Podcast appearances and mentions of kyle kiser

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Best podcasts about kyle kiser

Latest podcast episodes about kyle kiser

Entrepreneur Mindset-Reset with Tracy Cherpeski
From Hours to Minutes: Streamlining Prior Authorizations with Arrive Health's Innovative Tech Featuring Kyle Kiser, EP 163

Entrepreneur Mindset-Reset with Tracy Cherpeski

Play Episode Listen Later Feb 28, 2025 30:13 Transcription Available


In this episode of Thriving Practice, we welcome back Kyle Kiser, co-founder of ArriveHealth, to discuss the company's remarkable growth and its innovative solutions in healthcare technology. Since our last conversation a little over a year ago, ArriveHealth has doubled its revenue, a testament to the value of their real-time benefit network. Kyle shares how their technology is streamlining the prescription process by providing real-time, patient-specific cost information at the point of care. We explore how this system not only helps patients access more affordable medications but also streamlines the often cumbersome prior authorization process, reducing turnaround times from days to hours. Kyle shares insights on how their solution benefits multiple stakeholders in the healthcare ecosystem, from providers and patients to health plans and pharmacy benefit managers. Join us for an enlightening discussion on the future of digital prescribing, medication management, and how technology is being leveraged to enhance trust between patients and providers. Key Points: ArriveHealth's core offering: Real-time benefit network for e-prescribing workflows Company growth: Doubled in size from a revenue perspective in the past year How ArriveHealth's technology works:    - Provides real-time, patient-specific cost information at the point of prescribing    - Suggests lower-cost alternatives for medications and pharmacies    - Streamlines the prior authorization process Benefits for various stakeholders:    - Providers: Reduced administrative burden, improved workflow efficiency    - Patients: Lower medication costs, improved adherence, better healthcare experience    - Pharmacists: Cleaner scripts, fewer callbacks    - Insurance companies/PBMs: Cost savings, reduced administrative work Integration with major EMR systems (Epic, Cerner, Athena, eClinicalWorks) Partnership with GoodRx for additional cost-saving options Success metrics: Switch rates more than twice the industry average Future developments:    - Automating downstream processes (e.g., prior authorizations)    - AI-driven adherence tool for patient-provider communication ArriveHealth's mission: Reintroducing consumer choice in healthcare and leveraging trust between patients and providers Quotes: "We measure success by how often they accept that. And we're seeing switch rates that are more than twice the industry average." - Kyle Kiser on measuring the impact of ArriveHealth's recommendations "The most powerful leverage point to solve problems in healthcare is the trust that exists between patients and providers." - Kyle Kiser on the importance of trust in healthcare Kyle's Bio: Kyle is Chief Executive officer at Arrive Health, the leader in delivering real-time cost and coverage data to decision-making workflows. In his role, he focuses on helping providers and care teams improve patient access, affordability, and outcomes while reducing administrative burden. By partnering with health systems, health plans, IT vendors, and pharmacy benefit managers, Arrive health enables transparency and better patient care nationwide. Since 2013, Klye has helped grow the company from a vision to a reality, and has been at the forefront of some of the most transformational initiatives in healthcare. In particular, he has focused on projects that enable informed decision-making. His focus on interoperability has allowed partners to improve provider workflows and reduce medication costs for millions of patients. Kyle has helped develop incentive strategies for a country's most innovative employers and led product launches with the nation's largest payers. Prior to Arrive Health, he was a senior leader at Welltok, Catapult Health, and Principal Wellness Company.  Find Kyle: Arrive Health Website LinkedIn Connect With Us: Thriving Practice Community Be a Guest on the Show Schedule Strategy Session with Tracy Tracy's LinkedIn Business LinkedIn Page

Outcomes Rocket
Reintroducing Consumer Choice in Prescription Decisions with Kyle Kiser, CEO of Arrive Health

Outcomes Rocket

Play Episode Listen Later Oct 28, 2024 14:46


Delivering accurate and timely data to providers fosters trust and increases the likelihood of changing behaviors toward cost-effective alternatives. In this episode, Kyle Kiser, CEO of Arrive Health, discusses the journey behind building an innovative healthcare platform that empowers both providers and patients by offering real-time data insights to make smarter, cost-effective decisions. He explains how the Arrive Health platform integrates with healthcare systems and EMRs, ensuring providers have access to the best pricing alternatives while maintaining patient care quality. Kyle emphasizes the need to reintroduce consumer choice in e-prescribing and reveals how they are streamlining prior authorization processes using AI while also reflecting on overcoming challenges in healthcare networks and highlighting the importance of seamless provider engagement. He also shares why he believes that leveraging generative AI will help speed up decision-making and reduce friction in patient care. Tune in and learn how this groundbreaking platform is reshaping healthcare by focusing on affordability, transparency, and efficiency! Resources: Connect with and follow Kyle Kiser on LinkedIn. Learn more about Arrive Health on their LinkedIn and website. Listen to Kyle's previous podcast episode here.

CareTalk Podcast: Healthcare. Unfiltered.
Reducing Rx Costs with Point-of-Prescribing Tech w/ Arrive Health CEO Kyle Kiser

CareTalk Podcast: Healthcare. Unfiltered.

Play Episode Listen Later Oct 18, 2024 22:41 Transcription Available


Send us a textNearly all insured Americans have prescription medication benefits.So why are so many Americans struggling to afford those prescriptions?Shouldn't these benefits cover the cost? In this episode of CareTalk, David Williams speaks with Kyle Kiser, CEO of Arrive Health, to explore the factors driving the disconnect between consumer needs and prescription pricing, and how point-of-prescribing technology can serve as a patient-centered solution. This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.TOPICS(0:17) Sponsorship(2:01) Why Is Medication Access an Issue?(4:23) What Happened to Affordable Medicine?(5:14) The State of Prior Authorization(7:08) Why Hasn't Electronic Prescribing Solved Consumer Constraints?(8:58) What Is Patient-Centered, Provider-Friendly Tech?(13:18) The Issues with Preferred Pharmacies(15:34) How Have Pharma Support Programs Evolved?(18:12) The Role of Biosimilars in Reducing Prices(19:38) What Should a Patient Know When Dealing with Prescription Costs?

Becker’s Healthcare Podcast
Making a Choice for Patient Affordability

Becker’s Healthcare Podcast

Play Episode Listen Later Sep 23, 2024 10:02


Toby Cosgrove, former CEO of Cleveland Clinic and Kyle Kiser, CEO of Arrive Health, discuss changes in healthcare, aiming to improve patient affordability. Rising drug costs and lack of cost transparency are significant barriers to treatment compliance. In 2022, the Robert Wood Johnson Foundation and Urban Institute found that an estimated 13 million adults either didn't fill a prescription or delayed it due to high costs. Dr. Cosgrove and Kyle discuss real-world opportunities to bring cost relief to patients in need.This episode is sponsored by Arrive Health.

Healthcare Trailblazers
The $6 Billion Healthcare Wasteland!

Healthcare Trailblazers

Play Episode Listen Later Apr 15, 2024 27:28


In this eye-opening episode of The Healthcare Trailblazers,  we sit down with Kyle Kiser, CEO of Arrive Health, a visionary company at the forefront of revolutionizing prescription pricing and transparency in the healthcare industry. With a passion for patient advocacy and a keen eye for systemic inefficiencies, Kyle takes us on a deep dive into the murky waters of prescription drug pricing, revealing shocking truths and potential savings that could radically transform patient care.Key Takeaways:The $6 Billion Opportunity: Learn how Kyle and his team at Arrive Health have identified billions in potential savings for patients, challenging the status quo of the healthcare industry.The Zero-Dollar Prescription Phenomenon: Uncover the startling frequency with which patients miss out on zero-dollar options due to complex and opaque pricing structures.The Battle Against Big Pharma and PBMs: Hear Kyle's insights on the controversial role of Pharmacy Benefit Managers (PBMs) and how they influence drug prices, often not in the patient's best interest.Innovating for Transparency: Discover how Arrive Health's technology is empowering healthcare providers with real-time, patient-specific pricing information, ensuring better decisions at the point of care.A Vision for the Future: Kyle shares his ambitious plans for Arrive Health and how he envisions a more transparent, efficient, and patient-centered healthcare system.

Category Visionaries
Kyle Kiser, CEO of Arrive Health: Over $40 Million Raised to Improve the Value of Healthcare Through Informed Decision-Making

Category Visionaries

Play Episode Listen Later Jan 12, 2024 14:54


Welcome to another episode of Category Visionaries — the show that explores GTM stories from tech's most innovative B2B founders. In today's episode, we're speaking with Kyle Kiser, CEO of Arrive Health, a healthcare technology platform that has raised over $40 Million in funding. Here are the most interesting points from our conversation: Inspiration from Personal Experience: The company's origin traces back to a personal story where a co-founder, a doctor, helped his mother reduce her medication costs, highlighting the need for price transparency in healthcare. Early Days: Kyle joined Arrive Health when it was a small team working out of a co-working space in Denver, emphasizing the humble beginnings and grassroots efforts of the startup. Core Mission: Arrive Health aims to provide point-of-care price transparency, allowing doctors to see medication costs at the point of prescription, a crucial step in reducing patient out-of-pocket expenses. Rapid Growth: From a few thousand transactions a month in 2019 to over 10 million transactions monthly, the company's growth underscores the significant demand for their solution in the healthcare market. Strategic Partnerships: Collaborating with strategic investors, including health systems and associated funds, has been vital for product development and scaling the business. Future Vision: Kyle envisions restoring consumer choice in healthcare, particularly in prescription drugs, by building a network that manages the complex pharma supply chain to make cost-effective medication decisions.   //   Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe. www.GlobalTalent.co

Paradigm Shift of Healthcare
Why Healthcare Innovation Requires Collaboration w/Kyle Kiser

Paradigm Shift of Healthcare

Play Episode Listen Later Jan 2, 2024 24:31


Kyle Kiser, Chief Executive of Arrive Health, describes the connective efforts that it takes to make a health tech startup grow. Join Kyle and hosts Michael Roberts and Justin Bantuelle as they dig into the details of introducing consumer choice at the point of care, collaboration between healthcare organizations, price transparency, and more. Visit HC.Show for more on this show and to sign up for email notifications of new episodes. Resources:Arrive Health Hosted on Acast. See acast.com/privacy for more information.

Entrepreneur Mindset-Reset with Tracy Cherpeski
EP 111: On a Mission for Affordable Medications Featuring Kyle Kiser

Entrepreneur Mindset-Reset with Tracy Cherpeski

Play Episode Listen Later Nov 1, 2023 33:38


Welcome to Episode 111. Our guest is Kyle Kiser of Arrive Health (formerly RX Review). Their mission is to revolutionize healthcare by providing affordable and accessible medications to those in need. Tracy and Kyle discuss the healthcare landscape in the United States, where patients face the challenging decision between managing their health and meeting basic needs. The need for transparency in understanding medication costs and the challenges providers face in making informed care decisions are highlighted. Other topics in this episode include: Arrive Health's Mission: Arrive Health's mission is to make healthcare work better for people by offering tools that provide essential information to providers. This includes details about medications, alternative options, and demystifying insurance coverage, ultimately saving time and reducing provider burnout. Technology Solutions: Arrive Health employs technology solutions that integrate with existing EMR interfaces, ensuring providers have simplified and accessible information at their fingertips. This technology empowers providers to make informed care decisions. The Inspiring Origin Story: Arrive Health was founded within the University of Colorado healthcare system by Dr. Kevin O'Brien. Driven by his mother Lucy's challenges with medications, the company's journey from information tracking to clinical implementation showcases the power of healthcare innovation. Key Takeaway: Kyle leaves listeners with a valuable piece of wisdom, reminding healthcare providers not to lose sight of their initial passion and drive amid daily challenges. This podcast episode dives into Arrive Health's mission to bridge the healthcare gap, providing transparency, affordability, and accessibility in medications. Kyle Kiser's insights and the company's innovative technology solutions offer hope for a brighter future in healthcare. Join the conversation to learn more about Arrive Health's impact on the healthcare industry. Kyle's Bio: Kyle is Chief Executive officer at Arrive Health, the leader in delivering real-time cost and coverage data to decision-making workflows. In his role, he focuses on helping providers and care teams improve patient access, affordability, and outcomes while reducing administrative burden. By partnering with health systems, health plans, IT vendors, and pharmacy benefit managers, Arrive health enables transparency and better patient care nationwide. Since 2013, Klye has helped grow the company from a vision to a reality, and has been at the forefront of some of the most transformational initiatives in healthcare. In particular, he has focused on projects that enable informed decision-making. His focus on interoperability has allowed partners to improve provider workflows and reduce medication costs for millions of patients. Kyle has helped develop incentive strategies for a country's most innovative employers and led product launches with the nation's largest payers. Prior to Arrive Health, he was a senior leader at Welltok, Catapult Health, and Principal Wellness Company.  Find Kyle: Arrive Health Website LinkedIn Connect With Us: Schedule Strategy Session with Tracy Tracy's LinkedIn Business Page LinkedIn

Breaking Health
Episode: 165 - Kyle Kiser Talks About Providing Patients Access To Medication Information And “Real Time Benefits”

Breaking Health

Play Episode Listen Later Oct 24, 2023 26:45


When patients receive prescriptions, many find themselves at a loss over the lack of information on the medications' clinical uses, costs, and more. In this episode of Breaking Health, host Steve Krupa speaks with Kyle Kiser, CEO of Arrive Health, about giving patients the ability to access information on medications to help them make better healthcare decisions. Kiser also delves into what real time benefits are, the company mantra “Lucy up,” and how Arrive Health calculates and provides valuable data to their customers, such as general savings. He also talks about his journey from being a healthcare insurance wholesaler to starting Arrive Health, as well as tips for aspiring entrepreneurs on patience and perseverance. Links from this episode:  HealthEdge Arrive Health 

Talk to Your Pharmacist
Bringing Transparency to the Point of Prescribing with Kyle Kiser of Arrive Health

Talk to Your Pharmacist

Play Episode Listen Later Oct 15, 2023 18:48


In this episode, our guest, Kyle Kiser is the CEO of Arrive Health, an industry-leading provider of data-driven insights to points of care. As a thought leader in health technology and a diligent student of the complex healthcare value chain, he has been at the forefront of some of healthcare's most transformational initiatives.Fully aligned with Arrive Health's aspirational vision, Kyle champions consumer choice. He capitalizes on the regulatory tailwinds that now mandate price transparency and interoperability in pharma to simplify the complexities within the healthcare landscape, and build collaborations between healthcare organizations, bringing patient cost and coverage data to the point of care. Motivated by an intense curiosity about the power of systems to transform entire ecosystems, Kyle knows how to leverage healthcare tools to drive behavior change across providers, payers, and patients. His focus on delivering accessible, affordable care as well as customer choice has impacted millions of patients' lives.Before joining Arrive Health, Kyle built robust pipelines, strategic partnerships, awareness, and exponential revenue growth for companies including Catapult Health, Welltok, Principal Wellness Company, and Ameritas. Kyle holds a Bachelor's degree from Guilford College, where he currently sits on the Board of Trustees.Main points to cover: Trends in pharmacy complexity (and how that relates to affordability, access, and adherence) The changing role of pharmacy and the individual pharmacist to be the patient navigator Strategies and technology that can help pharmacy do more, while streamlining workflow and reducing administrative burden Guest - Kyle Kiser LinkedIn: https://www.linkedin.com/company/arrivehealth/ Website: https://arrivehealth.com/ Twitter/X: https://twitter.com/ArriveHealth Host - Hillary Blackburn, PharmD, MBA www.hillaryblackburn.com   https://www.linkedin.com/in/hillary-blackburn-67a92421/  @talktoyourpharmacist for Instagram and Facebook @HillBlackburn Twitter/X ★ Support this podcast on Patreon ★

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
The Dish: Arrive Health - How Price Transparency Is Improving Affordable Healthcare

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jun 1, 2023 36:06


Hosts and health IT leaders Pooja Babbrah and Jocelyn Keegan talk to guest Kyle Kiser, CEO of Arrive Health, joined Point-of-Care Partners (POCP), about price transparency and real-time pharmacy benefit (RTPB) check. They also discussed user centric design, optimizing adoption, and related policy and standards. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

The Dish on Health IT
How Price Transparency Is Improving Affordable Healthcare For Patients And Providers

The Dish on Health IT

Play Episode Listen Later May 23, 2023 36:06


This episode of The Dish on Health IT features guest Kyle Kiser, CEO of Arrive Health, joined Point-of-Care Partners (POCP), hosts and health IT leaders Pooja Babbrah and Jocelyn Keegan to discuss price transparency and real-time pharmacy benefit (RTPB) check. They also discussed user centric design, optimizing adoption, and related policy and standards. To kick off the episode, Pooja Babbrah introduced herself as the host and Pharmacy PBM Lead with Point-of-Care Partners. Jocelyn Keegan then introduced herself as the POCP Payer Practice Lead. Pooja then asked Kyle Kiser to introduce himself where he explained he is the CEO of Arrive Health and has been with the company for almost 9 years. They then talked about the benefits of tools that allow for more visibility for providers and patients into coverage and price, as well as the key considerations when designing and rolling out new tools to optimize adoption and consistent use. They also discussed the role of policy and standards related to price transparency and RTPB.Kyle explained that Arrive Health is a company inspired by Dr. Kevin O'Brien's experience with his mother Lucy. When she came to Dr. O'Brien with an issue of out-of-pocket spending, using his expertise, he sought out ways to reduce her spend. This led to the creation of Arrive Health and the mantra “Lucy Up” which is a reminder of their mission to make sure patients can afford their medication. They focus on the patient-provider relationship, and their customers and partners are those looking to save money on their medications.The conversation shifted to focus on the vision and mission of a company that has been around since 2013. The focus from the beginning was to improve healthcare value by connecting patients and providers with the right information at the right time to drive the right decision. This conversation then shifted to price transparency and the policies that have been put in place to make it easier for patients to understand what they are paying for and how the industry can help to smooth out some of the pain points they face when it comes to affordability. The company is committed to its mission and is continuing to focus on the patient-provider relationship as the most leveraged opportunity in the value chain.The conversation then focused on the current state of making price more transparent in the healthcare industry. The group agreed that real-time benefit check has been a successful addition, offering a strong value proposition for providers, payers, and patients. They also acknowledged that there is still much work to be done on the medical benefit side. The group discussed the ever-increasing complexity of benefit carve outs and the ongoing challenge of validating patient identity and connecting with their benefit details at the granular level needed to really understand coverage and out of pocket costs. They then discussed the role of policy in raising the floor for the industry without boxing out innovation by making requirements too narrow or prescriptive.The conversation shifted to prior authorization and the work of Da Vinci Project on price cost transparency. The participants recognize the need to get pricing information to the payer and patient at the right time so that they can make decisions about their care that they can afford. Da Vinci's four guides allow for similar workflows to that of RTBC today due to the separation of activities on the medical side compared to a dispense event.

Decoding Healthcare Innovation
Improving Cost and Care Through Data Transparency with Arrive Health CEO Kyle Kiser

Decoding Healthcare Innovation

Play Episode Listen Later May 17, 2023 28:00


In this episode, you will discover: Why price transparency is importantHow to understand the impact between a $0 option and a $250 option in the moment of decisionHow data transparency impacts patient access and health equity Key Takeaways: Moving to a more consumer-directed and consumer-focused model means focusing on creating more transparency on the area of pricing. By bringing this information upstream, we will be able to build trust between the patient and the provider. The difference between a $250 drug and a $0 drug can be meaningful to a lot of people. Providing this option isn't impossible, it's only a matter of getting the right answer to the right decision-maker when those things are happening. Consumer-driven healthcare is the most important health equity issue to solve. Half of America can't incur $1,000 of unexpected expenses without financial ruin. Providing information to the right people can go a long way in contributing to the solution. “Things that we can automate, we should automate.” - Kyle KiserResources: Website:  https://arrivehealth.com/ LinkedIn: https://www.linkedin.com/in/kyle-kiser-68ba218/ Learn more from Carrie and Rebecca: Healthcare Insights (a monthly deep dive into specific topics for innovators): https://nixongwiltlaw.com/healthcare-insightsTelehealth/Virtual Care Mgmt Update (a biweekly LinkedIn newsletter tracking legal and policy changes across the nation): https://www.linkedin.com/newsletters/telehealth-virtual-care-update-6901900767960068096/ Website: https://nixongwiltlaw.com/ Carrie on LinkedIn: https://www.linkedin.com/in/carrienixon/ Rebecca on LinkedIn: https://www.linkedin.com/in/rebeccagwilt/NGL on LinkedIn: https://www.linkedin.com/company/nixon-gwilt-law/ 

Healthcare Unfiltered
Reducing Out-of-Pocket Prescription Costs With Kyle Kiser

Healthcare Unfiltered

Play Episode Listen Later May 2, 2023 41:41


Kyle Kiser, CEO of Arrive Health, joins the show to highlight his company's unique approach to lowering costs of prescription drugs for patients in the US. He explains how physicians often make changes to their prescription recommendations based on Arrive Health's presence as an “invisible component within the EMR,” how they aggregate data to generate clinical alternatives and relevant alternatives to payer preferences, how they maneuver around prior authorizations, the need (or lack thereof) of intermediaries like PBMs, and much more. Check out Chadi's website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

HealthBiz with David E. Williams
Interview with Arrive Health CEO Kyle Kiser

HealthBiz with David E. Williams

Play Episode Listen Later Mar 30, 2023 26:55


Arrive Health provides information to prescribers at the point of care, helping improve affordability, which leads to better access and outcomes. CEO Kyle Kiser describes how it all works.Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.

Healthcare Americana
Arrive Health's Kyle Kiser on Clearing a Way For Better Health, Access, & Engagement

Healthcare Americana

Play Episode Listen Later Mar 23, 2023 26:40


Kyle Kiser is the CEO of Arrive Health, a virtual pharmacy assistant. This tool is used as a care team tool to automate outreach to patients, drive adherence, and improve quality and readmissions. Kyle's goal is to make connections beyond just pharmacy, particularly in the realm of specialty medications, and to make it easier for patients and providers to access the tool. The core mission remains the same, but the new capabilities allow for more frequent interactions to occur between providers and patients. The main organizations using the tool are small practices, large organizations, and hospital networks. This tool has allowed for the patient to get answers from their provider more often than not, and has been beneficial in driving adherence and value-based care.Follow Healthcare Americana:TwitterInstagramLinkedInMore on Freedom HealthworksMore on Arrive HealthSubscribe at https://healthcareamericana.com/episodes/

The Collective Voice of Health IT, A WEDI Podcast
Episode 93: Lucy Up! Improving Patient Access, Affordability and Outcomes with Arrive Health CEO Kyle Kiser

The Collective Voice of Health IT, A WEDI Podcast

Play Episode Listen Later Mar 10, 2023 27:10


Matthew welcomes back Arrive Health CEO Kyle Kiser to the podcast to discuss the latest at Arrive Health, an industry leader in delivering real-time cost and coverage data to decision-making workflows. Kyle discusses how working with multiple stakeholders help drive quality, make the best, cost efficient decision and increase patient satisfaction and engagement. 

The Health Technology Podcast
Kyle Kiser: A Tough Pill to Swallow

The Health Technology Podcast

Play Episode Listen Later Dec 26, 2022 34:30


Why are drug prescriptions so expensive? The answer is complicated and involves payers, providers, and patients. And even industry professionals sometimes have a hard time explaining it. Our guest today, Kyle Kiser, is working towards making these expensive prescriptions a thing of the past. Kyle is the CEO and founder of Arrive Health (formerly RxRevu), a “real-time prescription benefits service.” By allowing patients to have a say in their prescriptions, Arrive Health is aiming to make good health more accessible to everyone. In this episode, he tells us how he got to where he is and how other entrepreneurs can do the same. Do you have any thoughts? Please email us at hello@rosenmaninstitute.org. We post new episodes every Monday. “The Health Technology Podcast” is produced by Herminio Neto, hosted by Christine Winoto, and engineered by Andrew John Rojek

B-Time with Beth Bierbower
Choice and Clinical Decision Making with Arrive Health CEO, Kyle Kiser

B-Time with Beth Bierbower

Play Episode Listen Later Nov 1, 2022 20:02


Have you ever been in a situation where a physician orders a drug and when you ask, “How much will that cost?,” the response you received was, “I don't know, you'll have to call your health plan.” Or you are surprised at the pharmacy when you pick up your prescription and the cost is really high and you ask for an alternative and then deal with that hassle. Arrive Health is changing all that. They are providing real-time, drug pricing data to the physician in the office, at the time the script is being written. With us today is Kyle Kiser the CEO of Arrive Health. Kyle is going to share what Arrive Health is doing to get cost information to the point of care so the physician and patient can make the best decision. Show notes: Favorite Books: The Four Agreements: A Practical Guide to Personal Freedom by Don Migul Ruiz; Radical Candor: Be a Kick-ass Boss Without Losing your Humanity by Kim Scott

Who Would Have Thought - Digital Health Innovation
Importance of Medication Price Transparency - Interview with Kyle Kiser

Who Would Have Thought - Digital Health Innovation

Play Episode Listen Later Oct 19, 2022 26:51


In this very special episode of Who Would Have Thought, we welcome Kyle Kiser, CEO of Arrive Health (formerly RxRevu), an industry leader in real-time prescription benefit services. Kyle and his team focus on creating seamless, cost-effective prescribing experiences for patients and providers. Tune in to learn about the importance of price transparency and simplifying healthcare, as well as what it's like growing an innovative healthcare technology company.Kyle sheds light on solutions to the biggest challenges in effective healthcare delivery and the impact of policy and legislation on prescription price transparency and healthcare technology innovation. You'll also learn how Arrive Health is directly improving the lives of patients, healthcare providers, and caregivers through innovation, ethics, and strategic partnerships.To learn more about Arrive Health, visit: www.arrivehealth.comAbout Our Guest:Kyle Kiser is the Chief Executive Officer and Board Member of Arrive Health. He is a student of the healthcare value chain and is passionate about solving impactful problems and creating change that makes healthcare work better for people.Connect with Kyle on LinkedIn: https://www.linkedin.com/in/kyle-kiser-68ba218 About SmartTab: SmartTab is driving the future of digital medicine by developing a superior patient-centered personalized drug delivery platform in the form of a wireless ingestible capsule. The patient experience fuels SmartTab's commitment to create novel, effective therapies that improve patient outcomes and compliance. For more information visit: www.smarttab.coQuotes: “Ultimately, it's the provider and patient relationship that is the most powerful and important moment in someone's healthcare journey. What we see our role as is clearing the path for that sacred encounter to happen.”“We want to solve the affordability issues, we want to solve the access issues, we want to do that with technology so that that patient and that provider can focus on health.”“Price transparency is more important than ever because it's a baseline requirement to delivering adequate care.”Chapters:00:00 Show Intro01:06 Kyle's background + His role at Arrive Health03:32 Why RxRevu rebranded as Arrive Health + Arrive Health's mission as a leader in healthcare.05:54 The inspiring story behind their company mantra, “Lucy Up”.07:43 What are the biggest challenges in delivering effective healthcare in 2022?10:28 Why is price transparency important in healthcare?12:13 How Arrive Health manages strategic partnerships with stakeholders.13:42 How Arrive Health is directly improving the lives of patients and healthcare providers.16:53 The importance of data quality in digital healthcare + How Arrive Health is improving the quality of their data.17:18 The impact of policy and legislation on prescription price transparency and healthcare innovation.19:38 How do you work with investors and innovation partners, like UCHealth and Dr. Richard Zane?22:01 What's next for the future of digital health and Arrive Health?26:26 How to connect with Kyle Kiser and Arrive Health.

CoIQ with Dr. Roxie
How to balance supply and demand in a platform business w/ Kyle Kiser

CoIQ with Dr. Roxie

Play Episode Listen Later Oct 13, 2022 35:48


Successful commercialization can be difficult, and that difficulty can grow if you're building a platform based business. Build a platform based business in healthcare and, well, you're just begging for the challenges to come fast and furiously.. Kyle Kiser knows all about building a healthcare centered platform business - it's driven, and challenged, him throughout his career. Whether it's point of care connectivity, pharmaceutical pricing, or the interoperability of data gathering, he's got some words of wisdom he's sharing with listeners on this week's show. So, if a platform business is giving you commercialization challenges - or if you're just one of those folks who like to figure out how systems work together to benefit the whole, pull up a chair - this one's for you! Here are the show highlights: The point of Point of Care connectivity (2:38) The two sides of pharmaceutical pricing (6:34) Obsessing about the value chain (12:28) Optimizing patient benefit alternatives (20:47) Challenges with the interoperability of data (24:18) Balancing supply and demand in a platform business (26:04) Guest Bio Kyle Kiser is CEO of Arrive Health, a company working to improve the value of healthcare through more informed decision-making. Kyle got his start immersed in the health insurance business side of healthcare and from there built up his expertise in driving sales in health and wellness markets over the past two decades. Kyle received his Bachelor's of Science in Business from Guilford College in 2006. If you want more information about Arrive Health or Kyle Kiser's work, you can reach out to him on LinkedIn at @Kyle Kiser, or visit ArriveHealth.com.

AWS Health Innovation Podcast
#25, Kyle Kiser, Arrive Health

AWS Health Innovation Podcast

Play Episode Listen Later Oct 10, 2022 26:15


Kyle Kiser, CEO of Arrive Health, discusses why fostering trust in the provider-patient relationship is essential, how he and his team think about connecting the right decision with the right information for providers, and why founders should obsess over the healthcare value chain.

Improve Healthcare
Interoperability & Data Quality w/ Arrive Health CEO - Kyle Kiser

Improve Healthcare

Play Episode Listen Later Sep 20, 2022 11:14


Kyle Kiser is Chief Executive Officer at Arrive Health, the industry leader in delivering data-driven insights to the point of care. In this role, he focuses on helping providers and care teams improve patient access, affordability, and outcomes while reducing administrative burden. By partnering with health systems, health plans, IT vendors, and pharmacy benefit managers, Arrive Health is driving data transparency and better patient care nationwide.Since 2013, Kyle has helped grow the company from a vision to a reality, and he has been at the forefront of some of the most transformational initiatives in healthcare. In particular, he has focused on projects that lower the cost of care, improve health outcomes, and enable informed decision-making at the point of care. His focus on interoperability has allowed partners to improve provider workflows and millions of patientsʼ lives. Kyle has helped develop incentive strategies for some of the countryʼs most innovative employers and led product launches with the nationʼs largest payers. Prior to Arrive Health, he was a senior leader at Welltok, Catapult Health, and Principal Wellness Company.Learn more at Arrive Health

MoneyBall Medicine
How RxRevu is Fixing the Disconnect Between Your Doctor and Your Pharmacy

MoneyBall Medicine

Play Episode Listen Later Jun 21, 2022 34:30


When your doctor prescribes a new medicine, there's a pretty good chance that some snafu will crop up before you get it filled. Either your pharmacy doesn't carry it, or your insurance provider won't cover it, or they'll say you need "prior authorization," or your out-of-pocket cost will be sky-high. The basic problem is that the electronic health record systems and e-prescribing systems at your doctor's office don't include price and benefit information for prescription drugs. All of that information lives on separate systems at your insurance company and your health plan's pharmacy benefit manager, or PBM. And that's the gap that a company called RxRevu is trying to fix. Harry's guest on today's show RxRevu CEO Kyle Kiser, who explains the work the company has done to bring EHR makers, insurers, and PBMs together to make drug cost and coverage information available at the point of care, so doctors and patients can shop together for the best drug at the best price.Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch:1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode.3. Scroll down to find the subhead titled "Ratings & Reviews."4. Under one of the highlighted reviews, select "Write a Review."5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long.7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible.That's it! Thanks so much.TranscriptHarry Glorikian: Hello. I'm Harry Glorikian, and this is The Harry Glorikian Show, where we explore how technology is changing everything we know about healthcare.If you live in the United States and you've ever had your doctor prescribe a new medication, you've probably had the following experience.You drive from the doctor's office to the pharmacy.And when you get there, you find out that the pharmacy doesn't carry that particular drug. Or that they do carry it, but your insurance provider doesn't cover it. Or your insurance does cover it, but they require prior authorization. Which means you have to get back in touch with your doctor and ask them to tell the insurance company that you really do need the medicine.Or you already have prior authorization, but you haven't met your annual deductible yet, so your out-of-pocket cost is much more than you expected.If any one of these problems crops up, the chances that you'll actually get your prescription filled on the day you need it go way down.And it's not uncommon for several of these snafus to happen all at once.Fundamentallythat's because the electronic health record systems and the electronic prescribing systems at your doctor's office don't include price and benefit information for prescription drugs.All of that information lives on separate systems at your insurance company and your health plan's pharmacy benefit manager, or PBM.And that's the gap that a company called RxRevu is trying to fix.My guest on today's show is the CEO of RxRevu, Kyle Kiser.We talked about the software they've built to make drug cost and coverage information available within the major EHR systemsWhen doctors can see in real time which drugs are covered, at what price, for a specific patient, it    obviously solves a huge pain point for patients, because it means they're more likely to get the drugs they need at an affordable price.But it also solves a big problem for doctors. Because, fairly or not, they're the ones who usually shoulder the blame when it turns out the medication they just prescribed is too expensive or isn't available.The kind of information RxRevu provides is going to be more and more important as the U.S. enters into an era of far greater price transparency, as mandated by the federal No Surprises Act, which went into effect on January 1 of this year.RxRevu is based in Denver, Colorado, and I reached Kyle Kiser at his home in Seattle, Washington. Here's our full conversation.Harry Glorikian: Kyle, welcome to the show.Kyle Kiser: Thanks, Harry. Happy to be here.Harry Glorikian: So, you know, we were just talking. You're in Seattle and I'm in Boston. I don't think we could be much farther apart when it comes to this particular country. So but let's start with a little bit of background, right. So. You're the CEO of RxRevu. And can you tell us a little bit about sort of the origin story about how you got started here? I mean, I understand your co-founder, Dr. Kevin O'Brien, had an interesting experience trying to get prescriptions filled for his mother, Lucy, but. What's the rest of that story? What did that story reveal to you about what's broken or missing in the way that doctors prescribes medicines or, you know, where the way that maybe payers approve prescription?Kyle Kiser: Yeah, absolutely. So a little background on Kevin's story. Kevin was initially inspired to do this because he wanted to solve a problem for his mom. She had an outsized out-of-pocket spend for meds. Like any good son, he wanted to help solve a problem for his mom. He used his expertise to find sort of ways to save on those medications, and that inspired him to start doing that in his clinic for his patients more comprehensively. So he was, you know, way ahead of his time and putting in all of this extra effort to really help find prescription options for patients that they could afford more easily. And that was the initial inspiration for what we've done today, which is connecting the point of care and clinical decision making with costs and coverage information that's real time and patient specific and location specific and moment in time specific, because all those things matter as inputs into a price.Kyle Kiser: So, you know, really the challenge we've been focused on is, is largely that, you know, the clinical decision making process has been pretty, pretty much disconnected, right, from marketplace information. So, you know, anything that impacts the purchasing of that care. And that was okay in a world where deductibles were low, formularies were relatively inexpensive and simple. But that world has changed dramatically over the last 10 to 20 years, right, as consumer driven healthcare has become the way of the world. And first dollar risk is now at the feet of the patient. It's that patients are now demanding that providers can consider not just what's best from a clinical perspective, but also set expectations around costs, set expectations around any restrictions that exist, and be an advocate for access to care. And the problem we're solving. We're building an access network. And within that access network, we help drive affordability and speed to care for patients. And we're doing that with a number of stakeholders. But at a high level, that's what we're trying to accomplish.Harry Glorikian: Well, you know, it's interesting, right? You know, entrepreneurship 101, solve a real need, right? So that there's a market there because everybody wants it. But so, I mean, look, I think everyone in the United States has probably had experiences similar to Dr. O'Brien's mom. I mean, you get to the pharmacy, you find out that the medication your doctor prescribed isn't covered by your plan, or you find out that the co-pay is outrageously high. But behind their personal experiences, I bet most people don't have a concept of how big and widespread this problem is. You know, you have any maybe some statistics that might illustrate the scale of the problem or how much money is wasted in the medical system because of these disconnects. I mean, I'm wondering how many prescriptions get abandoned or how many patients don't get the meds they need.Kyle Kiser: Yeah, I mean, at a. A macro level, you know, the prescription drug market makes just over makes up, you know, just over a half a trillion. Right. And, you know, estimates are that a third, even as much as half of that is waste and waste in the form of, you know, medications that aren't taken as prescribed or aren't delivering the right outcomes. I don't it's hard to find actually a a stakeholder in the supply chain that's delivered more value than meds themselves. I mean, if you think about, you know, the innovation in that world over the last 30 years, it's second to none. But the, you know, the supply chain within which they exist is complicated and it's hard to navigate. And the consequences of that is waste. And, you know, a ton of administrivia and friction. And frankly, patients bear the brunt of that. Ultimately, it's health plans and PBMs and risk bearing entities making rules on one end. It's providers and care teams making clinical decisions on the other end. And both of those processes are largely disconnected. And the only way that that gets harmonized in any way is a patient advocating for themselves. And we just fundamentally don't believe it should happen that way. What we're building is the connectivity between those stakeholders so that whether it's a provider at the point of care making the decision, whether it's a care team member trying to help you overcome a prior, or whether it's a patient trying to advocate for themselves using their own technology, we want to put real time, patient-specific, moment in time specific information in their hands to drive affordability and speed to care for that patient, no matter where they are in the care continuum.Harry Glorikian: Yeah. I mean, so this lack of prescription cost data, I mean at the point of care feels like a real canonical example of deep systemic problems with the with origins that are buried like deep in at least three of these complex organizations. Providers, payers and EHR makers. I mean, once you guys decided what the problem you wanted to fix was, how the hell did you figure out where to like -- okay, let's start here and let's move forward, right? Because.Kyle Kiser: Yeah.Harry Glorikian: Not trivial.Kyle Kiser: No, it's exactly the right observation because ultimately what we're building is a multi-sided network. And what's difficult about building a multi-sided network is, you know, users on one end, in this case, providers, aren't going to engage if it doesn't have the appropriate information in it. And the data sources, the ability to capture that appropriate information, they don't want to provide that data to you unless you have the appropriate users. So you get stuck in this chicken or the egg problem. And that's job one in growing this business, is to overcome that chicken or the egg problem. And the way we went about that was we worked really closely with health systems, with provider organizations, primarily because that's where the trust exists, is that ultimately patients seek out their provider and their care team to answer these questions. And so we worked closely with them as strategic partners and brought some of them in as investors in the company and aggregated a group of meaningful collaborators on the health system side, which then helped us bring PBMs and payers to the table to say, how do we solve these problems together? And that's that's sort of how we got out of the gate.Harry Glorikian: So I mean, tell me if we could dig a little into I think the product is called SwiftRx, if I remember correctly, but at a high level. You know, if you could describe for listeners, what is it? How does it work? And. Where does it fit in relation to the overall system?Kyle Kiser: Sure. Yes. So SwiftRx Direct is the product you're describing. What it provides is, is that real time, patient specific, location specific, moment in time specific information in the provider's native ordering workflow. So we are a data network that's powering a native feature inside the EMR that provides that insight while providers are selecting medications. So a typical flow would look like, a provider selects a medication. They then place that into a pending status in the software that they use. When that happens, we're able to gain visibility to that choice. We send that transaction out to our network of data sources, payers, PBMs, etc.. And what we get back is the price that is patient specific. We have formulary insights, so prior auth, quantity, limit, step therapy, those sorts of things. Those are also patient specific. And then most importantly, we get back alternatives. And those alternatives come in two forms. They're either a lower cost medication or a lower cost pharmacy where the patient can fulfill that medication. And that's sort of the core information that we then render back into the e-prescribing workflow. And we only interrupt those providers' workflows, or we and our partners only interrupt those providers workflows, when there's relevant information to consider. Because as I'm sure, you know, being deep in this world, provider engagement stuff -- you really have to be thoughtful about when, when is the appropriate time to intervene and when, when do we want to sort of get out of the way and make sure that when we are intervening, it's meaningful and understood to be meaningful?Harry Glorikian: Yeah. So I'm going to I mean, I heard a lot of what you said. I'm I want to maybe summarize all the. A few of these areas that people run into problems. But to try to understand sort of what are the big problems you had to solve to get it to really work? Because I'm just trying to get my head around the magnitude of the data headache here. Right. So if if you'll allow me, I'll just try to break it down into parts and then you can tell me how you're bridging all of these. So for one thing, there's the patient specific data about what kind of insurance each patient has and what level of benefits they have. And none of that is stored in the EHR at the clinic. As far as I know, typically the EHR would only list the patient's group number, subscription number or maybe the RxBin number. And then separate from all that, every insurance has a formula of drugs that will cover and sometimes a, you know, a schedule of different copay amounts for those drugs. And those formularies change every year and even more often. Right. And then there's a patient's actual prescription data which may live in their EMR or may live in a different system at the pharmacy. And then on top of that, there's this obscure black box system of prior authorization criteria that insurers may use to deny a prescription if they don't feel like paying for it. So the fact that the system is so fragmented is a familiar story to anybody who listens to this show. But tell me, you know, how on earth you were able to sort of get all this data under one roof, so to speak? You know, is there a specific architecture of the Swift system that makes you good at collecting all of this changing data and presenting it to the providers in real time?Kyle Kiser: Yeah. The only other element I'd add to your complexity salad is also benefit design, right. Is that yeah, the, the out-of-pocket cost can be and is dramatically different based on where you are in your coverage. If you're a commercial member with a high deductible, you're bearing the, you know, the in-network negotiated rate inside that deductible. And that changes pretty dramatically once you reach a deductible. Or if you're a Medicare member, there's the donut hole. And all of those things are also inputs and complexity to add to this. So to answer your question, it's really working closely with the stakeholders that control those, that are the source of that data. Right. You really can't get to an accurate price without working with those with those data sources specifically. So we work closely with the PBM, with the payer, and we do more or less a mock adjudication. So the same type of adjudication activity that happens on their end when a patient arrives at the point of sale is happening when a provider is making a prescribing decision in this case.Harry Glorikian: I mean, I can tell you, like the last time I had to sit and choose an insurer, and you would think that I'd be better at this than most, I remember having to take two Tylenol, because when I got done, because I thought my head was going to explode. And I could honestly not say to you I made the best choice. It was at the end, it was almost like a Hail Mary, I guess with all the complexity. And the other thing that I keep thinking about is when I used to watch, I think if you have kids, you've watched The Incredibles and there's a point in the show where the manager says they're penetrating inside of our systems to understand how to get how to get the system to pay them or whatever. It feels like it's that level of complexity. And you really need a sophisticated system to sort of bring all that information together to make sense of it all.Kyle Kiser: Yeah, that's true. And it is it is dynamic, it is highly variable and it's very different from administrator to administrator. Right. And a specific example of that, right, is that responses we get back are not across the board consistent, that here's an error and here's what that error means. And that error message is consistent from health plan to health plan. That's just not the way the world works, right. The error messages are specific to those claim systems because ultimately on the other side of the fence, these are mainframe systems in some cases that were designed decades ago that they've then created a layer to expose to the outside world, in this case us. And, you know, it's not simple work for us or for them. So I think the thing also to point out here is that there's a lot of effort from the payer- rrPBM community to make this accessible and to sort of change the way they're doing business and to change the way their technology works to enable some of these things, which is which is progress and should be commended for sure.[musical interlude]Harry Glorikian: Let's pause the conversation for a minute to talk about one small but important thing you can do, to help keep the podcast going. And that's leave a rating and a review for the show on Apple Podcasts.All you have to do is open the Apple Podcasts app on your smartphone, search for The Harry Glorikian Show, and scroll down to the Ratings & Reviews section. Tap the stars to rate the show, and then tap the link that says Write a Review to leave your comments. It'll only take a minute, but you'll be doing a lot to help other listeners discover the show.And one more thing. If you like the interviews we do here on the show I know you'll like my new book, The Future You: How Artificial Intelligence Can Help You Get Healthier, Stress Less, and Live Longer.It's a friendly and accessible tour of all the ways today's information technologies are helping us diagnose diseases faster, treat them more precisely, and create personalized diet and exercise programs to prevent them in the first place.The book is now available in print and ebook formats. Just go to Amazon or Barnes & Noble and search for The Future You by Harry Glorikian.And now, back to the show.[musical interlude]Harry Glorikian: Interesting. So if I'm not mistaken, both Epic and Cerner have made it possible for providers to embed SwiftRx into their EHR. So if I understand it correctly, it even comes as a standard part of Cerner now. So those are two of the biggest EHR providers in the US.Kyle Kiser: And Athena.Harry Glorikian: And Athena, so question: how did you make that happen?Kyle Kiser: Well, you know, we've got a great team and the team executed ultimately. We worked really hard on those relationships. And I think it's both working with the right customers in small ways in the early days that leads to working with these types of partners and bigger ways. And frankly, some of the open programs at some of these places led to this. So early days, we were working in kind of the more open developer type programs with these EMR partners. We were working closely with some of their customers. Banner was one of our first customers. UC Health was one of our first customers, both a Cerner and an Epic user respectively, and, you know, is working in small ways to solve these problems together with those health systems that led us both to interacting with PBMs and ultimately building these enterprise level relationships with the EMR. It's, you know, it's, it's earning the trust, it's delivering for these customers and then earning the right to do this at scale. And we're to a point now where we'll do almost 100 million of these transactions this year. And it's you know, it's grown fast.Harry Glorikian: Yeah, that's a lot of that's a lot of data flowing back and forth. But so let's ask the money question, like, what's the business model? Who ends up paying you? Is it the provider buying SwiftRx as an add on to the existing EHR or how does that work?Kyle Kiser: It's the risk bearing entity ultimately. So think about that as payer and PBM. In most cases, there are cases where we work with health systems and there are some things we do that that are either channel related or related to specific needs that they have when they're that risk bearing entity. But at a high level, we follow the risk and we want to work with the customer that is bearing that risk because ultimately they're the ones that stand to benefit from an optimized prescription choice.Harry Glorikian: Okay. So that everybody gets a clear idea of like, can you give me a before and after picture at a clinic that brings SwiftRx into their EHR?Kyle Kiser: Sure. Yeah. So. You know, this is probably an experience many of many of the listeners have had. Right. Is that. Before such acts you interact with your physician, they diagnose you with whatever condition they've perceived. They select a medication. They route it to the pharmacy. You go to the pharmacy and cross your fingers that all of the requirements have been met. And that is at a price that you can afford if there is a prior or if that's too expensive. When you arrive at that site of fulfillment, you discover that, right, if there's a prior that's not been completed, then you've got to go through that prior authorization process and you're not picking up that prescription today. If it's a price you can't afford, you got to figure out how to pay for it. And there's a variety of ways that that happens. But ultimately, it's up to the patient to figure those things out. In a world where SwiftRx is installed, the difference is, as that prescription decision is happening, we notify the prescriber of the patient's out-of-pocket cost. In some cases, even the plan cost associated with that choice. Any restrictions that exist like prior or quantity limit or step therapy. And we also notify them of any lower cost alternatives. So in many cases, simple changes make big differences in in the out-of-pocket cost. And it might even be something as simple as, time release metformin can be hundreds if not $1,000, and regular old metformin is four bucks and has been four bucks for decades.Kyle Kiser: So it's some of those almost unintentional, I hesitate to call them errors on the provider side. It's just they're making choices based on their own sort of clinical expertise. But they don't they don't know these things, right? They don't know how a time release metformin might be reimbursed for one of the ten or 12 payers that they may see in a given clinic day. So it's just providing that insight upfront so that they can make those decisions and understand the trade offs. Is time release really important or is this patient going to be fine? And is that out-of-pocket costs for a med going to prevent them from being able to actually take that medication? And as a result, they're not going to receive any of the clinical benefit. So ultimately, the $4 option is probably better. So it's really connecting that clinical decision making process with all of the complexity that exists on the payer and PBM end so that we can get the decision right the first time. And when the patient shows up at the pharmacy, they know how much is going to cost, they feel comfortable that they can pay for it and they're either aware of the prior auth and have already completed the requirements or have some, some level of expectations set to how to complete those requirements.Harry Glorikian: So for all the reasons we've been discussing, doctors traditionally have been able to stay somewhat separated or maybe called it shielded from discussions about drug prices. I mean, they just prescribe a drug, leave it to their office staff or the patient or their pharmacy to figure out whether it's covered. But now, for organizations that are using your system that are built into their EHR, a clinical encounter, it can involve essentially going shopping in real time for the best drug at the best price. I mean, in your experience, how do doctors like being pulled into these decisions? I mean, I can see how it be great for patients, but I wonder if doctors are equally excited.Kyle Kiser: You know, one of the things that's been the most surprising to us around this subject, specifically patient out-of-pocket cost, is one of the most requested pieces of information in a primary care clinic, because it's so complex and it creates so many callbacks and it creates so much patient dissatisfaction. Because ultimately the patient's going to, at some level, hold that prescriber accountable for that decision. And if it's really expensive med there's an assumption that the provider knew that already or should have known that, whether that's true or not. And so what that's resulted in is primary care providers want this information, they want it. They want to have this at their fingertips when they're making decisions. It's the world certainly changed in that way. So I think, you know, it's becoming a part of the standard of care being able to consider cost. Because to the point earlier, the only medication that works is the one the patient can afford. And so you really have to consider those things because of the way our sort of health care payment infrastructure exists. Right. There's just, patients are bearing a dramatic portion of that cost these days and got to consider that as a part of the way you deliver care.Harry Glorikian: I mean, I almost feel like your company is is pushing. These providers and payers and to fix the prescription benefit system or making them more efficient or compatible.Kyle Kiser: Yeah. I think there is a, I maybe describe it as rationalizing. R I don't think that a clinical team and a PBM and PNT committee at a health system have dramatically different opinions on what medications should be prescribed, for what conditions. The friction exists in that they're making those decisions in isolation of one another. So I think I see our role as a connector to help, you know, in a value based world, the incentives start to align between risk bearing entity and health system. And many times the health system becomes the risk bearing entity fully. And so our goal is to empower providers to understand those things in real time, to manage the complexity for them, only engage them with the information that makes a difference in the decision they're trying to make and ultimately create a better experience for the patient, a better outcome for the patient, and a less burdensome process for the provider organization.Harry Glorikian: So as we all know, I mean, the American medical system is famous for sending patients surprise bills after clinical encounter or an emergency room visit, right. Where a bandage or an aspirin can carry some crazy prices that I've seen. And I'm trying to project onto where you are as a company and where you want to go. I mean, now that you've tackled the rrtransparency in drug pricing, which I would honestly like to see everywhere, because I think I've heard my wife complain all the time when she encounters some astronomical price. Right. Can you imagine trying to tackle or bring greater transparency to other medical costs, such as maybe a surgical procedure or hospital supplies. I mean, is there anything that you've learned about prescription benefits that's transferable to all these other types of care?Kyle Kiser: Absolutely. Yeah. We're already moving beyond prescriptions today and focused on labs, radiology services, generally. And see the dynamics of the payer-PBM end of the market five or six years ago as it relates to pharmacy real time benefit shaping up much in the same way around medical benefits. That payers are thinking about these problems in the same ways and are showing initiative and prioritizing putting this information at the point of care for for all of the reasons that we just described on the drug side are true in many ways on the medical side. So, yes, absolutely. That's where we're headed. And the regulatory tailwinds are there in a new way. Right. If you think about in the last 12 months, there's been more price transparency legislation than in the last 30 years. And that, combined with the no surprise billing legislation, really creates this this kind of pre EOB requirement for each of the stakeholders and they got to solve that problem. And we see ourselves as really well positioned to be a part of that solution.Harry Glorikian: Yeah. I mean, you know, it there was no way. I mean, the Affordable Care Act got put into place and there were certain things in there that just there was no way that you were going to be able to do that without some level of transparency and understanding what's going on.Kyle Kiser: Yeah. Yeah, that's right. But even further, right, before the end of last year there were price transparency regulations for health systems, for providers, for payers. And then the no surprise billing legislation has in it a component that says, you know, before you deliver care, you got to be able to give an estimation of cost. And so all of those things sort of work together from a regulatory perspective to start to drive the market in that direction. So absolutely, it's coming everywhere. It's going to be, it's going to be a part of the way that every health care decision is made in the future. And it's just a matter of time before that's the case.Harry Glorikian: Yeah. It's interesting because I have lots of conversations with, you know, lots of different people. And they I don't think they understand that. If you don't have that level of transparency, you truly don't have a competitive environment, right? You can't make choices because you don't have the information to be able to make that choice.Kyle Kiser: That's exactly right. Without it, there is no marketplace. Right. That's probably overstated. It's without it, it's a dysfunctional marketplace. And with transparency, we will start to see real competitive dynamics emerge. And I'm hopeful for that. Sunlight's the greatest antiseptic.Harry Glorikian: Oh, I totally agree. I mean, for me, it's always been like a walled garden. Like, you know, either you're here or, you know, you're out of luck, right? Because you don't have any information so you can go across the street. So. So. I guess I should be asking. I've probably reached the limit of my knowledge on the subject matter, but like, is. Is there anything I haven't asked you or anything, you know, that you would want to add to the conversation that would be enlightening to the people that are listening?Kyle Kiser: Yeah, well, the only thing I would sort of make sure we reframe a little bit is that this isn't necessarily about price transparency. Price transparency is a component of providing access to care for patients, and that's ultimately what we continually focus on inside of our company, that price is an input. Affordability is an input. Convenience is an input. The ability to actually receive the prescription is an input. We're ultimately trying to make sure that affordability and speed to care lead to better outcomes. And that's an access story, not just a price transparency story. And so that's the only sort of reframe that I'd offer is that ultimately this has to lead to better health, people getting healthier, getting the care they need, being able to afford the medications that they need. And that's the work. And we're going to stop at nothing to make sure that that happens.Harry Glorikian: Excellent. Well, it was great talking to you, Kyle. I wish you great success because, I mean, whenever I talk to anybody, I'm like, I know I could be benefiting from all of this, so I want everybody to be successful.Kyle Kiser: We appreciate the well-wishes and we'll be working hard to ensure that that's the case.Harry Glorikian: Excellent. Thank you so much.Kyle Kiser: All right. Thanks, Harry.Harry Glorikian: Bye bye.Harry Glorikian: That's it for this week's episode. You can find a full transcript of this episode as well as the full archive of episodes of The Harry Glorikian Show and MoneyBall Medicine at our website. Just go to glorikian.com and click on the tab Podcasts.I'd like to thank our listeners for boosting The Harry Glorikian Show into the top three percent of global podcasts.If you want to be sure to get every new episode of the show automatically, be sure to open Apple Podcasts or your favorite podcast player and hit follow or subscribe. Don't forget to leave us a rating and review on Apple Podcasts. And we always love to hear from listeners on Twitter, where you can find me at hglorikian.Thanks for listening, stay healthy, and be sure to tune in two weeks from now for our next interview.

VentureSprout
MBV Summit Panel Part 4 - A new business strategy: the role of clinical and financial health in patient journeys

VentureSprout

Play Episode Listen Later Apr 20, 2022 6:00


This is part four of our four-part series highlighting interviews from our Member-backed Ventures Summit. In this episode, we focus on how health care organizations can further their provider-patient experiences.   Guest speakers: Srulik Dvorsky, GMBA Chief Executive Officer and Co-Founder TailorMed   Kyle Kiser Chief Executive Officer RxRevu   Benton Barney Chief Commercial Officer RxRevu   Moderator: Crystal Mullis, RN, MBA, MHA Vice President Member Backed Ventures Vizient   Show Notes: [01:13] Srulik Dvorsky – trends creating a challenge for health care providers [02:31] Guiding concepts: three pillars [03:40] Kyle Kiser and Benton Barney – the days of providers not considering cost and coverage information while making care decisions are behind us [02:24] Working with Gyant to help patient interaction [04:51] Sitting between insurance and providers and how to make it work   Links | Resources: TailorMed website: https://tailormed.co/ RxRevu website: https://rxrevu.com/   Subscribe Today! Apple Podcasts Amazon Podcast Spotify Google Podcasts Stitcher RSS Feed

America's Healthcare Advocate
Kyle Kiser, CEO at RxRevu, joins Cary to discuss real-time prescription benefit services

America's Healthcare Advocate

Play Episode Listen Later Apr 4, 2022 38:50


Kyle Kiser, CEO at RxRevu, joins Cary as the industry leader in real-time prescription benefit services and seamless cost-effective prescribing experiences for patients and providers. The show discusses how patients and medical providers are dealing with the rising cost of prescription drugs using their unique benefits program to access the best solutions for their pharmaceutical needs. www.americashealthcareadvocate.com

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

On this episode Kyle Kiser, CEO of RxRevu, discusses how they have built a data network to provide real-time patient-specific prescription pricing information to providers at the point of care. Pharmacy Benefits Management is a concentrated space with a handful of players. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

ceo unlock kiser kyle kiser rxrevu
The Big Unlock
Kyle Kiser: Behavior change is where value is derived in digital health

The Big Unlock

Play Episode Listen Later Feb 7, 2022 22:31


In this podcast, Kyle Kiser, CEO of RxRevu, discusses how they have built a data network to provide real-time patient-specific prescription pricing information to providers at the point of care.  Pharmacy Benefits Management is a concentrated space with a handful of players. The PBM model is changing into something more holistic and more focused on […]

The Big Unlock
Kyle Kiser: Behavior change is where value is derived in digital health

The Big Unlock

Play Episode Listen Later Feb 7, 2022 22:31


In this podcast, Kyle Kiser, CEO of RxRevu, discusses how they have built a data network to provide real-time patient-specific prescription pricing information to providers at the point of care.  Pharmacy Benefits Management is a concentrated space with a handful of players. The PBM model is changing into something more holistic and more focused on […]

The Collective Voice of Health IT, A WEDI Podcast
Episode 64; Simplifying the Complexity of Prescription Medicine; 1 on 1 with Kyle Kiser, CEO of RxRevu

The Collective Voice of Health IT, A WEDI Podcast

Play Episode Listen Later Jan 10, 2022 27:17


Matthew sits down with RxRevu CEO Kyle Kiser to discuss the importance of price transparency, driving positive patient experience and other valuable lessons he can share from the prescription drug world.  RxRevu is an industry leader in Real-Time Prescription Benefit services. By partnering with physicians, health plans, IT vendors, and health systems, RxRevu is driving data transparency and better patient care nationwide  

Speaking Of Show - Making Healthcare Work for You & Founder's Mission Series
Reducing RX Costs w/ Real-Time Data: Interview with RxRevu CEO, Kyle Kiser

Speaking Of Show - Making Healthcare Work for You & Founder's Mission Series

Play Episode Listen Later Dec 10, 2021 20:34


Kyle Kiser, CEO of RxRevu is passionate about giving providers real-time data so they can prescribe the most cost-effective prescription to patients.    Sometimes changing the quantity of pills or looking at different formularies means hundreds of dollars in savings to the patient.    By finding the most economical option, that's one less barrier to medication compliance.    The mission-driven team at RxRevu is working every day to ensure that providers have all the information they need to best help patients.    Check out this interview with Kyle to hear more about the company and how they're working to make positive change.    Connect with Kyle: https://www.linkedin.com/in/kyle-kiser-68ba218/     Learn more about RxRevu: https://rxrevu.com    Topical time codes: 00:00 - Video starts 00:25 - RxRevu's "why" 2:12 - #1 piece of requested information/65-million call backs to re-work prescriptions  3:57 - How the RxRevu process works 5:48 - Simple changes can equal big impact 8:57 - Patient is the greatest beneficiary 10:41 - CMS requirement 12:36 - RxRevu was incubated within health systems and closely aligned with providers 15:19 - Success at scale  16:43  - Behavior change 18:43 - Surprising findings in data

Health Tech Spotlight
Kyle Kiser - CEO at RxRevu

Health Tech Spotlight

Play Episode Listen Later Dec 6, 2021 9:57


In episode thirty-seven, we speak with Kyle Kiser the CEO at RxRevu about how their decision support tools enable providers to view patient-specific data at the point of care, the importance of patient data liquidity, and his love for bluegrass music!

ceo kiser kyle kiser rxrevu
Outcomes Rocket
Enabling Lower-Cost Prescribing at the Point-of-Care with Kyle Kiser, CEO at RxRevu

Outcomes Rocket

Play Episode Listen Later Oct 21, 2021 20:18


In this Outcomes Rocket Pharma episode, we are privileged to host Kyle Kiser, CEO at RxRevu. Kyle discusses how his company provides patient-specific, real-time insights into prescribing decisions, delivering patient, provider, and health plan benefits due to lower cost and improved adherence. He also shares what makes RxRevu stand out from other companies in the pharma space. Kyle shares his thoughts on some of the challenges he has seen in both the payer and provider sides, so make sure to tune in! Click this link to the show notes, transcript, and resources: outcomesrocket.health