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7 episodes with healthcare operations
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2 episodes with healthcare operations
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8 episodes with healthcare operations
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Artificial intelligence is rapidly becoming part of nearly every conversation in healthcare, but many executives are still asking the same question: What do I actually need to understand to make good business decisions? On this episode of The Dish on Health IT, Brian Dwyer, Business Strategist at Point-of-Care Partners, is joined by Sam Schifman, Principal Engineer for AI at Red Hat and Consultant at Point-of-Care Partners, and Kendra Obrist, Senior Consultant and Payer Interoperability Subject Matter Expert at Point-of-Care Partners, for a practical discussion about how healthcare leaders can evaluate AI opportunities without needing to become technical experts. Together, they explore where AI is delivering measurable value today, why many initiatives struggle to achieve expected outcomes, how to evaluate vendors and risk, what emerging policy and governance trends mean for healthcare organizations, and why strong data quality and interoperability remain essential to AI success. The conversation begins by unpacking what people actually mean when they say they're "using AI." Sam explains the differences between predictive AI, generative AI, conversational AI, and the rapidly emerging world of agentic AI, while Kendra encourages listeners not to get caught up in the terminology. Instead, she emphasizes starting with the business problem that needs to be solved and then determining whether AI is the right tool for the job. Brian then asks where AI is creating meaningful value today. Kendra highlights opportunities across administrative workflows, including documentation, member and provider engagement, claims, prior authorization, and other operational processes where reducing friction can improve efficiency and the user experience. Sam builds on that discussion by encouraging organizations to evaluate AI initiatives based on business outcomes and measurable success metrics rather than technical benchmarks, while recognizing that every AI implementation introduces its own set of risks and tradeoffs. The discussion shifts to why technically impressive AI projects often fail to produce meaningful business results. Kendra explains that organizations can become captivated by polished demonstrations without fully considering governance, data quality, workflow redesign, adoption, and organizational change management. Sam reinforces the importance of understanding AI's inherent uncertainty, establishing appropriate human oversight, and preparing employees for new ways of working as AI becomes integrated into everyday operations. Brian next explores how much AI healthcare executives actually need to understand. Rather than suggesting leaders become AI specialists, Sam encourages executives to develop enough knowledge to ask informed questions and avoid treating AI as an incomprehensible "black box." Kendra complements that advice by encouraging leaders to personally experiment with AI tools so they can better understand both their strengths and limitations before making strategic decisions. As organizations increasingly evaluate AI-enabled products, the panel discusses the questions healthcare leaders should ask prospective vendors. Beyond understanding how an AI solution works, they explore governance, transparency, auditability, accountability, data requirements, quality assurance, and vendor responsibility when AI produces unexpected results. Sam also introduces the concept of AI sovereignty, encouraging organizations to think carefully about long-term dependence on foundational AI models and the flexibility they'll need as technology and regulations continue to evolve. The conversation also examines the rapidly changing policy landscape surrounding AI. Kendra explains how federal agencies are currently taking a sector-specific approach to oversight while states continue introducing their own transparency, bias, and human review requirements. Together, they discuss the operational challenges this evolving patchwork of regulations creates for healthcare organizations operating across multiple states and why adaptability will become increasingly important. Looking ahead, Brian asks what developments deserve executives' attention and which trends may be receiving more attention than they warrant. Sam discusses why organizations should avoid assuming generative AI is always the right answer, highlighting continued opportunities for predictive AI, machine learning, and even traditional software approaches when they better fit the problem. Kendra shares why agentic AI and coordinated teams of AI agents may fundamentally reshape how work is performed across healthcare organizations. The episode concludes with each guest sharing one final takeaway for healthcare leaders. Sam encourages organizations to begin thinking strategically about AI sovereignty, security, and organizational flexibility as AI becomes increasingly embedded in core business operations. Kendra leaves listeners with a broader perspective, comparing AI's impact on knowledge work to the Industrial Revolution's impact on physical labor, and encourages leaders to embrace the technology thoughtfully rather than waiting until they feel they have all the answers. This episode offers practical guidance for healthcare executives who want to make informed AI decisions, ask better questions of vendors and internal teams, and develop an AI strategy grounded in business value rather than technology for technology's sake. Would you be interested in joining a future AI 101 webinar designed for healthcare executives? Sign up to be invited and tell us what you want to learn. We may not be able to pack everything into one webinar but we can do our best to make it as informative as possible.
What if the most powerful growth strategy in hospice and primary care had nothing to do with your clinical protocols, your technology stack, or your marketing budget — and everything to do with who shows up, and how often? In this episode of The Disrupted Podcast, Scott Middleton — founder and Chief Disruption Officer of Your Health — unpacks the real-world lessons shaping how your Health is staffing, growing, and rebuilding trust as it integrates the newly merged TCPA and Providence Care organizations. Scott spent the week in the field — Monroe, Georgia; Beaufort, South Carolina; Atlanta and beyond — sitting in care team meetings, talking to nurses, watching exercise classes, and rethinking everything from staffing ratios to personality matching. What he found is both a warning and a blueprint. In this episode: Why minor service failures — a nurse who didn't show up once — can cost you an entire facility relationship, and what it actually takes to earn it back The strategic case for pulling a nurse off a shared caseload and planting her full-time in a single building — even when the numbers don't fully justify it yet The story of a nurse so embedded in one facility that an administrator told Your Health: "I will cut you if you move her" How DISC personality profiles should determine which staff member walks into which building — and why getting it wrong creates friction that kills referrals Why the best talent you'll ever hire is already living in the community you serve — and why your recruiters will never find them on Indeed The centralize-then-decentralize model Your Health deploys every time it launches something new — and why it's the only way to scale without losing quality If you lead a care team, run a hospice program, manage a building, or are trying to grow in any direction in healthcare right now — this episode is your field guide. www.YourHealth.Org
Welcome back to a special encore presentation of Turn on the Lights! As we continue our transition series, our new host, Dr. Philip, has selected one of our most impactful and widely listened-to conversations from the archives to revisit. He introduces this timely discussion with Chris Van Gorder, which explores how cost shifting, regulatory mandates, and Medicare Advantage risk transfer are pushing healthcare toward structural unaffordability. Summary: Leading a major health system today means juggling patient-first ethics with a financing model that keeps tightening the screws. In this episode, Chris Van Gorder, President and Chief Executive Officer of Scripps Health, explains why health care is becoming structurally unaffordable amid soaring premiums, uncompensated emergency care, and rising input costs. He describes how hospitals have become the default safety net as county systems disappear, while underpayment by Medicare and Medicaid forces cost shifting onto employers and commercially insured patients. Van Gorder also highlights California's seismic rebuilding mandates, which create massive capital pressure without matching reimbursement. He critiques managed care, value-based care, and Medicare Advantage for pushing risk onto providers through prior authorization and denials, recounting Scripps' difficult decision to exit several Medicare Advantage contracts after heavy losses and the downstream impact on patients. Tune in and learn how payment design, intermediaries, and regulation shape what hospitals can sustain and what patients can access. About Chris Van Gorder: Chris Van Gorder, MPA, FACHE, is the President and Chief Executive Officer of Scripps Health in San Diego, where he has led the organization since 2000 after serving as its Chief of Healthcare Operations and COO. A veteran healthcare executive with decades of experience across California hospital systems, he previously held CEO and senior leadership roles at Long Beach Memorial Medical Center, Anaheim Memorial Medical Center, and Little Company of Mary Hospital. Beyond health system leadership, he has served on multiple boards, including Prolacta Bioscience and previously Abiomed and Z-Medica, and he has been active in national and civic service as a commissioner for the U.S. National Commission for UNESCO. He also brings an uncommon public-safety background, including reserve service with the San Diego Sheriff's Department and long-running involvement with California's Emergency Medical Services Authority, earning a Distinguished Service Medal. An educator and author, he teaches at USC and wrote The Front-Line Leader (2014). Things You'll Learn: Healthcare executives are dealing with an unprecedented volume of simultaneous operational, financial, and workforce demands, raising the stakes of everyday decisions. Affordability isn't just a household problem; it's a system design problem that forces hospitals to cover the growing cost of unpaid care. Cost shifting is not a theory; it is the mechanism that pushes public underpayment onto commercial premiums. Regulatory and capital mandates can dramatically raise costs without generating new revenue, especially in California. Medicare Advantage often adds friction through narrow networks, prior authorization, and payment disputes, while shifting risk downhill. Walking away from bad contracts can stabilize a system financially, but it creates real disruption for patients and exposes policy gaps in switching coverage. Resources: Connect with and follow Chris Van Gorder on LinkedIn. Follow Scripps Health on LinkedIn and explore their website! Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Adam Torres interviews Patty Roels, Co-Founder & CEO of Infinium Healthcare, about improving healthcare back-office operations, strengthening cash flow, and using AI to automate revenue cycle management. Big thanks to Shawn Garrity, Founder of Circle and SEICon and Brad Turner, Founder & CEO at Marketing Completion Fund & Investor Conference News for inviting Las Vegas Live to SEICon! Follow Adam on Instagram at https://www.instagram.com/askadamtorres/ for up to date information on book releases and tour schedule. Apply to be a guest on our podcast: https://missionmatters.lpages.co/podcastguest/ Visit our website: https://missionmatters.com/ More FREE content from Mission Matters here: https://linktr.ee/missionmattersmedia Learn more about your ad choices. Visit podcastchoices.com/adchoices
The American healthcare system is built around a simple idea: get sick, get treated. But what if the problem isn't how we treat illness — it's that we've never seriously tried to prevent it? In this first installment of a two-part conversation, Jamie sits down with Brody Wall, Division President of Operations at Your Health, to trace the arc from a broken, reactive healthcare system to one where data tells you what's coming before the patient even knows something is wrong. Brody's path to healthcare wasn't through a textbook — it was through a father who was a Methodist minister and a mother who spent her career caring for underprivileged children. The mission was always there. The data just became the most honest way to fulfill it. In Part 1, Jamie and Brody cover: Why fee-for-service healthcare financially rewards volume of sick visits — not health — and how that one incentive structure explains why 17-20% of America's GDP goes to healthcare costs with outcomes that still lag behind other developed nations What Your Health was flying blind on before it committed to building a real data infrastructure — and what gut-feeling decisions look like when data finally proves them wrong How social determinants of health (Z codes) and behavioral health conditions (F codes) reveal which patients are actually at the highest risk of hospitalization The finding that changed everything: patients with four or more behavioral health conditions were ten times more likely to have multiple ER visits — and the clinical response that followed This isn't just a conversation about numbers. It's about what happens when an organization decides that preventing the crisis matters more than reacting to it. Part 2 drops next week. www.YourHealth.Org
What happens when the rules everyone follows weren't actually rules to begin with? In this episode, Scott Middleton — Owner of Your Health and Chief Disruption Officer — shares what he's seeing on the ground as the TCPA and Providence Care merger moves toward its final close. But the real conversation goes deeper: the quiet, dangerous habit of staff making up policies, enforcing phantom restrictions, and defaulting to "no" when the answer should have been "let's figure it out." Key topics covered: Why fabricated rules (like requiring a psych NP referral for talk therapy) become embedded in organizations — and how to stop it How Scott is approaching the merger with radical transparency, and why "don't tell until it's done" has no place in his culture The one thing that will get you fired fast: "don't tell Scott" What TCPA's nursing home model is teaching Your Health about patient frequency, hospitalizations, and what actually works Why the chaplain conversation changed Scott's entire philosophy — and how advanced care planning pays for it The system doesn't need more rules. It needs more people willing to ask. Listen now and ask yourself: what rule in your organization did somebody just make up? www.YourHealth.Org
Credentialing rarely makes headlines, but it plays a critical role in determining how quickly patients can access care, how providers join health plan networks, and how healthcare organizations maintain quality at scale. In this episode of Quality Matters, host Tsveta Polhemus examines why credentialing has become one of the most important foundations for modern healthcare delivery—especially as virtual care continues expanding across states and specialties. Joining the conversation are Sharon Meers, President and Co-Founder of Midi Health, and Greg Smith, Director of Operations at Evernorth Health Services. Together, they explore how credentialing impacts providers, payers, and patients alike, and why standardized, trusted processes are essential for improving access while maintaining confidence in care. Sharon shares Midi Health's remarkable growth from approximately 20 clinicians to nearly 800 providers serving patients nationwide. As the organization rapidly expanded across all 50 states, credentialing and payer enrollment became one of its greatest operational challenges. She explains how achieving NCQA Credentialing Accreditation enabled delegated credentialing with major national payers, reducing enrollment timelines from months to just days and allowing patients to access care sooner. Greg offers the payer perspective, discussing how credentialing supports network adequacy, strengthens audit readiness, and creates greater consistency across provider networks. He explains why recognized standards help reduce administrative friction while giving health plans greater confidence in the organizations they partner with. The episode concludes with a Patient Voice segment featuring Carroll Schreibman, who shares her experience navigating perimenopause symptoms after years of searching for answers. She reflects on how quickly accessing virtual care through Midi Health transformed her health, work, and quality of life—and why listening to patients remains central to delivering meaningful care. As healthcare delivery continues evolving, one message becomes clear: credentialing isn't simply a compliance exercise. It's the infrastructure that enables trusted, timely, and equitable access to quality care. Highlights Credentialing Enables Access Credentialing determines how quickly providers can begin seeing patients, making it one of the most important drivers of timely access to care. Scaling Virtual Care Responsibly Midi Health shares how standardized credentialing supported rapid national expansion while maintaining consistency and quality. Trusted Standards Build Confidence NCQA Credentialing Accreditation creates a common framework that strengthens relationships between providers, payers, and patients. The Payer Perspective Credentialing helps health plans improve network adequacy, streamline oversight, and reduce administrative burden while supporting quality care. A Patient's Experience Carroll Schreibman shares how timely virtual access to menopause care helped restore her quality of life after years of unanswered questions. Key Quote "Credentialing isn't just a compliance requirement—it's the infrastructure that makes timely, trusted, high-quality care possible." — Sharon Meers Time Stamps - Waiting on Final File (00:00) Why Credentialing Matters More Than Ever (01:52) Meet Sharon Meers & Greg Smith (05:43) A Patient's Journey to Virtual Care (09:25) Credentialing 101: Why It Matters (12:12) How Delegated Credentialing Improves Access (14:36) Scaling Midi Health from 20 to 800 Clinicians (18:00) Balancing Speed, Quality, and Trust (24:44) Measuring Patient Access and Outcomes (28:47) The Future of Credentialing and Virtual Care (33:25) Patient Voice: Carroll Schreibman's Story (42:47) Key Takeaways and Closing Thoughts Links & Resources NCQA Credentialing Accreditation Learn more about Midi Health Learn more about Evernorth Health Services Connect with Sharon Meers Connect with Greg Smith Connect with Carroll Schreibman Connect with Tsveta Polhemus Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
What happens when we stop treating hospitals like factories and start recognizing them as complex systems filled with uncertainty, competing priorities, and deeply human experiences? In this thought-provoking episode, Dr. Andrea Austin sits down with John D'Alesandro to discuss the realities of improving healthcare from an operational perspective. Drawing from decades of experience in manufacturing and healthcare systems, John shares why traditional dashboards often fail to predict problems, how organizations can learn to identify early warning signals, and why building a culture of action matters more than simply completing improvement projects. Together, they tackle some of healthcare's most pressing issues, including emergency department boarding, leadership versus management, technology adoption, and the disconnect between policy-level solutions and frontline realities. John also offers a powerful perspective as both an operations expert and a patient navigating a serious neurological condition, reminding listeners that healthcare ultimately succeeds or fails through the experiences of those who depend on it. This conversation invites listeners to think differently about accountability, agency, and the small cultural shifts that can make meaningful change possible. They discussed: Why hospitals function more like complex adaptive systems than factories The limitations of traditional dashboards and retrospective metrics Identifying early warning signals before crises develop Creating cultures that empower frontline staff to act Leadership versus management in healthcare settings The ongoing emergency department boarding crisis and throughput challenges Why local solutions often outperform one-size-fits-all mandates Lessons learned from navigating healthcare as a patient Building trust, agency, and accountability within healthcare teams How small actions shape organizational culture over time
Andrew Archibald, CEO of MEDMIN, breaks down why the UK's private healthcare sector has been stuck in operational chaos — and what he's doing to fix it. Built on a model where NHS consultants moonlight as private practitioners with zero business infrastructure, the system has forced brilliant surgeons to spend Sunday mornings writing their own invoices. MEDMIN steps in as a total practice management partner, handling admin, billing, marketing, and patient relations so doctors can focus on medicine. The results speak for themselves: new-to-practice consultants see 300% income growth within three years. Andrew also makes the case for embracing AI tools as a non-negotiable business move, and shares how MEDMIN is scaling toward a UK-wide brand that serves both doctors and patients. Key Takeaways: 3:34 — Curiosity is a professional strategy: Andrew attributes his entire career trajectory to a compulsion to understand how systems work and why they break, which drives him toward roles others avoid. 6:08 — COVID exposed a healthcare system already running on empty: the UK's waiting lists doubled during the pandemic and have never fully recovered because the NHS was underfunded through the 2010s before the crisis hit. 15:17 — The problem is personal: top-tier surgeons are spending Sunday mornings reconciling invoices instead of recovering, and that hidden administrative tax is the core inefficiency MEDMIN was built to eliminate. 24:42 — The ROI of removing friction is measurable: consultants who join MEDMIN as new-to-practice doctors grow their earnings by 300% between year one and year three. Quote of the Show (19:21):"People have just learnt to put up with inadequate systems. The healthcare system in the UK is very poor at investing in technology, in the administrative things that make the whole thing get better. And it's about time to say: stop accepting it." — Andrew Archibald Join our Anti-PR newsletter where we’re keeping a watchful and clever eye on PR trends, PR fails, and interesting news in tech so you don't have to. You're welcome. Want PR that actually matters? Get 30 minutes of expert advice in a fast-paced, zero-nonsense session from Karla Jo Helms, a veteran Crisis PR and Anti-PR Strategist who knows how to tell your story in the best possible light and get the exposure you need to disrupt your industry. Click here to book your call: https://info.jotopr.com/free-anti-pr-eval Ways to connect with Andrew Archibald:LinkedIn: http://www.linkedin.com/in/andrew-archibald-363050aCompany Website: https://medmin.co.uk How to get more Disruption/Interruption: Amazon Music - https://music.amazon.com/podcasts/eccda84d-4d5b-4c52-ba54-7fd8af3cbe87/disruption-interruption Apple Podcast - https://podcasts.apple.com/us/podcast/disruption-interruption/id1581985755 Spotify - https://open.spotify.com/show/6yGSwcSp8J354awJkCmJlD YouTube: https://www.youtube.com/results?search_query=disruption+%2F+interuuptionSee omnystudio.com/listener for privacy information.
As healthcare systems grapple with rising demand and manpower constraints, AI is increasingly being viewed as more than just a productivity tool. From managing patient enquiries and reducing administrative burden to improving patient engagement and streamlining clinical workflows, AI is transforming how healthcare is delivered both inside and beyond the hospital. On Industry Insight, Lynlee Foo speaks to Peiru Teo, CEO and Co-Founder of KeyReply, about the real-world deployment of AI across healthcare, the rise of agentic AI, and what the next chapter of AI-powered patient care could look like.See omnystudio.com/listener for privacy information.
What if the patient you discharged three years ago is still costing you money today? In this episode of The Disrupted Podcast, Scott Middleton pulls back the curtain on the mechanics of value-based care most providers never see — and the merger bringing it all into focus. With the July 15th closing date approaching, Scott walks through what the merger of Your Health with TCPA and Providence Care actually means on the ground: new contracts, new provider numbers, a reimbursement model built on RAF scores and revenue rather than guesswork, and a technology stack — from the Clini app to QR-coded patient wristbands — designed to capture what was previously left on the table. In this episode: Why patient attribution under value-based contracts follows you for years — and what hospice discharges are really costing the organization How the new bonus structure ties pay to billing, RAF scores, and quality measures (and why you can never be paid to put someone on hospice) The difference between care management, facilitated visits, and what providers have been under-billing all along How skilled nursing facilities became the highest-leverage opportunity in the entire model Why advanced care plans aren't just clinical — they're a 30% income increase hiding in plain sight If you've ever wondered why the "why" behind a process matters more than the process itself, this episode is the answer. Press play. www.YourHealth.Org
What if the patient never noticed the merger at all? For Matt Staub, that's not a failure — it's the goal. In this episode, Your Health CEO Matt Staub sits down with Jamie to talk through the company's merger with TCPA and Providence Care — a move that brings together similar footprints in primary care, palliative, hospice, skilled nursing, and assisted living across South Carolina and Georgia. As a 23-year healthcare veteran going through his first merger, Matt is candid about the tedious due-diligence "earnest money" phase, the EMR transitions ahead, and why he refuses to let "what could go wrong" crowd out "what could go right." You'll hear: Why "mass moves mass" — and what scale actually buys patients in care management and data analytics How Your Health breaks 50,000 patients into groups, teams, and "hubs" so no one falls through the cracks The "change is hard" philosophy and the discipline of productive (not just effective) communication How the spirit of agape — godly love — still threads through a company that's evolved far past its original name What success looks like in six months: patient retention, mission and margin If you lead through change — or live through it — this one will reframe how you think about getting bigger without losing what made you matter.
Health systems are under pressure from workforce shortages, rising denials, aging A/R, charge capture leakage, and revenue integrity gaps that are often hiding across both acute and ambulatory operations. In this RCMinutes episode, we preview the themes behind the Infinx Healthcare Revenue Cycle Thought Leadership Executive Forum in Chicago and explore why leaders need a more collaborative, enterprise-wide approach to finding and protecting revenue.
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
It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system. In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering. What you'll hear in this episode: The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing. www.YourHealth.Org
What does it actually cost when a doctor writes a verbal order over the phone instead of seeing the patient? Scott Middleton has the receipts — and the answer is going to make you rethink everything about how American healthcare spends its money. In this episode of The Disrupted Podcast, Scott announces a landmark three-way merger bringing Your Health together with Transitional Care Professionals of America (TCPA) out of Georgia and Providence Care, a hospice organization in South Carolina. The combined organization will serve approximately 55,000 active patients — not patients on a list, but people being seen regularly — and Scott lays out exactly how he's going to run it. What you'll hear in this episode: Why Scott's family owning 80% of the merged company changes everything about how decisions get made — and who they get made for The difference between fee-for-service and value-based care, and why the ACO model means every unnecessary hospitalization literally comes out of Your Health's pocket How Your Health's risk-adjustment-based visit model (16 visits per year per risk point) was independently validated by a new government study — and why it works The three things Scott is asking every new employee to do in the first weeks: align with a nurse practitioner, track every minute of care management, and recruit like their livelihood depends on it — because it does Why Scott's new management philosophy is six words: "Keep them out of the hospital and see your damn patients" This isn't a corporate announcement. It's a playbook for how healthcare can actually work when operators run the company, providers see their patients, and every minute of care gets counted. www.YourHealth.Org
Message us!In this episode of Whitley Penn Talks, host Kendall Neukomm is joined by Jolee Patnaude, Revenue Cycle Management Advisory Director at Whitley Penn, and Casey Gage, Finance Specialist at Eunice Health Clinic. They explore the impact of documentation gaps on patient care and reimbursement, common audit findings, including undercoding, how AI and ambient listening tools are transforming clinical documentation, and more. Whether you're a healthcare provider, administrator, or finance leader, this episode offers actionable strategies to improve documentation gaps, operational performance, and your patients' experience.Fill out this form to have new episodes sent right to your inbox! Follow Whitley Penn on LinkedIn, Instagram, Facebook, and X for more industry insights and thought leadership!
At the recent HIMSS annual conference, we collaborated with AMD at the Dell Technologies to feature thought leaders in healthcare technology. With this panel we discussed how cutting-edge advancements in Artificial Intelligence (AI) and High-Performance Computing (HPC) are revolutionizing healthcare workflows, driving operational efficiency, and enabling better patient outcomes.Check out our full list of panelists:* Khalid Turk, Chief Healthcare Information Technology Officer | Santa Clara County Health System* Ed Marx, Former CIO and CEO | Marx Advisory* Harini Malik, Global Strategic Biz Dev Head for Healthcare | AMD* Connie W Hebert, MBA, RN-BSN, Healthcare CNO | Dell TechnologiesLearn more about Santa Clara County Health System: https://health.santaclaracounty.gov/homeLearn more about Marx Advisory: https://www.marxadvisory.com/Learn more about AMD: https://www.amd.com/en/solutions/healthcare.htmlLearn more about Dell Technologies: https://dell.com/HealthcareHealthcare IT Community: https://www.healthcareittoday.com
On this episode host Tom Foley invites Joe Campanella, an experienced healthcare advisor with over 30 years successfully automating over 58 health plans operations and clinical services leveraging both technology and services. He drove healthcare operations efficiencies within enrollment/billing, claims, authorization/medical management, customer service/CRM, sales process management, provider management, financials and other key components of a health plan's ecosystem. From a clinical perspective, provided technology and services to support wellness, and disease/case management services to health plans and integrated delivery systems.
Most healthcare organizations wait until they're drowning to add administrative support. Your Health is doing the opposite — and it's changing the math on what a primary care practice can actually deliver. In Part 1 of this two-part conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — sits down with Jamie Preston to unpack why a dedicated administrator is now sitting beside the executive director of clinical services at every care group. With hospice added to the model, a single care group can now be responsible for more than 80 staff members across four care teams — bigger than most medical organizations in the country. Asking a nurse to run that alone was breaking people and burying clinical judgment under scheduling concerns. In this episode: Why the care group exploded overnight — and what hospice changed about staffing ratios What the administrator does on Monday morning before the clinical team even looks at the dashboard The Bridget story: how a "we're not allowed to do one-on-ones" response nearly cost a dementia patient her home Why "what could we have done today" is the wrong question — and what to ask instead How fee-for-service quietly incentivizes the wrong decisions at the hospital level The team structure every administrator now sits inside: nurse, HR, marketing, engagement If you've ever wondered what's actually supposed to stand between a great clinician and burnout, this is it. www.YourHealth.Org
What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital. Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people. In this episode: Why hospitalists may be "the demise of the American healthcare system" The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients The 16.05-visits-per-risk-point model David Clemens' research validated How coding departments are quietly diagnosing patients with diseases they don't have Why Medicare's 6-year insolvency window may be the disruption we need Head-to-toe assessments, delegation rights, and the real job of an RN in the home If you've ever suspected the system is working exactly as designed — just not for the patient — press play. www.YourHealth.Org
What if the reason healthcare teams burn out isn't the workload — it's the org chart? On this episode of The Disrupted Podcast, Jamie and Scott, break down the evolution of The Care Group Model — and why the instinct to build a "separate hospice team" is exactly the wrong move. Scott walks through what a true care team looks like when nurse practitioners, nurses, community health workers, social workers, chaplains, and triage nurses are orchestrated around the patient — not siloed around a diagnosis. Inside the episode: Why adding hospice to existing care groups beats building a parallel hospice division The new non-clinical "administrator" role Your Health is rolling out — and why every nurse needs one at their side Using DISC assessments to build teams that actually function (and why nurses aren't the same personality type) How mutual accountability and group-based bonuses fix the "don't bill too much CCM" problem Why matching a chaplain to a patient's faith tradition matters more than checking the box The $110 million Medicare savings story the industry still doesn't understand If you lead a clinical team, run an operation, or care about what healthcare could look like when it's built around people instead of paperwork — press play. www.YourHealth.Org
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.
AI in healthcare only works when it is built for real workflows, real systems, and real change management. In this episode, Ganesh Padmanabhan, Founder and CEO of Autonomize AI, joins Saul Marquez to unpack what it really takes to deploy AI in healthcare operations at scale. Ganesh shares why many point solutions create islands of efficiency instead of fixing end-to-end processes, and why prompting an LLM is the easy part compared to building production-ready AI that integrates into enterprise systems, meets compliance requirements, and earns clinical trust. He also offers a practical playbook for implementation: anticipate the trust gap, design for behavior change, and treat deployment as a true team sport across tech, clinical, ops, and compliance. Tune in to learn how to move beyond AI hype and build operational AI that delivers measurable value in healthcare! Resources: Connect with and follow Ganesh Padmanabhan on LinkedIn. Follow Autonomize AI on LinkedIn and discover their website. Check out Ganesh's podcast, Stories in AI.
Anyone can hold a title. The leaders people actually follow — the ones people go to the wall for — earn something that no org chart can give them. In this second and final part of Jamie conversation with Matt Whitehead, Chief Ancillary Officer at Your Health, the discussion moves from the mechanics of leadership into its soul. What does it actually take to make someone trust you? How do you build other leaders without fearing they'll surpass you? And when the blame starts flying, what does a healthy culture do instead? In this episode: The hospice house story — what it means when your leader takes off their dress shirt and slings furniture alongside you in the South Carolina heat Why you should never want to be the smartest person in the room — and what it signals when a leader does How Matt builds future leaders by putting them in every room, every meeting, and every hard conversation — before they need to be there The critical difference between blame (which looks backward) and accountability (which looks forward) What Matt wants people to say about him when it's all over — and why treating the janitor the same as the CEO isn't cliché, it's the whole thing This is the episode for leaders who are willing to ask themselves the harder question: not "am I good at this?" — but "who am I becoming?" www.YourHealth.Org
America spends nearly double what the fourth-ranked country spends on healthcare per capita — and still ranks among the worst in outcomes. So what exactly are we paying for? In this episode of the Experiencing Healthcare Podcast, Jamie Preston and Your Health CEO Matt Staub examine what happens when healthcare gets treated like gasoline: something people expect to be available, can't easily compare on quality, and ultimately choose based on price or convenience. When brand and price stop mattering, the only differentiator left is how patients are made to feel — and whether they trust the person across from them enough to actually change. What you'll hear in this episode: Why Matt ranks service above outcomes and access — and the patient story that changed how he thinks about both The "Chick-fil-A problem": how your healthcare experience is now being compared to your best service experience anywhere, not just the clinic down the street What provider burnout really looks like when a clinician closes their notes at 11pm wondering if their patient listened How insurance billing creates distrust that bleeds directly into the patient-provider relationship — and what healthcare organizations can do about it Why the most caring thing a doctor can do sometimes feels like the worst customer service in the room If you've ever felt like a number in a waiting room — or if you've ever been the one trying to help someone who wouldn't listen — this conversation will stay with you. Press play.
Most organizations take their best performer, hand them a title, and call it a promotion. What they don't tell that person is that everything that made them great at their job is now working against them. In this first installment of a two-part conversation, Jamie sits down with Matt Whitehead — Chief Ancillary Officer at Your Health — to explore one of the most overlooked transitions in healthcare leadership: the shift from being an exceptional doer to becoming a leader others will actually follow. In this episode: Why the moment Matt stepped into his first nursing home administrator role cracked the foundation of everything he thought he knew about leadership The dangerous myth that new leaders walk in as "instant experts" — and how that belief causes their teams to start managing them Why the dopamine hit of checking things off a to-do list disappears in leadership, and what you have to build to replace it How to delegate without losing your mind — and why being crystal clear on outcomes matters more than anything else Why conflict is never a problem to be eliminated — it's information to be used This episode is for every high-performer who has stepped into a leadership role and felt the ground shift beneath them. You're not alone — and it's not a flaw. It's the beginning. www.YourHealth.Org
In this episode of The Disrupted Podcast, Jamie and Scott have a raw, specific, and deeply personal conversation about Care Managers: who they are, what they're actually supposed to do, and why getting this role wrong is costing patients their health and organizations millions of dollars. Scott opens with a story that hits hard: his 91-year-old father's recent hospitalization, the mistakes that nearly happened, and what it cost him — financially and emotionally — to navigate a system that wasn't built for the patient. What you'll hear in this episode: Why care managers are controllers, not schedulers — and what happens when organizations get that wrong The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance The shared bonus model designed to stop care team members from fighting over visits — and start winning together What care managers should never be doing — and the analytical skill set that separates great ones from average ones If you're building care teams, leading a healthcare organization, or just trying to keep a loved one safe in a broken system, this episode will change how you think about the people standing between your patients and the hospital. www.YourHealth.Org
What if the most powerful person on your care team isn't a nurse, a doctor, or a specialist — but someone showing up at 8:00 AM to check blood pressure, eat lunch with residents, and play vital signs bingo? In this episode, we go deep on the Community Health Worker role: what it is, what it isn't, and why most organizations are dramatically underusing it. Scott pulls no punches on the disconnect between what CHWs are doing and what they should be doing — and why the difference is costing patients their health and workers their bonuses. What you'll hear in this episode: Why the #1 complaint about CHW visits ("you're seeing our patients too much") is actually a communication failure, not a frequency problem — and how to fix it The specific visit types every community health worker should be scheduling: vital signs, medication reconciliation, lab draws, wound care, advanced care plans, and more How Mary White, a CHW in Gainesville, Georgia, goes in with 5 patients on her list and leaves having seen 15 — and what her approach reveals about what this role is really for Why buildings that aren't growing have either the wrong person or not enough people — and how to think through both The full compensation breakdown: base salary, guaranteed bonus, and how the right CHW can earn close to $80,000 a year If you hire, manage, or are a community health worker, this episode will reshape how you think about the role. Hit play. www.YourHealth.Org
What if the most powerful clinical tool in healthcare wasn't a drug, a device, or a data platform — but a word? In this episode of Experiencing Healthcare, Jamie and Matt have a conversation that starts with Disney World germs and ends with something that will change the way you lead your team tomorrow. They unpack the idea of Intentional Positive Reinforcement — not the hollow "great job" you throw over your shoulder in the hallway, but the kind of deliberate, meaningful recognition that creates a ripple effect all the way to the patient's bedside. Matt shares what a dental hygienist taught him about doing things right, why a pair of clicking heels in a nursing home hallway was actually a leadership strategy, and what happens to a healthcare team that only ever hears what they're doing wrong. This is a conversation for the bedside nurse and the C-suite executive. For the credentialing specialist who never sees a patient and the clinical coordinator who sees dozens. Because in healthcare, everyone plays a role in the patient experience — and the way we lead people determines the care those people deliver. If you've ever wondered whether your words are adding to your team or subtracting from them, this episode is your answer.
What does it actually take to say yes in healthcare when the system is wired to say no? In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up. Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day. From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare. If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you. www.YourHealth.Org
The Medcurity Podcast: Security | Compliance | Technology | Healthcare
AI is no longer theoretical in healthcare. It's already shaping how organizations operate, make decisions, and support patients across clinical and operational environments.In this episode, Mel Nevala of Medcurity moderates a discussion with three healthcare leaders bringing different perspectives to AI adoption:Joe Gellatly, CEO of Medcurity, focused on compliance strategy and how AI intersects with security and regulatory risk.Brandon Tanner, CEO of Omniscia AI, leading a conversational AI company that builds digital representatives for organizations in regulated industries.Tim Maxwell, MSW, Founder of Karuna Care Services, leading a Colorado-based organization providing residential and community services for adults with intellectual and developmental disabilities.Together, they explore how AI is being implemented inside real healthcare environments, where it's creating measurable operational value, how executive teams are evaluating vendors, and what responsible deployment looks like as AI becomes embedded in daily workflows.Connect with Brandon on LinkedIn: https://www.linkedin.com/in/brandontanner/Learn more about Omniscia AI: https://www.omnisciahealth.com/Connect with Tim on LinkedIn: https://www.linkedin.com/in/boulder-tim-maxwell/Learn more about Karuna Care Services: https://www.karunacareservices.com/See how Medcurity helps healthcare organizations approach compliance with clarity and confidence: https://medcurity.com#AIinHealthcare #HealthcareAI #HealthcareIT #HealthTech #HealthcareLeadership #CIO #CEO #HealthcareSecurity #HIPAACompliance #AI
On a cold January day in South Carolina, Jamie and Matt Staub unpack why focus is one of the most underrated leadership skills—especially in healthcare, where everything can feel urgent. They break down how leaders decide what deserves attention, how to “push pause” on non-emergencies, and why coaching people through problems is often more effective than absorbing them. The conversation also explores decision fatigue, the difference between being busy and being focused, the role of habits (including insights from Atomic Habits), and how boundaries protect the work that actually moves the mission forward. Along the way, they normalize attention struggles, reframe “failure” as part of growth, and offer practical ways to stay aligned to goals without losing empathy or accessibility.
In this episode of the Your Health University Podcast, Jamie sits down with Matt Whitehead, Chief Ancillary Officer at Your Health, to unpack one of leadership's hardest realities: you rarely have all the information you want when decisions matter most.Drawing from decades of healthcare leadership experience, Matt explains how early decisions were driven almost entirely by gut, ethics, and urgency—long before real-time data existed. Together, they explore the balance between data and instinct, confidence and humility, decisiveness and recklessness.This conversation tackles real leadership tension: when waiting causes harm, when momentum matters more than perfection, and why doing nothing is often the most dangerous choice. Matt also shares a candid leadership failure, what it taught him, and how Your Health built a culture where mistakes are learning tools—not career-ending moments.If you lead people, teams, or systems—especially in healthcare—this episode reframes uncertainty not as a weakness, but as the proving ground of great leadership. www.YourHealth.Org
What if problems weren't something to avoid—but something to value? In this episode of Experiencing Healthcare, Jamie and Matt explore a powerful idea: Problems are Currency—but only when we stop pointing at them and start owning them. They break down how excuses form, why asking for help is a leadership strength, how to prioritize what matters most (not just what's loudest), and how small wins create real momentum. If you've ever felt stuck, overwhelmed, or hesitant to tackle a tough issue, this conversation will help you shift from reaction to resolution.
In this episode of Disruption/Interruption, host KJ sits down with Jayesh Kumar, Co-Founder at Aonami. Discover how legacy systems are being disrupted, the challenges of digital transformation, and why true innovation means building solutions that give time back to people. Four Key Takeaways: The Problem with Legacy Systems [6:10]Banks and healthcare institutions are bogged down by dozens of outdated, patchwork systems, making innovation slow and compliance difficult. Meeting Clients Where They Are [14:54]True disruption comes from understanding a client’s current state and building solutions that fit their unique needs, rather than forcing a one-size-fits-all approach. The Human Side of B2B Sales [20:03]Selling transformative technology to large organizations is about building relationships and convincing multiple teams, not just one decision-maker. The Real Goal of Technology [28:47]The ultimate aim of innovation should be to give people time back, making work more productive, creative, and compassionate. Quote of the Show (34:23):"True disruption really happens not by doing a lot of work, but by doing less in a much smarter way. You should be building systems that start giving time back to people." – Jayesh Kumar Join our Anti-PR newsletter where we’re keeping a watchful and clever eye on PR trends, PR fails, and interesting news in tech so you don't have to. You're welcome. Want PR that actually matters? Get 30 minutes of expert advice in a fast-paced, zero-nonsense session from Karla Jo Helms, a veteran Crisis PR and Anti-PR Strategist who knows how to tell your story in the best possible light and get the exposure you need to disrupt your industry. Click here to book your call: https://info.jotopr.com/free-anti-pr-eval Ways to connect with Jayesh Kumar: LinkedIn: http://www.linkedin.com/in/jayeshrout Company Website: https://aonamitech.com How to get more Disruption/Interruption: Amazon Music - https://music.amazon.com/podcasts/eccda84d-4d5b-4c52-ba54-7fd8af3cbe87/disruption-interruption Apple Podcast - https://podcasts.apple.com/us/podcast/disruption-interruption/id1581985755 Spotify - https://open.spotify.com/show/6yGSwcSp8J354awJkCmJlDSee omnystudio.com/listener for privacy information.
Mike Moore, VP of Growth and Partnerships at Productive Edge, joins Pathmonk Presents to unpack how healthcare organizations can modernize operations using data and AI. With deep experience in healthcare technology services, Mike explains where inefficiencies come from, why administrative waste persists, and how AI creates an opportunity for healthcare systems to leap forward instead of making incremental improvements. The conversation dives into Productive Edge's ideal buyers, complex buying committees, and why trust and referrals dominate their growth strategy. Mike also shares a practical framework for website conversion rooted in learning, shopping, and buying behaviors, plus insights into content, partnerships, and leadership. This episode is essential listening for marketers and growth leaders navigating complex, high-trust B2B industries.
Episode notesHumility & grace: distinct muscles that work best togetherThe no-call/no-show that wasn't: correcting assumptions with careDisagreeing without demeaning: honesty rooted in respectModeling connection: Scott moving furniture in dress shoes; a father's everyday compassionIntegrity = what we do when no one's watchingDaily habit: know your “bliss,” reset with people, then re-enter the workListener reflection: Where can you swap a snap judgment for a curious check-in today?
In this episode, Ryan Spalding, Consulting Partner at Era Group, joins the podcast to share how hospitals and health systems can uncover savings in non-labor expenses through forensic cost reviews, smarter vendor negotiations, and a strategic approach to cost optimization that supports reinvestment in patient care. Learn more here. https://usc.eragroup.com/beckers-healthcare/
In this episode of Elevate Care, host Kerry Perez dives into the dynamic world of healthcare leadership with Cory Geffre, MSMSL BSN, RN, Executive Vice President of Hospital Operations and Chief Nursing Officer at Altru Health. Cory takes us on his inspiring journey from bedside nursing to the executive suite, sharing hard-earned lessons and actionable insights along the way.Discover the five essential pillars of leadership—developing people, managing performance, building teams, improving operations, and achieving results—and how they can transform not just your leadership style but your entire organization. Cory also opens up about the power of self-awareness, the importance of empathy, and why continuous learning is the secret sauce for staying ahead in the ever-evolving healthcare industry.Whether you're a seasoned leader or just starting your journey, this episode is packed with wisdom, real-world strategies, and a refreshing dose of honesty about the challenges and opportunities in healthcare leadership. Chapters:00:00 Introduction to Healthcare Leadership03:00 From Bedside to Boardroom: Cory's Leadership Journey05:58 The Five Pillars of Leadership Excellence08:59 Developing People: The Heart of Leadership11:54 Building Resilient Teams That Thrive15:04 Fixing Broken Systems: Improving Healthcare Operations18:05 Driving Results Through Accountability21:55 Soft Skills That Make Hard Impacts25:00 Leading with Empathy: Why It Matters28:01 Lifelong Learning: The Key to Staying Ahead30:54 Wrapping Up: Key Takeaways for Healthcare LeadersAbout Cory GeffreCory Geffre, MSMSL BSN, RN, is the executive vice president of hospital operations and chief nursing officer at Altru, providing executive leadership for the organization and oversight of nursing practices, clinical services, and evidence-based patient care services. Geffre's passion is building dynamic, diverse and engaged teams that deliver consistent high-quality healthcare to patients. Geffre has over 22 years of experience in healthcare leadership, business development and operational efficiency. Sponsors: We're proudly sponsored by AMN Healthcare, the leader in healthcare staffing and workforce solutions. Explore their services at AMN Healthcare. Learn how AMN Healthcare's workforce flexibility technology helps health systems cut costs and improve efficiency. Click here to explore the case study and discover smarter ways to manage your resources!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. Connect with Our Hosts:Kerry on LinkedInNishan on LinkedInLiz on LinkedIn Find Us On:WebsiteYouTubeSpotifyAppleInstagramLinkedInXFacebook Powered by AMN Healthcare Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HEREEpisode Overview: Specialty care shouldn't require months-long wait times or geographic limitations.Our next guest, AJ Patel, is revolutionizing this approach as CEO of TeleMed2U. With over 20 years of healthcare operations experience spanning drugstore chains and specialty pharmacy environments, AJ brings a unique perspective to virtual specialty care delivery. Having navigated TeleMed2U through significant growth and technological transformation over six years, he's built a network of 500+ providers across 20 specialties nationwide. Driven by a passion for breaking down geographic barriers and eliminating lengthy wait times, AJ shares how TeleMed2U is democratizing access to specialty care through innovative virtual solutions. Join us to discover how this technology-enabled platform is connecting patients with expert care regardless of location, transforming outcomes through collaborative medicine, and reshaping the future of specialty healthcare delivery. Let's go!Episode HighlightsProactive Healthcare Philosophy: Treat healthcare like car maintenance - invest in prevention to avoid downstream complications.Technology Pivot: After spending millions building their own tech stack, TeleMed2U pivoted to Advanced MD to focus on patient care.Geographic Solutions: Hub-and-spoke model uses providers across states, including Hawaii clinicians serving mainland patients.Collaborative Care: Seamless coordination between 20 specialties without patients navigating multiple healthcare systems.Future Vision: Measurement-based reimbursement, wearable tech integration, and shared diagnostic centers in rural areas.About our Guest: AJ Patel has more than 20 years of experience leading Healthcare Operations in the drugstore and specialty pharmacy environment. He currently serves as the Chief Executive Officer of TeleMed2U where he leads the company's Sales & Operations, Recruiting, Legal and Credentialing/Contracting teams. He collaborates closely with the Advisory Board on the development of clinical programs and future strategy to enhance convenient access to specialty medical care in various markets across the country.Links Supporting This Episode: TeleMed2U Website: CLICK HEREAJ Patel LinkedIn page: CLICK HERETeleMed2U LinkedIn: CLICK HEREMike Biselli LinkedIn page: CLICK HEREMike Biselli Twitter page: CLICK HEREVisit our website: CLICK HERESubscribe to newsletter: CLICK HEREGuest nomination form: CLICK HERE
Michael chats with Dr. Michael Docktor, pediatric gastroenterologist, digital health innovator, and CEO of Dock Health. Together, they discuss how AI is reshaping the operational fabric of healthcare. Docktor unpacks common myths about AI's role in clinical settings, explains how Dock powers the invisible but critical workflows between systems, and explores how human-led, AI-supported operations can reduce burnout, improve administrative processes like referrals, and unlock real ROI. He also shares why Dock isn't just another EHR plugin or project tracker—it's a productivity platform purpose-built for the complexity of care delivery.
Generative AI has captured the public imagination, but its most transformative use cases may lie far from flashy consumer tools. In healthcare operations, where complexity, inefficiency, and fragmentation remain persistent challenges, AI is now driving measurable improvements. Research suggests AI-enabled healthcare systems could cut administrative costs by up to $360 billion in the U.S. alone.So, how can health systems move beyond experimentation and adopt AI in ways that deliver real operational value?In this episode of I Don't Care, host Kevin Stevenson welcomes Quentin Fisher, founder of Aidan Systems, for a grounded and insightful conversation on AI's practical impact on healthcare operations. Fisher explains how AI-driven analytics, process automation, and predictive models are helping community health centers and midsized systems simplify workflows, reduce reporting burdens, and make more informed decisions.Key Takeaways from the Episode:Evolution of Healthcare AI – Healthcare AI's evolution has moved from rule-based systems to predictive models powered by organizational data and cloud computing.Strategic AI Adoption in Health Systems – Aidan's “AI Fit Assessment” helps health systems identify low-risk, high-value AI use cases to improve productivity and care delivery.Responsible and Ethical AI Use: Ethical AI deployment depends on the use case, data governance, and constant retraining to prevent model degradation and bias.Quentin Fisher is a seasoned technology leader and founder of AIDAN Systems, where he leverages AI and machine learning to streamline business operations and reduce inefficiencies, particularly in healthcare and manufacturing. With over two decades of experience, including senior roles at HCL and CSC, he has led global analytics initiatives across industries such as aerospace, automotive, and public sector, focusing on strategy, solution development, and partner enablement. His core expertise includes generative AI, global strategy, data science, and delivering enterprise AI platforms that prioritize real-world business outcomes.
In this episode, BJ Schaknowski, CEO of symplr, joins Scott Becker to discuss how symplr is transforming healthcare through a unified, streamlined operations platform. They explore the current state of healthcare operations, the role of digital transformation, and how interoperability empowers caregivers to focus more on patients and drive better outcomes. This podcast is hosted in collaboration with our partner, symplr.
This week on Off the Shelf, Tina Murphy, president & CEO of GHX, discusses commercial best practices in healthcare supply chain management. Murphy addresses the imperative of simplifying federal healthcare operations through automation technology for order and data management to improve patient care, and explains how digital transformation supports supply chain resilience addressing vulnerabilities and disruptions brought on by events like COVID-19. Automation and AI are driving end-to-end visibility in the healthcare supply chain providing flexibility and creating adaptive “living ecosystems” that are driving efficiencies and resiliency across supply chains. The return on investment for AI and automation means lower costs and better outcomes for patients. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
On this episode of DGTL Voices, Ed interviews Philipp von Gilsa, CEO of Kontakt.io. They discuss his journey from growing up in Stuttgart, Germany, to becoming an entrepreneur in the healthcare technology space. Philipp shares his personal philosophy, emphasizing the importance of taking action and embracing serendipity. He details the evolution of Kontakt.io, a platform designed to improve hospital operations through intelligent orchestration, and highlights the pragmatic approach the company takes to solve real-world healthcare challenges. The conversation also touches on the importance of personal interests, such as music and winemaking, in maintaining balance and energy in life.
This week, we have Trey Holterman, Co-Founder and CEO of Tennr, on the show. Tennr automates manual tasks in healthcare operations using a proprietary LLM and has raised over $61 million in VC funding from Lightspeed, a16z, Y Combinator, and others. Trey covers his journey from captaining the Stanford rowing team to navigating improv comedy and building Tennr. We dive into how Tennr defines success through improved patient experience and why hard problems attract great engineers.Trey also unpacks why his team avoids buzzwords like “AI”, despite having a clear real-world application of a LLM.Episode Chapters:How rowing influenced Trey - 2:33Building leadership skills - 4:15Dabbling in standup comedy - 8:04Tennr's founding story - 10:10How Tennr delivers ROI to customers - 13:25Hard problems attract great engineers - 17:03RaeLM (proprietary vision model) - 22:06Positioning as Healthcare Cowboys - 26:43Summoning God through a machine - 31:14The future patient journey - 34:01Quick fire round - 41:47As always, feel free to contact us at partnerpathpodcast@gmail.com. We would love to hear ideas for content, guests, and overall feedback.This episode is brought to you by Grata, the world's leading deal sourcing platform. Our AI-powered search, investment-grade data, and intuitive workflows give you the edge needed to find and win deals in your industry. Visit grata.com to schedule a demo today.Fresh out of Y Combinator's Summer batch, Overlap is an AI-driven app that uses LLMs to curate the best moments from podcast episodes. Imagine having a smart assistant who reads through every podcast transcript, finds the best parts or parts most relevant to your search, and strings them together to form a new curated stream of content - that is what Overlap does. Podcasts are an exponentially growing source of unique information. Make use of it! Check out Overlap 2.0 on the App Store today.
In this episode, Felixia Colón joins host Dan Karnuta for a discussion about how artificial intelligence is being used, and is transforming, healthcare business operations. They cover care delivery methods, staffing models, the importance of establishing guardrails prior to AI's use and address the risks of bias inherent in AI and how that problem can be overcome. Colón is senior vice president of eHealth Solutions at SCP Health and former president of the North Texas Chapter of American College of Healthcare Executives. Karnuta is an associate professor in the Naveen Jindal School of Management's Organizations, Strategy and International Management Area as well as director of its Professional Program in Healthcare Management.
February 21, 2025: This is the fourth episode in the Zero Trust Hospital Series. Tamer Baker, Healthcare CTO for Zscaler, dives into the myths surrounding zero trust implementation in healthcare settings. As healthcare systems grapple with digital transformation, what really stands between organizations and successful zero trust adoption? Through their discussion of real-world examples and strategic partnerships, they challenge conventional wisdom about vendor relationships and implementation timelines. Want to get your copy of the new book "Zero Trust Hospital: The CXO Vision" by Zscaler?Pre-Order nowDon't miss our webinar after all six Zero Trust Hospital Series episodes! Register now: www.thisweekhealth.com/zerotrustKey Points:01:36 Zero Trust Implementation04:45 Vendor Myths 08:47 Healthcare Operations
There's nothing more frustrating than feeling misunderstood, undervalued, or out of place in a doctor's office. That's exactly why Northwell Health has set a new standard for both physician and patient experience. Alyssa Scully, Assistant Vice President of Operations at Northwell Health, shares exactly how her team is transforming provider and patient experience, and their methods might surprise you… From hyperpersonalized physician referrals to patient care plans designed to bring you more fulfillment and joy — instead of simply treating symptoms of a disease — Northwell Health is redefining “care” on every level. Tune in to discover Northwell Health's innovative approaches to improving both patient and physician experiences, including data-driven metrics, annual award programs, patient experience transparency, and reducing day-to-day administrative burdens for doctors.Key Moments: 00:00 Alyssa Scully, Assistant Vice President of Operations at Northwell Health00:46 Balancing Patient Experience and Operations02:40 Supporting and Empowering Physicians04:33 The Impact of Technological Advances in Healthcare10:20 Physician Wellness Programs21:17 Training and Empowering Healthcare Teams36:15 Implementing Salesforce for Personalized Care42:31 Creating A “Third Place” For Physicians –Are your teams facing growing demands? Join CX leaders transforming their strategies with Agentforce. Start achieving your ambitious goals. Visit salesforce.com/agentforce Mission.org is a media studio producing content alongside world-class clients. Learn more at mission.org
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