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In this episode of The Dish on Health IT, Tony Schueth and Rob Dribbon are joined by Neikisha Charles Director of Quality Improvement and Risk Management of Bedford Stuyvesant Family Health Center (Bed-Stuy), a federally qualified health center (FQHC) in Brooklyn, NY. Together, they dig into common misconceptions about FQHCs and shine a spotlight on the opportunities they present for strategic engagement across the healthcare ecosystem—especially for health IT and life sciences organizations.Neikisha opens with her personal journey: starting as a data analyst at Bed-Stuy in 2021 and quickly rising into her current leadership role because of her knack for using data to drive quality improvement. Her story illustrates the increasing sophistication of FQHCs and sets the tone for a broader conversation about how these organizations are evolving.To help orient listeners who may not fully understand the role of FQHCs, Neikisha provides a clear definition: FQHCs are federally funded community-based providers mandated to offer care to all residents in underserved areas, regardless of insurance status. They are deeply attuned to social determinants of health and committed to removing access barriers for vulnerable populations.Rob adds context from his years in pharma, highlighting the unique value proposition of FQHCs—namely, their holistic and integrated approach to care. He urges listeners not to overlook these organizations simply because they've historically focused on commercial health systems.Neikisha then debunks a major myth: that FQHCs only serve uninsured or homeless patients. In fact, Bed-Stuy primarily serves Medicaid-managed populations, but also sees commercially insured and uninsured individuals, offering services on a sliding scale. Services range from primary care and mental health to dental, podiatry, and optometry, along with extensive care coordination and social support services.When asked what health IT vendors and life sciences companies may be missing, Neikisha makes it clear: FQHCs are not tech or data-poor. Bed-Stuy uses a robust EHR (eClinicalWorks), the Azara DRVS population health platform, and Artera for two-way patient communication. These tools aren't just window dressing—they are integrated into care delivery to close gaps, improve compliance, and monitor population health in real time.She offers a compelling case study: When colorectal cancer screening rates began to drop, Neikisha led a data-driven campaign using Azara to identify noncompliant patients, Artera to send targeted outreach texts, and a partnership with Exact Sciences to offer Cologuard kits to patients by mail. The result? A 12.3% increase in screening compliance over 18 months.Rob underscores the significance of this approach—not just the smart use of technology, but also the community-level relationships and the trust that make this kind of intervention effective.The discussion then shifts to interoperability. Neikisha notes the complexities of data exchange and the importance of dedicated roles like a Director of Health Integration to manage relationships and reporting. Bed-Stuy is connected to a regional health information organization (RHIO), uses platforms like Azara to track transitions of care, and maintains read-only EMR access with key partners to streamline care coordination. While true vendor-agnostic interoperability remains elusive, FQHCs are actively working with what's available.Tony brings the conversation back to the bigger picture: What gaps do vendors and life sciences partners need to close? Neikisha points to the need for better education about what FQHCs actually do and who they serve. She challenges companies to co-create solutions with FQHCs—offering tools that reflect real-world workflows and support sustainable partnerships rather than transactional engagements.The episode wraps with both Rob and Neikisha emphasizing the untapped potential of FQHCs. With over 30 million Americans relying on them for care, these organizations are not fringe players—they are essential infrastructure. And as Neikisha puts it, they're “here to stay.” To partner successfully, the first step is simple: reach out, learn what's needed, and build something meaningful together.Related ContentWhat Are FQHCs, & Should Life Sciences Manufacturers Even Care About Them?HIT Perspectives May 2025: FQHC Myth vs Fact Bedford Stuyvesant Family Health Center Brooklyn NY - Primary Care Services
This week's episode is a short one but a good one. Rob is out on vacation, so Greg is joined by SpendMend colleague Sabrina Allen to discuss the recent policy changes impacting FQHCs related to a Trump Administration executive order from earlier this year that address insulin and injectable epinephrine 340B pricing provisions. SpendMend is at Booth #413 this week at the 340B Coalition Summer Conference in National Harbor, MD. Come meet our team, eat some chocolate and discuss what's happening in the 340B world. Webinar Alert! Join us for a webinar on 340B Patient Definition on Thursday July 24 at 2PM ET. Register here: https://attendee.gotowebinar.com/register/1724500873792685151?source=340B+Unscripted
SummaryThe conversation delves into the recent healthcare cuts, particularly focusing on the $1.1 trillion in cuts to Medicaid, which are expected to have significant impacts on both rural and urban healthcare systems. The panel discusses the implications of these cuts, including the potential closure of rural hospitals, the challenges faced by urban healthcare facilities, and the ongoing issues surrounding Medicaid eligibility, particularly for undocumented immigrants. The discussion also highlights the lack of coverage for long-term care under Medicare, the importance of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), and the need for civil dialogue in addressing these complex issues. The panelists emphasize the importance of understanding the broader implications of healthcare legislation and the necessity of addressing fraud, waste, and abuse within Medicaid.TakeawaysThe recent healthcare bill includes significant cuts to Medicaid, impacting rural hospitals.Urban hospitals are also facing challenges due to Medicaid cuts.Eligibility for Medicaid is a contentious issue, especially regarding undocumented immigrants.Long-term care is not covered by Medicare, leading to reliance on Medicaid.FQHCs and RHCs are crucial for underserved populations but face funding challenges.State-specific Medicaid programs can vary significantly in their effectiveness.Fraud and abuse in Medicaid are ongoing concerns that need addressing.The provider exodus is a growing issue, particularly in rural areas.Civil dialogue is essential when discussing controversial healthcare topics.Understanding the implications of healthcare legislation is crucial for all stakeholders.
Web: www.JonesHealthLaw.comPhone: (305)877-5054Instagram: @JonesHealthLawFacebook: @JonesHealthLawYouTube: @JonesHealthLawFederally Qualified Health Centers (FQHC) were created as independent nonprofit safety net providers with a goal of expanding outpatient care services to marginalized and underserved populations that may be found in rural or urban areas. The Federally Qualified Health Center Look-ALikes (FQHC Look-ALike) were created later as a way to expand these community health centers to reach more communities without allocating more government funding and fallsunder the Socials Security Act. Look-Alikes must abide by the same requirements as FQHCs as set out by the Health Resources and Services Administration, but without receiving the grant benefit.
In this episode of Vital Conversations, a Doc Talk community series, Dr. Tamang welcomes Tim Trithart, CEO of Complete Health, for a deep and candid discussion about the evolving landscape of healthcare in western South Dakota. From expanding access and breaking down insurance barriers to the critical role of federally qualified health centers (FQHCs), this episode explores the challenges and opportunities shaping care delivery in our region.Trithart shares insights on the benefits of integrated care models, the misconceptions surrounding FQHCs, and the importance of addressing mental health, especially among vulnerable populations. The conversation also touches on the impact of third-party payers, the potential of value-based care, the role of technology, and how organizations like Complete Health navigate financial sustainability while staying mission-driven.Whether you're a healthcare provider, policymaker, or community advocate, this conversation offers thoughtful perspectives on how to build a more accessible, equitable, and effective healthcare system. Hosted on Acast. See acast.com/privacy for more information.
In this episode of Health Talks, we're joined by Dr. Ben Preyss, Family Physician and Program Director, Dr. Elizabeth Redican, and resident Edward Akinyemi from Lawndale Christian Health Center. Together, they walk us through the journey of launching a new family medicine residency program while sharing firsthand what it takes to go from vision to recruitment. Listeners will hear about the essential groundwork, including aligning with community partners, securing resources, and staying mission-driven. The team also reflects on what makes Lawndale's program unique, the timeline from planning to implementation, and the long-term benefits residency programs can bring to FQHCs, including stronger recruitment, improved retention, and a culture of teaching. Whether you're exploring a residency program or already in the process, this conversation is packed with real-world insights and advice.
In this episode of Health Talks, we spotlight a groundbreaking initiative from PrimeCare Health Center—one of the first community health centers in the country to launch an Administrative Fellowship program. Our guests include CEO Lynn Hopkins, along with Elizabeth Brewington and Kelsey Kesler, who share how this 12-month fellowship gives recent master's graduates an immersive leadership experience in community health. From working directly with executive leaders to leading strategic projects and presenting capstones, fellows gain firsthand exposure to operations, healthcare delivery, and systems innovation. The conversation explores why this kind of training is so vital for the future of health centers, especially in underserved communities. Our guests reflect on powerful moments of impact, the importance of cultivating talent in FQHCs, and what's next for PrimeCare's fellowship program. Whether you're a recent grad, a healthcare leader, or a community advocate, this episode offers inspiration—and a roadmap—for building the next generation of health center leadership.Resources:https://www.primecarehealth.org/training-programs
In this episode of Health Talks, we chat with Gorana Micevic, a Physician Assistant at Access Community Health Network in Chciago. Gorana shares her journey from training at SIU School of Medicine to serving both rural and urban communities through family and addiction medicine. She discusses leading a nationally recognized COVID-19 testing program in rural Illinois, completing Rush University's addiction medicine fellowship, and building a patient panel for opioid use disorder (OUD) treatment at federally qualified health centers (FQHCs). Gorana offers encouragement for providers who may feel uncertain about treating OUD, and reminds us that education, empathy, and collaboration are key to making an impact.Throughout the episode, Gorana emphasizes the importance of education both for patients and providers. She reflects on how increasing clinician confidence around initiating OUD treatment could reduce barriers to care, and stresses the need for more training programs to include addiction medicine and integrated behavioral health: “I'm a strong believer in the power of integrated behavioral health. Some of the most meaningful progress I've seen with patients has happened alongside behavioral health consultants—professionals trained in trauma, anxiety, depression, and recovery. It's the combination of medical and emotional care that truly transforms outcomes.”
For 30 years, Stoltenberg Consulting has been providing consulting services and help desk support to hospitals and clinics. As explained in this interview with Kaitlyn Nelson, Director of Account Solutions and Development, Stoltenberg covers the gamut of support needs: strategic planning, implementation support, optimization, maintenance, training, legacy support, and more.Now, many of these same services are available to health centers in the Federally Qualified Health Center (FQHC) program, through the Boston-based organization, Community Technology Cooperative (CTC). This nonprofit, which currently serves Massachusetts FQHCs but is starting to expand nationally, gives its clients access to Epic's EHR and provides go live and EHR end-user support through a partnership with Stoltenberg. In this interview, Karen Serrago, CIO at CTC, explains this work and how the collaboration with Stoltenberg is making Epic accessible and usable for FQHCs.Learn more about Stoltenberg Consulting: https://www.stoltenberg.com/Learn more about Community Technology Cooperative (CTC): https://communitytechnologycooperative.org/Healthcare IT Community: https://www.healthcareittoday.com/
Family nurse practitioner Bettina Reed discusses her article, "The hidden crisis in health care: How corporate greed is destroying patient care." Drawing from four decades of experience across hospitals, private practices, FQHCs, hospice, and corporate medicine, Bettina shares a powerful account of how the health care system has been dismantled by corporate interests. She details how profit-driven practices—ranging from insurance denials and billing pressures to rising drug costs and privatization—have harmed patients, pushed out providers, and contributed to burnout and workplace violence. Bettina offers insight into alternative models of care and urges the public to reclaim health care from those who exploit it for gain. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Now It's Time to Think about Time-based Billing for BH Encounters Welcome to the Healthcare Compliance Insights podcast, a series focused on healthcare regulatory, revenue integrity, compliance, and risk management topics. In this episode, BerryDunn experts Robyn Hoffmann, Natalie Laaman, and the newest member of the team, Heather Bertolami, discuss helpful tips of interest to behavioral health providers in office-based settings, FQHCs, FQHCLAs, rural health care settings, certified community behavioral health clinics, ambulatory behavioral health, and hospital outpatient settings. You'll hear a quick overview of issues auditors might focus on, degree-based billing modifiers, which billing codes are time-based, timeliness requirements, documentation best practices, and our experts' top takeaways for accurate and compliant billing.
This series aims to demystify Medicaid, starting with insights from federal and state agencies, FQHCs, and managed care organizations, before exploring successful founders' strategies. Readour primers on the key players and innovations here, and stay tuned for upcoming posts featuring interviews with key opinion leaders, purchasers, and startup founders.Cityblock Health is a value-based healthcare provider focused on the complex clinical, behavioral health, and social needs of dually eligible and Medicaid recipients. Cityblock offers the only fully integrated and multi-modal solution that directly delivers clinical care to one of the most at-risk and hardest-to-reach populations. Powered by advanced technology that provides its care team with a data-driven understanding of member needs and risks, Cityblock has demonstrated industry-leading engagement, member retention, meaningful reductions in avoidable hospital readmissions, and reduced total cost of care.Founded in 2017, spun off by Sidewalk Labs, and based in New York, Cityblock has raised nearly $900M to date from investors such as SoftBank, Tiger Global, Maverick Ventures, General Catalyst, Thrive Capital and 8VC, among others. It is now valued at $5.7B. Cityblock currently serves more than 100,000 members, and partners with four national Medicaid health plans and several health systems in 15 cities across seven states.Mike's career has spanned both legal and healthcare leadership roles, starting as a commercial litigator before joining UnitedHealth Group as National Vice President of Medicaid Policy and Product. He went on to serve as CEO of UnitedHealthcare Community Plan of Ohio, then as Chief Transformation Officer and President of Government Programs for Optum BH Solutions, and later as Chief Growth Officer and SVP of Growth and Product at UnitedHealth Community and State. In 2024, he joined Cityblock as President to help drive the company's next phase of growth.Mike holds an undergraduate degree from the University of Notre Dame, a JD from Notre Dame Law School, and attended an Executive Education Program at Stanford Graduate School of Business.In this episode, we learn about how health plans evaluate startups, the complexities of improving access for Medicaid and dual-eligible populations, and Cityblock's innovative approach to building trust and engagement.
This episode is part of Pear VC's series on Medicaid, covering the basics that founders need to know to build innovations that support communities in need. This week, we're excited to get to know Cesar Herrera. Cesar is the co-founder and CEO of Yuvo Health, a value-based care enablement organization for FQHCs. Yuvo Health is an industry-leading healthcare organization that partners with community health centers to help them gain an advantage in value-based care, a healthcare model that prioritizes patient-provided quality and outcomes of care over the quantity of services delivered. Founded in New York City in January 2021 by a fully BIPOC team that has experienced the power of quality care firsthand, the entire company shares a common goal of bringing fair, quality care to underserved communities. Yuvo Health empowers health centers to succeed in value-based care arrangements by qualifying for meaningful value-based care contracts and achieving success in those arrangements with a dedicated Population Health partner — and with Yuvo Health taking on the risk in doing so. Yuvo has raised $28M to date from AlleyCorp, Mosaic General Partners, New York Ventures, HLM Venture Partners, Route 66 Ventures, VamosVentures, AV8 Ventures, Watershed, GreyMatter, Social Innovation Fund, and others Cesar's journey in healthcare spans over two decades, beginning with strategy and policy consulting at Kurt Salmon Associates, Booz Allen Hamilton, and Booz & Company. He also worked at Horizon Blue Cross Blue Shield of New Jersey, where he spearheaded marketing and competitive strategy initiatives. He then transitioned to Head of Existing Business at Zocdoc, and then Healthify, where he served as Chief Solutions Officer, shaping his vision for Yuvo Health. Cesar holds an MBA from NYU Stern School of Business, along with an MPH in Health Policy and Management from Johns Hopkins Bloomberg School of Public Health.
In this episode we hear from Chris Weathington, Director of Practice Support for North Carolina Area Health Education Centers, about how his organization provides training and resources to enable practices to focus on value rather than spending time on administrative burdens, thereby freeing up providers to better focus on patient care.Chris Weathington, welcome to the Move to Value podcast.Well, thank you for having me.Great. So Chris, for our listeners that may not be familiar with you, can you give us a little bit, tell us a little bit about yourself and your background?Sure. Well, I, I'm the director of practice support at North Carolina Area Health Education Centers, otherwise known as NCAHEC. I'm originally from Eastern North Carolina in small town called Winterville in Pitt County. My background is I've been working in Health Administration for a very long time, mostly working in a large health system but working largely with primary care and in the field of practice management and business development over the years. I've worked extensively in rural health helping providers figure out how best to survive and thrive with value-based care. So my educational background is about a master's in Health Administration and Bachelor of Science in public health from UNC Gillings School of Public Health. So, I'm a true Tar Heel, but I've been in North Carolina my entire life.Great. That's great background, Chris. Thank you. And go Heels. So, you mentioned currently you're the director of NCAHEC practice support. Tell us about NCAHEC. Give us a little bit more and specifically what your role is and what your team that you ever see does.Sure. Well, North Carolina, AHEC was established in the early 1970s. It's been around for about 50 years. It's a state agency. Our program office is based out of the UNC School of Medicine and we have 9 regional AHEC centers located throughout the state, many of them part of large health systems and some that are independent 501c3 not-for-profits. So they're geographically dispersed in Asheville, Charlotte, Winston Salem, Greensboro, Raleigh, Wilmington, Greenville, Rocky Mountain, Fayetteville, and Greensboro. And the mission of AHEC is to recruit, train and retain the state's health workforce. As you know, we have significant health workforce challenges if we didn't have them already prior to COVID. So practice support is one of several offerings or service lines, if you will, to fulfill that mission. So in practice support, we are committed to helping train and retain the state's health workforce. So working largely with practices in rural and underserved areas, primary care safety net providers such as FQHCs and rural health clinics and health departments, specialist and behavioral health providers, helping them to stand on their own two feet and working in doing that in partnership with accountable care organizations and CINs such as yourself over at CHESS. So that's really what we're all about. And in the value-based world, while practices are working in the Fee-for-service model, which still is around maybe a little bit less, but it's still largely there, helping practices not only function in that environment, but also survive and thrive with value based care. And that's hard and it's hard work, but that's what we're committed to do.That's a great mission and, and you guys do great work. I love meeting with you and hearing about how things are going throughout the, the state and healthcare. You guys have a great pulse on that always. And as you mentioned, one of the things that you guys or one of the areas you really focus on really is in the rural communities. And as you know, much of the care in North Carolina is...
In this episode, Karen Claxton, MBA, CPCS, CPMSM, FMSP, speaks with Miguel A. Martinez Serena, CPCS; and Stephanie Fox, CPCS, who share a look into their unique positions as MSPs working in Federally Qualified Health Centers, or FQHCs. Learn about the essential role of FQHCs in many communities, and hear about the responsibilities and initiatives of MSPs in these centers. Don't forget to subscribe to the Tomorrow's MSP® Podcast so you never miss an episode. Access the NAMSS Education Zone for webinars and resources for various healthcare settings. *NAMSS Websites* https://www.namss.org/ | https://www.namssgateway.org/ | https://community.namss.org/home
This episode is part of Pear VC's series on Medicaid, covering the basics that founders need to know to build innovations that support communities in need. Today, we're delighted to introduce Tracy Douglas, the CEO of Virginia Community Healthcare Association (VCHA), which is the primary care association representing Virginia's Federally Qualified Health Centers (FQHCs) . Tracy brings over 25 years of healthcare administration and operations experience. She has held executive roles in FQHCs in Indiana and Maryland, overseeing multiple locations across both states. In these roles, she led operations, maintained financial strength, and supported strategic goals to achieve excellence in medical practices, programs, and services. Tracy has managed operations in various healthcare settings, including pediatric centers of excellence, providing cardiac, kidney, and pulmonary services, both clinic-based and surgical. She also oversaw outpatient and inpatient acute care services and led a large health system's managed care division. Additionally, Tracy served as the Executive Director of a for-profit physician-hospital organization. In her current role, Tracy is responsible for the overall operation, management, program development, and fiscal control of VCHA. She also advocates for the Association's members with federal, state, and local policymakers to ensure they have the tools and resources needed to improve access to primary care for the underserved in Virginia. Tracy received her bachelor's degree from the University of Maryland, College Park, and her master's degree in General Administration with a focus on Healthcare Administration from the University of Maryland University College. In this episode, we learn about the scope of FQHC services, how FQHCs are financed, what challenges they face and how they evaluate vendors.
Today we continue the discussion between Yates Lennon and community health expert Randy Jordan, about how good health is typically achieved through a good clinical home, which has always been an insurance discussion but now should shift to a discussion about the uninsured who need the knowledge about where to go when sick, to increase savings in the cost of caring for the entire population.OK, All right, Randy, thank you for sticking around. Our first conversation was fascinating. Looking forward to continuing that. I think you've touched a little bit on the next question I have for you, but we'll maybe expand a little bit more. Tell us about you talked about the health, the safety net and being that term being used pretty widely and you I think listed out free and charitable clinics, FQHCS, rural health clinics as sort of the network. I think I might have left one out. So fill, fill that in for me. But why is it so important? Why? Why is the health safety net so important? And to one of my earlier questions in the first session, why does it not get more attention than it does?Well, I think added to the list Yates would be public health units and school-based health centers.There you go.You know it. It's a fascinating question that you're asking because I think to those who work in the space, it gets all the attention in the world. It's built around mission minded folks who want to see this issue of the uninsured being taken care of. If, if we just pause for a moment and look at all the energy that was brought to North Carolina recently about Medicaid expansion, it brought all kinds of groups together. But it was in that case, it was for the intention of getting a health insurance card in the hand of people in need. That same passion though, exists for those that are in the business of trying to, to provide healthcare services to uninsured patients. And so at one level there's a lot of attention to it, but at another level, there's, a real absence of attention. I don't think it's because people don't care. I think it's because we've not informed them well enough. And it's one of the things I appreciate, appreciate about the chance to be on your podcast today is when the message gets out, people are good hearted, they'll respond in the right way. But we do need to get the the message out. We need to get it out to policy makers. We need to find ways for that voice to be united. And that's, you know, those are some things that I'm also working on in my spare time.Awesome. So you, you mentioned in the first session the hospital in Jacksonville that worked with the free and charitable clinic. Can you talk to us a little bit about how the Medicaid, the the health safety net can be strengthened? What, what, what needs to happen? What are some ideas and needs for strengthening that safety net?Well, we mentioned a number of times Medicaid already today. One of the strong ideas that came out of Medicaid transformation was a recognition that social determinants of health are important for good health. And so we're talking about housing, food insecurity, transportation, and basically protections against family violence and other forms of interpersonal violence. So the Healthy Opportunities pilots that have sprung up across the state, three of them now have identified and brought together sort of the safety net of social services. It's a wonderful thing and we celebrate it. But it because it applies only to Medicaid, that access to that network is not organized in a way to also apply to the uninsured. And I think that that's one challenge that that lays ahead for us is finding a way to leverage what's being built in the Medicaid system and apply it to the uninsured. Now here's an interesting thing. If you look at the demographic of, of most Medicaid patients, it's very, very similar if not identical to uninsured patients. The it's all income
Ask a Doctor - What Your Doctor Wants You to Know with Dr. Virgie
This episode could save your financial life! Dr. Virgie reveals what to do if you're self-employed, in-between jobs or don't have insurance through an employer, and can't afford federal marketplace health insurance a.k.a. Obamacare. By the end of this hour, you're going to learn about protecting your financial future with direct primary care (DPC), federally qualified heath centers (FQHCs), and catastrophic medical event insurance. crushmedicaldebt.com
The scope, scale and timeline of what California is trying to do with CalAIM is truly breathtaking. It's been almost a year-and-a-half since the launch of the program and Dr. Palav Babaria joins us to discuss how it's going and what comes next. Dr. Babaria is a primary care physician who leads quality and population health management for California's Medicaid program - Medi-Cal. We discuss:Which community supports are used most, or least? One of the big learnings from CalAIM: the enhanced care management models that work for adults dont work for childrenHow Medi-Cal is leveraging health plans as the organizers of social care because that's where the members areThe soon-to-be-released population health management service will address two big issues: standardized and equitable approaches to identifying high risk members and integrating state level benefits data, like for WIC Palav reminds us that CalAIM was built through listening:“Not everyone may know this, but CalAIM was generated from a statewide listening tour. Our previous state Medicaid director went around the state and literally asked communities… rooms full of plans, members, providers, what do you need from Medi-Cal that isn't working today? [The] smorgasbord of recommendations is what turned into CalAIM … Listening to the community and responding to the community's needs is in the core DNA of this program.”Relevant LinksListen to our related episode “Reflecting on Year One of CalAIM with Jacey Cooper”CalAIM dashboard Population health management policy guide California and other states require managed care plans to reinvest in local communitiesNY waiver summaryAbout Our GuestDr. Palav Babaria was appointed Chief Quality Officer and Deputy Director of Quality and Population Health Management of the California Department of Health Care Services beginning in March 2021. She was formerly the Chief Administrative Officer of Ambulatory Services at Alameda Health System. In that capacity, she operationally and clinically oversaw 26 specialty clinics, four large primary care FQHCs, specialty and integrated behavioral health, and is responsible for all outpatient value-based payment programs. Prior to that role, she served as Medical Director of K6 Adult Medicine Clinic. She also has over a decade of global health experience and her work has been published in the New England Journal of Medicine, Academic Medicine, Social Science & Medicine, L.A. Times, and New York Times. Her areas of interest include ambulatory transformation in resource-limited settings, shifting to value-based care, and issues of gender in medicine. Babaria received her bachelor's from Harvard College, as well as her MD and Masters in Health Science from Yale University. She completed her residency training in...
This series aims to demystify Medicaid, starting with insights from federal and state agencies, FQHCs, and managed care organizations, before exploring successful founders' strategies. It will start with a primer on the key players and innovations, evolving with new posts featuring interviews and insights. Read more about this series here. Today, we're excited to get to know Eliot Fishman, a director at CMMI who focuses on policy and programs that affect Medicaid beneficiaries. Eliot comes to us with a long history of impact in public health policy. Eliot started his career as a policy associate at Mt. Sinai Health System in NYC and then went on to Manatt, Phelps & Phelps. He transitioned into a management policy role on the provider side again at MJHS, a large health system in the New York Area before he left to join the government. Eliot then served at NJ Department of Health and Senior Services and Centers for Medicare and Medicaid Services for several years across different groups on Medicaid, Medicare and CHIP. Eliot also served in consulting roles at Health Management Associates and at nonprofits like Families USA. In this episode, we learn about payment models within CMMI that attempt to foster innovation in care delivery for Medicaid, program and payment integrity and value-based care models as well as how the Federal government collaborates with State governments to improve care delivery.
We know that diverse founders only receive a fraction of VC funding. And that healthcare inequality is exacerbated by the lack of diverse perspectives and solutions in healthcare tech.But what if there was a venture fund that focused on diverse founders building healthcare technology for the communities they come from?Justin Williams is Principal at Seae Ventures, an investment firm specializing in early-stage healthcare technology companies founded by diverse entrepreneurs.In his role at Seae, Justin leads portfolio sourcing, deal due diligence, financial modeling and portfolio management.On this episode of The Beat, Justin joins host Dr. Jessica Shepherd to discuss healthcare portfolios that focus on diversity and disadvantaged communities.Justin shares examples of Seae's portfolio companies, explaining how Functional Fluidics serves patients with sickle cell disease and Kiyatec helps cancer patients make personalized therapy decisions.Listen in for insight on implementing new innovations in diverse patient populations and learn how Seae is moving the needle on health equity by investing in diverse founders of healthcare tech.Topics CoveredWhat inspired Justin's transition from finance to healthcare investingHow its mission to advance equity through opportunity drew Justin to SeaeHow Functional Fluidics serves patients with sickle cell diseaseThe benefit of founders being a part of the communities they serveJustin's passion for investing in diverse founders who help underserved communitiesHow Kiyatec helps cancer patients make personalized treatment decisionsIdentifying how certain communities, ethnicities and genders respond to cancer therapiesSeae's strategies for finding new portfolio companiesThe diversity among Seae's team and the company's group of foundersHow Seae works with FQHCs to implement tech solutions in diverse patient populationsJustin's advice for aspiring VCs from diverse communitiesConnect with Justin WilliamsSeae VenturesJustin on LinkedInConnect with Dr. Gautam Gulati & Dr. Jessica ShepherdViVEHLTHDr. Shepherd on TwitterDr. Shepherd on LinkedInDr. Gulati on TwitterDr. Gulati on LinkedInResourcesFunctional FluidicsKiyatecSeae's Partnership with EBNHC
In this episode, our guest is Lisa Blue MHI, BSN, RN. Lisa is the Chief Clinical Innovation Officer with Providertech, which offers technologysolutions to address the complexity of scaling patient engagement while improving operational efficiencies. She is an enthusiastic population health leader who believes that doing healthcare differently, and better, is possible. She is a registered nurse with clinical experience from acutecare to FQHCs, giving her the ability to effectively translate and enhance healthcare workflows. She earned her Diploma of Nursing from St Elizabeth Hospital Medical Center in Ohio, her Bachelor of Science in Nursing at Grand Canyon University, and her Master of HealthcareInnovation from Arizona State University, where she also was adjunct faculty from that program.Interview topics Motivation to step into this role/companyChallenges and opportunities of patient engagement. How does SDOH further complicate patient engagement?Most promising things emerging in healthcare ITOpportunities in the healthcare system todayGuest -Lisa Blue MHI, BSN, RN-LinkedIn https://www.linkedin.com/in/lisa-z-blue/-Website https://www.providertech.com/-YouTube https://www.youtube.com/channel/UCL5wtK-1alzs3amrSzSIaFQHost - Hillary Blackburn, PharmD, MBAwww.hillaryblackburn.com https://www.linkedin.com/in/hillary-blackburn-67a92421/ @talktoyourpharmacist for Instagram and Facebook@HillBlackburn Twitter ★ Support this podcast on Patreon ★
When we think about health professions training we often think of physicians. However, the health professions field encompasses so many more professionals, many of whom are in high-demand at FQHCs. In this episode, we will hear from Erie Family Health Centers, Inc. on their unique training programs for Medical Assistants, such as an medical assistant externship program and a relationship with the National Institute for Medical Assistant Advancement. We also discuss Erie's summer internship program and hear about their work with behavioral health, nursing, and public health students.
Oscar Delgado served as a member of Reno's City Council for a decade before resigning last year to focus on his work as CEO of the Community Health Alliance, a Federally Qualified Health Center providing care to many of Reno's lower income families. On this week's episode of the show, Oscar sat down with Conor to discuss the role that FQHCs play in our health care system, both locally and nationally, the issue of stigma around lower income clinics, the importance of providing primary care and reducing the use of urgent care for all medical issues, the model of providing a variety of services under one roof (dentist, mental health, nutritious food, and more), the rollout of COVID vaccines in the early days of the pandemic, and a lot more! On an extensive bonus segment (available for all patrons of the show), we talked more about some local political issues, including the upcoming election year, the process of appointing a replacement for his seat rather than holding a special election, redistricting and elimination of the at-large seat, the toxicity and invasion of privacy that has plagued our politics in recent years, and more! Thank you so much for supporting the work I'm doing with Renoites! This month marks 3 years of bringing conversations like this one to the people of our community. I'm very proud of the work I've done and it wouldn't be possible without you listening and sharing. If you have suggestions or feedback, email me at conor@renoites.com and follow me on Instagram at http://instagram.com/renoites
Teaching can be an effective tool for health centers in their recruitment and retention efforts. Setting up new programs or establishing relationships with existing programs can seem like a daunting task, however, many FQHCs have been able to create training programs to assist in developing the next generation of health care professionals. In this podcast we will hear from Erie Family Health Centers, Inc. on their experience with residency programs and an advanced practice registered nurse fellowship.
This week Stuart Shapiro talks to Assistant Professor Emily Parker about her research interests in community health centers and how they originated from her work assisting with Affordable Care Act implementation in New York state. In this EJB Talks episode, she explains what federally qualified health centers (FQHCs) are and their history in serving underserved communities. Parker discusses how FQHCs have avoided partisanship despite being government-funded, in part by appearing private and not emphasizing their government support. Her qualitative research has found that many patients were unaware and even surprised, of the government support of FQHCs. Shapiro also asks about Parker's place-based policy research on programs that target funding geographically, and how that fits in in her new surroundings at the Bloustein School. Having a health policy research background, Parker is looking forward to understanding her research from the different methodological approaches of her new urban planning colleagues. --- Send in a voice message: https://podcasters.spotify.com/pod/show/ejbtalks/message
On episode 453 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. Annie DePasquale, MD, a physician who cares about nurse practitioners and helps them to find caring, compassionate, and interested physicians with whom they can collaborate, especially in states where such a relationship is legally required. In 2020, Dr. DePasquale founded Collaborating Docs when she realized that the hoops that nurse practitioners have to jump through to start practicing are too exhausting for anyone to handle alone, especially in light of how challenging it is for NPs to find collaborating physicians. Dr. DePasquale benefited greatly from the mentorship of NPs throughout her career, especially when she was a green new doctor, so she is very committed to giving back to the community that helped her so much. Her mission is to make it easy for NPs to help more patients by having freedom of choice. Collaborating Docs has helped over 2500 NPs match with collaborating physicians. Originally studying piano & French as an undergrad at Carnegie Mellon University in Pittsburgh, Pennsylvania, Dr. DePasquale subsequently graduated from Virginia Commonwealth University in Richmond, Virginia and completed her Facility Medicine Residency program at Georgetown University in Washington, D.C. She has taught for the Teach America program in Baltimore, MD and worked for federally qualified health centers (FQHCs) in Washington, D.C., Medford, Oregon, and Lynchburg, Virginia. Connect with Dr. Annie DePasquale & Collaborating Docs: CollaboratingDocs.com Facebook Instagram X LinkedIn YouTube ----------- Did you know that you can now earn CEUs from listening to podcasts? That's right — over at RNegade.pro, they're building a library of nursing podcasts offering continuing education credits, including episodes of The Nurse Keith Show! So just head over to RNegade.pro, log into the portal, select Nurse Keith (or any other Content Creator) from the Content Creator dropdown, and get CEs for any content on the platform! Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. Nurse Keith lives in beautiful Santa Fe, New Mexico with his lovely fiancée, Shada McKenzie, a highly gifted traditional astrologer and reader of the tarot. You can find Shada at The Circle and the Dot. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media ringmaster and newsletter wrangler.
In this episode, I am joined by Lisa Blue, the Chief Clinical Innovation Officer with Providertech. Lisa discusses the intersection between patient engagement and technology. She explains that patient engagement is when patients respond in the expected way, such as reaching out to healthcare providers or responding to calls or texts. Lisa emphasizes the importance of user-friendly technology for healthcare professionals and patients. She addresses the misconception that technology worsens patient engagement and highlights how it can help improve engagement. Tune in to learn more about the role of technology in patient engagement. Show notes: [00:02:20] Patient portals and usability. [00:05:28] Lack of interoperability. [00:09:33] Challenges in implementing technology. [00:13:28] Patient interaction challenges. [00:16:02] Transforming healthcare practices through technology. [00:19:22] Behavioral economics in psychology. [00:24:18] Engaging patients through personalized messages. [00:29:34] A message library for patients. [00:32:09] Making engagement easy for patients. [00:36:04] Simplifying healthcare technology. [00:39:11] ProviderTech and contact information. More About Lisa Blue: Lisa Blue is the Chief Clinical Innovation Officer with Providertech, which offers technology solutions to address the complexity of scaling patient engagement while improving operational efficiencies. She is an enthusiastic population health leader who believes that doing healthcare differently, and better, is possible. She is a registered nurse with clinical experience from acute care to FQHCs, giving her the ability to effectively translate and enhance healthcare workflows. She earned her Diploma of Nursing from St Elizabeth Hospital Medical Center in Ohio, her Bachelor of Science in Nursing at Grand Canyon University, and her Master of Healthcare Innovation from Arizona State University, where she also was adjunct faculty from that program. Resources from this Episode: Website Lisa's LinkedIn Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
This episode's Community Champion Sponsor is Catalyst. To virtually tour Catalyst and claim your space on campus, or host an upcoming event: CLICK HERE---Episode Overview: During this episode, we connect with Lisa Blue, Chief Clinical Innovation Officer at Providertech, a leading company pioneering better patient engagement and care management. Bringing deep nursing expertise, Lisa is driven to transform complex healthcare journeys through human-centric design. While together, Lisa shares how Providertech leverages behavioral science and clear navigation to drive meaningful actions. Lisa also unpacks real-world implementations empowering vulnerable populations through simplified education and direct access and the continued push towards value-based care and population health enabled by smart technologies. Join us to hear how Lisa and the Providertech team advocate for advancing healthcare through creativity, relationships, and persistently believing better is possible and to gain inspiration from her dedication to improving care team workflows and patient experiences. Lets go!Episode Highlights:Lisa brings clinical leadership experience from acute to community care settings.Providertech uses behavioral science and navigation to drive patient actions.Real-world examples show simplified education and access empowering populations.Lisa sees continued momentum towards value-based care and population health.She exemplifies creativity, persistence, and leveraging connections to transform care.About our Guest: Lisa Blue is the Chief Clinical Innovation Officer with Providertech, which offers technology solutions to address the complexity of scaling patient engagement while improving operational efficiencies. She is an enthusiastic population health leader who believes that doing healthcare differently, and better, is possible. She is a registered nurse with clinical experience from acute care to FQHCs, giving her the ability to effectively translate and enhance healthcare workflows. She earned her Diploma of Nursing from St Elizabeth Hospital Medical Center in Ohio, her Bachelor of Science in Nursing at Grand Canyon University, and her Master of Healthcare Innovation from Arizona State University.Links Supporting This Episode:Providertech Website: CLICK HERELisa Blue LinkedIn page: CLICK HEREProvidertech Twitter page: CLICK HERE Mike Biselli LinkedIn page: CLICK HEREMike Biselli Twitter page: CLICK HEREVisit our website: CLICK HERESubscribe to newsletter: CLICK HEREGuest nomination form: CLICK HERE
On the first episode of the Fall 2023 season, things get wonky with the good people at Yuvo Health and My Community Health Center about how creative approaches to value-based care can improve care delivery at Ohio's community health centers. Specifically, Yuvo is doing some really exciting work with My Community Health Center in Canton. Dan talks with Dr. Lora Council, Chief Medical Officer at Yuvo Health; Dr. Sarah Hoehnen, Chief Medical Officer at My Community Health Center; and Loren Anthes, who is Head of External Affairs at Yuvo Health. For more on Yuvo Health see their website. Connect with Yuvo on LinkedIn. For those new to value-based health care, the role of risk in health care, and other topics discussed on the show, the Commonwealth Fund also has a nice overview of value-based health care. Check it out here. Some shoutouts on the show: - Congrats to Julie DiRossi-King on becoming president and CEO of the Ohio Association of Community Health Centers. - Learn more about the Health Policy Institute of Ohio's Health Value Dashboard. Hosted and produced by Dan Skinner. Prognosis Ohio is a member of the WCBE Podcast Experience and the Health Podcast Network. Prognosis Ohio is a production of Prognosis Ohio, LLC.
The panel was back at it with a great breakdown of the Medicare Physician Fee Schedule Rule Changes for 2024... as always it was a lively discussion about the proposed rule changes and their impact on providers. Topics Included: 1. Split/shared services – the definition of substantive portion will remain the same as it is now through 12/31/2024... Time will not be the controlling factor. HX, EX, and MDM can be used to make this determination of the substantive portion. 2. Extend flexibilities for certain assessments furnished via audio-only communication, through the end of CY 2024. If finalized, opioid treatment programs (OTPs) would be allowed to bill Medicare when video is not available, using technology permitted by the Drug Enforcement Administration (DEA) and the Substance Abuse and Mental Health Administration (SAMHSA). This extension would equalize telehealth flexibilities across providers of care and negate potential service disruptions due to the end of the COVID-19 public health emergency (PHE). 3. CMS proposes several additions to covered telehealth services under the MPFS, as well as an extension of several telehealth provisions from the Consolidated Appropriations Act (CAA) of 2023. Proposed changes include the add-on of health and well-being coaching services on a temporary basis (specific diagnoses and licensure/certifications will apply), as well as a refined process to review requests to add services to the Medicare Telehealth Services List. Telehealth provisions extended through December 31, 2024, will include: • The temporary expansion of the scope of sites where telehealth is furnished from, to include any location in the U.S. where a beneficiary may reside; for Medicare and MA patients, but States would also have to agree to comply. • A change in definition of telehealth providers to include qualified audiologists, speech-language pathologists, occupational therapists, and physical therapists; They are already on the Temp list through 2024 • Continued payment for telehealth services provided by federally qualified health centers (FQHCs) and rural health centers (RHCs); limited to BH services • Delaying requirements for beneficiaries to meet with practitioners six months before initiating mental health telehealth services; Unless they have a narcotic prescription then they would not qualify if a new patient after Nov 2023 • Allowing physicians in teaching environments to use video and audio communications when a resident is furnishing Medicare telehealth services; and But the supervising provider would have to be somewhere in the inpatient hospital setting and available if needed. • Continued payment and coverage of telehealth services that are included on the Medicare Telehealth Services List. 4. There is a proposed reduction to the 2024 conversion factor that would reduce provider reimbursement. CMS is urging Congress to create a permanent fix for this issue but as it stands now, the proposed rate reduction stands. CMS is also proposing significant increases in payment for primary care and other kinds of direct patient care with the HCPCS add on G2211. 5. The proposed rule includes a new benefit category wherein family therapists, marriage therapists, and mental health counselors would be able to bill Medicare (Physician supervision necessary). Additionally, CMS proposes changes in payment and coding to account for resources utilized in the delivery of care involving a multidisciplinary clinical team and other staff members. 6. The Proposed Rule has significant implications for other virtual care and care management services, including Remote Physiologic Monitoring (“RPM”) and Remote Therapeutic Monitoring (“RTM”) services. Below is a summary of key provisions in the Proposed Rule relating to RPM, RTM, and other virtual care management services, along with opportunities and challenges for stakeholders in the space.
Mountain Park Health Center, a Federally Qualified Health Center serving the Phoenix Metro area, cleverly used a QR code to help staff and patients adopt a new technology. Internal champions collaborated with their EHR partner, eClinicalWorks, to double the use of their new patient portal in just twelve months. To find out more, Healthcare IT Today caught up with Amy Nunez, IT Director - Clinical Applications at Mountain Park Health Center (MPHC) at eClnicalWorks' Health Center Summit held in Boston, MA. The Health Center Summit is an event that is tailored specifically for eClinicalWorks' community health and federally qualified health centers (FQHCs) customers. Learn more about Mountain Park Health Center at https://mountainparkhealth.org/ Learn more about eClinicalWorks at https://www.eclinicalworks.com/ Find more great health IT content: https://www.healthcareittoday.com/
Federally qualified health centers (FQHCs) provide essential healthcare to people who are uninsured or underinsured, and the support they provide doesn't stop there. In this podcast, Abt's Ann Loeffler and Dr. Kimberly S.G. Chang— Family Physician and Director of Human Trafficking and Health Care Policy at Asian Health Services in Oakland, Calif., discuss the role health centers play in everything from participatory democracy to combatting racism.
Tune in to learn more about the important work of FQHCs and hospitals in promoting equitable access to healthcare and building healthier communities.
Hosts Heather and Matthew welcome Ann Lewis, the CEO of CareSouth, a Federally Qualified Health Center that provides vital health care services to the Pee Dee region in South Carolina. We have an insightful conversation about the varied organizations and entities that work with FQHCs and how these systems collaborate to bring health care to underserved populations - tune in now!
Today's episode is one of two on Harm Reduction and Narcan Education for FQHCs. Our guest, Kathleen Monahan is the State Opioid Response Project Director for IDHS/SUPR, and shared information on the Drug Over Dose Prevention Program (DOPP). Ms. Monahan spoke about how FQHCs can enroll in the DOPP and receive free Narcan to distribute to health center patients, as well as the communities they serve.To learn more about DOPP, please click on the link below. Please note that FQHCs should then click on the Hospital and Clinics button to fill out the form to enroll. https://www.dhs.state.il.us/page.aspx?item=58142.
Su Bajaj, CTO of Yuvo Health, discusses health equity, telemedicine, and FQHCs.
So much of this episode (and this podcast as a whole, really) is about one consistent theme: How do we reset or redesign our healthcare industry, including hospital chains—mostly talking about the big consolidated ones that have a lot of money here—but how do we redesign these leviathans to be more consistent with our values as a country and the values of the doctors and other clinicians and others who work in these places and who went into the healthcare profession for a reason that had, you know, something to do with patients? And I mean something to do with patients that doesn't involve dressing up for Halloween as a giant cardboard dollar sign, like some finance department guy did at one large nonprofit hospital in the spirit of shaking money out of poor patients (see article here). Or listen to previous episodes about hospitals raising prices way higher than the rates of inflation. Not to belabor this because we've already talked about it so very often, but you also have the whole thing with big, well-funded, nonprofit hospital chains going on cost-cutting extravaganzas and, at least in one case, basically creating their own staffing crisis. Do these activities have a familiar ring to them? Do they strike you as a page out of a playbook you may have seen elsewhere? I don't know about you, but they remind me of things that private equity or financial folks run around doing. I mean, the classic stepwise for how to maximize the financial value of an “asset” from a financial industry standpoint is to cut costs and raise prices. Piling on this “kind of sounds like a B-school group project” thesis, what about the thing with a bunch of these big, consolidated hospital systems with rich endowments crying crocodile tears about how much money they lost last year? Except … in a whole bunch of cases, the money they lost—some of which came from the COVID CARES relief act funds they got, by the way—but this money was lost when their risky stock market investments tanked. Those are their losses. Stock market losses. From speculative investments. Are you kidding me? But hospitals are charities, right? They are nonprofits. They aren't owned by private equity. They aren't owned by an investment bank or a team of financiers, so you wouldn't expect them to be acting like they are owned by Wall Street. But … oh, wait … how weird. You know who is on the boards of some of these very well-known nonprofit hospitals? If you don't, I'm not surprised, because in too many cases, if you ask me, you have to dig around in tax filings and other bureaucratic paperwork to unearth the names of these members who have quite a large amount of power (it turns out) over what goes on in the hospital. But you know who is on these boards? Yeah … almost half of board members tend to have a financial background. Almost none of them are nurses. And what about doctors? Are physicians on these boards? Well, almost one-third of hospital boards did not have a single physician member. So, there's that. Here's a quote from a STAT news article written by my guest in this healthcare podcast, Suhas Gondi, MD, MBA, and also Sanjay Kishore, MD, about a study that the two of them coauthored about who is on hospital boards. Here's the quote: Our findings are cause for concern. If hospital executives are largely held accountable by finance professionals and corporate leaders, instead of by clinicians and patients, might they focus more on revenue and expenses than the needs of their communities or staff? While some argue that margin facilitates mission, the measure of a nonprofit organization is how these priorities are balanced by leaders who ultimately answer to their board. So, I get there's balance. You have to be financially sustainable. But I also get that, apparently, tigers don't change their pinstripes. The pin-striped suit remains even when the finance tigers become the board members of a charitable organization that's supposed to be serving the surrounding community paying its freight in the form of its tax exemptions. This is what this conversation is about today: Who is on these hospital boards? How much power do these hospital boards have? And what might be done to switch it up some so that we can get hospitals that are reflective of our values as a nation and what we want for ourselves and our families? Today, as aforementioned, I'm speaking with Suhas Gondi, MD, MBA, who, along with his coauthor Sanjay Kishore, MD, wrote a paper on this exact topic. Check out some great Tweets and comments. Following are some suggestions that Dr. Gondi makes in this podcast interview that follows to help us get a little less misaligned. Here's one mandate and three suggested models for current hospital boards, which (let's get real) are currently comprised a lot of times of a group of people making decisions in closed boardrooms that impact a whole lot of people. First of all, there should be transparency about who is on the board and what they are doing in those closed rooms—what decisions they are making. Second of all, the IRS could surely mandate that for anybody looking to get tax-exempt status, certain requirements are in order for the boards of said organizations. Then here's three suggested models to consider: 1. At other kinds of charities and even healthcare organizations with clear missions, like Federally Qualified Health Centers (FQHCs), the composition of the boards is mandated; and for FQHCs, 50% of the board has to be patients who are patients at the FQHC, for example. And, yeah with this. Hospitals are tax-exempt entities. That means that others in the community are paying more in taxes so that this hospital isn't paying taxes. This hospital, therefore, is in debt to the community. Having a board that is reflective of the community could be one way to ensure that this hospital has an accountability to that community and can serve its needs adequately. 2. NASDAQ requires that two members of every board have some “under-represented” diversity, so that could be a thing. You could add to that professional background diversity. I was looking at a Web site the other day featuring a team photo with the caption something like “Here's our diverse team,” and the entire photo was of, I'm going to say, literally 30+ white men. The caption clarified that they all had different experiences … in the pharmacy benefit administration space. So, nothing against white men, but … yeah, it might be a good idea to align as a community on a broad definition of diversity and what “reflective of the community” means. 3. Accountable capitalism. This was originally suggested by Senator Elizabeth Warren, who argued that 40% of boards should be elected by workers. So, not the majority of the board but enough of the board that it becomes accountable to frontline workers and others. You can learn more by connecting with Dr. Gondi on Twitter and LinkedIn. Suhas Gondi, MD, MBA, is a resident physician in internal medicine and primary care at Brigham and Women's Hospital. As an EMT in his hometown in Virginia, he saw how structural barriers impact access to healthcare for vulnerable patients. He dedicated himself to studying medicine and policy together with the goal of building a healthcare system that delivers better outcomes and prioritizes equity. His academic work focuses on incentives in our healthcare system and how they shape the behavior of providers and payers. His work on healthcare payment and delivery system reform has been published in the New England Journal of Medicine, JAMA, and The Lancet and has been cited by the Medicare Payment Advisory Commission. His advocacy and writing have been featured by CNN, NPR, New Yorker, and USA Today. He graduated from Harvard Medical School and Harvard Business School and previously served on the White House Health Equity Leaders Roundtable. 05:26 What's a hospital board, and how much power do they have over goings-on? 06:51 How big is a hospital board typically? 07:45 How powerful is a hospital board actually? 09:12 What percentage of these board members have roles within the finance industry? 10:04 What percentage of these hospital board members are health professionals? 10:47 How do these hospital boards work? 12:44 Have hospital boards always been made up of financial board members, or is this a recent thing? 18:12 “The private equity model … fundamentally changes the incentives of the organization.” 23:21 Are hospital boards a potential place to create change within the healthcare industry? 25:16 “It's about who has power.” 30:55 What's the hope with diversifying hospital boards? You can learn more by connecting with Dr. Gondi on Twitter and LinkedIn. @suhas_gondi discusses on our #healthcarepodcast who is on #hospitalboards. #healthcare #podcast Recent past interviews: Click a guest's name for their latest RHV episode! Dr Rachel Reid, Dr Amy Scanlan, Peter J. Neumann, Stacey Richter (EP400), Dawn Cornelis (Encore! EP285), Stacey Richter (EP399), Dr Jacob Asher, Paul Holmes, Anna Hyde, Dea Belazi (Encore! EP293)
Episode 8: Early Detection in FQHC's Host Raj Shah, MD speaks with guest Emma Daisy, MD to discuss the roles Illinois physicians working in Federally Qualified Health Centers can play in the early detection and diagnosis of Alzheimer's disease and related dementias Learning Objectives: 1) Understand the roles Illinois physicians working in Federally Qualified Health Centers can play in the early detection and diagnosis of Alzheimer's disease and related dementias. 2) Name at least one potential solution to overcome barriers to early detection and diagnosis of ADRD by primary care physicians working in FQHCs. Earn 1-Hour State of Illinois Mandated Dementia Education CME iafp.mclms.net/en/
We speak with Dr. Anthony Schalf from the Health Resources and Services Administration (HRSA) about preventative medicine. Preventive Medicine is a medical specialty focused on assessing and promoting the health of populations. Whether it's called public health, community health, or population health, the idea is a focus on the health outcomes within a defined population, not just an individual patient. Join us to learn more about how FQHCs can work with Preventive Medicine trained providers.
Joining Matthew and Heather for the 2nd time is Peter Leventis, the CEO of Community Integrated Management Services or “CIMS”, an independent practice association made up of 14 federally qualified health clinics (or FQHCs) that provide care to patients across South Carolina. We discuss how CIMS has successfully operated for 15 years in a changing healthcare landscape, the shift to value based care, and much more. Tune in now!
Addiction Medicine is Family Medicine! is part of the Treating Addiction in Primary Care series. Carol Havens, MD interviews Mario San Bartolome, MD, MBA, MRO, FASAM This episode features two recognized leaders in addiction medicine sharing their thoughts about why Family Physicians need to offer treatment services, what to address as you begin, and how rewarding it is to see the positive impacts in their communities. Addiction medicine is family medicine. On the Podcast: Carol Havens, MD recently retired as Director of Physician Education and Development at the Kaiser Permanente Medical Care Program, Northern California Region. She was a staff physician in Kaiser's Chemical Dependency and Recovery Program. She is past president of CAFP, and co-chair of the CAFP Education Committee. Mario San Bartolome, MD, MBA, MRO, FASAM serves vulnerable populations through FQHCs in Orange County, and is very active in both the American Society of Addiction Medicine and California Society of Addiction Medicine, where he serves on the Board of Directors. Rob Assibey, MD, hosts. For full bios of speakers, please visit: www.familydocs.org/podcast. Resources: CAFP - CA Academy of Family Physicians, Substance Use Disorder: education, resources, projects, and peer support https://familydocs.org/sud CA Bridge: training, information, and advocacy across California and beyond https://cabridge.org CSAM - CA Society of Addiction Medicine: gatherings, education, resources, and policy https://csam-asam.org NCCC California Substance Use Line: 24/7 confidential provider tele-consultation for SUD https://nccc.ucsf.edu/clinician-consultation/substance-use-management/california-substance-use-line/ 844-326-2626 PCSS - Providers Clinical Support System: SAMHSA program to train primary care providers about OUD and treatment of chronic pain https://pcssnow.org/ Thanks: The Family Docs Podcast series Treating Addiction in Primary Care is supported by the National Institute on Drug Abuse (NIDA) and the California Department of Health Care Services (DHCS). Thanks to Shatterproof for sharing ambassador voices. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs Instagram - https://www.instagram.com/cafp_familydocs Facebook - https://www.facebook.com/familydocs
Federally qualified health centers (FQHCs) provide essential healthcare to people who are uninsured or underinsured. Increasingly, FQHCs are answering the call to bolster what have traditionally been public health and social services, and the question of how we support and enhance these resources is becoming more pressing. In this podcast, Abt's Ann Loeffler speaks to Lathran Woodard—the Chief Executive Officer of the South Carolina Primary Health Care Association—about the history of the health center movement, the mission that sets it apart, and the need to support and grow FQHCs and their workforce.
What is a Rural Health Clinic? A Rural Health Care Clinic (RHC) is a clinic designed to provide quality care to patients in rural areas. They are Medicare certified programs that must be established in areas designated as rural shortage areas. An RHC is not permitted to care for patients of mental diseases or rehabilitation services. At least fifty percent of the time the clinic is open there must be a nurse practitioner, midwife, or physician assistant to provide care to patients. These medical professionals are under direction of a physician. RHCs are required to staff personnel, but there are no requirements to maintain a Board of Directors. Two types of Rural Health Clinics exist: (1) an Independent Rural Health Clinic which is a freestanding clinic not associated with a hospital or any type of Health Care Agency; and (2) a Provider Based Rural Health Clinic which is the subordinate of a hospital, home health agency or nursing facility. Also, Rural Health Clinics do not receive federal funding for start-up or expansion. What is an FQHC? A Federally Qualified Health Center are primary care outpatient centers that serve underserved communities. FQHCs qualify for reimbursements from the Health Resources and Services Administration (HRSA), Medicaid, and Medicare. An FQHC can receive government grants, donations, and private sectors in addition to the Medicaid reimbursements. To be considered a Federally Qualified Health Center a clinic must meet certain requirements including: (1) serving an underserved area; (2) provide care on a ‘sliding fee scale' which is based on ability to pay; (3) complete required annual reports; (4) provide holistic and social services; (5) and not be approved as a rural health clinic. Web: www.JonesHealthLaw.com Phone: (305)877-5054 Instagram: @JonesHealthLaw Facebook: @JonesHealthLaw Youtube: @JonesHealthLaw --- Support this podcast: https://podcasters.spotify.com/pod/show/joneshealthlaw/support
Federally Qualified Health Centers, or FQHCs, typically deliver services to an underserved population. But do you know as much about it as you should? Jasmine Vializ, CEO of Inlera Inc. and trailblazer since the age of 14, dives deep into the future of healthcare by considering how FQHCs are a testing ground for continuing to serve the populations of the future. In this episode of Leaders in Medical Billing, you'll dive deep into the population that is served by FQHCs, what a provider needs to offer in order to open a FQHC (or be a lookalike), and her theory that FQHCs are the way of the future across the US. Plus, you'll learn about Vailiz's perspective on the use of offshoring to increase the efficiencies of the business. Show Notes: https://www.youtube.com/@InleraU, https://www.fqhc.org
This episode features Zach Yoder, Chief Operating Officer at SIHF Healthcare and Touchette Regional Hospital. Here, he discusses FQHCs and the important niche they fill in the healthcare space, what the COO role entails today, advice for leaders that want to have impactful & enjoyable careers, and more.
With multiple types of practices in various locations that serve patients with a broad range of access to medical care facilities and health insurance, there is not a “one size fits all” answer for implementing COVID-19 vaccines within a facility. Join Corinne Kohler, MD, FAAFP, Marian Sassetti, MD, FAAFP, and Santina Wheat, MD, MPH, FAAFP as they discuss how they overcame challenges as they introduced COVID-19 vaccines into different practice settings. They share their experiences with rural, city, and suburban locations in private practice and Federally Qualified Health centers (FQHCs) and discuss the ongoing changes and opportunities facing their practices. Objectives: - Recognize how various types of practices implemented COVID-19 vaccinations in their clinics when they first became available - Describe the evolution of various challenges & opportunities they have experienced since the introduction of COVID-19 vaccines & suggestions they share to make it easier for other practices Earn CME Credits for this episode: www.illinoisvaccinates.com/podcasts/
Dr. Schultz shares how his work serving individuals goes beyond just the Inland Empire and San Diego, but also to the Himalayas. He also shares how Federally Qualified Health Centers like Neighborhood Healthcare provide services for individuals that may otherwise struggle to access primary and other medical care.
Today we discuss telehealth and behavioral health programs with David Prabhu from Array Behavioral Care. Array is the leading and largest telepsychiatry service provider in the country. Array's online therapy sessions make it easier and more affordable for providers to virtually meet individuals and families to provide the care needed.
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Help Sonal kick off her 2nd year of podcasting by supporting it!! Sonal's 6th Season begins and Episode 8 features Creator and Founder of Core-CDI© and Co-Founder of Top Gun Audit School, LLC© and Newsworthy special guest, Glenn Krauss. Trusty Tip features Sonal's compliance recommendations on Mental Health Visit Requirements for FQHCs and RHCs. Spark inspires us all to reflect on vision and leadership based on the inspirational words of Daisaku Ikeda. Find Glenn Krauss on various social media platforms: LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Website: https://www.core-cdi.com/ Website: https://www.topgunauditschool.com/about-tgas Paint The Medical Picture Podcast now on: Anchor: https://anchor.fm/sonal-patel5 Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy8zMGYyMmZiYy9wb2RjYXN0L3Jzcw== Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast Pocket Casts: https://pca.st/tcwfkshx Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw Find Paint The Medical Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A Find Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/ And checkout the website: https://paintthemedicalpicturepodcast.com/ If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com --- Send in a voice message: https://anchor.fm/sonal-patel5/message Support this podcast: https://anchor.fm/sonal-patel5/support