Podcasts about health care cost institute

Make America Healthy Again?It's official— Trump was elected as our 47th president and plans to use his second term to "go wild on health." For this special episode, Aneesh Chopra, former U.S. Chief Technology Officer and author of Innovative State: How New Technologies can Transform Government, joins Steve to talk about what we can expect in Trump's second term.We cover:

On today's episode of Health UnaBASHEd,our guest is the 1st Chief Techonology Officer of the U.S. under president Obama, Aneesh Chopra. Aneesh served president of CareJourney, acquired by Arcadia in June of this year, where Aneesh now serves as Chief Strategy Officer of the combined company. CareJourney is an open data membership service building a trusted, transparent rating system for physicians, networks, facilities and markets on the move to value. He served as the first U.S. Chief Technology Officer under President Obama ('09-'12) and in 2014, authored, “Innovative State: How New Technologies can Transform Government.” He serves on the Board of the Health Care Cost Institute, the New Jersey Innovation Institute, and earned his MPP from Harvard Kennedy School and BA from The Johns Hopkins University.

Have you ever wondered what it's like to leave the fast-paced world of the private sector for the impactful, yet complex, realm of public service? In this episode, we chat with Niall Brennan, the Senior Advisor for Data Strategy to the CDC Director, who made exactly that switch. We delve into their motivations for this career shift, and explore their experience in Washington DC. In his role, Niall provides guidance to the CDC Director on the multi-billion dollar CDC Data Modernization Initiative (DMI), as well as working directly with CDC Centers and Offices to accelerate implementation of the DMI. Prior to coming to CDC, Brennan was Chief Analytics and Privacy Officer at Clarify Health, where he led Clarify's analytics and informatics strategy. He joined Clarify following his role as president and CEO of the Health Care Cost Institute, from 2017–2022, and previously served as the Chief Data Officer at the Centers for Medicare & Medicaid, from 2010–2017, where he led the Obama administration's healthcare transparency efforts, built an advanced analytics enterprise, and played a key role in implementing numerous Affordable Care Act provisions, including the Qualified Entity Program and the Physician Payments Sunshine Act. He has also worked for numerous leading think tanks and Congressional advisory bodies. Brennan is a graduate of Georgetown University's MPP program and has an undergraduate degree from University College Dublin. Join us for a fascinating conversation that explores leadership, purpose, and the power of making a difference, all through the lens of a remarkable individual's journey.

Listen to Research and Justice For All podcast from Health Affairs. The first season was sponsored by CVS Health.Health Affairs's Editor-in-Chief Alan Weil interviews Health Care Cost Institute's Aditi Sen on her recent paper that suggests that employers lack leverage to negotiate lower health care prices.Order the September 2023 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.

In this research focus edition podcast, listen to R. Dale Hall, FSA, CERA, MAAA, CFA, SOA Research Institute Managing Director discuss key provisions of the Inflation Reduction Act. Access SOA Research Institute research referenced in this podcast: A Summary of the Health Care Cost Institute's 2020 Annual Cost and Utilization Report TCFD Best Practices Climate Impact on Tick-Borne Illness We welcome your questions or comments at researchinsights@soa.org

Have you ever wondered about how a health group impacts your healthcare? On today's episode, Dr. Burns and Dr. Dranove join Shireen to discuss just that! They also share their insights on megaproviders, insurance, and primary care. Their joint book Big Med: Megaproviders and the High Cost of Healthcare in America is available for purchase at University of Chicago Press and US Healthcare Ecosystem by Dr. Burns can be found at McGraw-Hill. As an expert in healthcare management for forty years, Dr. Burns has MBA in Health Administration and has a Ph.D. in Sociology. He is the James Joo-Jin Kim Professor, a Professor of Health Care Management, a Professor of Management in the Wharton School at the University of Pennsylvania, and the former Chair of the Health Care Management Department. Currently, he serves as Co-Director of the Roy & Diana Vagelos Program in Life Sciences and Management, and as Director of the Wharton Center for Health Management & Economics. Dr. Dranove is the Walter McNerney Distinguished Professor of Health Industry Management at Northwestern University's Kellogg School of Management, where he is also Professor of Strategy. He was previously Director of the Health Enterprise Management program. He has a Ph.D. in Economics from Stanford University. He has published nearly one hundred research articles and book chapters and written five books. Consulting regularly, with leading healthcare organizations in the public and private sector and serving on the Executive Committee and Board of Directors of the Health Care Cost Institute, Dr. Dranove has also served as the lead economics expert in several high profile healthcare antitrust cases, including FTC v. St. Luke's Healthcare System and U.S. v. Anthem and Cigna. “There's no excuse to be an uneducated healthcare consumer. It's not just thousands of dollars out of your pocket every year. It's your life.” - Dr. Dranove “I don't think most people realize that the primary care physician today is not necessarily looking out just for their own interests. They have competing masters. The patient used to be the boss of proprietary care position. Now that position [has] two bosses….” - Dr. Burns In this episode, you will learn: What Megaproviders Are The Values and Negative Aspects of Megaproviders Megaproviders' Effects on Chronic Health Care and Diabetes Treatment Reform of Megaproviders The Cost and Quality of Care of Megaproviders Key notes: [0:00] Welcome with Shireen [3:35] What are megaproviders? [4:22] How Do Megaproviders Impact Healthcare Costs and Performance? [5:14] Dr. Burns' Values of Megaproviders [6:07] Dr. Dranove's Values of Megaproviders [6:55] Negatives of Megaproviders [7:36] Effects of Megaproviders on Chronic Healthcare [9:38] Megaproviders Effects on Diabetes Treatment [12: 07] What Does the Future of Megaproviders Look Like? [14:47] Bundle Care and the Current Megaprovider Model [18:23] Reform of the Negative Impacts of Megaproviders [20:33] Cost and Quality of Care of Megaproviders [23:59] Where to Find Their Books [24:49] Signing Off with Shireen Connect with Dr. Burns and Dr. Dranove! Connect with Yumlish! Website Instagram Twitter Facebook LinkedIn --- Send in a voice message: https://anchor.fm/yumlish/message

There is an increasing focus at the state and federal level on policies to require greater cost transparency in health care. While there’s debate about how effective these policies are, the goal is to allow comparison shopping on the part of consumers and employers with the aim of controlling the increasing cost of health care. The guest on the podcast is an expert in the area of health data and analytics. Niall Brennan is the president and CEO of the Health Care Cost Institute, a nonprofit that focuses on data to analyze key issues affecting the U.S. health care system. Brennan previously was chief data officer for the Centers for Medicare and Medicaid Services. Brennan discusses the pros and cons of price transparency, examples of where it’s been effective and his skepticism about the individual consumer’s use of the information. He also shares some surprising examples of price variation for the same medical procedure in the same area—even in the same hospital group.        Resources Bringing Health Care Prices to Light, NCSL LegisBrief Cost and Quality Homepage, NCSL Health Care Cost Institute OAS Episode 132 Transcription

Aneesh Chopra served as the first Chief Technology Officer of the United States. He is currently the president of CareJourney, a provider of clinically-relevant analytics that builds a rating system of healthcare networks. He is also the co-founder of a data analytics investment group, Hunch Analytics. Aneesh sits on the Board of the Health Care Cost Institute, a non-profit focused on unbiased health care utilization and cost information. Previously, Aneesh served as Virginia's Secretary of Technology and wrote of his experience in government and tech in his book "Innovative State: How New Technologies Can Transform Government." In this episode, Aneesh rates our current state of tech in the US and shares other insights rooted in his experience in state and federal government. (Spoiler: he is no grade inflationist!) ---- To learn more about EqualAI, visit our website: https://www.equalai.org/ You can also follow us on Twitter: @ai_equal

In this episode, Niall Brennan discusses his experiences as the first Chief Data Officer for CMS, his current role as President and CEO of the Health Care Cost Institute, and why private sectors, insurance silos, and consolidation have made U.S. healthcare so unaffordable. Niall also discusses the issues of price transparency being pushed as a consumer only issue, and points out the current healthcare buzzwords that aren't really “moving the needle.”

Niall Brennan isn’t one to pull punches. From his perch as CEO of the Health Care Cost Institute he uses data to call out the moral and ethical failures of the US healthcare system. Insulin pricing, air ambulances, surprise billing, the pandemic. Whatever the topic, Brennan brings his sharp wit and deep reservoir of healthcare knowledge.

In this episode of Health Fail, Steven & Zac sit down with Niall Brennan, former CDO of HHS & current President & CEO of the Health Care Cost Institute. They discuss Niall's fascinating story of immigrating to the US from Ireland with nothing but his "rucksack" on his back and his education from the "University of Life". In the conversation Niall shares his perspective on the failures of our health system, what it’s like working within the US government and why there is an unbroken line of rising healthcare costs. Resources:Health Care Cost Institute Martin Gaynor Hospital Merger ResearchPatrick Conway CEO of BlueCross BlueShield North CarolinaCenter for Medicare & Medicaid Innovation

In this episode, we are joined by John Hargraves, senior researcher at Health Care Cost Institute, to discuss HCCI’s report on trends in healthcare spending, utilization and pricing among Americans with employer-sponsored insurance. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on HCCI’s study Read More

Episode Outline: Insulin Prices & What To Do About It Sky rocking cost of insulin - ADA and Health Care Cost Institute – prices 2x between 2012 and 2016, 3x in decade before 2012 - 100 year history – R&D is over – price changes are PhRMA increases - Sanofi - Novo Nordisk - Eli Lilly Insulins - Old – Humulin, Novolin - New Analog insulins – Lantus, Levemir, Novolog, Humalog – less hypoglycemia Harvard Study - Type 2 diabetes - JAMA recent study - Anthem patients witched from new to old insulins - Outcomes: Patients less likely to reach Med D donut hole (80% vs. 53% after the switch), no increased risk of dangerously high/low BS, no increase in ED or hospital stays House and Senate targeting cost of insulin - House Energy & Commerce Committee - Senate Finance Committee Options: - PhRMA regulations - Legalize Canadian imports – patients, wholesalers, pharmacists - PhRMA self-regulation - Competition from human insulins _______ Make sure to subscribe to get the latest episode. Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation

$11.1 Billion. That's how much, according to the 217 CAQH Index, the healthcare industry could save by transitioning to fully electronic administrative transactions. The transactions are for things like claim submission, eligibility and benefit verification, pre-authorization, etc. These are clearly defined standards and many of them are widely adopted. This is real interoperability in healthcare and it's in place today. Yet, not everyone is participating. Why is that? How can we expand adoption and realize the tremendous value that's available for the taking? And what can we learn from this process to help us achieve real interoperability in other areas of healthcare? My guests today Dr. Kristine Burnaska, Director of Research and Measurement at CAQH and Reid Kiser, Lead Researcher of the 2017 CAQH Index tell us how the CAQH Index measures the cost of administrative transactions in healthcare and gives us a detailed look into the industry's progress. More importantly, they help us to understand the tremendous opportunity we have in front of us.   NOTE: This is also the topic for the #HITsm chat on Friday, August 17th at 12 EST that I'm co-hosting with CAQH: The Cost Savings Opportunities on the Business Side of Healthcare – #HITsm Chat Topic   0:00 This is real interoperability in healthcare. Why isn't everyone on board? 2:13 Background on CAQH – Nonprofit alliance of health plans that acts as the convener, collaborator and catalyst for streamlining the business of healthcare. 5:34 The CAQH Index – The best measure of efficiency in the cost of administrative transactions between doctors and health plans. 10:11 The CAQH Index has informed operations staff how their facility measures up to the competition and makes the business case for administrative technology investments. 14:35 What did the 2017 report say? What are the types of transactions being tracked? The 13 metrics: Claim Submission, Eligibility and Benefit Verification, Claim Status Inquiry, Claim Payment, Remittance Advice, Prior Authorization, Referral Certification, Coordination of Benefits Claim, Claim Attachment, Prior Auth Attachment, Enrollment and Disenrollment, Premium Payment, and Acknowledgements. 18:30 Electronic vs Manual Transactions. 22:20 What are Partially Electronic Transactions? An introduction to portals. 25:25 The 2017 Report: Why is claims submission 95% electronic? 30:04 The 2017 Report: What have prior authorizations not improved since 2008? 33:21 The dollar savings opportunity for improving prior authorization is $11.1B, $9.5B from provider side, and it's still growing. What are the numbers really telling us? 37:51 Why have high deductible health plans increased the number of manual transactions? Are we still going in the right direction? 39:05 Why certain organizations are adopting and some aren't, who's doing well, and what we learn from best practices. 42:55 Portals and Passover – why is this metric different than all other metrics? The increase in portal use is driving increase in manual transaction rates. Are portals a bridge or barrier to full automation? 48:13 Where does the report focus on in 2018? New topics include: Portal use, value based payments, vendor fees, and call inquires. Like all CAQH initiatives, the CAQH Index is the result of an industry-wide collaborative effort. Health plans covering more than half of the commercially insured U.S. population and a wide range of healthcare providers contribute data on how many of the studied transactions they conducted throughout the year and how they conducted them. They are joined by vendors and other business partners in offering insights about dynamic market conditions driving decisions about use of administrative transactions. Government agencies and policymakers often contribute data and insight to the Index as well. Advance the Effort. Health plans and healthcare providers can advance the effort by contributing data. For the 2018 CAQH Index, more data is needed to more completely benchmark the transactions currently tracked and to reveal insights about the evolving use of administrative transactions. Every Contribution Adds Value. Every data contribution enriches the overall quality of the Index dataset. With richer data, CAQH can deliver increasingly useful insights, more precise measures of progress, and more accurate estimates of cost savings. All health plans and providers, regardless of adoption status, are encouraged to participate. Receive a Customized Benchmark Report. Health plans and healthcare providers that contribute data receive customized benchmark reports. CAQH prepares and delivers a detailed analysis of organizational performance alongside national results to each data contributor.   About Kristine Burnaska, Ph.D. Director, Research and Measurement, CAQH Kristine Burnaska, Ph.D. is Director, Research and Measurement, at CAQH, a non-profit alliance of health plans and related associations working together to achieve the shared goal of streamlining the business of healthcare. Kristine manages CAQH Explorations and in that capacity is the lead researcher for the annual CAQH Index, which tracks the healthcare industry transition from manual to electronic business transactions and the related cost savings. Before joining CAQH in 2018, Kristine was the Director of Operations at the Health Care Cost Institute, where she focused on understanding and guaranteeing smooth daily operations of its price transparency initiative. She previously served the Health Industry Distributors Association as Director of Research and Market Intelligence and Abt SRBI as Director of Analytics / Consumer Insights. Kristine holds a Ph.D. in statistics and research methods from the University of Illinois at Urbana-Champaign. Reid Kiser, MS Lead Researcher, 2017 CAQH Index Reid Kiser was the lead researcher for the 2017 CAQH Index in his former capacity as Interim Director of CAQH Explorations, the research arm of CAQH, a nonprofit alliance of health plans and related associations. An independent consultant with Kiser Healthcare Solutions, Reid is a former employee of CAQH. He managed the transition of the U.S. Healthcare Efficiency Index, the predecessor to the CAQH Index, to CAQH in 2012. Prior to his role at CAQH, Reid served in several capacities involving quality measurement and improvement for health plans and providers. He was an executive lead for Inovalon's HEDIS Advantage™ and served as UnitedHealthGroup's National Director of Clinical Excellence. He also served in a variety of capacities at NCQA. He holds a Master of Science in evaluative clinical sciences from Dartmouth. About CAQH and The CAQH Index CAQH is a non-profit alliance of health plans and related associations working together to achieve the shared goal of streamlining the business of healthcare. The CAQH Index is the industry source for tracking health plan and provider adoption of electronic administrative transactions. It also estimates the industry cost savings opportunity, an amount that should decline as adoption and efficiency grows. The CAQH Index is the authority on: Claims-related administrative costs for medical and dental providers and health plans. Time consumed by providers. Savings potential from conversion to fully electronic administrative transactions. Trends in use of fully electronic (HIPAA), online portal, phone, fax, mail and interactive voice response (IVR) transactions. Related and/or Mentioned on the Show All resources below are complimentary and available at the CAQH website. About the CAQH Index The 2017 CAQH Index Report Participate in the CAQH Index! Follow and engage with CAQH on: Twitter @CAQH LinkedIn CAQH Email at Explorations@CAQH.org CAQH Soultions collaborates for shared utilities. COB Smart helps coordinate your benefits. CAQH Proview AKA the Universal Provider Datasource uses an intuitive, profile-based design, for providers to easily enter and maintain their information for submission to selected insurance organizations. ENROLLHUB helps payers send providers electronic payments. Sanctionstrack for automated sanctions monitoring. CAQH Core drives the creation and adoption of healthcare operating rules that support standards, accelerate interoperability, and align administrative and clinical activities among providers, payers and consumers. Use the Savings Calculator to estimate potential organizational savings by transitioning to electronic administrative transactions! In addition, CAQH invites those who share its passion for reducing the cost, time and frustration associated with the business of healthcare to stay informed about this and other work at CAQH by signing up for its email newsletter. Subscribe to Weekly Updates If you like what we're doing here, then please consider signing up for our weekly newsletter. You'll get one email from me each week detailing: New podcast episodes and blog posts. Content or ideas that I've found valuable in the past week. Insider info about the show like stats, upcoming episodes and future plans that I won't put anywhere else. Plain text and straight from the heart :) No SPAM or fancy graphics and you can unsubscribe with a single click anytime. The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media. Music by StudioEtar

Suzanne catches up with Niall Brennan, President and CEO of the Health Care Cost Institute (HCCI), to ask the tough questions on price and utilization data for employee-sponsored health care. If you're interested in understanding what is driving health care costs and using data to figure out the best ways to curtail spending growth, then this episode is for you!

The Senate is driving forward on its health care bill, with a vote looming as soon as late June — even though it's still not clear what's in the bill or if they'll have the votes. How should you think about the Senate's push? Rodney Whitlock — who was health care adviser to Republican Sen. Chuck Grassley — joins POLITICO's Dan Diamond to discuss the dynamics of the Senate and what's at stake in the health care fight. Meanwhile: there’s a lot more to health care than the ACA and AHCA. And after the break, Niall Brennan — the former chief data officer for Medicare and Medicaid and the new head of the Health Care Cost Institute — discusses the biggest spending problems in health care and whether we can trust the data that the Trump administration is publishing. We’d appreciate your help: Please share PULSE CHECK and rate us on your favorite podcast app! Have questions, suggestions or feedback? Email ddiamond@politico.com or tweet him @ddiamond.

In this episode, Dr. Eric Barrette of the Health Care Cost Institute discusses and compares price data on local health care markets across the United States. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined by Dr. Eric Barrette who Read More

Amanda Frost, Senior Researcher at the Health Care Cost Institute joins me this week to discuss the 2014 Diabetes Health Care Cost and Utilization Report. Specifically, we highlight some of the major takeaways from the research, I learn about the process and protocols behind the data that was presented, and we discuss the implications of this data from my perspective as a person living with diabetes and from Amanda's perspective of the person who's name is on the report. You can read the 2014 Diabetes Health Care Cost and Utilization Report by visiting healthcostinstitute.org. Run Time - 35:05 Send your feedback to feedback@justtalkingpodcast.com.