Podcasts about healthspring

About Kaveh Safavi:Kaveh helps organizations harness the promise of technology and human ingenuity to humanize healthcare. He works with providers, health insurers, and public and private health systems in the Americas, Europe, and Asia Pacific. A seasoned executive, Dr. Safavi brings more than three decades of leadership experience to Accenture Health. Prior to joining Accenture in 2011, Dr. Safavi led Cisco's healthcare practice. Before that, he was chief medical officer of Thomson Reuters' health business, vice president of medical affairs at United Healthcare, and had leadership roles at HealthSpring and Humana. Among his many accomplishments was establishing one of the Midwest's first electronic-health-record-enabled primary care practices.Dr. Safavi has published numerous papers and is often interviewed and quoted on his expert healthcare knowledge in various media publications, including The Wall Street Journal, the BBC, The New York Times, Consumer Reports, US News and World Report, Harvard Business Review, and The Economist. He earned an M.D. from Loyola University School of Medicine and a J.D. from DePaul University College of Law and completed a residency in Internal Medicine and Pediatrics at the University of Michigan Medical Center. An adjunct lecturer of Health Enterprise Management at Kellogg School of Management-Northwestern University, Dr. Safavi also serves on the Weinberg College of Arts and Sciences' Board of Visitors–at Northwestern University, is a member of the Easterseals National Board of Directors and is a lifelong ChicagoanThings You'll Learn:The power asymmetry between doctors and patients in healthcare needs to be balanced. Empowering patients and harnessing technology can humanize healthcare and create a better care system.Generative AI is a game-changer in healthcare. It can save hours of time by automating language-based tasks like reading, writing, and content creation. This frees up healthcare professionals to focus on higher-value work.Generative AI has tremendous potential to address workforce challenges in healthcare. By augmenting or substituting certain tasks, it can help bridge the gap amidst a scarcity of healthcare professionals. Responsible use of generative AI and clear guidance are crucial to avoid potential risks and ensure patient safety.Resources:Connect with and follow Kaveh Safavi on LinkedIn.Follow Accenture on LinkedIn.Visit the Accenture website here.

Karl de Leeuw "The Health Spring Code" Karl is a returning guest on the podcast, each time he talks with us we take away something of substance. In this episode, we talked about Karl's book The Health Spring Code. We learn that the things we eat matter so much to maintaining a healthy balanced life. We cover how your body processes the various foods that we consume, along with some very interesting scales that matter to your overall health. As we age our bodies need more attention to keep us in good health. The fascinating book that Karl took many years to research and detail his findings for us can be found along with his many other books on Amazon here. I hope you find great value in this episode today.   https://deadamerica.website/karl-de-leeuw-the-healthspring-code 

Returning guest, Dr. Kaveh Safavi, Global Health Lead of Accenture Health, discusses the findings from their 2021 Digital Health Tech Vision report that surveyed 399 healthcare executives across six countries to better understand their view of the impact technology is having on the healthcare industry and what this means for the future. #AccentureHealth #DigitalHealthTechnology Kaveh Safavi, M.D., J.D., is a senior managing director at Accenture where he is responsible for leading, developing, and driving a growth strategy that differentiates Accenture's offerings for providers, health insurers, and public and private health systems across the globe. A seasoned executive, Dr. Safavi brings more than three decades of leadership experience to Accenture Health. Prior to joining Accenture in 2011, Dr. Safavi led Cisco's global healthcare practice. Before that, he was chief medical officer of Thomson Reuters' health business, vice president of medical affairs at United Healthcare, and had leadership roles at HealthSpring and Humana. Among his many accomplishments was establishing one of the Midwest's first electronic-health-record-enabled primary care practices. Dr. Safavi has published numerous papers and is often quoted on healthcare issues in various media publications, including The Wall Street Journal, the BBC, The New York Times, Consumer Reports, US News and World Report, Harvard Business Review and The Economist. Recently, IT Services Report named him the #1 healthcare IT executive for 2020. Dr. Safavi earned an M.D. from Loyola University School of Medicine and a J.D. from DePaul University College of Law. He is board-certified in internal medicine and pediatrics and completed his medical residency at the University of Michigan Medical Center. He serves on the Weinberg College of Arts and Sciences' Board of Visitors–Northwestern University, is a frequent guest scholar at the Stanford University Clinical Excellence Research Center, and serves on the advisory committee of the Buck Institute for Research on Aging. Dr. Safavi is a lifelong Chicagoan.

On today's episode of PopHealth Week our guest making an encore appearance is Kaveh Safavi, MD, JD, senior managing director at Accenture where he is responsible for leading, developing and driving a growth strategy that differentiates Accenture's offerings for providers, health insurers, and public and private health systems across the globe. A seasoned executive, Dr. Safavi brings more than three decades of leadership experience to Accenture Health. Prior to joining Accenture in 2011, Dr. Safavi led Cisco's global healthcare practice. Before that he was chief medical officer of Thomson Reuters' health business, vice president of medical affairs at United Healthcare, and had leadership roles at HealthSpring and Humana. Among his many accomplishments was establishing one of the Midwest's first electronic-health-record-enabled primary care practices. For more information on Accenture go to www.accenture.com or follow on twitter via @DrKavehSafavi and @AccentureHealth respectively. ==##==    

Hey Medicare Nation! Medicare Nation Today, I'm informing you about The Centers For Medicare & Medicaid Services Notice, given to Mr. Art Carlos, CEO of Delaware Life Insurance Company. In a notice dated January 31, 2020, CMS notified Mr. Carlos that they were immediately imposing Intermediate "Sanctions" against Delaware Life Insurance Company. CMS determined that Delaware Life Insurance Company is "in substantial violation of Medicare Advantage and Prescription Drug Plan requirements." SIX specific violations were listed in the notice to Carlos. LISTEN to the episode to learn about the violations and what you can do if YOU are a beneficiary under one of Delaware Life Insurance Company's Medicare Advantage Plan or Prescription Drug Plan. www.TheMedicareNation.com Thank you for listening to Medicare Nation! If you are part of my “Sandwich Generation,” Share this show with your parents and/or grandparents. They have many questions about Medicare and this show will answer them! Buy them a “Smart Phone,” and introduce them to Medicare Nation! If you are a Baby Boomer, share Medicare Nation with other “Baby Boomers.” I want to educate as many of you as I can about Medicare! I certainly can use  your help in putting the word out! If you have any questions, send them to Support@TheMedicareNation.com If I can answer it in one email - I will personally answer you! If your question requires research or additional contact with you, I do offer consulting if you would like me to assist you in that manner. Want to hear a topic on Medicare Nation? A special guest? Let me know and I'll do my best to get them on the show! Thanks again for listening! Diane Daniels Medicare Consultant

Hey Medicare Nation! I'm so happy to be here and tell you the latest, regarding Cigna-HealthSpring (Cigna) Medicare Advantage Prescription Drug Plans (MAPD) and Prescription Drug Plans (PDP). In January of 2016, CMS suspended Cigna from enrolling NEW Medicare Beneficiaries into their Medicare Advantage and stand-alone Prescription Drug Plans. The following States were affected by the suspension: Alabama, Arizona, Florida, Georgia, North Carolina, Pennsylvania, South Carolina and Tennesse. ON June 16, 2017, CMS released the suspension of marketing and enrollment sanctions on Cigna.....with a big BUT. On March 17, 2017, CMS received an attestation from Cigna, stating Cigna had corrected all  the violations that were listed in the CMS sanction notice. Quoted from the letter CMS sent to Cigna interim CEO & COO Mr. Shawn Moore - "CMS required Cigna to hire an independent auditor to conduct a validation audit provide CMS with the results of the audit. CMS used the information in the audit report to determine whether Cigna corrected the deficiencies that formed the basis for the sanction." Based on the results of the audit report, CMS determined that......"Cigna's deficiencies have been sufficiently corrected." Therefore, effective June 16, 2017, CMS is lifting the intermediate sanctions for Cigna's contracts and Cigna will return to normal marketing and enrollment status." Further down in the CMS document, on page 2, paragraph 1, line 3, it states...."In addition, during the independent validation audit, several findings were indentified, none of which prevent CMS from releasing Cigna from sanctions, but some of which merit additional monitoring and reporting. .......For up to one year, CMS will also conduct targeted monitoring in certain areas to ensure that Cigna continues to improve its operations.  What does that mean if you are currently a Medicare beneficiary on a Cigna-HealthSpring MAPD or PDP Plan? First of all, you are completely covered. Your benefits are intact and current. What you need to do now is become more "diligent" in reviewing your "explanation of benefits" (EOB) statement. Your EOB statement will contain information regarding prescription drugs, medical visits, diagnostics etc.  You should be ensuring the prescriptions listed on your EOB are the ones you received and that each doctor, diagnostic tests & procedures, hospitalizations etc. were actually done! Mistakes happen more than you know. Human errors and computer errors happen frequently. When you look at your EOB Statement every month you help eliminate these errors.  It is soooo important to review your EOB statement each month. If you find an error on your EOB statement, you have several options to rectify it. #1. Call Cigna Customer Support (800-668-3813)        Explain to customer support the "discrepency" you          found on your EOB statement. That may easily              correct the issue you found.  #2. Call your Medicare Consultant, Medicare                  Advisor or Agent.        Your Medicare Agent, who "sold" you this             policy, should be available to assist you with questions  or issues with your Cigna plan. #3. Contact Senior Medicare Patrol        Go to the Senior Medicare Patrol website to look up resources in your area.         Senior Medicare Patrol #4.  Contact your State Dept. of Aging          Every State has a Department of Aging or Department of Elder Affairs, which will assist you with many types of issues.          The "Healthy Aging" website has a list of each State's contact information for their Department of Aging or Elder Affairs.            Here's the link:           Healthy Aging List of State Agencies #5.   Contact Medicare          As a last resort, call Medicare directly. Government "downsizing" has caused delays in telephone correspondence, but it is still a reliable source.          Expect to be on hold from ten minutes to an hour, depending on the day and season.   Expect to see Cigna hit the airwaves and your mailboxes with advertisements regarding their Medicare Advantage and Prescription Drug plans. If you are not sure if you should remain on a Cigna Medicare Advantage Plan for 2018 and you have no one to speak to for assistance, call me! I am available for consulting and I do so on an hourly basis. I charge $150.00 an hour and I assure you, I am very honest in my time. If you have an interest in contacting me for consulting, send me an email to: Support@TheMedicareNation.com You can also visit my website for more information. www.CallSamm.com   I thank each of you for listening to Medicare Nation and I look forward to hearing from you with any questions you have regarding Medicare.   Until next time, have a happy, peaceful and prosperous week! Diane              

Many would agree that healthcare delivery today is inefficient, ineffective, and segmented. In this panel discussion, experts talk about how they have persisted in delivering high-quality treatment. They discuss innovations in redesigning and scaling operations for wider benefit, the realities of implementation, and the need to train clinical workers in delivering compassionate care. The discussion was part of the 2011 Healthcare Summit, held at the Stanford Graduate School of Business. Gerald (Jerry) Coil is special assistant to the CMO, AltaMed Health Services. He has served as an internal consultant at AltaMed; senior consultant at Cattaneo & Stroud, Inc.; executive vice president and COO at HealthSpring; president and CEO at MHN; senior vice president at Health Net; senior vice president, benefit administration, at Kaiser Permanente; partner at NorthShore LLC; and regional vice president, Pacific Rim at North American Medical Management/Phycor. Thomas Lee is an MD with One Medical Group. He specializes in primary care internal medicine with an emphasis on preventive health, complex cases and quality improvement. Lee graduated from Yale University and the University of Washington School of Medicine, and completed his residency at Harvard’s Brigham and Women’s Hospital before serving as editor-in-chief for the widely used drug reference application Epocrates. He then founded One Medical Group as a step toward improving primary care delivery. Paul Wallace is director of the Lewin Center for Comparative Effectiveness Research. A board certified physician in internal medicine and hematology, he is a renowned lecturer on topics including evidence-based medicine practice and policy; performance improvement and measurement; clinical practice guideline development; population-based care and disease management; new technology assessment; and comparative assessment. He serves on advisory committees at the Institute of Medicine (IOM), and is a member of a number of healthcare-related boards. Arnold Milstein is professor of medicine and leader of Stanford University’s Clinical Excellence Research Center. His career and ongoing research are focused on acceleration of clinical service innovations that improve the societal value of health care. He serves as the medical director of the Pacific Business Group on Health, the largest regional health care improvement coalition in the U.S. He also guides employer-sponsored clinically-based innovation development for Mercer Health and Benefits. Previously he co-founded the Leapfrog Group and Consumer-Purchaser Disclosure Project, and served as a Congressionally-appointed MedPAC Commissioner. https://ssir.org/podcasts/entry/service_innovation

Dr. Fred Hosler, senior vice president and chief medical officer at Alegent Health, describes the role of electronic medical records in the pay-for-performance arena, the importance of adequate ramp-uptime and of building staff support in a collegial fashion for organizational ventures such as pay-for-performance. Dr. Hosler also describes how his organization is developing a physician leadership program in conjunction with Gallup University and the University of Nebraska at Omaha. Dr. Hosler and Michael O'Neil, vice president of strategic initiatives with HealthSpring, will be presenting inside details on how their organizations have engaged physicians in PFP programs during a September 6th audio conference, Making the Business Case for Physician Participation and Engagement in Pay-for-Performance Programs.