Play Episode Listen Later Dec 2, 2021 34:29


I attended the STAT Summit last week and heard the heart-wrenching story told by Charles Johnson, who is the founder of 4Kira4Moms, which is a group dedicated to improving maternal health equity. Charles's family is African American. After a planned C-section, his otherwise-healthy wife died an avoidable death because 10 hours after the clinical team was alerted that she had internal bleeding—10 hours later—they got around to wheeling her into surgery. At that point, she had three liters of blood in her abdomen. She bled out and died, leaving her newborn infant motherless. This all went down at a large, incredibly well-respected integrated delivery network. One of the biggest issues in healthcare today … well, there are many issues, so maybe I should start again. One of the biggest issues in healthcare that is going to be discussed on this podcast today is how to engage those patients or members or employees or consumers who might need our healthcare industry to work better on their behalf. This is especially a problem (a well-known problem) when we consider those patients who our healthcare system in so many ways does not serve well: many minority patients, Black people, other people of color, the LGBTQ community, people who do not speak English as their first language. These patient cohorts emerge on the other side of our healthcare industry sporting patient outcomes that are even worse than our usual not-so-great average patient outcomes.   In this healthcare podcast, we're gonna talk about a new coalition formed by Walmart and six other employers, plus Included Health, which is the combined entity of Grand Rounds and Doctor On Demand. (They merged recently.) So, there was a coalition that was formed. It's called the Black Community Innovation Coalition, and in short, it's a new virtual-care program aimed at combating health disparities among African American workers. I wanted to learn more about this coalition, so in this episode I'm speaking with Ian Tong, MD, about the aforementioned Black Community Innovation Coalition—the how and also the intent. Dr. Tong is the chief medical officer over at Included Health and also a clinical assistant professor and adjunct faculty in the medical school at Stanford. One reason I was so intrigued is that the Black Community Innovation Coalition leverages ERGs (employee resource groups) in a way I thought was different. If you're unfamiliar, ERGs or, as I said, employee resource groups, used to be called employee affinity groups. Many big companies have them. These ERGs bring together groups with shared identities, shared experiences, shared interests. What I thought was worth contemplating if you're interested in improving health equity, health outcomes … through these existing ERG organizations, it might be possible to pull the healthcare system and these patients closer together to create healthcare benefits and care delivery models that are designed with them in mind. So, what I think might be actionable to others relative to this coalition and its methodology is the best practice of building the engagement mechanism into the design of the initiative. So often it's an afterthought if you think about it. We build the thing, and then we wonder how to “market” it—like the “marketing” is this separate and sequential function. It's not. And marketing is also probably a limiting misnomer. This is especially true, though, when contemplating minority populations for a whole bunch of reasons that we get into in this conversation. So that's number one: Build the engagement mechanism into the program design. But here's number two: Consider the engagement mechanism relative to existing channels of engagement, re: ERGs or otherwise. Other links on the show include: Rebecca Etz, PhD (EP295) talking about some best ways to measure primary care quality. The Harvard Implicit Bias Test You can learn more by checking out the Implicit Bias Test, the CDC REACH site, and includedhealth.com.  Ian Tong, MD, is chief medical officer at Included Health (formerly Doctor On Demand and Grand Rounds Health). In this role, Ian leads all clinical care delivery, including clinical products and service lines, clinical quality, and practice performance of the clinical staff. Prior to Doctor On Demand, Ian held leadership roles including chief resident of Stanford Internal Medicine and co-medical director of the Arbor Free Clinic. He also founded and was medical director of The Health Resource Initiative for Veterans Everywhere (THRIVE), honored with the Award for Outstanding Achievement in Service to Homeless Veterans in 2008 by the US Secretary of Veterans Affairs. A national collegiate champion in rugby at the University of California at Berkeley, Ian was named to the All-American Team in 1994. He graduated from Berkeley with a bachelor's degree in English, then earned his medical degree from The University of Chicago Pritzker School of Medicine. He completed residency and chief residency at Stanford Hospital and Clinics and is currently a clinical assistant professor (affiliated) at Stanford University Medical School. He is board certified in internal medicine. Ian has dedicated his career to improving equity in, and access to, high-quality care. He lives in the San Francisco Bay area. 04:33 What is the Black Community Innovation Coalition? 05:06 Who are the partners behind the Black Community Innovation Coalition? 06:23 How is the Black Community Innovation Coalition focusing on patients? 08:05 “If you take a one-size-fits-all approach to your employees, that is not going to be adequate or complete.” 08:56 How the Black Community Innovation Coalition is incorporating engagement into its core foundation. 13:18 “There's a great deal of hesitancy around engaging care, and there's a high level of avoidance.” 15:26 EP338 with Nikki King, DHA.16:34 “The technology is not making that experience worse. It's a bad experience, and it's broken already.” 23:27 “I feel very strongly that everyone should probably have a virtual primary care clinician.” 27:20 EP295 with Rebecca Etz, PhD.28:15 “We really want to pay attention to that encounter being the best encounter possible because that … might be the only chance you get to engage that patient.” 29:00 Why is virtual care important for self-insured employers? 32:08 “We cannot afford to have low-value encounters.” You can learn more by checking out the Implicit Bias Test, the CDC REACH site, and includedhealth.com.  @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth What is the Black Community Innovation Coalition? @Driantong discusses community health initiatives on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth Who are the partners behind the Black Community Innovation Coalition? @Driantong discusses community health initiatives on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth How is the Black Community Innovation Coalition focusing on patients? @Driantong discusses on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “If you take a one-size-fits-all approach to your employees, that is not going to be adequate or complete.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “The technology is not making that experience worse. It's a bad experience, and it's broken already.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “I feel very strongly that everyone should probably have a virtual primary care clinician.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “We really want to pay attention to that encounter being the best encounter possible because that … might be the only chance you get to engage that patient.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth Why is virtual care important for self-insured employers? @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “We cannot afford to have low-value encounters.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth Recent past interviews: Click a guest's name for their latest RHV episode! Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy