Podcasts about health care delivery

What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. In this conversation, Jamie and Scott explore: Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. www.YourHealth.Org

What if the most important care in the entire healthcare system is also the most underfunded? While hospitals and inpatient reimbursements rise with inflation, the physician fee schedule has quietly declined roughly 33% in real terms over 25 years — and this year it's facing another cut. In this episode, Jamie Preston sits down with Your Health CEO Matt Staub, just back from Capitol Hill, where he spent a record-setting 95-degree day meeting with seven legislative offices to advocate for physicians, providers, and the patients they serve across rural South Carolina, Georgia, and beyond. What follows is part field report, part reflection on why preventive primary care saves money and lives — and why we plan meticulously for weddings, retirement, and vacations, but treat our own health with a "call us if something happens" approach. In this conversation: Why a 2.5–5% physician fee cut hits frontline rural practices hardest The bipartisan doctors' caucus and the real appetite for reform Why winning can come from a loss — the Kobe Bryant mindset on process over outcome How a Disney ride (Spaceship Earth) reframes humanity's whole story around communication The case for proactive, team-based primary care over reactive sick visits Press play for a conversation about advocacy, communication, and a simple, powerful idea: the change you need to make starts with you.

Ryan Daniels, William Blair's group head of healthcare technology and services research , discusses how policy reform, reimbursement changes, technology innovation, and consumer preferences are accelerating a shift in care delivery toward outpatient, virtual, and home based settings. He outlines why this trend is reaching an inflection point in 2026 and what it could mean for providers, payers, employers, and healthcare investors.

Mental health care isn't a new problem—but it's finally being treated like an urgent one. After years of being sidelined, the cracks in the system are becoming impossible to ignore: overstretched clinicians, long wait times, and entire communities without consistent access to care. In the U.S., the scale is striking—more than one in five adults live with a mental health condition. What's different now is the push to rebuild the system itself: bringing mental health into primary care, rethinking how it's funded, and using technology not as a buzzword, but as a practical tool to close the gap.So what will it take to redesign mental health care into a system that delivers—one that aligns access, outcomes, and economics at scale?Welcome to I Don't Care. In the latest episode, host Dr. Kevin Stevenson sits down with Kacie Kelly, Chief Innovation Officer at the Meadows Mental Health Policy Institute, to unpack how policy, innovation, and real-world healthcare delivery intersect. Their conversation explores how mental health care can evolve from a fragmented, reactive system into a proactive, integrated model driven by both policy and technology.What you'll learn…Policy as a growth lever: How forward-thinking organizations use policy not just for compliance, but to accelerate innovation, scale solutions, and unlock new market opportunities.Early detection & integrated care: Why embedding behavioral health into primary care is essential for improving outcomes, reducing delays in treatment, and lowering long-term costs.AI & innovative funding models: How emerging technologies and smarter reimbursement strategies are expanding access to care while optimizing and extending the mental health workforce.Kacie Kelly is the Chief Innovation Officer at the Meadows Mental Health Policy Institute, where she leads efforts to integrate scalable, data-driven innovation, AI, and public-private partnerships into mental health systems to improve early detection and access to care. She brings deep expertise in policy implementation, funding model reform, and cross-sector collaboration, with a track record of aligning healthcare, government, and private stakeholders to scale high-impact solutions. Previously, she held senior leadership roles at the U.S. Department of Veterans Affairs and the George W. Bush Presidential Center, where she led national mental health initiatives, managed multimillion-dollar programs, and advanced evidence-based care for veterans and broader populations.

What if the greatest threat to healthcare isn't a broken system — it's a dehumanized one? In this episode of Experiencing Healthcare, Jamie Preston and Your Health CEO Matt Staub wrestle with a deceptively simple idea from Harvard Business School Professor Ryan Buell: service is the business of people helping people. Sparked by Matt's experience at an Athena Health executive leadership forum, this is a conversation about what it truly means to serve — in a world where technology promises to do it faster, cheaper, and at scale. Key topics covered: Why you can never fully take people out of a service industry — and what happens to care quality when you try How ambient listening technology like Mobius is using AI to restore human connection in the exam room, not replace it The ICU nurses who used tough love to get a post-heart-surgery patient walking — and what that story reveals about what genuine service really looks like The "can vs. should" question every healthcare leader must ask before deploying new technology How to show up and serve others with excellence, even on your hardest personal days Healthcare will always evolve — but Matt and Jamie make a compelling case that the human at the center of care is the one thing worth protecting above all else. This one's worth the listen.

On this episode of Airing Addiction, Jesse and Lisa sit down with Dr. Amanda Lowell and Dr. Lili Peacock‑Chambers to explore how evidence‑based, relationship‑centered approaches support parents in recovery. Together, they discuss what the latest research tells us about breaking intergenerational cycles, strengthening caregiver–child relationships, and building systems that truly meet families affected by substance use where they are.Dr. Amanda Lowell is a licensed clinical psychologist, Assistant Professor at UMass Chan Medical School-Baystate, and Assistant Professor Adjunct at the Yale Child Study Center. As a clinician, Dr. Lowell provides psychotherapy and parenting support to caregivers who have experienced complex trauma, those who are in recovery from addiction, and any caregiver working to break harmful intergenerational cycles.Elizabeth (Lili) Peacock-Chambers MD, MS is the Chief of the Division of Health and Behavior in the Department of Healthcare Delivery and Population Sciences, a board-certified pediatrician, and an Associate Professor of Pediatrics and Healthcare Delivery and Population Sciences at UMass Chan-Baystate. As a pediatrician, her clinical and research interests pertain to the promotion of optimal early childhood health and development among families facing adversity and marginalization, particularly among families affected by substance use disorders.Join Jesse and Lisa for an insightful conversation with Dr. Lowell and Dr. Peacock‑Chambers, only on Airing Addiction!

March 23, 2026- Home Care Association of New York State President and CEO Al Cardillo makes the case for thinking more holistically about home care in the health care system and identifies policies and funding to boost the industry.

​Larry Jones is the Executive Director of the IP Network, and CEO of HPOF Holdings, LLC, doing business as Independent Healthcare Partners, a healthcare company headquartered in Maitland, Florida. As the CEO of HPOF Holdings/IHP, his main mission is to preserve and protect the independent practice of medicine. Larry has been on both the payer and provider side of healthcare. He served on the Business Advisory Board of Seminole County Public Schools for 12 years, representing the insurance committee and 9000 employees' lives and almost $60M in premium. He is a founding board member of the Florida Association of ACOs. His organization currently runs our large Multi Specialty IPA - the IP Network - and Physicians Trust MSO, overseeing two Commercial ACO contracts and four Medicare Advantage Plan agreements for our Network.Larry has spoken all over the Country on physician issues and opportunities.​He is a true physician advocate. Mark Steven Chaet, M.D. serves as the Orlando Regional Campus Dean. In this role, he oversees all campus functions including supervising clerkship directors, student education and performance, and student counseling. The regional campus dean's role at the FSU College of Medicine is unique as he plays an expanded role with students, including direct contact, comprehensive mentoring, and one-on-one interaction when needed. Additionally, fundraising is an increasingly important role of the campus dean in efforts to fund local operations and scholarships for students. Dr. Chaet, a pediatric surgeon on staff at both Orlando Health Arnold Palmer Hospital for Children and Advent Health Children’s Hospital, has been practicing in the Orlando area since 1997. Serving as an FSU Orlando community faculty member since 2003, Dr. Chaet has shown a commitment to education throughout his career. He has served on the teaching faculty for general surgery residents at both Orlando Health and Advent Health, been a preceptor for physician assistant and nurse practitioner candidates from Nova Southeastern University, the University of South Florida, and the University of South Alabama, and continues to serve as faculty for the Surgical Intern Program at the University of Central Florida. Dr. Chaet has shown great community involvement over the years, both on a local and national level, serving on various committees in the Orlando area and working as consultant for opioid reduction. As a Lt. Colonel in the United States Army and Reserve from 1991-2007, Dr. Chaet trained as a field trauma surgeon and supported medical deployments during both Operation Desert Storm and Operation Enduring Freedom. Dr. Chaet has been involved in a number of research efforts over the years focusing on pediatric surgery and gastroenterology and continues to display a commitment to leadership and ongoing professional development.See omnystudio.com/listener for privacy information.

In this episode of The Business of Healthcare Podcast – How It Got Commissioned, Tara is joined by Rukshana Kapasi, Director of Health at Barnardo's, the UK's largest children's charity.   Rukshana shares the story behind a short-term pilot that placed family support workers in A&E to reduce avoidable and repeat attendances by children and young people. What began as a three month, winter-pressures pilot went on to generate compelling evidence, and ultimately informed a national NHS England rollout across seven regions.   This conversation is a practical, honest look at commissioning outside the usual tendering routes, the power of VCSE partnerships, and why looking beyond traditional NHS funding streams matters more than ever.   In this episode, we explore: The risks and realities of short term pilots, and when they're worth taking Why evidence, outcomes, and confidence data mattered more than access alone The importance of commissioner relationships and senior sponsorship Why starting small, testing, and learning can lead to scalable change   Rukshana also shares practical advice for anyone trying to get an idea commissioned that doesn't neatly fit an existing pathway, including why you shouldn't wait for "perfect" data before starting conversations.   Connect with Rukshana Kapasi here.

In this episode, Giovanni Piedimonte, MD, FAAP, FCCP, Professor of Pediatrics, Biochemistry, and Molecular Biology at Tulane University School of Medicine, discusses how artificial intelligence is transforming research, clinical care, and academic medicine. He also discusses the risks, ethical challenges, and workforce implications health systems must prepare for as AI adoption accelerates.

In this episode, Giovanni Piedimonte, MD, FAAP, FCCP, Professor of Pediatrics, Biochemistry, and Molecular Biology at Tulane University School of Medicine, discusses how artificial intelligence is transforming research, clinical care, and academic medicine. He also discusses the risks, ethical challenges, and workforce implications health systems must prepare for as AI adoption accelerates.

In this final deep dive episode, Stuart Elborn turns to healthcare systems and policy. He discusses the importance of registries, data sharing, and service organisation, alongside social and funding factors that shape equitable cystic fibrosis care, ending with a global vision for cystic fibrosis management over the next decade. Timestamps: 00:00 – Introduction 01:08 – Healthcare delivery 03:33 – National registries 05:04 – New challenges 06:35 – Equitable care 08:51 – Regional initiatives 10:40 – What's next?

Management of the LEKMA Hospital at Teshie has raised concerns about the impact of persistent water shortages on healthcare delivery at the facility, describing the situation as its biggest operational challenge

On this episode of Managed Care Cast, Rachel A. Prusynski, DPT, PhD, an assistant professor at the University of Washington's School of Medicine, speaks with The American Journal of Managed Care® about her research published in the November 2025 issue. Her study, "Medicare Advantage Reimbursement Structures Impact Home Health Delivery and Outcomes," explores how home health care delivery and patient outcomes differ between 3 plan types: traditional Medicare, episodic Medicare Advantage, and per-visit Medicare Advantage. Throughout the conversation, Prusynski discusses what motivated the research, the study's key findings, and the broader implications for improving the quality and accessibility of future home health care.

What happens when a powerhouse research enterprise, a statewide health system, and a relentless push for access all meet at the same table? Our conversation with Dr. David Miller, CEO of Michigan Medicine, opens the door to a candid look at how precision care, digital tools, and financial reality collide—and how smart leadership turns that collision into progress.We dig into the new map of Michigan Medicine: the academic medical center in Ann Arbor, integrated hospitals in Lansing and West Michigan, and partnerships that extend specialty expertise across the state. Then we follow the research-to-care pipeline, from NIH-backed labs to clinical trials to real-world therapies. You'll hear how next-generation sequencing is making targeted cancer treatments more accessible, and why histotripsy—a noninvasive, ultrasound-based approach to treating liver tumors—is a model for bringing breakthroughs from engineering benches to exam rooms.Technology is more than a buzzword here. Dr. Miller explains how generative AI is cutting documentation time with ambient notes, speeding routine approvals, and supporting clinical decisions, all while keeping a human in the loop. We talk training the next wave of physicians to be technology fluent, and how virtual visits and remote monitoring expand access without trading away empathy. On payment and policy, we confront the hard parts: Medicaid churn, prior authorization friction, and the need for value-based insurance design that lowers barriers to high-value care. The throughline is simple and urgent—make it easier for patients to get the right care at the right time, and align incentives so innovation actually reaches people.If you care about healthcare that is precise, humane, and actually reachable, this conversation will give you a practical, hopeful blueprint. Subscribe, share with a friend who's navigating care, and leave a review to help more listeners find the show. Your feedback keeps this community sharp—and pushes the system toward what works.Support the showEngage the conversation on Substack at The Common Bridge!

In this episode, Sylvia Trent-Adams, President and CEO of the Institute for Healthcare Improvement, shares how IHI is helping health systems strengthen operations, integrate technology, and build resilient, patient-centered organizations. She also outlines her vision for advancing quality, safety, and workforce well-being in the decade ahead.This episode is sponsored by Institute for Healthcare Improvement.

October 27, 2025- Assembly Health Committee Chair Amy Paulin, a Westchester County Democrat, makes the case for expanding the role pharmacists play in New York's health care system, including prescribing abortion medication. She also weighs in on the upcoming state budget battles and medicinal psilocybin uses.

What You'll Learn:In this episode, host Catherine McDonald, Patrick Adams, and guest Tina Patel Gunaldo discuss interprofessional collaboration. They explain the importance of interprofessional education (IPE) in training future healthcare professionals to collaborate effectively. Tina highlights the challenges of traditional hierarchies and the need for asynchronous collaboration.About the Guest:Tina is an innovative and results-driven healthcare leader dedicated to advancing interprofessional collaboration and patient-centered care. She is known for transforming visionary ideas into lasting, evidence-based systems that improve access, quality, and performance across clinical, academic, and community settings. With a proven track record of developing scalable models, securing multimillion-dollar funding, and launching initiatives adopted statewide and nationally, Tina brings together clinicians, administrators, educators, and community partners around shared goals that elevate both patient care and organizational excellence. Her work includes pioneering Louisiana's first hospital-based food pantry, establishing the state's first Interprofessional Consortium, and developing vaccination training programs for dentists. Guided by the principles of empowering patients as leaders of their health teams, fostering interdependence, and embedding evidence-based teamwork into practice, Tina continues to inspire innovation and collaboration in healthcare.Links:Collaborate for Health WebsiteTina Patel Gunaldo LinkedIn

Physical health providers, health systems, and hospitals often struggle with how to handle behavioral health issues as they arise. Anna Whites, Attorney, Anna Whites Law Office, and Matthew W. Wolfe, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, discuss strategies for integrating physical and mental health care. They share their respective journeys into behavioral health law, how providers can add behavioral health care to their practices, legal and compliance challenges, and the future of integrated care. Anna and Matthew spoke about this topic at AHLA's 2025 Annual Meeting in San Diego, CA.Watch this episode: https://www.youtube.com/watch?v=wcDbdn6mD-4Learn more about the AHLA 2025 Annual Meeting that took place in San Diego, CA: https://www.americanhealthlaw.org/annualmeeting Essential Legal Updates, Now in Audio AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast. Stay At the Forefront of Health Legal Education Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/.

CVS Health is striving to improve health care delivery in five key areas: cost, quality, access, experience, and equity. What changes are necessary to ensure better outcomes across the US health care system?     Join Steve Odland and guest Dr. Sree Chaguturu, executive vice president and president of healthcare delivery at CVS Health, to find out what value-based care looks like, why primary care needs subspecialties, and how CVS Health is meeting the different needs of different demographics across its portfolio.     For more from The Conference Board:  26th Annual Employee Health Care Conference  Explainer: Medicare  Major Changes to Affordable Care Act Enrollment Policies 

Welcome to another episode of Data Driven! Today, hosts Frank La Vigne and Andy Leonard, are joined by Dr. Ido Zamberg—a rare breed who's equally comfortable rebooting servers and saving lives. Dr. Zamberg is a physician, software engineer, chief medical officer at C8 Health, and a true innovator at the intersection of medicine and technology. In this episode, we dive into his unique journey from startups and coding to the operating room, exploring how his hands-on technical expertise is helping frontline clinicians access real-time, AI-powered decision support.Expect fascinating insights into the evolution of healthcare technology, the challenges (and rewards) of bridging vastly different worlds, and why seamless access to best practices at the point of care can be truly lifesaving. Dr. Zamberg shares anecdotes from his career, reflects on the importance of context-driven solutions, and offers a behind-the-scenes look at making clinical workflows smarter, faster, and safer with modern AI. So if you're curious about how SQL queries meet scalpel skills, this is an episode you won't want to miss!Time Stamps00:00 From Software Engineer to Physician-Entrepreneur06:04 "From Tech to Medicine: A Journey"07:43 Tech-Medicine Integration Challenges12:55 Diverse Medical Experience Overview14:49 "Healthcare Solutions Over Tech Focus"18:41 Hospital Best Practices Standardization20:46 Streamlined Clinician Information Platform23:59 Solving Healthcare Inefficiencies29:22 Understanding the Challenges of Tough Jobs30:11 Practice Grace Over Wealth33:59 Healthcare Platform for Providers39:11 Generative AI in Clinical Queries42:16 Value of Expertise in Problem-Solving43:48 Praising Expert in AI Medicine47:50 AI Revolutionizing Healthcare Information51:27 Data, Coffee, and Code Insights

Former Washington State Secretary of Health Dr. Umair Shah and Mayo Clinic CEO Dr. Gianrico Farrugia explore how healthcare leaders are approaching AI when it comes to public health, care delivery, the healthcare-research connection, and the patient experience.Show notes

The JEMS Report - How Drones Are Transforming EMS Logistics and Healthcare Delivery   JEMS Managing Editor Jeff Frankel sits down with Ryan Walsh, CEO and founder of Valqari, to explore how drones are revolutionizing emergency medical services and hospital logistics. Drawing on his special operations experience, Walsh reveals how Valqari developed autonomous drone technology to deliver critical medical supplies quickly, slashing delivery times. The discussion covers real-world applications like transporting blood samples and emergency meds, plus cutting-edge AI integration that could enable fully automated, doctor-to-door healthcare. Walsh also highlights ongoing collaborations with first responders to provide life-saving supplies on-site faster than ever. He breaks down FAA regulations shaping drone deployment and shares his vision for drones becoming as common as smartphones by 2030, drastically reducing delivery costs and reshaping industries. This episode offers practical insights for EMS leaders gearing up for drone adoption and a glimpse at the future of autonomous medical logistics.  

In this episode of Elevate Care Podcast, Nishan discusses the AMN Healthcare 2025 Nurse Survey Report Dr. Angelo Venditti. They discuss the state of nursing, tackling issues like burnout, workforce dynamics, and the need for flexible scheduling. The conversation also highlights workplace safety, societal expectations on healthcare workers, and the role of technology in enhancing nurse engagement and retention. Dr. Venditti shares his vision for a sustainable future in nursing and the steps needed to adapt to the evolving healthcare landscape.Access 2025 Survey of Registered NursesChapters: [00:00] Introduction to the Nurse Survey Report[02:24] Burnout and Workforce Dynamics[03:49] Rethinking Workforce Planning[05:08] Scheduling Technology in Healthcare[08:49] Workplace Safety Concerns[10:34] Societal Expectations on Healthcare Workers[12:19] Personalized Schedules and Workforce Engagement[13:25] Hope for the Future of NursingDr. Angelo Venditti serves not only as a leader for clinical support of AMN caregivers but also as an strategic advisor to our clients for workforce solutions, market strategy, and clinical care delivery. Dr. Venditti has vast experience in workforce analytics and operational strategy, and he partners with health system executives to model solutions that are on the cutting edge of healthcare delivery and create transformative partnerships.Prior to joining AMN Healthcare, he was the Executive Vice President, Patient Care Services, Chief Nurse Executive and Chief Patient Experience Officer for Temple Health in Philadelphia. In the CNE role, he oversaw nursing practice and clinical operations across the health system, including Temple University Hospital's three campuses, all outpatient clinics, and Fox Chase Cancer Center.  Dr. Venditti has been a registered nurse for over 20 years and has held various leadership positions over his 15-year leadership career.Dr. Venditti received his nursing degree from Luzerne County Community College. He holds a BSN and MBA from Misericordia University and a Doctorate in Nursing Practice from Carlow University. He holds certification as a Nurse Executive-Advanced and is designated as a Fellow by the American College of Healthcare Executives.Connect with Dr. Venditti on LinkedIn Sponsors: Discover how WorkWise is redefining workforce management for healthcare. Visit workwise.amnhealthcare.com to learn more.About The Show: Elevate Care delves into the latest trends, thinking, and best practices shaping the landscape of healthcare. From total talent management to solutions and strategies to expand the reach of care, we discuss methods to enable high quality, flexible workforce and care delivery. We will discuss the latest advancements in technology, the impact of emerging models and settings, physical and virtual, and address strategies to identify and obtain an optimal workforce mix. Tune in to gain valuable insights from thought leaders focused on improving healthcare quality, workforce well-being, and patient outcomes. Learn more about the show here. Find Us On:WebsiteYouTubeSpotifyAppleInstagramLinkedInXFacebook Powered by AMN Healthcare

Explore the future of healthcare in India with Vishal Lathwal, CEO of Apollo HomeCare. Uncover the booming Indian home healthcare market (projected to hit USD 64.4 Billion by 2033), a vital solution for hospital bed burden and high costs. Learn how Apollo HomeCare delivers integrated home healthcare services, including skilled nursing care, physiotherapy at home, post-operative care, and chronic disease management like diabetes and stroke recovery. Discover advanced medical technology enabling ECGs at home, X-rays at home, and remote patient monitoring, enhancing patient outcomes and family peace. Understand home healthcare costs in India (₹1,000-₹4,000/day, or ₹30,000-₹60,000+/month for caregivers/nurses) and challenges in health insurance coverage for domiciliary hospitalization. Discuss the impact of telemedicine, AI in healthcare, and wearable health technology on personalized care. Gain insights into career opportunities in home healthcare, driving a more compassionate society. Essential for those interested in elderly care, patient-centric healthcare, digital health solutions, and healthcare delivery models in India. Key Takeaways:✅ Massive growth of Indian home care market & its benefits.✅ Apollo HomeCare services, pricing, and health insurance coverage.✅ Impact of technology in home healthcare & career paths....#HomeHealthcare #IndiaHealthcare #ApolloHomeCare #HealthcareAtHome #PatientCare #HealthInsurance #MedicalCosts #ElderlyCare #ChronicDiseaseManagement #Telemedicine #DigitalHealth #AIinHealthcare #HealthcareInnovation #IndiaGrowthStory #HealthcareTrends #NursesAtHome #PhysiotherapyAtHome #PostOperativeCare #AffordableHealthcare #InvestingInHealth #IndianEconomySee omnystudio.com/listener for privacy information.

Older Adult Podcast: 5 Forces Disrupting/Transforming Healthcare Today.  In todays episode, @Sam.c.dpt finishes discussing an older adult survey and study regarding health care of older adults with number 5. Advances in Medical Science, AI, and Health Care Delivery. Spoiler alert even with technology lifestyle behaviors such as adequate exercise, nutrient rich focused food intake, and social wellness are still the best option for a longer healthspan! https://podcasts.apple.com/us/podcast/discussing-the-5-forces-disrupting-transforming/id1050956449?i=1000675187357 https://podcasts.apple.com/us/podcast/5-forces-disrupting-transforming-healthcare-today-pt-2/id1050956449?i=1000689598273 https://podcasts.apple.com/us/podcast/5-forces-disrupting-transforming-healthcare-3-fragmentation/id1050956449?i=1000701045116 https://podcasts.apple.com/us/podcast/5-forces-disrupting-healthcare-workforce-shortage/id1050956449?i=1000708740281  

Guest Lisa Goldman Rosas is an authority on public health who says that food insecurity goes deeper than hunger and can lead to chronic diabetes, heart disease, and even anxiety and depression. Rosas champions a concept she calls “nutrition security,” which focuses on food's health value over mere calories. She discusses her work with “Recipe4Health,” an Alameda County-led program that issues produce prescriptions, offers health coaching, and integrates electronic health records to improve diets and well-being. Food is medicine, Rosas tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Lisa Goldman RosasRecipe4HealthConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces Lisa Goldman Rosas, a professor of epidemiology and population health, medicine and pediatrics at Stanford University.(00:03:56) Journey Into Food & HealthLisa's path from environmental science to food security and medicine.(00:05:54) Food Insecurity vs. Nutrition SecurityDistinguishing between food insecurity and nutrition security.(00:07:12) Food Choices Under PressureFactors that contribute to food insecurity in families.(00:09:03) Health Impacts of Food InsecurityLinks between food insecurity, chronic illness and mental health issues.(00:12:04) Government & Policy SupportHow programs like SNAP and WIC support food access.(00:14:15) Food as MedicineA growing movement connecting healthcare with nutrition support.(00:17:34) Trial Periods & Lasting ImpactWhy short-term programs can help families discover healthier habits.(00:21:27) What is Recipe4Health?An outline of a clinic-based produce and behavior prescription program.(00:24:07) When Disease Causes Food InsecurityHow expensive chronic disease can push people into food insecurity.(00:24:23) Medicaid Waivers for Food PrescriptionsThe state level policy shifts that allow food as a reimbursable health expense.(00:26:27) Private Sector's Role in Food InsecurityHow companies are getting involved in promoting healthy foods.(00:27:34) Simple Tips for Eating BetterStrategies to make small but impactful changes for eating healthier.(00:30:39) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook

Discusses the responsible integration of AI into healthcare delivery. Our guest today is Dr. Yauheni Solad who is a Managing Partner at Dalos Partners, leading healthcare AI strategy and validation. Dr. Solad is a research affiliate at Yale University and a board-certified physician in clinical informatics. He formerly led digital health innovation at UC Davis Health and Yale, advancing FHIR interoperability, telemedicine, and responsible AI standards.  Additional resources: ReAligned Healthcare podcast: https://realignedhealthcare.com/ Journal of the American Medical Informatics Association: https://academic.oup.com/jamia The Lancet Digital Health: https://www.thelancet.com/journals/landig/home Deep Medicine: https://dl.acm.org/doi/10.5555/3350442 Request for Information on the Development of an AI Action Plan: https://www.federalregister.gov/documents/2025/02/06/2025-02305/request-for-information-on-the-development-of-an-artificial-intelligence-ai-action-plan WHO Harnessing AI for Health: https://www.who.int/teams/digital-health-and-innovation/harnessing-artificial-intelligence-for-health National Academy of Medicine AI and Emerging Technology: https://nam.edu/our-work/key-issues/artificial-intelligence-and-emerging-technology/ CITI Program's course catalog: https://about.citiprogram.org/course-catalog 

Watch the NEJM In Studio video of this interview at NEJM.org. David Jones is the Ackerman Professor of the Culture of Medicine at Harvard University. Harleen Marwah, the interviewer, is an Editorial Fellow at the Journal. W. Xue and D.S. Jones. Debating Race and the Diagnosis of Anemia — How Medicine Moved Away from Race-Based Standards. N Engl J Med 2025;392:2168-2173.

Note: This episode was recorded on December 17, 2024, and reflects the policy landscape and political context of that time. When Krista Drobac arrived in Washington, D.C., fresh out of college, she had no car, no connections, and no clear path—just a determination to make a difference in politics. What began as a leap of faith quickly turned into a lifelong mission to transform healthcare policy. Today, as a founding partner of Sirona Strategies, Krista is a driving force behind some of the most innovative approaches to care delivery—from telehealth to home-based models. Her career took root in the late 1990s, when she led a groundbreaking campaign for stem cell research, uniting patient groups to advocate for life-changing treatments. Since then, Krista has become a trusted voice in healthcare policy. She is a true leader focused on spotting growth opportunities and mitigating risks stemming from policy changes at both federal and state levels. By merging market dynamics with regulatory shifts in Medicare, Medicaid, and commercial care, she guides companies—from startups to Fortune 10 giants—in building models of care that capture new opportunities. With deep relationships across both industry and government, and a rich history in the United States Senate, the Obama Administration, the National Governors Association, and state government, she is uniquely qualified to spot trends that drive change. In addition, she founded three coalitions dedicated to ensuring patients have access to telehealth, more home-based care, and integrated social services. In our conversation, Krista takes us behind the scenes of her journey—from her early days advocating for stem cell research to her current efforts to revolutionize care delivery. She opens up about the challenges of balancing innovation with affordability, the importance of addressing the root causes of chronic disease, and why now is the time for bold, transformative ideas in healthcare. Do you have thoughts on this episode or suggestions for future guests? We'd love to hear from you. Email us at hello@rosenmaninstitute.org.

Jacob sits down with Erik Wexler, the President and CEO of Providence. Providence is a non-profit, faith-based health system with 51 hospitals and 1,000 clinics across seven states. They discuss how to think about new AI opportunities with discipline, the value of health system partnerships, programs to support health equity, and more.[0:00] Intro[2:07] Challenges and Opportunities with AI[3:38] Leadership and Organizational Focus[5:30] Whole Person Care and Health Equity[7:23] Financial Challenges in Healthcare[9:25] Collaborations and Partnerships[13:38] Innovations in Healthcare Delivery[15:12] Tech Integration in Healthcare[16:55] Choosing the Right Innovations[17:48] Policy Landscape and Concerns[19:33] Handling Wildfires and Crisis Management[21:59] Commitment to Climate Change and Sustainability[24:14] Health Equity and Community Investment[27:14] Challenges and Successes in Healthcare Innovation[29:18] Future of Healthcare and Final ThoughtsOut-Of-Pocket: https://www.outofpocket.health/

In this conversation, Dr. David Carmouche discusses the critical transition from fee-for-service to value-based care in the healthcare industry, emphasizing the role of AI in enhancing primary care and improving patient outcomes. He highlights the financial pressures on health systems and the importance of aligning incentives to achieve sustainability. The discussion also covers the innovative solutions offered by Lumeris and the transformative potential of AI in automating care processes and improving patient engagement. Finally, Dr. Carmouche addresses the need for regulatory guardrails as AI becomes more integrated into healthcare delivery.In this episode , they discuss:The shift from fee-for-service to value-based care is essential for financial sustainability.AI is poised to transform primary care delivery and patient engagement.Healthcare costs have been deemed unsustainable for decades, necessitating change.Aligning incentives is crucial for improving patient outcomes in healthcare.Lumeris has a decade-long history of partnering with health systems for value-based care.AI can automate and standardize care processes, enhancing efficiency.Data availability and interoperability are key to successful value-based care models.Generative AI can proactively engage patients and improve care delivery.Training clinicians to effectively use AI is vital for its successful integration.Regulatory guardrails will be necessary as AI becomes more prevalent in healthcare.A little about Dr David Carmouche: David Carmouche, MD, is the Executive Vice President & Chief Clinical Transformation Officer at Lumeris. Dr. Carmouche is a visionary leader in transformational healthcare delivery, with a unique blend of provider, payer, retail, and integrated delivery network leadership experience.Prior to joining Lumeris, Dr. Carmouche served as Walmart's Senior Vice President of Healthcare Delivery, where he led the fleet of Walmart Health centers, Walmart Health Virtual Care, a value-based care partnership with Optum, and Walmart's work to address Social Determinants of Health. Dr. Carmouche has also held significant leadership roles with Ochsner Health, the largest nonprofit academic healthcare system in the Gulf South, and Blue Cross Blue Shield of Louisiana, where he introduced the company's first value-based care contracts. Earlier in his career, he built and led a multidisciplinary internal medicine and preventive cardiology practice.Dr. Carmouche attended Tulane University and LSU Medical School in New Orleans. Board-certified in Internal Medicine, he completed his residency at the University of Alabama at Birmingham, where he later served as Chief Resident. He serves as President of the Board of the Consortium for Southeastern Healthcare Quality and on the advisory board at Stellar Health. He has served on the board of the National Association of Accountable Care Organizations.

In this episode, Scott Becker interviews Dr. Judd Hollander, Senior Vice President of Healthcare Delivery Innovation at Thomas Jefferson University. Dr. Hollander shares insights from his career, including pioneering telemedicine programs, leveraging AI for healthcare solutions, and reshaping the patient experience through innovation.

We're excited to share the latest episode of The ASHHRA Podcast, featuring an enlightening conversation with Pam Teufel, Senior Vice President and Chief Human Resources Officer at Mainline Health in Philadelphia. Join us as we delve deep into the "business of healthcare," uncovering the complexities and innovative strategies needed to thrive amidst financial challenges.

Sidekick Health's digital care platform utilizes AI to personalize patient care and reduce healthcare waste, transforming the future of healthcare delivery. In this episode, Travis Parkinson, president of Sidekick Health's healthcare business, discusses how Sidekick is tackling challenges faced by US payers, such as declining reimbursement rates and inefficient care management. He introduces the digital continuum of care platform, offering over 20 therapeutic programs that improve patient engagement and reduce healthcare waste. The episode highlights how Sidekick uses AI to personalize care, streamline workflows, and alleviate clinician burnout, resulting in significant reductions in inpatient visits. Travis also emphasizes the transformative potential of AI in healthcare and encourages engagement with Sidekick through social media. Tune in to discover how Sidekick Health is pioneering digital health innovations and transforming the future of healthcare delivery! Resources: Connect with and follow Travis Parkinson on LinkedIn. Follow Sidekick Health on LinkedIn and explore their website.

On this week's Monday interview, host J. Carlisle Larsen speaks with Kaufman Hall's Scott Christensen about trends within the retail healthcare delivery space and what hospitals can learn from these organizations' stumbles and successes. You can find the first part of our conversation here. And you can read Scott's recent blog post about the topic here. Hosted on Acast. See acast.com/privacy for more information.

In this new episode of our Supply Chain Leadership Across Africa Series, hosts Scott W. Luton and Jenny Froome are joined by Edwin Mulwa, Director and Team Lead, Digital Solutions Global Technical Team at VillageReach, and Derick Lung'aho, Acting Chief Programs Officer at Medic. Together, they explore the transformative power of digital tools in strengthening community healthcare supply chains across Africa.Edwin and Derick share insights into how their organizations are leveraging innovative technology to enhance data visibility, optimize healthcare delivery, and empower community health workers with the tools they need to drive meaningful outcomes. For supply chain and healthcare leaders, this conversation discusses challenges like infrastructure limitations, digital literacy, and the importance of user-centered design. The big takeaway? Strategic partnerships, scalable solutions, and a focus on local needs can ensure better health access and equity for communities everywhere.Additional Links & Resources:Learn more about digital tools for community health workers: https://bit.ly/3OBGrwUConnect with Edwin: https://www.linkedin.com/in/eddiemulwaConnect with Derick: https://www.linkedin.com/in/derick-lung-aho-524b9ba/Learn more about Medic: https://medic.org/Learn more about Village Reach: www.villagereach.orgLearn more about Supply Chain Now: https://supplychainnow.comWatch and listen to more Supply Chain Now episodes here: https://supplychainnow.com/program/supply-chain-nowSubscribe to Supply Chain Now on your favorite platform: https://supplychainnow.com/joinWork with us! Download Supply Chain Now's NEW Media Kit: https://bit.ly/3XH6OVkWEBINAR- Future-Proof Your Logistics: AI-Powered Solutions for Competitive Edge: https://bit.ly/3BouB5EWEBINAR- Unlocking the Power of Digital Transformation: Building AstraZeneca's Resilient, Decision-Centric Supply Chain: https://bit.ly/4fHYooJWEBINAR- The Cold Chain Dilemma: Why Visibility Falls Short and What Really Works: https://bit.ly/4hpu8k9WEBINAR- 2025 Supply Chain Outlook: Preparing for Economic and Commercial Shifts: https://bit.ly/4fKWvYxWEBINAR- Introduction to Microsoft Supply Chain: Enabling Scale and Complexity: https://bit.ly/40K1rszWEBINAR- How Ferguson's Metrics-Driven Strategy Drove an 18% Improvement in Operational Efficiency: https://bit.ly/3YBbsFzWEBINAR- E2E Demand Planning – Tactics for Driving Value at Scale: https://bit.ly/4g5VdaDThis...

Join Josh Clark and Kedar Mate from the Institute for Healthcare Improvement (IHI) as they explore the innovative role of care operating systems in transforming patient care. They discuss how an integrated OS approach enhances quality, safety, and patient experience, and share success stories of CareOS implementations. Learn critical strategies and tactics for healthcare leaders who are faced with complex challenges related to workforce, clinical outcomes, and financial sustainability. This episode is sponsored by the Institute for Healthcare Improvement (IHI).

Retailers have made a big splash in the healthcare delivery space over the last decade, but many have seen mixed success with their healthcare business. Some companies, including CVS and Amazon, are still making progress. While others, like Walmart and Walgreens, have taken a tumble. On today's episode of the Gist Healthcare podcast, host J. Carlisle Larsen discusses what we've seen in the retail space with Scott Christensen, Senior Vice President for Kaufman Hall's Strategy and Business Transformation team. Scott recently wrote a blog post analyzing the retail healthcare business, read it here. Hosted on Acast. See acast.com/privacy for more information.

Join Accenture's Ajay Mody and Asher Perzigian as we talk with Mike Niffenegger, SVP and General Manager of Harmony Cares, a leading provider of in-home primary care. Mike shares how Harmony Cares is revolutionizing healthcare delivery for complex patients, leveraging technology and a value-based approach to improve outcomes and patient satisfaction. He discusses the challenges and opportunities of in-home care and the future of this rapidly growing field. Tune in to learn how Harmony Cares is making a real difference in the lives of patients who need it most.

Welcome to an interview with healthcare visionary, Eugene Litvak. In this episode, Eugene discussed the challenges in global hospital management, highlighting overcrowded emergency departments, nursing shortages, rising healthcare costs, and mismanaged surgery schedules leading to delays and increased mortality. Eugene discussed ways to improve the current healthcare system to save millions of dollars for each hospital while improving patient satisfaction and outcomes, nurse retention, hospital efficiency, and addressing healthcare disparities and inequities.   Eugene Litvak, PhD is President and CEO of the nonprofit Institute for Healthcare Optimization. He is also an Adjunct Professor in Operations Management in the Department of Health Policy & Management at the Harvard School of Public Health (HSPH). He was a co-founder and director of the Program for the Management of Variability in Health Care Delivery at the Boston University (BU) Health Policy Institute. Since 1995, he has led the development and practical application of innovative approaches for managing patient flow variability, first introduced by him and his fellow co-founder Michael C. Long, MD, for cost reduction and quality improvement in health care delivery systems.   Get Hospital, Heal Thyself here: https://shorturl.at/6kevO   Here are some free gifts for you: Overall Approach Used in Well-Managed Strategy Studies free download: www.firmsconsulting.com/OverallApproach   McKinsey & BCG winning resume free download: www.firmsconsulting.com/resumepdf   Enjoying this episode? Get access to sample advanced training episodes here: www.firmsconsulting.com/promo

Welcome to Strategy Skills episode 495, an interview with healthcare visionary, Eugene Litvak. In this episode, Eugene discussed the challenges in global hospital management, highlighting overcrowded emergency departments, nursing shortages, rising healthcare costs, and mismanaged surgery schedules leading to delays and increased mortality. Eugene discussed ways to improve the current healthcare system to save millions of dollars for each hospital while improving patient satisfaction and outcomes, nurse retention, hospital efficiency, and addressing healthcare disparities and inequities.   Eugene Litvak, PhD is President and CEO of the nonprofit Institute for Healthcare Optimization. He is also an Adjunct Professor in Operations Management in the Department of Health Policy & Management at the Harvard School of Public Health (HSPH). He was a co-founder and director of the Program for the Management of Variability in Health Care Delivery at the Boston University (BU) Health Policy Institute. Since 1995, he has led the development and practical application of innovative approaches for managing patient flow variability, first introduced by him and his fellow co-founder Michael C. Long, MD, for cost reduction and quality improvement in health care delivery systems.   Get Hospital, Heal Thyself here: https://shorturl.at/6kevO   Here are some free gifts for you: Overall Approach Used in Well-Managed Strategy Studies free download: www.firmsconsulting.com/OverallApproach   McKinsey & BCG winning resume free download: www.firmsconsulting.com/resumepdf   Enjoying this episode? Get access to sample advanced training episodes here: www.firmsconsulting.com/promo

In the midst of the COVID-19 pandemic, The Centers for Medicare & Medicaid services released the Acute Hospital Care at Home payment waiver. The action was expected to usher in a new era of home-based care. But while it's certainly grown in recent years, frankly, that massive shift hasn't happened. The question is, why? This week, host Abby Burns invites Dr. Matthew Richards, Senior Medical Director of home-care enablement company Medically Home, to explore the role that home-base care could play in the future of healthcare, and to unpack the misconceptions that prevent home-based care from playing a larger role in the healthcare ecosystem today. Links: Home - Medically Home 5 trends (re)shaping site-of-care shifts The future of the acute care at home model Ep. 64: Why Contessa's CEO believes hospital at home benefits everyone (including hospitals) Strategic Planner's survey 2024 Survey insights: 6 priorities for health system strategists in 2024 A transcript of this episode as well as more information and resources can be found on www.advisory.com/RadioAdvisory.

In this episode, Scott Becker speaks with Chris Briggs, Group Vice President at Providence, about key technology trends in healthcare. Chris highlights the role of connected medical devices, technology convergence, cybersecurity in clinical devices, and the evolution of centralized device management at Providence.

How Data Sharing Is Transforming Healthcare Delivery On this episode of The Spark, Shruti Kothari, Director of Industry Initiatives for Health Care Reform at Blue Shield of California, discusses her experiences working in different areas of healthcare, from frontline care in underserved communities to driving innovation and policy at large organizations. She covers key priorities such as data sharing, payment innovation, and behavioral health integration. Shruti highlights the importance of collaboration between providers, health plans, and innovators to overcome barriers to scaling solutions. She also emphasizes the need for long-term, sustainable changes in addressing systemic issues. Hosts: Rachel Schreiber Gerald Bortis Guest from Blue Shield of California Shruti Kothari, Director of Industry Initiatives for Health Care Reform Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

This episode of the NASP Podcast, Sheila Arquette, President & CEO of NASP, speaks with Kathryn Eshelman, MD, MPH, Vice President of Clinical Informatics at Inovalon, about the evolving role of pharmacists and how leveraging technology can enhance patient outcomes while reducing administrative burdens.

Revolutionizing Healthcare Delivery: Transforming Patient Care at Memorial Healthcare System Host: Megan Antonelli Guest: Jeffrey Sturman Join Megan Antonelli and her guest Jeffrey Sturman, SVP & Chief Digital Officer at Memorial Healthcare System. Learn about the dynamic journey of Memorial Healthcare System as it harnesses cutting-edge technologies to revolutionize patient care. Faced with the challenge of evolving healthcare landscapes, Memorial Healthcare System seized the opportunity to integrate innovative solutions, enhancing operational efficiency and patient outcomes. Through strategic implementation of advanced technologies, Memorial Healthcare System is paving the way for smarter, more efficient healthcare delivery, Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Digital transformation in healthcare enhances patient experience and optimizes call center operations, patient financial services, and overall access to healthcare. In this episode, Dr. Scott Schell, Chief Medical Officer at Cognizant, shares insights into how digital transformation is shaping healthcare delivery in 2024, highlighting the challenges and opportunities it presents. He delves into specific complaints and struggles related to patient experience projects and the tangible effects of AI and machine learning on providers and patients. Dr. Scott also discusses potential pitfalls in Gen AI and tips for healthcare organizations embarking on their digital transformation journey. Throughout this interview, he reflects on the importance of automation tools in alleviating staff burnout.  Tune in to gain valuable knowledge and practical advice from Dr. Schell's expertise at the intersection of healthcare, technology, and patient experience. Resources: Connect with and follow Scott Schell on LinkedIn. Follow Cognizant on LinkedIn and visit their website.

I had the pleasure of speaking with Dr. Jackleen Samuel, CEO of Resilient Healthcare, on the latest episode of the Healthy, Wealthy, and Smart podcast. Dr. Samuel shared insights on the evolution of care delivery and the innovative solutions Resilient Healthcare is implementing to bridge gaps in healthcare. From acute care at home programs to extending services into the community, Resilient Healthcare is revolutionizing the way patients receive care. Here are the key takeaways from our conversation: Innovative Care Delivery: Resilient Healthcare offers acute care at home programs, providing hospital-level care in the comfort of patients' homes. Collaboration with Hospitals: By partnering with hospitals, Resilient Healthcare is able to extend care into the community and improve access to services. Tech-Enabled Solutions: Leveraging technology for continuous monitoring and virtual consultations, Resilient Healthcare ensures patients receive high-quality care remotely. Importance of Resilience: Dr. Samuel emphasizes the need to be resilient and push forward in the face of challenges, advocating for positive change in the healthcare industry. Time Stamps:  00:00:03 - Introduction and Welcome 00:00:14 - Episode Topic: Changes in Healthcare Delivery 00:00:35 - Guest Introduction: Dr. Jackleen Samuel 00:00:59 - Dr. Samuel's Background and Career Path 00:02:05 - Inspiration Behind Resilient Healthcare 00:02:33 - Benefits of Home Healthcare 00:03:25 - Transition from Clinical to Nonclinical Role 00:05:13 - Evolution of Resilient Healthcare 00:07:18 - Acute Care at Home During the Pandemic 00:09:02 - Practical Implementation of Acute Care at Home 00:11:05 - Patient Feedback and Satisfaction 00:12:21 - Business Model and Operations 00:14:13 - Credentialing and Staffing 00:15:09 - Workflow and Coordination with Hospitals 00:17:19 - Benefits of Home Visits for Physical Therapy 00:19:24 - Challenges and Opportunities in Home Healthcare 00:20:02 - Extending Hospital Services into the Community 00:22:16 - Disconnect in Home Health Awareness 00:23:21 - Partnering with Local Providers 00:25:10 - Surprises and Challenges in Healthcare Industry 00:28:17 - Positive Reception of Hospital at Home Model 00:29:16 - Final Takeaways and Encouragement 00:30:16 - Contact Information and Website 00:30:51 - Advice to 20-Year-Old Self 00:31:35 - Conclusion and Farewell More About Dr. Jackleen Samuel-Kloes, PT, DPT: Dr. Jackleen Samuel is the CEO/President of Resilient Healthcare (Plano, TX) and a serial entrepreneur deeply passionate about disrupting traditional healthcare delivery. With over a decade in the industry, she consistently drives growth, innovation, and pursues her mission to make healthcare both convenient and transparent for patients. Beyond her leadership at Resilient Healthcare, Jackleen's entrepreneurial spirit shines through her diverse ventures. She founded a post-acute rehabilitation company, spearheaded a neurology therapy clinic, and co-owned a physical therapy management firm. Each endeavor underscores her commitment to elevating patient care through technology and innovative methodologies. As a result, Resilient Healthcare stands as a beacon in the health-tech landscape, delivering unparalleled hospital-at-home services while championing operational excellence and profitability. A graduate of New Jersey Institute of Technology and Rutgers University, Jackleen earned a bachelor's degree in biology, coupled with a tech-centric minor in History, and later pursued a Doctorate in Physical Therapy from Rutgers. Her influential role in healthcare has garnered notable recognition, including a feature in Becker's Hospital Review's esteemed "116 Women in Health IT to Know." In addition to this, she serves on the Board for Kick Foundation, offers insights as a thought leader for Forbes, and holds titles as a UBS Fourth Effect and UBS Luminary Fellow. Outside her professional sphere, Jackleen values her moments outdoors, whether that's a camping trip or a hike with family. She resides in Texas, sharing her home with her husband, four children, and two dogs. A sports aficionado, she holds a special fondness for soccer. Resources from this Episode: Resilient healthcare Website Jackleen on LinkedIn Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month 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

For a full transcript of this episode, . The episode today is somewhat of a follow-on to the show with Lauren Vela, which was about employer inertia. If we're talking about inertia, though, we'd be remiss not to get a little circumspect about the whole affair and subject some other stakeholders to our microscope. One of these stakeholders is EBCs (employee benefit consultants), practice leads, and brokers, which AJ Loiacono talked about in to some extent; so we can check that box at least for now. That leaves TPAs (third-party administrators), ASOs (administrative services onlys), and health plans. And this hotbed of inertia is what I talk about today with Elizabeth Mitchell from PBGH, the Purchaser Business Group on Health. Similar to earlier shows, one disclaimer is that I am using the TPA and ASO terms sort of interchangeably here. Again, TPA is third-party administrator, and ASO is administrative services only, which is generally the term used when an insurance carrier offers services to a plan sponsor, like a self-insured employer. And these services don't include insurance, because … self-insured. So, the services are administrative only. One point to make clear before we dive in, this conversation is not about these carriers/payers/health plans in general and what they may or may not be doing. This conversation is very specifically focused on how well are those entities helping jumbo employers deploy their health benefits. And first we talk about the role of a TPA or ASO, both in terms of what a jumbo employer might want them to be doing versus what they are often actually doing. Spoiler alert: What they are often actually doing is acting like a full-on health plan and charging as such, even if the health plan part is not what the self-insured employer wants or needs, especially when somebody figures out exactly how much additional is getting charged for those ancillary health plan services. Listen to the show with Justin Leader () for a bead on just a piece of the how much additional that gets baked into the weekly claims wires many self-insured employers get. Bottom line, right now, there's a gap in the market. What is needed are indie TPAs who are effective and efficient and not owned by a health plan because, if history is any predictor of the future, the second the TPA gets owned by a health plan, the TPA sort of ceases to be a TPA and becomes a health plan—with all the attendant bells and whistles that, a lot of times, an employer can't opt out of. And also, the whole not sharing data becomes a thing, both cost data and also quality data. Now, just because there's a gap in the market, does that mean all jumbo employers are paralyzed into inertia? Well, it makes it harder, for sure. But it's also a reason to start figuring out how to solve for a problem when it has as many zeros at the end of it as this problem has. Have you seen these lawsuits popping up all over the place and just the numbers that are involved? Aramark's lawsuit against Aetna is just one example. Not to single out just this one, but in the interest of time, let's talk about this one. Aramark, a big employer, alleged that since 2018, Aetna has taken more than $200 million from it to pay for medical services that should not have been paid out and retains millions of dollars in undisclosed fees. Mark Flores about this one the other day. Also, there was that Cigna lawsuit where an electrician's union health plan was surprised to learn that the fees charged by Cigna had risen from around $550,000 in 2016 to $2.6 million in 2019. That was from a New York Times . For more on stuff like this, follow Doug Aldeen and/or Chris Deacon on LinkedIn. They're a great resource. I'd also listen to the “Who's Suing Who?” episode with Chris Deacon, which was . Because of all of this, the conversation today with Elizabeth Mitchell pretty quickly gets into the shift toward direct contracting between employers and providers to improve access quality and outcomes. If you can't beat them, get ruthlessly practical is my takeaway. I have to say, I truly admire some of these HR folks and their leadership willing to do what it takes on behalf of protecting the people that work for them. Now, important side note: There are certainly some health plans at least trying here, so I don't want to imply otherwise. There are some interesting initiatives that are afoot at, I'm gonna say, usually regional health plans. Elizabeth Mitchell has talked about some of these and made this clear also elsewhere. Lastly, if you aren't familiar with the CAA, which comes up in the episode today, there's a show () on the Consolidated Appropriations Act, which is what CAA stands for. Elizabeth Mitchell, my guest today, currently serves as the president and CEO of the Purchaser Business Group on Health. PBGH members are really focused on innovating and implementing change. We talk about some of this innovation and implementation on the show today, and it is very inspiring. Stay tuned on this topic, given just the absolute need for TPA services like we discuss in the show that follows, and given the smart, innovative, action-oriented people who are affected—1 plus 1 equals … yeah. Stay tuned. Very, very lastly, I just want to give a shout-out and thanks to Brad Brockbank for posing some great questions, which I pretty much turned around and asked Elizabeth Mitchell in this healthcare podcast. Also mentioned in this episode are ; ; ; ; ; ; ; ; ; ; ; ; ; ; and . You can learn more at and by connecting with Elizabeth on . You can also watch a on success with direct contracting.   Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH), supports the implementation of PBGH's mission of high-quality, affordable, and equitable healthcare. She leads PBGH in mobilizing healthcare purchasers, elevating the role and impact of primary care, and creating functional healthcare markets to support high-quality affordable care, achieving measurable impacts. Elizabeth leverages her extensive experience in working with healthcare purchasers, providers, policymakers, and payers to improve healthcare quality and cost. She previously served as senior vice president for healthcare and community health transformation at Blue Shield of California, during which time she designed Blue Shield's strategy for transforming practice, payment, and community health. Elizabeth also served as the president and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine's business coalition on health, worked within an integrated delivery system, and was elected to the Maine State Legislature, serving as a state representative and chair of the Health and Human Services Committee. Elizabeth served as vice chairperson of the US Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, board and executive committee member of the National Quality Forum (NQF), member of the National Academy of Medicine's “Vital Signs” Study Committee on core metrics, and a Guiding Committee member for the Health Care Payment Learning & Action Network. She now serves as a board member of California's Office of Healthcare Affordability. Elizabeth holds a degree in religion from Reed College and studied social policy at the London School of Economics.   06:48 What is the overarching context for health plans in healthcare purchasing? 09:00 with Olivia Webb. 11:44 Why is it important to reestablish a connection between the people paying for care and people providing care? 14:07 What are the needs of a self-insured employer when managing employee benefits? 19:41 Is it doable for employers to set their own contracts? 22:11 Is transparency presumed? 23:25 Will the new transparency upon us actually expose wasted expense? 27:45 “This is not about individual bad actors. … The systems … that is not aligned.” 29:32 Are there providers who want to work directly with employers? 32:46 Why is it important that incentives need to be aligned? 34:25 Why is the quality of care even more important than transparency? 36:29 with Rik Renard. 38:08 What's missing from the conversation on changing health plans?   You can learn more at and by connecting with Elizabeth on . You can also watch a on success with direct contracting.   @lizzymitch2 of @PBGHealth discusses #TPA and #healthplan inertia on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! , , , , , , , , ,