Podcast appearances and mentions of Lee Lewis

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  • 54PODCASTS
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  • Dec 1, 2021LATEST

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Best podcasts about Lee Lewis

Latest podcast episodes about Lee Lewis

STAGES with Peter Eyers
'The Art of Making Art' - Artistic Director, Queensland Theatre Company; Lee Lewis

STAGES with Peter Eyers

Play Episode Listen Later Dec 1, 2021 76:46


Lee Lewis commenced her career as an actor, training at Columbia University in New York. Her performance resumes includes work on and off-Broadway. Upon her return to Australia she completed a Masters of Directing at the National Institute of Dramatic Art.As a director, Lee has forged a stellar career and it is exciting to see that her work on Suzie Miller's incredible Prima Facie helped build an international appetite for this powerful production, which debuts in London next year.Lee has been an outspoken advocate for increased cultural diversity on Australian main stages, and a leading voice for the representation of female directors and playwrights.In 2013 she was appointed Artistic Director at The Griffin Theatre in Sydney, overseeing a vast array of new Australian works. In 2020 she became A.D. of the Queensland Theatre Company; a month in, confronted with the challenge presented by the Covid pandemic and the closure of theatres.Lee's vast resume has seen her directing classic and new work at companies around Australia including the Sydney and Melbourne Theatre Companies and Bell Shakespeare. The theatre she has given vision to includes Our Town, Family Values, First Love is the Revolution, Is There Something Wrong With That Lady?, The Almighty Sometimes, Kill Climate Deniers, Eight Gigabytes of Hardcore Pornography, The Homosexuals or ‘Faggots', The Bleeding Tree, Emerald City, A Rabbit for Kim Jong-il, The Serpent's Table, Silent Disco, Smurf In Wanderland, The Call, A Hoax, The Nightwatchman, The Literati, The Misanthrope, Mary Stuart, Honour, Love-Lies-Bleeding, Hayfever, Rupert; That Face, The School for Wives and Twelfth Night.The STAGES podcast is available from Apple podcasts, Spotify and Whooshkaa. And where you find your favourite podcasts. www.stagespodcast.com.au

A Rational Fear
Labor's 2022 Election Strategy: Rhyming — Matt Okine, Alex Dyson, Dom Knight, Andy Lee, Lewis Hobba, Dan Ilic + Tim Bailey

A Rational Fear

Play Episode Listen Later Nov 26, 2021 42:33


Relentless Health Value
Encore! EP288: The “Big Three” PBMs Spinning Up GPOs—What? With Mike Schneider

Relentless Health Value

Play Episode Listen Later Nov 25, 2021 29:53


Over the holiday season here, we're running some of our favorite episodes from years past. This one is with Mike Schneider, who actually has taken another role since this show was recorded. Other than that, the information that Mike shares during this episode from 2020 is all good. So, let's do this thing. Disclaimer before we get started here: This show is probably a 300-level class in pharmaceutical/PBM relations. If you are tuning in for the first time and you aren't pretty familiar with the role of PBMs, I would go back and listen to, say, episode 241 with Vinay Patel or episode 166 with Tim Thomas from Crystal Clear Rx. OK, now that that's out of the way, if you're still with me, this episode is like a ride on a roller coaster. I talk with Mike Schneider. And we get into, you know, kinda deeply, the what and the why behind the “Big Three” traditional PBMs deciding that now might be a fantastic time to set up GPOs. PBMs are pharmacy benefit managers—there's three huge ones. GPO stands for group purchasing organization. Traditionally, these GPOs have purchased drugs and supplies for hospitals and other providers at, according to their marketing materials, volume discounts. So, the unfolding story here, in a nutshell, is that ESI (Express Scripts) set up a GPO called Ascent in Switzerland. Optum has had an Ireland operation going in full swing for a while. And now we have CVS Caremark setting up a GPO called Zinc. These GPOs are not like normal GPOs working with hospitals, but instead, these GPOs are the entity which is now going to negotiate with pharma companies. In the past, it was the PBM that was negotiating with the pharma company to get rebates. Now it's this GPO entity. “But wait,” you may say. “Wasn't there an executive order the other day requiring PBMs to, for example, pass through all of the rebates that they're collecting to patients?” Indeed, there was. And that rule doesn't say anything about GPOs having to do the same, especially GPOs in, let's just say, Switzerland. It's a tangled web we weave. You can learn more by connecting with Mike on LinkedIn.  Mike Schneider is an experienced healthcare executive with over 20 years of experience in the pharmaceutical manufacturer, pharmacy benefit manager, and payer side of healthcare. He previously spent 9 years at CVS Caremark, where he was a director of industry relations with responsibility for trade strategy development, rebate negotiations, and contract execution for CVS Caremark's own Medicare Part D plans and that of its clients. He held a similar position at Universal American (UA) before it was acquired by CVS Health, where he also negotiated UA's commercial business. Mike has held various sales and market access roles with pharmaceutical manufacturers with increasing responsibility. Before entering healthcare, Mike began his career as a researcher at the Procter & Gamble Company in Cincinnati, where he worked on hair care product formulation development focusing on the key markets of China and Japan, and then moved on to work in drug development. Mike holds a BS degree from the University of Illinois and an MBA from the University of Akron. 02:48 What does a GPO add to a PBM? 05:23 Rebates vs driving more revenue. 10:39 PBMs vs safe harbors. 12:25 The net impact on the commercial side. 14:07 PBMs vs pharmaceutical manufacturers. 14:54 How the “Big Three” PBMs compete with each other, and how employers would choose between them. 15:56 What the net-net is here. 18:06 How PBMs are shifting their models. 20:42 How GPOs may be making things even less transparent. 21:31 “The PBM world as a whole is not very transparent.” 25:00 “One of the biggest beneficiaries of this whole rebate [system] is the government.” 25:46 “The question is, ‘Who's paying those costs?'” 26:02 EP216 with Chris Sloan.27:00 A better way to move money from Pharma to employers and plan sponsors. 28:04 “Put your money where your mouth is.” You can learn more by connecting with Mike on LinkedIn.  Check out our newest #healthcarepodcast with Mike Schneider as he discusses #PBMs and #GPOs. #healthcare #podcast #digitalhealth #healthcarefinance #pharma What does a GPO add to a PBM? Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma Rebates vs driving more revenue. Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma PBMs vs safe harbors. Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma What is the net impact on the commercial side? Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma PBMs vs pharmaceutical manufacturers. Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma How do the “Big Three” PBMs compete with each other? Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma How do #employers choose between the “Big Three” PBMs? Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma What's the net-net here? Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma How are PBMs shifting their revenue models? Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma How are GPOs making things even less transparent? Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma “The PBM world as a whole is not very transparent.” Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma “One of the biggest beneficiaries of this whole rebate [system] is the government.” Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma “The question is, ‘Who's paying those costs?'” Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma A better way to move money from Pharma to employers and plan sponsors. Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma “Put your money where your mouth is.” Mike Schneider discusses #PBMs and #GPOs. #healthcarepodcast #healthcare #podcast #digitalhealth #healthcarefinance #pharma Recent past interviews: Click a guest's name for their latest RHV episode! Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis

Relentless Health Value
EP346: How Did Health Systems Get Addicted to the Inflated Prices They Charge Employers and Some Patients? 2021 Update, With Peter Hayes, President and CEO of the Healthcare Purchaser Alliance of Maine

Relentless Health Value

Play Episode Listen Later Nov 18, 2021 36:15


In this healthcare podcast, I speak with Peter Hayes, who is president and CEO at the Healthcare Purchaser Alliance of Maine and a national presence in healthcare strategy, innovation, and a frequent keynote speaker. One thing, among many, that Peter said during our conversation struck me. He said it will take a village to fix what ails the healthcare industry in this country. There are too many interdependencies. This point obviously resonates around these parts because it's the rationale for the Relentless Health Value podcast. We started this show on the recognition that if you want to achieve anything in healthcare, you cannot do it without collaboration/cooperation/grudging acquiescence of other stakeholders in the patient journey or the payment journey. And when I say, “You can't do anything,” I mean you can't sell anything, you can't improve patient care, and, most relevant to this particular episode, you can't contain prices. If we're talking about health systems (for example, hospitals and the like), they are not going to curtail their price hikes or improve the value of care delivered or safety or infection control really unless patients and employers and CMS and others demand that they do—and unless employers and others do some of the five things that Peter Hayes mentions at the end of our conversation. Spoiler alert there. For context to this discussion, let's check in with some of the biggest, most powerful health systems in this country. If I limit this comment to the “nonprofit” ones—and I say “nonprofit” with air quotes because what does that mean exactly?—look, I know there are many health system execs that listen to this show, but there's some inalienable facts here. And let's talk about them with the intent of fixing them because nothing is going to get fixed that isn't talked about. It's not my nature to mince words, so I won't. Many hospitals are, by almost every account, pretty darn inefficient. And they don't do cost accounting, but then they'll scream and claim to be losing money when paid the exact same prices for certain services that other hospitals can get paid and make a fair profit. Crappy workflows cost money. Talk to anybody who has watched even the trailer to a Six Sigma course. Another thing that costs money is when all the burned-out doctors quit and you have to recruit new ones, but that's a topic for a different day. Listen the EP323 with Arshad Rahim, MD.  But there's also inefficiencies in how many health systems purchase supplies. (Listen to EP281 with Rob Austin for more on that.) Further, paying the C-suite millions of dollars but maybe underpaying or understaffing nurses has consequences. There's complaints about Medicare payer mixes, but then somehow there's enough spare shekel to put a waterfall in the lobby. Nonprofit hospitals also don't pay any taxes, keep in mind, which is a huge financial windfall, especially when they provide vanishingly small amounts of charity care compared to revenue. See the top 10 health system hall of shame in this category here.   Here's another point to ponder: Amongst the hundreds, thousands, of requests I get from PR firms pitching guests to come on this show, there are plenty from what appears to be a pretty large cottage industry that I had never heard of before. I'll call it the real estate for nonprofit hospitals cottage industry. From what I can gather by the promo copy, this involves buying up medical office buildings, not paying any real estate taxes, and then leasing out the space. I should have one of these guys come on the show just to shine some light on whatever this apparently pretty common shenanigan is. As Vikas Saini, MD, from the Lown Institute has said, “No margin, no mission” can become an excuse for all kinds of questionable behavior. So bottom line, we have employers, employees, taxpayers, cash-pay patients whose federal and/or state and/or local taxes are going to support these nonprofit hospitals—but then there's this double tax. Because they claim to be losing money on Medicare patients, they justify cost shifting some pretty big bucks onto the commercially insured patients, who are then paying, on average, some wildly inflated prices for healthcare services. This might be considered a double tax if you think about it: tax dollars going to the IRS directly and then after-tax dollars buying that knee replacement for $125,000 that should cost $25,000. Consider that a $100,000 double tax. But why should a hospital with a motive to maximize margins quit it with their questionable and secretive billing practices if employers just pay whatever the bill is no fuss no muss? Short answer: They won't. So, it's going to be up to someone else in the village to make it untenable to continue. It's going to be up to another party to slow that roll. In this conversation, Peter Hayes talks about the RAND Hospital Price Transparency Study.  One last thing that may or may not be relevant here, but I can't resist a good sidebar. New catchphrase I have been hearing lately: the “deconstruction of hospitals.” Have you heard it, too? In fact, I was listening to Zeev Neuwirth's podcast recently that featured Raphael Rakowski. Raphael said that the average fixed cost of any given brick-and-mortar hospital is 65% of revenue. So, just having the building, the physical plant, and paying for all the things you need to pay for to run that physical plant is really high. I heard Jason Wells say in a HealthIMPACT forum the other day that it costs a million dollars to build a bed in California due to all the regulatory requirements. Add to that something Christin Deacon highlighted the other day on LinkedIn about how operating rooms are empty 30% of the time.   So, it makes me wonder whether some of the issues that hospitals have when they claim that they are losing money on Medicaid or Medicare is because their fixed costs are out of whack. This potentially disproportionate situation, however, is one reason why hospitals really have to watch it for hospitals at home or virtual offerings. After all, this is exactly how Amazon ate everybody's lunch. Erase 65% of your costs, or even 50% of your costs, and that cost-plus profit threshold becomes a weapon of mass destruction. At the end of this podcast—the very end, so if you're in a rush, jump to 28 minutes or something [32:45]—Peter gives five ideas for employers to limit the ability for hospitals to take advantage. If you're a hospital exec that's listening, I would urge you to please help your local employers do these things. Let's all get on the same team here to improve the health of our communities with pricing and business models that are reasonable and fair. Don't be like the hospital that Katy Talento is going to talk about in an upcoming episode who won't do direct contracting with employers because the coding is kind of a hassle. Seriously now. You can learn more at purchaseralliance.org. Peter Hayes is president and CEO of the Healthcare Purchaser Alliance of Maine and formerly a principal of Healthcare Solutions and director of associate health and wellness at Hannaford Supermarkets. He has been in innovative, strategic benefit design for the past 20+ years. During the past several years, Hannaford has received numerous national awards in recognition of the company's commitment to working collaboratively with healthcare providers and vendors in delivering health benefits that are focused on value (high-quality efficient care). Hannaford Supermarkets has been successful in this arena by focusing on innovative solutions for patient advocacy, chronic disease management, and health promotion programs. Hannaford was recognized by receiving the National Business Group on Health Platinum Award for the health promotion and wellness programs three years in a row. These programs, along with healthcare delivery strategies, contributed to a flat trend line over five years. Peter has also been involved in healthcare reform leadership roles on both the national and regional levels with organizations like the Center for Health Innovation, Care Focused Purchasing, and Leapfrog. He's also cofounder of the Maine Health Management Coalition (now Healthcare Purchaser Alliance of Maine) and has been appointed by two different Maine Governors to serve on Health Care Reform Commissions to recommend public policies to improve the access and affordability of healthcare for Maine citizens. 07:51 Who are the commercial payers? 08:48 Are hospitals actually losing money on Medicare and Medicaid? 11:26 Is cost inversely connected to quality when it comes to hospital care? 13:46 “A lot of hospitals don't do cost accounting.” 13:59 If hospitals don't know their costs, how does Medicare know their costs? 15:52 “In the hospital financial world … they start the budget upside down.” 18:48 “There's plenty of accountability to spread around for where we are.” 20:30 Do employers have any options in the current health system situation? 21:39 “If this market's going to change, purchasers have to step up and start demanding more accountability, more transparency.” 26:21 How is the new transparency legislation impacting plan sponsors and employers? 29:41 EP342 with Christin Deacon.32:38 “I think the whole dialogue around how we pay for hospital services is going to really change.” 32:45 What is Peter's advice to employers? You can learn more at purchaseralliance.org.   @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth Who are the commercial payers? @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth Are hospitals actually losing money on Medicare and Medicaid? @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth Is cost inversely connected to quality when it comes to hospital care? @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “A lot of hospitals don't do cost accounting.” @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth If hospitals don't know their costs, how does Medicare know their costs? @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “In the hospital financial world … they start the budget upside down.” @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “There's plenty of accountability to spread around for where we are.” @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth Do employers have any options in the current health system situation? @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If this market's going to change, purchasers have to step up and start demanding more accountability, more transparency.” @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth How is the new transparency legislation impacting plan sponsors and employers? @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “I think the whole dialogue around how we pay for hospital services is going to really change.” @pefhayes of @HPAofMaine discusses #healthsystempricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim

Music On The Run
EP51-Kenny Lee Lewis (Bassist for the Steve Miller Band)

Music On The Run

Play Episode Listen Later Nov 16, 2021 74:41


St. Paul chats with fellow bassist/guitarist about life in the Steve Miller Band (Paul from 88-93, Kenny from 83-87, 93-present). They talk about surviving as a side man, and how he's stayed with Steve all these years. https://bit.ly/3a5Mm9h   Produced by Davide Raso Video Editing by St. Paul Peterson Social Media by Mary Beth Stevens Running Time 75 minutes   PREVIOUS EPISODES: Season Two Chad Jeffers and Scot Sheriff - https://apple.co/3n0UeQC Tommy Barbarella - https://apple.co/3Gi5642 Cleto Escobedo - https://apple.co/2YILpRu Porter Carroll and Brian Dunne - https://apple.co/39ITqZe Paul Pesco - https://apple.co/3Cad7Fd Joey Finger - https://apple.co/3zBYF84 Ivan Neville - https://apple.co/3iXVNg3 Will Lee - https://podcasts.apple.com/us/podcast... Barry Lather - https://apple.co/3xT1aSR Quinn Sullivan - https://apple.co/3xPDcbb Sonny Emory - https://apple.co/3wMGxHq Jason Falkner - https://apple.co/3pwODB2 Oliver Leiber - https://apple.co/2RIyxrq Gary Hines - https://apple.co/3tUVvc8 Kat Perkins - https://apple.co/3dXoRls Bryan White - https://apple.co/3mSi9Qw Phil X - https://apple.co/3dimVCl Glen Phillips - https://apple.co/3czlE9H Michael Bland - https://apple.co/3kV9qvJ Jerry Wonda - https://apple.co/3ppJ0ms Kenny Aronoff - https://apple.co/2Lbbkeg Leland Sklar - https://apple.co/2XSl4Nh Jason Scheff - https://apple.co/38iqirS Tower of Power Members Tom, Jerry and Roger: https://apple.co/3mAKZTL   Season One 1st Anniversary Special: https://apple.co/36YdF4n Brian Ray: https://apple.co/3mkW6AN Jarrod Lawson: https://apple.co/2UndicE Steve Goold: https://apple.co/37RmPkd Running Episode: https://apple.co/3k1AbgI fDeluxe/TheFamily: https://apple.co/36fG5ab Andre Cymone: https://apple.co/33zGDo6 Sheila E: https://apple.co/3hPSbK2 The Peterson Family: https://apple.co/3l0nMLc Ramon Yslas: https://apple.co/2PqgnG9 Kat Dyson: https://apple.co/3jnUOnr Cory Wong - https://apple.co/2ZYmuqh Stokley - https://apple.co/3fPrnIm Dave King - https://apple.co/3cKAok1 Donny Osmond - https://apple.co/36ulzAK Ricky Peterson - https://apple.co/3fL35zW Nathan East - https://apple.co/3f5dciG Lenny Castro - https://apple.co/2XvuCPo Vince Wilburn- https://apple.co/2USdDDQ Victor Wooten - https://apple.co/2QnoV1C Ben and Leo Sidran - https://apple.co/2TyBWWR Sinbad - https://apple.co/38B3SQ6 Eric Hutchinson - https://apple.co/37flwrP Debbie Gibson - https://apple.co/2FsVfKG Steve Miller - https://apple.co/2thWVnh St. Paul Peterson -https://apple.co/37qqCkK   MANY BEHIND THE SCENES VIDEO AVAILABLE TO OUR PARTNERS AT: www.Patreon.com/MusicOnTheRunPodcast.com

Relentless Health Value
EP345: Can Pharma Imagine How Our Health System Will Look in the Future? With Paul Simms

Relentless Health Value

Play Episode Listen Later Nov 11, 2021 31:36


At the beginning of 2021, my guest in this healthcare podcast, Paul Simms, had come up with a set of predictions for 2021. Some came true; some didn't. But I was fascinated by a bunch of things, one of them being Paul's sort of implicit and explicit assessment of the context of these predictions. Right now, Pharma is in a weird moment: It's a confluence of technology, consumer expectations, changes in care delivery accelerated by the pandemic, policy at the state and federal level, and the financial realities of where we're at today. So, if you meet patients or providers or payers where they were last year or the year before that, you're gonna potentially be pretty far off the mark. There's also the financial realities which Pharma kind of exacerbated for themselves when some, many, spent the past however many years making their numbers by raising prices on existing drugs and developing drugs for mostly rare diseases but then, at the same time, not innovating antibiotics or for other diseases that impact so many lives. I mean, no comments on these strategies, but is it safe to then assume that an environment that allows for this sort of thing will continue indefinitely? Not only from an “Is this really the most patient-centric thing we can do?” standpoint, especially when you consider how many patients are being left behind as a result of both the narrow focus and also the price points—upwards of 40% of Americans have said they've abandoned meds due to cost, after all—but potentially also from a business continuity standpoint. Right now could be a decent time to start getting creative and experiment with new models and new ways to reach and engage. My guest in this episode, Paul Simms, is the former chairman of eyeforpharma, which ran the largest events in the pharmaceutical space for a number of years. His new company, Impatient Health, helps a very conservative industry find ways to deliver and provide patient value. During our conversation, Paul made a bunch of thought-provoking points; but one of them I keyed onto was a counterpoint to the ye old pharmaceutical conventional wisdom that high drug prices are needed for innovation. He said that actually all the money sloshing around could inhibit R&D innovation. Here's the thinking: If you can make a ton of money not being super innovative, then why be innovative? If you can make a ton of money not really improving OS (overall survival) in a meaningful way and not really helping a whole lot of patients, then why bother doing anything else, especially if the “anything else” might require risk or new business models that are going to take time and determination? During our chat, the work of Clay Christensen comes up more than once. Just to remind you, Clay Christensen is the one who coined the term disrupters. He wrote The Innovator's Dilemma back in the 1990s. Keep in mind that the main point of that whole book is that if you're a big incumbent, it's pretty easy to cruise along thinking everything is great until you get kneecapped by a competitor who takes advantage of a new business model or consumer preference or technology or law—all of which are coming out of the woodwork right now. Paul Simms has put it this way: When the habitat changes, evolution happens and entities that are able to adapt will thrive. I've also heard it put this way: It's not IQ or even EQ that matters most when change is afoot. It's AQ—the ability to adapt. You can learn more by connecting with Paul on LinkedIn. Paul Simms is known as the “pharma provocateur” for his efforts to realize the unfulfilled potential of the life sciences industry. His journey started in 2003 with eyeforpharma, an organization which he quickly grew into the pharmaceutical industry's most influential and largest event organizer, acquired by Reuters in 2019. He has since set up a think tank and consultancy called Impatient Health. Paul counts the industry's CEOs and innovators amongst his friends and is a regular speaker, host, author, and commentator.   05:04 “We're at that catalyst point where we could go one way or the other.” 05:39 How can the analogy of Web 1.0 vs Web 2.0 be applied to the future of healthcare business models? 07:06 “People need to improve their awareness at the very least as to a new generation of companies coming forward.” 08:31 “What now is the new business model that can exist in that world?” 09:07 Is there a stage pre-agility that will allow pharma companies to pivot to future markets? 12:08 What are the new ways to think about things in the future of healthcare business? 14:09 “The mind boggles at what is possible but is not yet being achieved.” 16:11 Why could prices falling actually spark more innovation? 16:49 EP300 with Bruce Rector, MD.21:36 “It's these companies that have this data-driven consumer relationship that I think are very interesting.” 25:16 “I just think that it's a mindset change first.” 25:38 “I'm not here to be right or wrong. I'm just here to enable the conversation.” 25:56 “What I find is that companies make significant efforts and that they don't quite gain the same traction as quickly as they might like to.” 26:20 “It seems to be this great impatience that companies can turn around these non-medicine initiatives more quickly.” 29:42 “It seems to me that the pharmaceutical industry's reaction to the pandemic has been, ‘We need to double down.'” You can learn more by connecting with Paul on LinkedIn. @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “We're at that catalyst point where we could go one way or the other.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “People need to improve their awareness at the very least as to a new generation of companies coming forward.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “What now is the new business model that can exist in that world?” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth Is there a stage pre-agility that will allow pharma companies to pivot to future markets? @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth What are the new ways to think about things in the future of healthcare business? @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “The mind boggles at what is possible but is not yet being achieved.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth Why could prices falling actually spark more innovation? @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “It's these companies that have this data-driven consumer relationship that I think are very interesting.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “I just think that it's a mindset change first.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “I'm not here to be right or wrong. I'm just here to enable the conversation.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “What I find is that companies make significant efforts and that they don't quite gain the same traction as quickly as they might like to.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “It seems to be this great impatience that companies can turn around these non-medicine initiatives more quickly.” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth “It seems to me that the pharmaceutical industry's reaction to the pandemic has been, ‘We need to double down.'” @xpablo of @HealthImpatient discusses the future of #pharma in our #healthcarepodcast. #healthcare #podcast #digitalhealth #pharmahealth Recent past interviews: Click a guest's name for their latest RHV episode! Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson

Relentless Health Value
EP344: The High Cost of Generic Drugs, With Steven Quimby, MD

Relentless Health Value

Play Episode Listen Later Nov 4, 2021 33:27


I was on LinkedIn, and someone was saying, “Oh, there's no real money in generic drugs. It's not a huge issue if patients are paying 10 bucks instead of 93 cents for something. It's not like anyone is getting rich off of that, and it's not like patient impact here is super meaningful.” This is a pretty common refrain, actually; and from a conventional wisdom perspective, I get it, especially for those living comfortable middle- or upper-middle-class lives where an extra $9.07 for a prescription isn't a huge deal—except there are big-time issues with the generic supply chain that are worth billions and billions of dollars and that have a major impact on patient health. So, let's discuss. I started casting my eye over to what was going on on the generic drug front mainly because of the huge lawsuits in the news lately that were either filed and/or settled. Generic drug manufacturers are and have been the defendants in these lawsuits, accused of price collusion amongst other things. These lawsuits aren't fighting over chump change either, unless you consider hundreds and hundreds of millions of dollars as chump change, that is. The number of zeros on the table in these lawsuits may strike you, as they did me, as a factor of interest. I mean, we're talking about generic drugs here. The cost of goods on these drugs—there was a WHO study on this—and the cost of goods to manufacture a small molecule generic is, a lot of times, pennies. Further, there's no innovation undertaken by generic manufacturers in their manufacture of generic meds. Just so no one gets confused here, the rationale branded pharma manufacturers tout for high-cost branded (ie, new) drugs is that branded pharma manufacturers have to spot the R&D (research and development) dollars to come up with the new therapies and they take a lot of risk therein. Generic manufacturers, on the other hand, are getting a recipe that has been handed down to them. There is no R&D. There is no innovation. So, to restate the situation analysis, we have generic manufacturers spending no money on innovation and enjoying, many times, a low cost of goods. If the price were set using a cost plus methodology, you'd expect the prices paid by payers and patients to be correspondingly low—except they aren't. Depending on what study you look at, somewhere between 29% and 44% of patients who have been prescribed a med say they aren't taking it because it is unaffordable. Considering that 90% of the prescriptions written in this country are for generics, one could logically assume that there's some generics in that mix that are unaffordable due to their high prices.   But there's a compounding factor here: The patient affordability problem has another aspect to it beyond just patients having to pay a portion, or all, of the price of generic meds that may be, let's just say, higher than one might expect them to be given the cost of goods. But here's this other factor: The share of patient out of pocket is weirdly high when it comes to generics. Consider that generics and branded generics account for 19% of invoice-level spending but represent 65% of patient out-of-pocket costs (IQVIA National Prescription Audit, 12/2020). So, that seems out of whack. But keep in mind, as I mentioned earlier, that 90% of prescriptions written in this country are for generics. That's five billion scripts a year. As my guest in this healthcare podcast, Steven Quimby, MD, says, generic medications touch many more lives than new branded drugs. Obviously, GoodRx comes up in the conversation in this episode. If you want to learn more about pharmacy list prices and how GoodRx makes money, listen to the conversation I had with Ge Bai (EP306 and AEE13). Several people actually mentioned on LinkedIn and Twitter that hers was one of the best explanations they had heard on these topics, so I recommend those shows.  The show also with Vinay Patel dives pretty deeply into the “what's the what” between PBMs and pharmacies (EP241) if you're looking for more on that.   Dr. Quimby also mentions how important it could be for providers to know at the point of prescribing what the cost of medications are for a patient and get this information right in their EHR system. Refer to the episode with Carm Huntress (EP284) for more info on that.  My guest, as I said, Steven Quimby, MD, is an author and newly retired physician. His father was a pharmacist with a little drugstore that thrived in the late 1960s and early 1970s, so he literally grew up in the business. Dr. Quimby recently wrote a book called Billions in Your Generic Drugs. In sum, it's a supply chain where not only is nobody watching the henhouse, but everybody within that supply chain has a very, very vested interest to see prices go up. This is kind of a theme in healthcare, but nonetheless. Oh, and one last point to ponder before we get started here: Dr. Quimby mentions at one point that 86% of Americans believe that their health insurance plan always offers the lowest price for a generic and 67% (two-thirds) of people in this country have never heard of GoodRx or other shopping tools. So, yeah … really makes you realize you live in a bubble. You can learn more by reading Dr. Quimby's book Billions in Your Generic Drugs.   You can also reach Dr. Quimby on Twitter and LinkedIn.  Steven Quimby, MD, is a physician who has worked in academic medicine at the Mayo Clinic and in private practice. He has been involved in drug treatment studies, including major pharmaceutical trials, and maintained an active interest in the interface of corporate business, pharmacy, and medicine for over 50 years. Dr. Quimby is concerned escalating prices for generic drugs, which fill 90% of our prescriptions, threaten access to needed medications and patients going without treatment risk worsening of their medical conditions and further costs. Too often controversies over high new drug prices and the funding of new drug development and innovation obscure addressable problems in the generic drug supply and financing chain. 05:54 What are the current lawsuits involved in the generic drug space right now? 06:52 How is price fixing happening in the generic drug space? 07:58 “If I was the major payer for drugs … I'd want to know answers.” 08:06 What's the scale on new and generic drugs? 09:02 What's the problem with using price tools for generic drugs? 10:22 “I think right now, virtually everyone should be checking [those sites vs] their insurance price.” 10:47 Are payers paying too much for generic drugs? 11:53 Who are these generic manufacturers? 12:10 “They're distinctly different corporations than those that we have called Big Pharma.” 13:55 Why is it important to have adequate numbers of manufacturers for generic drugs? 17:03 “We just can't get legitimate acquisition and then sale prices of the actual drugs.” 17:17 “The industry's opaque to all of these things.” 19:39 “The prices that patients are getting at the prescription counter are so high that some studies say a third of them or more are walking away without buying the drug.” 20:02 AEE13 with Ge Bai, PhD, CPA, on the GoodRx model.20:50 EP241 with Vinay Patel.22:05 What and who should be on formulary? 26:24 “If they'd give us the numbers, we could see when it happens.” 28:58 How can we overcome the challenges of these high generic drug costs? 30:38 EP284 with Carm Huntress.30:46 EP334 with Sunita Desai, PhD.  31:26 “How can we judge value when we don't know price?” You can learn more by reading Dr. Quimby's book Billions in Your Generic Drugs.   You can also reach Dr. Quimby on Twitter and LinkedIn.  @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing How is price fixing happening in the generic drug space? @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing “If I was the major payer for drugs … I'd want to know answers.” @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing What's the problem with using price tools for generic drugs? @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing Are payers paying too much for generic drugs? @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing “They're distinctly different corporations than those that we have called Big Pharma.” @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing Why is it important to have adequate numbers of manufacturers for generic drugs? @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing “We just can't get legitimate acquisition and then sale prices of the actual drugs.” @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing “The industry's opaque to all of these things.” @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing “The prices that patients are getting at the prescription counter are so high that some studies say a third of them or more are walking away without buying the drug.” @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing “If they'd give us the numbers, we could see when it happens.” @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing “How can we judge value when we don't know price?” @QuimbyMD discusses #genericdrugpricing on our #healthcarepodcast. #healthcare #podcast #genericdrugs #drugpricing Recent past interviews: Click a guest's name for their latest RHV episode! Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco

Relentless Health Value
EP343: What Provider Leadership Teams Need to Know to Operationalize Value-Based Care, With David Carmouche, MD

Relentless Health Value

Play Episode Listen Later Oct 28, 2021 30:10


Most people who have been in the healthcare industry for a while have heard by now the metaphor about the two canoes. Provider organizations or health systems with some of their payments coming from a fee-for-service (FFS) payment model and some of them coming from value-based arrangements have the challenge of one foot in the FFS canoe and one foot in the value-based canoe. They're probably going through a lot of metaphorical pants is the main takeaway that often comes to mind for me. But wardrobe malfunctions aside, this is a really difficult organizational challenge. That's what I'm talking about in this healthcare podcast with Dr. David Carmouche: how to deal with the operational challenges, the cultural challenges, maybe even (very arguably) the generational challenges here. Top line (very top line), to succeed in value-based care, you gotta have three things aligned: The payment model, the construct of the contract. No kidding, you have to have value-based contracts to succeed in value-based care. The big problem here—which is not to be underestimated—is that there are some areas of the country where it's really tough to find somebody, or enough somebodies, willing to offer a capitated, prospective value-based contract. That would be really frustrating to want to go forward (if you're a provider) in a value-based way but to not have a willing payer partner and/or employer partner to do so. So please step up, payers, policy makers, and employers in those areas of the country. But the construct of the value-based contracts can also not be overlooked. Toward the end of this interview, Dr. Carmouche gets into the different results that were achieved between two patient populations: one served by a Medicare Advantage (MA) plan and one in an MSSP (Medicare Shared Savings Program) model. So, the same provider network, the same environment, same geography, same number of lives, different payment model. Stick around for that part of the conversation. It's pretty eye-opening. The second of the three things to be aligned to be successful in value-based care are physician/administrative incentives and the employment models. Seriously, who is thinking that anyone's gonna succeed managing downstream risk when the physicians making the decisions about downstream services used are bonused by how much downstream costs they can drive and everyone is eating what they kill? If culture eats strategy for breakfast, incentives eat culture for lunch, as they say. Leadership skills. Leaders who are going to succeed in a world moving from FFS to VBC have to be mission driven toward that cause. They have to be strategic enough in their approach to take potential short-term revenue hits in pursuit of the longer-term goal—even the medium-term goal, honestly, if you think about the whole context of what's going on here. Leaders also need the skill and aptitude to pull off the change management and adjustments to the organizational culture that are needed. Staffs and teams really need systematic support. Value-based care is a team sport, and teams require leadership. Here's one example of where not having great leadership trickles down to bad results: If nurses or social workers or, in general, people of color or women in an organization feel demeaned or not valued by a critical mass of those in power—and maybe here I mean physicians or other physicians that they work with—then patient safety scores diminish and quality goes down. There's enough studies on the impact of having and not having psychological safety that it's getting harder to dispute what I just said. And if this environment becomes as toxic as the stories that you read about often enough, that's on the C-suite to fix. If the C-suite has value-based aspirations, that C-suite really might want to reprioritize their to-do lists. So, think about stuff like this because toxic environments make consistently delivering high-value care and satisfied patients difficult at best for many reasons. Here's a timely side note: I heard someone say the other day that in light of the pandemic and the FFS inpatient and outpatient volume fluctuations that plummeted and rose at various points during the pandemic, compounded with Medicare FFS rates that some institutions claim are not profitable or profitable enough … someone said that, given these factors, the best way to de-risk is to take on more risk. That's interesting to think about on a number of levels. In this healthcare podcast, as I mentioned, I'm talking about all this and more with Dr. David Carmouche. Dr. Carmouche was recently the executive vice president of value-based care and network operations at Ochsner, which is a very big integrated delivery network in Louisiana. You heard it here first, folks, but Dr. Carmouche will take on a new role in November 2021. He will oversee Walmart's expanding clinical care offerings and operations, including Walmart Health MeMD and its social determinants of health line of business. Here's a quote from the announcement about Dr. Carmouche's move that I thought was interesting: “Connecting with patients in more places and creating a seamless, personalized patient experience is a crucial component in the new healthcare environment, and a space where Ochsner—as well as retail leaders like Walmart—will continue to invest.” Dr. Carmouche has been on this podcast before (EP316 and AEE15), so if you'd like to hear more from him, go back and listen to those two shows.   Also, if you're looking for another episode that digs into the importance of leadership, listen to the one two weeks ago with Gary Campbell (EP341).   You can learn more by visiting Dr. Carmouche's LinkedIn page or by reading From Competition to Collaboration by Tracy Duberman and Robert Sachs.  David Carmouche, MD, views healthcare from three distinct perspectives: as a physician provider, an executive for an insurance company, and as a leader in a health system. Specifically, he built a large, multidisciplinary internal medicine and preventive cardiology practice in Louisiana; served as the chief medical officer for Blue Cross Blue Shield of Louisiana; and has a triad of responsibilities with Ochsner Health, the largest nonprofit academic healthcare system in the Gulf South. He was promoted to serve as executive vice president of value-based care and network operations in addition to his duties as president of the Ochsner Health Network and executive director of the Ochsner Accountable Care Network. He is known as an expert in value-based care. He led one of the top 15 performing accountable care organizations in the United States, managing billions in care spend and generating millions in year-over-year shared savings. Dr. Carmouche earned a bachelor's degree from Tulane University and a medical degree from Louisiana State University School of Medicine in New Orleans. He completed his residency in internal medicine at the University of Alabama at Birmingham. 06:31 How do you operationally deal with conflicting FFS and VBC processes? 07:23 “It's pretty clear in Medicare that our strategy in the future … is one of value.” 11:31 “I think a bigger challenge, though, is that in many markets, there are just no opportunities to have experienced value-based care.” 13:18 “How do we engage in collaborative relationships that would allow us to move into value?” 14:01 “No one wants to rush through their day in a series of seven-minute visits.” 15:53 “In a fee-for-service environment … you're forced to bring people into the office to create an encounter who don't necessarily need to be there.” 19:22 “We haven't really changed how we select and train physicians … in the last hundred years.” 20:32 “We, as physicians, were taught to be accountable for outcomes; and we create probably an unnecessary and unfair burden on ourselves.” 21:30 “In the value-based care world, a physician does have to recast themselves as part of a team.” 22:30 “It is an enormous cultural shift … but ultimately, it's one that the facts … mandate.” 26:58 “You have to have a compelling vision and belief that value-based care offers benefits to all of the actors in the healthcare ecosystem.” 27:24 “You have to be able to communicate effectively across sectors.” 27:43 “You have to have courage.” 28:29 What are the leadership skills required to make value-based care work? You can learn more by visiting Dr. Carmouche's LinkedIn page or by reading From Competition to Collaboration by Tracy Duberman and Robert Sachs.  @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare How do you operationally deal with conflicting FFS and VBC processes? @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “It's pretty clear in Medicare that our strategy in the future … is one of value.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “I think a bigger challenge, though, is that in many markets, there are just no opportunities to have experienced value-based care.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “How do we engage in collaborative relationships that would allow us to move into value?” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “No one wants to rush through their day in a series of seven-minute visits.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “In a fee-for-service environment … you're forced to bring people into the office to create an encounter who don't necessarily need to be there.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “We haven't really changed how we select and train physicians … in the last hundred years.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “We, as physicians, were taught to be accountable for outcomes; and we create probably an unnecessary and unfair burden on ourselves.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “In the value-based care world, a physician does have to recast themselves as part of a team.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “It is an enormous cultural shift … but ultimately, it's one that the facts … mandate.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “You have to have a compelling vision and belief that value-based care offers benefits to all of the actors in the healthcare ecosystem.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare “You have to be able to communicate effectively across all platforms.” @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare What are the leadership skills required to make value-based care work? @CarmoucheMd discusses #vbc on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare Recent past interviews: Click a guest's name for their latest RHV episode! Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15)

Relentless Health Value
EP342: How the Consolidated Appropriations Act (CAA) and ERISA Fiduciary Requirements Are an Anchor for Self-insured Employers to Navigate the Complexity of Healthcare, With Christin Deacon

Relentless Health Value

Play Episode Listen Later Oct 21, 2021 36:38


This episode's conversation is about the new Consolidated Appropriations Act (CAA), the fee disclosure part of it, as well as ERISA and the fiduciary responsibility that self-insured employers are responsible to comply with under the law. Don't worry, the first thing my guest in this healthcare podcast, Christin Deacon, does is explain these terms, what they actually mean, and how they can be a tool actually in CEOs' or CFOs' toolboxes to get access to the employer's own claims data, which is a linchpin here that we'll talk about in a sec. But suffice to say here that the ERISA fiduciary responsibility has a few provisions and, in general, self-insured employer health plan administrators kind of tend to off-load worrying about these provisions to their brokers and consultants. The problem with this is that brokers and consultants do not bear the ERISA fiduciary responsibility. They do not bear the responsibility of complying with the CAA either. The employer does. You'd think that, given this, more self-insured employers would dig in hard to do their own due diligence to check whether or not their plan is compliant. But they don't. I asked Parker Edman from Leavitt Partners why, and he said he thought that it's likely a combination of the “old boy's network” and a fear of the massive lift that switching up plan designs or even looking at this might entail. But here's another facet: There's a contingent of plan advisors and carriers who have a very vested interest in self-insured employers not knowing what's going on with their spend. And they actually even have a magic trick that they have developed to beat back inquiries. In this magic trick, HIPAA is the abracadabra. Let me give you an example role-play. Self-insured employer: I need my claims data. Carrier: HIPAA. Self-insured employer: Nooo, not the HIPAA. I stand down. Forget I mentioned it. Here's a pro tip: Actually read HIPAA. Pull it up on your computer. It's easy to find. Spoiler alert: You know what you'll discover? Ninety percent of it is a love note to the carriers themselves that govern the data they must possess and the structure of that data. Ten percent of it is about the privacy of that data, and in that 10%, it specifies clearly that a self-insured employer is a covered entity and, therefore, falls under the umbrella of who can have access to claims data, especially if it is deidentified. Of course, said employer has obligations as to how to treat that data, but yeah, just don't be fooled by the HIPAA when it's wielded like sorcery. The only reason that word has any power is because so many C-suites let it have power. Also now, there's some provisions in the Consolidated Appropriations Act, the CAA (which was passed in 2020), which really ups the ante here. My guest, Christin Deacon, explains all of this and more, including what's up with the CAA, which is good because I could barely remember the name of it throughout the course of this interview. Christin Deacon is a healthcare leader and public-sector entrepreneur. She is a former deputy attorney general, a “recovering attorney” as she calls herself. Earlier this year, 2021, she left her role running the state health and school health benefits plan for about 800,000 New Jersey public employees. Now, she's just transitioned to the private sector where she serves as an executive VP at 4C Health Solutions. You can learn more by emailing Christin at cdeacon@4chealthsolutions.com. You can also connect with her on LinkedIn.   Christin Deacon is a healthcare thought leader who brings with her a wealth of experience in both public and private sector. Driven by her passion to change the healthcare system to truly benefit patients and payers, she focuses on bringing solutions and agency to self-funded and government-sponsored health plans.     04:10 What is ERISA, and what does it stand for? 05:40 What is a fiduciary obligation for an employer? 08:18 “We're now at a point of spending 17.7% of our GDP on healthcare costs.” 09:39 “You absolutely have the keys to … controlling that spend.” 13:35 “You have to own your data.” 15:04 “If you don't have your claims data, how do you know you're paying reasonable fees?” 15:31 “If your carrier is telling you, ‘Oh, HIPAA … you can't look at your data,' you need to pull out that red BS card.” 16:25 How do employers navigate carriers refusing to share claims data? 21:36 “It has only as much teeth as the self-funded employer is … willing to learn about it and … willing to push back.” 22:22 “This is not aspirational; this is an absolute floor.” 24:11 “What does value mean?” 27:41 “Become familiar with HIPAA beyond just the privacy piece.” 29:30 “At the end of the day, it's about people.” 29:38 “If you're not paying reasonable fees, you're using plan assets to enrich others.” 32:21 “The self-insured market … they hold the keys to unlocking value. And they're holding them; they just have to use them.” 34:10 Marshall Allen's new book. You can learn more by emailing Christin at cdeacon@4chealthsolutions.com. You can also connect with her on LinkedIn. @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is ERISA, and what does it stand for? @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is a fiduciary obligation for an employer? @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “We're now at a point of spending 17.7% of our GDP on healthcare costs.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “You absolutely have the keys to … controlling that spend.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “You have to own your data.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If you don't have your claims data, how do you know you're paying reasonable fees?” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If your carrier is telling you, ‘Oh, HIPAA … you can't look at your data,' you need to pull out that red BS card.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth How do employers navigate carriers refusing to share claims data? @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It has only as much teeth as the self-funded employer is … willing to learn about it and … willing to push back.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “This is not aspirational; this is an absolute floor.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “What does value mean?” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Become familiar with HIPAA beyond just the privacy piece.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “At the end of the day, it's about people.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If you're not paying reasonable fees, you're using plan assets to enrich others.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth “The self-insured market … they hold the keys to unlocking value. And they're holding them; they just have to use them.” @deacon_christin of @4CHealth discusses the #CAA and #ERISA for #selfinsured #employers on our #healthcarepodcast. #healthcare #podcast #digitalhealth Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster

Relentless Health Value
EP341: How to Cut Administrative Waste AND Attract and Retain Doctors and Nurses, With Gary Campbell

Relentless Health Value

Play Episode Listen Later Oct 14, 2021 32:50


First, let's talk about reducing administrative waste in the US healthcare system. There was a pretty famous 2019 study by Shrank et al. that estimated about 25% of the $3.6 trillion the US spends on healthcare annually is potentially wasteful. This is each person spending $2500 unnecessarily. Robert Kocher wrote a really interesting article about getting rid of administrative waste and inefficiencies, and he said that it is the “safest form of health care cost savings; virtually no one argues that administrative costs should remain high. Reducing administrative waste should be the highest priority … [because] everyone, including patients and clinicians, would benefit from lower health care costs.” In my mind, “everyone” means payers, policy makers, and also providers who are or want to take some accountability for the total cost of care here. To talk about the possibilities, I have the perfect guest: Gary Campbell, who is the CEO of Johnson Health Center, which is an FQHC, a Federally Qualified Health Center, in Lynchburg, Virginia. Why is the CEO of an FQHC a great person to talk about cutting out administrative waste with? Well, first of all, the patient population is what many would consider challenging at an FQHC. Second, they really have to cut out as much waste as possible because there is zero potential to cost shift. They do not have the option to charge their commercial lives 4x Medicare or whatever and effectively cost shift the impact of inefficiencies. There basically are no commercial lives. You either figure out how to be efficient, or the patient population does not get care. As Gary and I were talking, however, it became clear that when you cut out administrative waste, you wind up actually with the potential to become a great place to work. One reason for this just has to do with the process of cutting out waste, which requires culture and process. And a by-product of a great culture and a great process means a great place to work. You might be thinking, as I was thinking, that this show, which is supposed to be about cutting administrative waste, is going to be all about how to do lean and Six Sigma and pretty much go peak MBA. Spoiler alert: It's not. When I asked Gary how to be operationally efficient, it all ladders up to organizational leadership: leaders who commit to putting patients first, to have core values with the expectation to actually achieve them (for reals—not just in the marketing). Because without effective, accountable, committed leadership, patient first, lowering the cost of care, removing administrative waste … it ain't gonna happen. Leaders should be visible, have a vision, a strategic plan, project plans, and be inspirational. They also need to not be afraid to “move along,” as they say, people who are pulling the team down and holding it back—maybe even if a short-term revenue hit will transpire. Before we get started here, let's talk about FQHCs for a sec just in case you're unfamiliar. Besides the acronym giving me fits of dyslexia—my brain always wants to invert the letters, so I have a Post-it Note here and I'm staring at it so, hopefully, I'll be able to keep this straight—FQHCs (Federally Qualified Health Centers) are usually nonprofits that are oriented to take care of the underserved. Today they serve upwards of 30 million people in the United States, and that's a growing number. There's something like 1500 of them across all 50 states. They're federally funded. They are a safety net really for individuals out there who may not be able to access care anywhere else. There's generally bipartisan support for FQHCs and often a real purpose and passion to really care for people regardless of their ability to pay. They also tend to offer a lot of resources under one roof (eg, medical care, dental care, other things, mental health care), which can add substantially to the operational complexity. Gary Campbell, my guest in this healthcare podcast as I said, is the CEO of an FQHC. Gary has a procurement and operations background, and this background informs how he approaches leadership and care delivery in ways that I find inspirational—and I hope that you do, too. Some of the conversation that we had in this episode reminded me of the interview with Tony DiGioia, MD, in EP332; so if you want to dig further into this topic, go back and listen to that episode. That interview is very specifically about how to create a patient-centric value system, which Dr. DiGioia says should be the new OS for healthcare delivery. During this show, I also mention my conversation with Jerry Durham (EP297), where we talk about streamlining the front desk.  I didn't mention this in the show, but another episode that would be great to go back and listen to if this topic intrigues you is the one with Matt Anderson, MD, MBA, talking about how things get better when the scrubs and the suits collaborate (EP266).   You can learn more at impact2lead.com.  Gary Campbell is the founder and owner of Impact2Lead, LLC, and the CEO of Johnson Health Center (JHC), where he has enjoyed a career centered on leading for-profit/not-for-profit organizations and helping to unleash potential in others along the way. In 2011, he left Bayer and came to JHC; and in 2013, he launched Impact2Lead to provide transformation-consulting services to other firms across the United States. Since joining JHC, the center has enjoyed unprecedented success and growth by transforming the culture using his Impact Leadership model and becoming the first Federally Qualified Health Center to be recognized as an Employer of Choice by Employer of Choice International, Inc. The health center has achieved multiple workplace and community awards since that time and has enjoyed exponential growth during his seven years as the CEO. Gary currently speaks and consults nationally on leadership, workplace strategies, and motivational topics. 05:15 Why is there no opportunity to cost shift in an FQHC? 05:46 What happens when an FQHC is operating inefficiently? 06:12 “Have you workflowed it out? … You can overstaff yourself in a way that your cost per patient goes way up.” 06:37 Why is taking a lean approach not an excuse to cut staff? 08:05 “The nurses are linchpins to everything.” 09:05 How does standardizing care lead to personalization of care? 10:28 “Our clinical teams see that we care.” 10:48 “If you don't have a vision for where you want to be two and three years down the road, you're struggling.” 11:03 “I want everybody to understand, What is their why?” 20:10 “They don't teach leadership in most medical schools.”—Dr. Robert Pearl 21:19 “Get to know these clinicians … sincerely.” 23:11 “From a core values perspective, you can make every single decision … on core values.” 23:35 “We always start with those values. … They're embedded in everything we do.” 24:16 “You have to project plan things out that you want.” 25:09 How does an FQHC or private practices that are patient-oriented attract talent? 30:45 “First and foremost, be visible.” You can learn more at impact2lead.com.  @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why is there no opportunity to cost shift in an FQHC? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth What happens when an FQHC is operating inefficiently? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Have you workflowed it out? … You can overstaff yourself in a way that your cost per patient goes way up.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why is taking a lean approach not an excuse to cut staff? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “The nurses are linchpins to everything.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth How does standardizing care lead to personalization of care? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Our clinical teams see that we care.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “I want everybody to understand, What is their why?” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Get to know these clinicians … sincerely.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “We always start with those values. … They're embedded in everything we do.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “You have to project plan things out that you want.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth How does an FQHC or private practices that are patient-oriented attract talent? @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth “First and foremost, be visible.” @Impact2Lead discusses #administrativewaste and #healthcareemployment on our #healthcarepodcast. #healthcare #podcast #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell

Relentless Health Value
EP340: How Digital Front Doors Can Enable Value-Based Care, With Kristin Begley

Relentless Health Value

Play Episode Listen Later Oct 7, 2021 32:06


There's a next generation of digital front doors being created that open up to a patient/member experience that folds in payer, provider, and employer data—plus behavioral data the patient themselves generates when they browse through content in there. Because that's what it takes for a so-called personalized experience or patient journey to ensue. This is what I'm talking about in this healthcare podcast with Kristin Begley, PharmD. In an ideal world, you'd have, for example, a member/patient/customer who goes to their doctor and is handed a tablet to fill out an intake form. When they hit submit, they get access to a digital front door that leads to a vast Web portal inhabited by the doctor as well as the patient's payer and their employer. This personalized Web portal then knows this patient has asthma and is nonadherent to their maintenance medication and is using their rescue med a lot, because it's in the payer PBM (pharmacy benefit manager) data. The portal also knows the patient is searching a lot on content like what to do when you have a terrible asthma attack. Further, the portal knows that the patient's current doctor visit, the one where they're filling out the intake form, is about a respiratory chief complaint, because it's in the doctor data and also on that intake form, which, by the way, was immediately uploaded with structured insights available to all parties sharing the portal data. Now, everybody who needs to know knows this patient is at obvious rising risk. What can happen now? Lots of things. Because the portal knows what's included in the patient's benefit plan, there can be a proactive reach-out to get that patient into an available whole longitudinal program before they wind up in the ER. Maybe that's a point solution. Maybe that's a high-quality doctor offering a bundle. Which leads me to the whole value-based care part of this. Front doors are not only for patients to get steered to the best provider—maybe one with a value-based arrangement—but also, in a way, a front door for providers and payers to work together. A portal can be the “hub,” if you will, the shared neutral interoperable space for all the parties who need to share space for their value-based arrangement to work out. In fact, some of these portals are taking on risk themselves. Like, you guys all use our portal for your value-based arrangements, and we'll guarantee this level of performance in those arrangements. Portals sharing risk and taking upside becomes even more relevant when the portal comes with its own network of existing provider users, for example—provider users who want to be paid for value and also with EHR (electronic health record) data and direct access and influence over patient care. It's the old network effect. But besides helping make sure the patient gets the right care at the right time, digital front doors also have the potential to ease patient administrative burden. While there's lots of well-placed attention on affordability, patient administrative burden means delayed or foregone care. That's as per a new study by Michael Anne Kyle, PhD, and Austin Frakt, PhD. Kristin Begley is chief commercial officer at Wildflower Health right now, but she started out as a pharmacist before she defected to the business world. She has spent time in the pharmacy space with big companies and small companies before transitioning into the value-based, risk-based world. She's now at Wildflower leading sales and account management, and she knows a whole lot about digital front doors. You can learn more at wildflowerhealth.com.   Kristin Begley, PharmD, is a proven leader in the healthcare space with 20 years of experience in health information technology and the pharmaceutical supply chain, focusing on innovative solutions and software. She currently serves as the chief commercial officer of Wildflower Health, a modular digital-enablement care company that activates women and their families within the healthcare ecosystem. Wildflower's software, hardware, and humanware amplify and personalize available resources to women, breaking down silos of care between payers and clinicians while fueling the shift from fee-for-service to value-based care. Wildflower supports the whole person by helping clinicians address both clinical and social determinants of health needs and empowering women to confidently navigate and access care for the family.  Kristin is a founding member of All Tru Health, a consulting organization dedicated to improving quality and lowering healthcare costs for Americans, with an emphasis on emerging technology and high-value clinical care. She also served as the chief commercial officer at EmpiRx Health, a pharmacy care manager with a model rooted in payer alignment through at-risk management and concierge service. Prior to that, Kristin was the chief pharmacy officer of Truveris, a healthcare technology company that sheds light on the inner workings of the pharmaceutical supply chain, serving all segments, including consumers. She also led Hewitt's national pharmacy practice, where she managed Rx benefit strategy for Fortune 500 employers. Kristin holds a doctor of pharmacy degree from Samford University. 04:20 What do we mean by “digital front door” in healthcare? 05:27 “In healthcare, the next generation of digital front door is connecting all those stakeholders that try to help patients stay healthier.” 06:20 “What we're trying to migrate to is … walk into any front door.” 07:24 Why is engagement the hardest part? 10:24 “Are they digital providers … or are they healthcare providers?” 12:25 “When we live in a capitalistic healthcare system, we all have a price tag on our head.” 14:01 “How will providers and payers ever be successful in value-based care if we don't have activated, educated, motivated patients?” 16:36 “I don't know how … we succeed in value-based care without having … personalized content for everyone.” 18:24 “What does a consumer want?” 26:52 How does Wildflower Health achieve their value-based care network effect? 29:54 What do stakeholders want relative to value-based care? You can learn more at wildflowerhealth.com.   Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare What do we mean by “digital front door” in healthcare? Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “In healthcare, the next generation of digital front door is connecting all those stakeholders that try to help patients stay healthier.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “What we're trying to migrate to is … walk into any front door.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare Why is engagement the hardest part? Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “Are they digital providers … or are they healthcare providers?” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “When we live in a capitalistic healthcare system, we all have a price tag on our head.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “How will providers and payers ever be successful in value-based care if we don't have activated, educated, motivated patients?” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “I don't know how … we succeed in value-based care without having … personalized content for everyone.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “What does a consumer want?” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare What do stakeholders want relative to value-based care? Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare Recent past interviews: Click a guest's name for their latest RHV episode! David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard  

Relentless Health Value
AEE17: Employers and Reference-Based Pricing—David Contorno's Latest Thinking

Relentless Health Value

Play Episode Listen Later Oct 5, 2021 9:20


Reference-based pricing, the way that most employee benefit consultants use the term anyway, refers to a methodology used by employers to pay providers for services. Usually we're talking within a fee-for-service (FFS) environment here. The way it typically works ... there are different flavors, but how it typically works is this: Reference-based pricing (RBP) means that an employer starts with some reference-based price. Many times, it's the Medicare rate. Medicare will pay X dollars for something. The employer—and when I say employer, I mean the vendor/company the employer is using to run this whole thing mainly—but the employer will decide that they're willing to pay some percent over the Medicare rate to providers who render that service to the employee. Maybe it's 10% over the Medicare rate or 20% to 50% as David Contorno talks about in this healthcare podcast. One of the biggest pushbacks against RBP schemes has been that it results in balance bills for employees, meaning that an employee goes to the hospital, the employer decides to pay some RBP amount for that service to the hospital, but the hospital hasn't necessarily agreed to accept that amount. There's no contract in place. So, the hospital decides to bill whatever their chargemaster rate is—which, as we all know, is redonkulous—and the employee gets a giant out-of-network balance bill. For the most part, this doesn't have to happen if you do it right; and David Contorno discusses all of this and more on this An Expert Explains. You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   David Contorno is founder of E Powered Benefits. As a native of New York, David began his career in the insurance industry at the age of 14 and has since become a leading expert in the realm of employee benefits over the last 22 years. David was Benefits Selling magazine's 2015 Broker of the Year, and in March 2016, Forbes deemed him “one of America's most innovative benefits leaders.” More recently, he received the 2017 Leadership Award at ASCEND, the annual conference of The Association for Insurance Leadership, which recognizes those whose leadership in support of improving the value and performance of employee benefits has significantly advanced the industry. David is a member of the board of directors for both the Charlotte Association of Health Underwriters and HealthReach Community Clinic. He served on the NC Insurance Commissioners Life and Health Agent Advisory Committee, as well as participated in the Technical Advisory Group that helped with the market reforms required under the Affordable Care Act in North Carolina. He is a longtime member of the Lake Norman and South Iredell Chambers of Commerce as well as the National, North Carolina, New York, and Long Island Associations of Health Underwriters. David contributes to numerous publications, including Forbes, Benefits Selling magazine, Business Leader magazine, and Insurance Thought Leadership. David is committed to giving back to his community and actively participates in the membership drive for the United Way, assisting the local chapter of Habitat for Humanity, and supporting The Dove House Child Advocacy Center. When he is not working, he enjoys boating and traveling. 01:37 What does good reference-based pricing look like? 01:57 What is the pricing methodology that 97% of healthcare is using? 04:25 How has E Powered Benefits minimized the noise around reference-based pricing? 04:55 “You're getting what we view as balance bills all the time.” 06:47 “What very few people really recognize is that hospitals have multiple revenue streams.” 07:36 “Which is the highest price? The answer is, commercial.” You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast What does good reference-based pricing look like? @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast What is the pricing methodology that 97% of healthcare is using? @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast How has E Powered Benefits minimized the noise around reference-based pricing? @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast “You're getting what we view as balance bills all the time.” @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast “What very few people really recognize is that hospitals have multiple revenue streams.” @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast “Which is the highest price? The answer is, commercial.” @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast Recent past interviews: Click a guest's name for their latest RHV episode! David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa  

Relentless Health Value
EP339: Helping Employers Navigate the Perilous Medical-Industrial Complex, With David Contorno

Relentless Health Value

Play Episode Listen Later Sep 30, 2021 30:46


Let's just start here: As a general construct, insurance carriers have every incentive for health insurance premiums to go up every year. If you're an employer, that is a material fact. Is it counterintuitive? Maybe. Except if you're an employer and your premiums are going up year after year, it begs the question why, every single year, the already-extravagant amount you pay continues to go up way more than the inflation rate. You'd think that if your broker and your plan administrator were so great at their fiduciary responsibility over your self-insured plan that this wouldn't be happening. Oh right, whosever PPO network you're using, they don't have any fiduciary responsibility over your self-insured plan. You do, all you CFOs and CEOs and benefit professionals out there. Wait, I misspoke. Plan administrators do have fiduciary responsibility—to their shareholders. The CEO of CVS/Aetna made $36 million in 2019. He's clearly very good at that job. The rest of them are, too. I'm not singling anyone out here. And also, this podcast is not investment advice. In short, as previously stated, most major insurance carriers and the brokers they pay commissions to have every incentive for your premiums to go up every single year. That's where we're at, folks. It's an open secret, yet so many are just getting so wildly taken advantage of by carriers and brokers whom they have really put their trust in. If you work for a self-insured employer, tell your CFO/CEO to listen to this show. Or if you are a CEO/CFO or a benefits professional in charge of healthcare benefits, welcome. I hope this information is helpful. My guest in this healthcare podcast, David Contorno, has been in the benefits industry longer than he hasn't been in the benefits industry. I think he started working in a benefits brokerage when he was 17 or something. Currently, he's the founder of E Powered Benefits. In this episode, we talk about the keys for self-insured employers that lead to better health for their employees at something like 20% or more lower costs. Here's some of the imperatives for employers that David digs into in this episode: Advanced primary care—really valuing primary care providers who do not work for hospital systems and, therefore, are not subjected to the ball and chain of perverse incentives that David talks about at some length. Getting cost and quality data so you can make prospective choices and not get hit in the back of the head with an after-the-fact “gotcha” in the form of an overpriced bill that you are now obligated to pay. Let me bring up all the articles lately in the New York Times and elsewhere … people paying hundreds of thousands of dollars for something that should cost a fraction of that. Most of them have “good” insurance (keep that in mind) from their employer. Also keep in mind that most of these stories that hit the news are the ones where some poor employee got stuck with a bill—not the metric ton of other examples where the self-insured employer was on the hook. If you're an employer, you can get ahead of these “gotcha” moments. It's textbook risk mitigation if nothing else. Create benefit designs to help employees find and incent them to use the highest-quality providers charging a fair price. Listen to EP334 with Sunita Desai for more on the topic of incenting consumerism. Know how your broker gets paid. If someone is paying your broker a commission and it isn't you, then your broker makes more money when your premiums and rates go up. They are a sales rep getting paid to make someone else money off of you. Get a handle on your pharmacy spend. David gets into some nuances here which are super interesting. You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   David Contorno is founder of E Powered Benefits. As a native of New York, David began his career in the insurance industry at the age of 14 and has since become a leading expert in the realm of employee benefits over the last 22 years. David was Benefits Selling magazine's 2015 Broker of the Year, and in March 2016, Forbes deemed him “one of America's most innovative benefits leaders.” More recently, he received the 2017 Leadership Award at ASCEND, the annual conference of The Association for Insurance Leadership, which recognizes those whose leadership in support of improving the value and performance of employee benefits has significantly advanced the industry. David is a member of the board of directors for both the Charlotte Association of Health Underwriters and HealthReach Community Clinic. He served on the NC Insurance Commissioners Life and Health Agent Advisory Committee, as well as participated in the Technical Advisory Group that helped with the market reforms required under the Affordable Care Act in North Carolina. He is a longtime member of the Lake Norman and South Iredell Chambers of Commerce as well as the National, North Carolina, New York, and Long Island Associations of Health Underwriters. David contributes to numerous publications, including Forbes, Benefits Selling magazine, Business Leader magazine, and Insurance Thought Leadership. David is committed to giving back to his community and actively participates in the membership drive for the United Way, assisting the local chapter of Habitat for Humanity, and supporting The Dove House Child Advocacy Center. When he is not working, he enjoys boating and traveling. 04:20 How do you ensure better care for patients? 05:10 “What's required to correct those things is not really a massive degree of intellect or even innovation.” 05:38 What's the road map for self-insured employers who want to take control of their healthcare costs? 10:06 “Higher costs equal more profit and more revenue.” 14:03 “The problem with devalued primary care is … that most people pass over the primary care provider and go right to the specialist.” 19:41 “Every employer should have every broker sign a compensation disclosure form.” 20:06 “If you think there's perverse incentives on the medical side … it gets even worse on the pharmacy side.” 21:01 What changes do employers find when they follow the road map to taking control of their healthcare costs? 21:44 “It's not uncommon for us to reduce total healthcare spend for an employer by between 20% and 40% at the end of the first year.” 22:09 “I can't change [the] outcome without changing the path you walked to get there.” 22:41 “Going self-funded is where the journey starts, not where it ends.” 24:47 “If most employers truly understood how badly these carriers and health systems are taking advantage of them … [it's almost like] Stockholm syndrome.” 27:09 “The only legitimate fear that employers should have is, How do they message these changes … to the employees?” 29:21 “This has to happen, and if it doesn't happen, the system's going to break and … be picked up by entities that are, I think, only going to make the situation worse.” You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits How do you ensure better care for patients? @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “What's required to correct those things is not really a massive degree of intellect or even innovation.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits What's the road map for self-insured employers who want to take control of their healthcare costs? @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “Higher costs equal more profit and more revenue.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “The problem with devalued primary care is … that most people pass over the primary care provider and go right to the specialist.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “Every employer should have every broker sign a compensation disclosure form.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “If you think there's perverse incentives on the medical side … it gets even worse on the pharmacy side.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits What changes do employers find when they follow the road map to taking control of their healthcare costs? @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “It's not uncommon for us to reduce total healthcare spend for an employer by between 20% and 40% at the end of the first year.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “I can't change [the] outcome without changing the path you walked to get there.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “Going self-funded is where the journey starts, not where it ends.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “If most employers truly understood how badly these carriers and health systems are taking advantage of them … [it's almost like] Stockholm syndrome.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “The only legitimate fear that employers should have is, How do they message these changes … to the employees?” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “This has to happen, and if it doesn't happen, the system's going to break and … be picked up by entities that are, I think, only going to make the situation worse.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits Recent past interviews: Click a guest's name for their latest RHV episode! Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316)

Relentless Health Value
EP338: Ideas to Meet Rural Healthcare's Tough Challenges, With Nikki King, DHA

Relentless Health Value

Play Episode Listen Later Sep 23, 2021 34:28


My overarching thought throughout a lot of this interview was that improving rural health will take everyone remembering to not let perfect be the enemy of the good. If I live in rural America, there's no subspecialists. Forget about even seeing a garden-variety kind of specialist. I might have to drive hours to even get to a PCP. There are NPs (nurse practitioners) in a lot of these remote communities, but everybody's fighting over whether to let them practice independently, even in places where there's zero PCPs for hundreds of miles, effectively leaving everyone in the vicinity with basically zero access to any care. Or here's another issue: Maternal mortality in this country is not only heartbreaking—a mother dying in what should be a precious moment—it's also embarrassing as an industrialized nation to be so far in last place. I don't know this for a fact, really, but women who have to drive literally hours to see a provider during their pregnancy or—God forbid!—they go into labor unexpectedly … is that a factor in our horrific maternal mortality rates? Consider that in Canada, which has, by the way, substantially better maternal mortality rates than the USA, PCPs and NPs deliver babies in low-risk pregnancies even in areas that have access to ob-gyns, unlike a lot of rural America. When do we start wondering if we're letting perfect be the enemy of the good? When do we start considering if no access to care is worse than some access, even if the “some” access is not with, perhaps, the ideal type of provider? These are not questions with easy answers, so we need data. We need to think in shades of gray—not in binary terms where good and bad have static definitions unaltered by wildly different circumstances. That said, one way to potentially make many parties happy might be to do something like the Nuka system has done for Native Americans in rural Alaska. Listen to EP312 for more info on that. It's pretty cool.   But let's just back up a sec with a little situation analysis: The thing with rural hospitals closing—and they are surely running in the red and closing—is the very pernicious cycle that develops. A hospital closing is kind of a bellwether for a community caught in a downward spiral in ways I did not realize until my conversation with Nikki King in this healthcare podcast. The main industry shuts its doors—maybe coal, or I grew up in a steel town when they were “closing all the factories down.” That was a Billy Joel quote there, and I spent a few years as a kid in the very same Allentown that song is about. Community trauma is no joke. Oh, and also, now there's no commercial lives. So, say the hospital in that town isn't prepared for this new payer mix reality and it closes. Then maybe a few hundred doctors and nurses move away, along with their spending habits, so other jobs go away. Then the more affluent senior citizens don't move back to their hometown to retire because who wants to live in a town with no hospital? Also, young families who have a choice might choose to go elsewhere. Former population centers start to disperse, and now there's not even a population big enough to support a hospital even if one would decide to go there. And when that hospital goes, so does its maternity department—and likely, even OB/GYN practices. Forget about a laborist.   You then will have local PCPs leave town because, right, a PCP connected to a hospital can make twice as much as an indie. Reference the huge number of PCPs in this country who are employed by a health system. Most of these employed PCPs will not work in rural communities where their employer health system has no facilities to refer to. There's no jobs there for an employed physician. Obviously, no specialists can stay in business in this environment either. Things go from bad to worse: Child abuse rises, and multigenerational diseases of despair start to set in. And there's no healthcare to treat these diseases or prevent them. Things go from bad to worse to even more worse. In this healthcare podcast, I am honored and thrilled to talk with Nikki King, DHA, who offers up three community-centric ideas around solving the crisis of access that people in rural communities face. In short, these ideas include: Freestanding ERs (ERs that have the financial discipline to not take advantage of the communities they claim to serve, that is) Telehealth that recognizes broadband issues, which is possible Expanding nurse practitioner rights and maybe even the scope of PCP practices to, for example, include maternity care for low-risk pregnancies in areas that have zero or very minimal access to healthcare otherwise Here's the shorter-than-short version: Perfect can't be the enemy of the good when we're talking about some of these communities that have no healthcare options. Nikki King grew up in Kentucky in the coalfields of central Appalachia. She managed a behavioral health and addictions unit at a critical access hospital and also worked in biostatistics. She is on the board of directors of the Indiana Rural Health Association and has developed policies as a member of the National Rural Health Association, among a whole list of other achievements. Nikki is innovative and compassionate, and she understands the culture of those she serves. She talks about a few things that she worked on during the pandemic that are truly inspirational. You can learn more by emailing Nikki at king.nikki2014@gmail.com. You can also connect with her on LinkedIn and follow her on Twitter.   Nikki King, MHSA, DHA, was born and raised in the coalfields of Southeastern Kentucky. Prior to working in the healthcare industry, she worked for the Center of Business and Economic Research studying models of sustainability in rural communities with a single economic engine. She has been working at Margaret Mary Health since 2015, occupying roles in clinical statistics, as well as currently managing the behavioral health and addiction services department. In addition to her role at Margaret Mary, Nikki completed her DHA at the Medical University of South Carolina and her MHSA from Xavier University. She currently serves on the Indiana Rural Health Association's Board of Directors, the American Hospital Association's Opioid Stewardship Advisory Group, and the National Rural Health Association's Policy Congress and Government Action Committee, and as the Board Chair of Rural Health Leadership Radio Board of Directors. 05:57 How dire is the rural hospital situation right now? 06:18 How could freestanding ERs be a potential solution for rural hospitals? 08:21 What are other potential rural health access solutions? 09:25 Why is broadband a roadblock to telehealth as a solution for rural health access? 14:06 The “hot potato” of nurse practitioners in the healthcare world. 15:05 “The number of residencies for physicians each year is not increasing, but the population … is increasing.” 19:06 EP312 with Douglas Eby, MD, MPH, CPE, of the Nuka System of Care. 20:41 What's the issue with maternity care in rural America? 22:53 “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” 26:50 How is mental health care affected in rural communities? 27:23 “Rural communities are trying very hard to hang on to what they have.” 28:49 “When you look at the one market plan that's available in a rural community, you probably can't afford it.” 30:39 What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? 31:33 “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.” You can learn more by emailing Nikki at king.nikki2014@gmail.com. You can also connect with her on LinkedIn and follow her on Twitter.   @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How dire is the rural hospital situation right now? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How could freestanding ERs be a potential solution for rural hospitals? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What are other potential rural health access solutions? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth Why is broadband a roadblock to telehealth as a solution for rural health access? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth The “hot potato” of nurse practitioners in the healthcare world. @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “The number of residencies for physicians each year is not increasing, but the population … is increasing.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What's the issue with maternity care in rural America? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How is mental health care affected in rural communities? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “Rural communities are trying very hard to hang on to what they have.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “When you look at the one market plan that's available in a rural community, you probably can't afford it.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth Recent past interviews: Click a guest's name for their latest RHV episode! Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews

Relentless Health Value
EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb

Relentless Health Value

Play Episode Listen Later Sep 16, 2021 32:37


Here's the cold hard truth: The whole specialty pharmacy operational model is not built to serve patients, a fact that becomes crystal clear when you're a patient. Instead, the specialty pharmacy model is, rather, pretty blatantly dedicated to the power struggle for revenue and captive patient populations. It's war between providers and the whole PBM/insurer/specialty pharmacy vertical consolidations. Employers and pharma manufacturers are, of course, on the battlefield as well. The patient, meanwhile, gets to be more the product than the customer if you think about. It's probably more similar than anyone would like to admit to the way that Facebook or Twitter users are the product, not the customer. This analog is not entirely parallel, but there's unsettling similarities if you think about it. What is a drug that qualifies to be a specialty pharmacy drug? Usually, these drugs are complicated to store, dispense, to use, and/or they're expensive—generally, really expensive. Lots of zeros, completely unaffordable to pay cash for them as an individual. No one is using a GoodRx card and not using their insurance to pay for these puppies. They can cost as much as a house. Biologics, for example, usually considered specialty drugs—lots of cancer and immunology therapies, injectable medications, IV/infused medications—all these are usually considered specialty drugs. There's no one definition of a specialty drug. It's more that someone somewhere decided to not run the drug through your traditional retail pharmacy for any number of reasons. The problem with the current status quo, wherein the patient gets tossed around while everybody fights over them, is that some basic needs are not being met—like if a patient asks the person administering the drug maybe even a pretty simple question about the drug or its side effects. It's way more likely than it should be that the nurse or whomever doesn't know the answer. Not knocking nurses here at all but definitely knocking a system that allows that to happen. I mean, really now. We're injecting a six-figure therapy in someone's arm that will impact their body in a myriad of maybe frightening ways, some of which are a problem and some of which are not. Said another way, there's a really good financial and clinical use case for making sure that we're patient-centric at a specialty pharmacy point of service—if you care about the patient and cost efficiency, that is. But I guess therein lies the root cause of the trouble. In this healthcare podcast, I'm talking with Olivia Webb about what it would take and be like to create a “patient-first specialty pharmacy,” as she has coined the term—a specialty pharmacy dedicated to patients not only having a half-decent experience but also one that might actually create better patient outcomes. Olivia Webb is author of the Acute Condition newsletter. I would certainly recommend subscribing. Coming up, we're doing a few more shows on this topic wherein we cover the whole brown bagging, white bagging, clear bagging extravaganza. Also, hospitals opening up their own PBMs, which is a fascinating wrinkle. One last thing: If you're following the whole PBM/insurer/specialty pharmacy vertical integration skullduggery, keep an eye on a bunch of lawsuits against these combined entities (three examples here, here, and here) alleging that they are doing some not super upright and honest things with their massive market power. (Say it isn't so!) You can learn more at acutecondition.com. Olivia Webb, PharmD, is a healthcare strategist and writer. She publishes the weekly healthcare newsletter Acute Condition, in addition to writing freelance pieces. She also works as a senior communications manager at the specialty care start-up Thirty Madison. In the past, Olivia has worked on healthcare policy and hospital consulting at Economic Liberties, Massachusetts General Hospital, and Advisory Board Company.   04:11 Why did Olivia start thinking about a patient-centric specialty pharmacy? 05:33 “There's really no layer on top of it to make it look nice.” 06:23 “You're kind of dealing with this vertical stack that doesn't really deal with patients frequently.” 06:35 Is the specialty model more patient friendly or less? 07:08 What would a patient-centric specialty pharmacy look like? 07:58 “There's a lot of fragmentation; there's a lot of friction.” 08:11 What's unique to specialty pharmacy prescriptions? 10:38 Why can infusion centers be a high-drama place? 12:15 What's “the question” around specialty pharmacy? 12:42 Who has the vested interest in ensuring patients take their medications correctly in specialty pharmacy? 14:39 “It's really just a unique area of healthcare where the people that I think of as the good guys and the bad guys completely flips.” 16:05 Why might the time be ripe for disruption in the specialty pharmacy area? 19:56 “There's no one with a clear incentive to cap the prices.” 20:09 What are the barriers in specialty pharmacy? 20:31 “The patient just isn't at the center, the financial incentive, in any direction.” 29:22 “I think people who are designing these things need to see how patients are actually doing it.” 29:50 “I think there's a lot of money here; I think this market is going to only increase in size.” 30:10 “I think you need scale.” 30:20 AEE15 with David Carmouche, MD, of Ochsner. You can learn more at acutecondition.com.   @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why did Olivia start thinking about a patient-centric specialty pharmacy? @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth “There's really no layer on top of it to make it look nice.” @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth “You're kind of dealing with this vertical stack that doesn't really deal with patients frequently.” @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth Is the specialty model more patient friendly or less? @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth What would a patient-centric specialty pharmacy look like? @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth “There's a lot of fragmentation; there's a lot of friction.” @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth What's unique to specialty pharmacy prescriptions? @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why can infusion centers be a high-drama place? @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth What's “the question” around specialty pharmacy? @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why might the time be ripe for disruption in the specialty pharmacy area? @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It's really just a unique area of healthcare where the people that I think of as the good guys and the bad guys completely flips.” @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth “The patient just isn't at the center, the financial incentive, in any direction.” @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth “I think people who are designing these things need to see how patients are actually doing it.” @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth “I think there's a lot of money here; I think this market is going to only increase in size.” @OliviaWebbC of @thirtymadison and the #acutecondition newsletter discusses #patientfirst #specialty on our #healthcarepodcast. #healthcare #podcast #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14)

Relentless Health Value
EP336: The Barbarians at the Gate—Who Are They and How Do They Cause Trouble for the Healthcare Industry Status Quo? With Brandon Weber

Relentless Health Value

Play Episode Listen Later Sep 9, 2021 32:37


I was listening to a panel discussion and heard Brandon Weber use the phrase the “barbarians at the gate” of the healthcare industry. I think I reached out to invite him to come on the podcast before the end of the segment. But at risk of spoiler alerts, let me sum up what I think is so interesting about Brandon's insights, which he talks about on the show. First of all, it isn't an “oh, heavens, some companies out there are trying to disrupt the status quo,” like this is some sort of news flash that hasn't been tossed out with police lights and sirens however many times already over however many years. Brandon gets into the sheer magnitude of what's going on, right now, from a capital investment standpoint but also from a human capital standpoint. How many crazy smart proven disrupter-type people have come along with that capital? Brandon also touches on something I've been thinking about lately: coalition building, for lack of a better word for it. If we have status quo behemoths with market caps of a third of a trillion dollars out there, some start-up who is super happy to have scored a however-many-million-dollar seed round is not a threat in and of themselves. But if many of these littles are aligned and working together in win-win ways that ultimately take market share from the big dogs, now things get interesting. So, while much attention is focused on point solutions that disrupt some aspect of care delivery, we might want to take another look at the less visible entities that are putting platforms underneath: the companies that are building out services that offer economies of scale, that create “pipes” helping patients connect with appropriate solutions that make this emerging market just work better. It's these platform companies, combined with a general willingness to collaborate, that make ganging up a sort of natural strategy to build a really flourishing ecosystem. And it's that whole ecosystem that I would consider the most likely disrupter within an industry very much designed for the big to get bigger. Anecdotally, I see both of these ecosystem-building factors happening (ie, the platforms and then also a really unprecedented level of collaborative, all-boats-rise kind of thinking). There are communities like the one that Brian Klepper runs for benefits professionals or Health Tech Nerds or outofpocket.health. But based on what I see in these groups and elsewhere, the sharing and helpfulness is really encouraging and heartwarming if you're not an incumbent, I guess.  My guest in this podcast, as mentioned, is Brandon Weber, who is the CEO and founder of Nava. This is one of those foundational-type upstarts. Brandon's company Nava is a benefits brokerage but one that's built on a platform that crochets together everything it takes to support a best-practice employer health plan. For example, point solutions have to be easy to buy and fold in, while on the back end, all of those point solutions and others need access to the right data so that appropriate employees can be engaged and make the most of the benefits offered. If you think about it, it's easy to see how having a really strong foundation here amplifies the value that can be delivered and accelerates change management. Coming up also, stay tuned because I'm interviewing Kristin Begley about optimal digital front doors, which is sort of an extension of the conversation that you'll hear in this episode. You can learn more at nava.io or by visiting their LinkedIn page. Brandon Weber is the cofounder and CEO at Nava, a modern benefits brokerage on a mission to provide high-quality, affordable access to healthcare to all Americans. By melding cutting-edge tech solutions with deep industry expertise, Nava aims to fix healthcare, one benefits plan at a time. Prior to Nava, Brandon cofounded VTS, a tech-driven leasing and asset management platform that transformed the commercial real estate marketplace. Trusted by over 45,000 brokers and asset managers around the globe, it's now used in over 50% of all office buildings in the United States and is consistently ranked one of New York's best places to work. Outside of work, he enjoys retreating into nature and is passionate about backcountry skiing, mountaineering, and trail running. 04:13 What does it mean to have “barbarians at the gate” of healthcare? 05:32 What is the overly complex gate to healthcare? 07:28 “No one can make the argument that we've seen this before.” 08:37 Are the “barbarians” in healthcare going to expand the system that already exists? 09:25 What is the number one pain point in healthcare? 13:25 “Typically, the innovation doesn't come from the incumbents.” 17:16 “We were actually just blown away by the amount of innovation that is already happening … [in] care delivery.” 17:58 “The future is actually here; it's just not evenly distributed.” 18:08 Why is there a need for a distribution layer in healthcare? 20:57 “Everyone is vying to be that one app in the pocket that acts as the aggregator, the hub, the steering point.” 26:32 “If you build it, they will come … that is absolutely not true in [healthcare].” 29:46 “The benefits broker is likely the most underappreciated stakeholder in the healthcare industry.” You can learn more at nava.io or by visiting their LinkedIn page. @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation What does it mean to have “barbarians at the gate” of healthcare? @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation What is the overly complex gate to healthcare? @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation “No one can make the argument that we've seen this before.” @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation Are the “barbarians” in healthcare going to expand the system that already exists? @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation “Typically, the innovation doesn't come from the incumbents.” @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation What is the number one pain point in healthcare? @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation “We were actually just blown away by the amount of innovation that is already happening … [in] care delivery.” @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation “The future is actually here; it's just not evenly distributed.” @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation Why is there a need for a distribution layer in healthcare? @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation “Everyone is vying to be that one app in the pocket that acts as the aggregator, the hub, the steering point.” @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation “If you build it, they will come … that is absolutely not true in [healthcare].” @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation “The benefits broker is likely the most underappreciated stakeholder in the healthcare industry.” @BrandonGWeber, CEO and founder of @NavaBenefits, discusses the gatekeepers of #healthcare on our #podcast. #healthcarepodcast #digitalhealth #healthinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14), Dr Sheldon Weiss  

Relentless Health Value
INBW30: A Hot Take on Healthcare Stakeholders Not Collaborating

Relentless Health Value

Play Episode Listen Later Sep 2, 2021 7:36


Here's a hot take for you. I just learned what a hot take was last week, so, of course, I needed to get me one on the quick. The thing with hot takes, from what I understand, is that they are open for discussion. What I'm talking about today is something I've been thinking about for a while, and I would be interested in your thoughts, since probably some finesse is needed here. I want to talk about the imperative of collaborating with organizations across the care continuum, even the ones you may have a problem with. Let us begin by discussing why collaboration is so vital if the intention is to improve patient care, quality, and lower costs. The story really begins with fragmentation. Turns out, the US ranks last among 10 other countries in a recent study on healthcare systems. One of the reasons why is the fragmentation of professionals and patients and siloed health information. This is from a Commonwealth Fund study. In fact, according to an AJMC article I found the other day—or do a Google search for any number of others—fragmentation is associated with increased costs of care, a higher chance of having a departure from clinical best practice, higher rates of preventable hospitalizations … Even among patients with the same chronic condition, lower quality happened and costs were higher in patients who received more fragmented care. So, nothing for nothing, but it's kinda self-evident that to fix American healthcare, we need to fix fragmentation. But to fix fragmentation, stakeholders along the care continuum have to—God forbid!—collaborate and work with each other. For more information, go to aventriahealth.com.   When not hosting the show, Stacey is co-president of Aventria Health Group, a marketing agency and consultancy. Aventria specializes in helping pharmaceutical, employer, pharmacy, and health system clients improve patient outcomes by creating and leveraging collaborations with other health care organizations. For more than 20 years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders and, most of all, the patient.   00:12 What's Stacey's hot take on collaboration in healthcare? 00:43 Why is collaboration so vital, and how does fragmentation play into that? 01:38 “To fix American healthcare, we need to fix fragmentation.” 03:23 “Nobody gets to be holier than thou.” 04:38 What is the bottom line on collaboration in healthcare? 05:20 What's the difference between collaboration and collusion? 05:35 “More is not usually better.” For more information, go to aventriahealth.com.   Our host, Stacey Richter, discusses her hot take on #healthcarecollaboration in our #healthcarepodcast. #healthcare #podcast #collaboration #digitalhealth Why is collaboration so vital, and how does fragmentation play into that? Our host, Stacey Richter, discusses her hot take on #healthcarecollaboration in our #healthcarepodcast. #healthcare #podcast #collaboration #digitalhealth “To fix American healthcare, we need to fix fragmentation.” Our host, Stacey Richter, discusses her hot take on #healthcarecollaboration in our #healthcarepodcast. #healthcare #podcast #collaboration #digitalhealth “Nobody gets to be holier than thou.” Our host, Stacey Richter, discusses her hot take on #healthcarecollaboration in our #healthcarepodcast. #healthcare #podcast #collaboration #digitalhealth What is the bottom line on collaboration in healthcare? Our host, Stacey Richter, discusses her hot take on #healthcarecollaboration in our #healthcarepodcast. #healthcare #podcast #collaboration #digitalhealth What's the difference between collaboration and collusion? Our host, Stacey Richter, discusses her hot take on #healthcarecollaboration in our #healthcarepodcast. #healthcare #podcast #collaboration #digitalhealth “More is not usually better.” Our host, Stacey Richter, discusses her hot take on #healthcarecollaboration in our #healthcarepodcast. #healthcare #podcast #collaboration #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry

Relentless Health Value
AEE16: The Destruction of Primary Care—A Short History, With Brian Klepper, PhD

Relentless Health Value

Play Episode Listen Later Aug 31, 2021 9:53


This conversation starts out talking about the RUC, which is a committee run by the AMA, who has the sole source contract with CMS to figure out how many RVUs any given procedure or service is worth. There are roughly four times as many specialists on this RUC committee as PCPs. You might be able to see where this is going, but let me let our guest in this healthcare podcast, Brian Klepper, explain how primary care got trampled by the goings-on. Brian Klepper is a longtime healthcare analyst and former CEO of the National Business Coalition on Health. You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. Brian Klepper, PhD, is a healthcare analyst, commentator, and entrepreneur. He is a Principal of Healthcare Performance Inc, a healthcare strategy and business development practice, and CEO/Principal of Worksite Health Advisors, a benefits consultancy focused on linking high-performance/high-impact healthcare organizations with purchasers. He founded and moderates a popular professional healthcare Listserv, Healthcare Hackers, which is a discussion forum on healthcare high performance and value and which has about 850 participating benefits managers, benefits advisors, and innovative vendors. An active author and speaker, Dr. Klepper has provided healthcare commentary to CBS Evening News, the Wall Street Journal, the New York Times, and the Washington Post. He has published widely in healthcare trade and academic publications and in newspapers nationally. Brian is a regular contributor to Employee Benefit News, the Health Affairs Blog, The Health Care Blog, The Doctor Weighs In, Kevin MD, and other expert healthcare blogs. He is a reviewer for Health Affairs and The Journal of Ambulatory Care Management. He is an advisor to the Lundberg Institute and to several for-profit healthcare organizations. In his spare time, Brian is an offshore sailor. 01:00 What is the RUC? 03:18 What is the goal of the specialists in the RUC? 04:32 Why health plans and not health systems? 06:55 “All this time, the hospital community was waging war against the HMO community.” 07:59 “The incentives that have been at play have been very formidable.” 08:23 “Primary care has developed a reputation for being the easy specialty … and it's just not so.” You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp What is the RUC? @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp What is the goal of the specialists in the RUC? @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Why health plans and not health systems? @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “All this time, the hospital community was waging war against the HMO community.” @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “The incentives that have been at play have been very formidable.” @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Primary care has developed a reputation for being the easy specialty … and it's just not so.” @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Recent past interviews: Click a guest's name for their latest RHV episode! Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry, Dr Douglas Eby (EP312)

Still Toking With
S2E29 - Still Toking with Kenny Lee Lewis (Bassist Steve Miller Band)

Still Toking With

Play Episode Listen Later Aug 27, 2021 58:33


S2E29 -- Join us we dive into the mind of legendary bassist Kenny Lee Lewis. He'll bring you on his journey from his band Pieces to touring with The Steve Miller Band   ————————————————— This episode is sponsored by Deadly Grounds Coffee "Its good to get a little Deadly" https://deadlygroundscoffee.com ————————————————— Check out Toking with the Dead Episode 1 https://vimeo.com/ondemand/twtde1 Buy awesome Merchandise! https://www.stilltoking.com/ https://teespring.com/stores/still-toking-with ————————————— Follow The Prospect Theater https://www.prospectortheater.org/ Facebook – www.facebook.com/prospectortheater YouTube – www.youtube.com/prospectortheater   Follow Kenny http://www.kennyleelewis.com/ https://www.facebook.com/kennyleelewisofficial/ https://twitter.com/kennyleelewis   http://www.Fretfrenz.com http://www.Barflyzmusic.com http://www.Frenzmusic.com http://www.Hangdynasty.com http://www.Stevemillerband.com   Still Toking With  https://www.stilltoking.com/ https://www.facebook.com/TokingwiththeDead/ https://www.instagram.com/stilltokingwith/ http://www.youtube.com/c/THETOKINGDEAD https://www.twitch.tv/stilltokingwith   Support Still Toking Enterprises https://www.paypal.me/thetokingdead https://www.facebook.com/groups/2658329444181663/?ref=br_rs https://www.facebook.com/groups/stilltokingcomics/   Produced by: The Dorkening Podcast Network https://TheDorkening.com Facebook.com/TheDorkening Youtube.com/TheDorkening Twitter.com/TheDorkening   Hellfire Radio https://www.hellfireradio.com/ https://www.facebook.com/scoopsandmischief/ https://www.instagram.com/scoopsandmischief/ https://www.facebook.com/HellfireRadio666/ https://www.instagram.com/hellfire_radio_666/   Check out Green Matters: https://www.facebook.com/GreenMattersMiddleboro/   Kenny Lee Lewis is a bass guitarist and singer-songwriter born in Pasadena, California and moving to Sacramento, California, with his family in 1960. His father played the drums, guitar and tenor sax and his brother and sister were heavily into the folk scene in the 1960s. By the time he was seven he was playing the ukulele and as he grew older his brother gave him his old guitar. After the arrival of the Beach Boys on the music scene he would start borrowing electric guitars until he finally managed to get one of his own in 1967. He began playing with local bands at school dances and a local college junior jazz band, and when he was 17 he moved to Los Angeles and shortly after toured with a rock band.   In 1974 he began working with David Schecter of Schecter Guitar Research and was involved with the development of parts of guitars that are still in use today. He became in demand as a bass player and in 1978 landed a record deal with his band Pieces. He moved bands to collaborate with the drummer Gary Mallaber and after being requested for material by Steve Miller and having all the songs taken and appearing on the album Abracadabra, he was asked to sign up for the group. He became credited as “one of the songwriters who gave Steve Miller ‘personality'”.   He still performs with the band but has continued to write for and perform with many other artists and groups such as David Mason, Meatloaf, Boz Scaggs, Steven Stills, Quincy Jones, B.B. King and Billy Preston as well as underscoring for motion pictures and television with film credits including Protocol, Iron Eagle, Night of the Comet, Pump Up the Volume and Spring Break. Albums he has appeared on during the course of his career include his own Get 2D Point and Music of The Steve Miller Band as well as Playing for Keeps by Eddie Money, Two Hearts by David Mason, Taj by Taj Mahal, Tracker by Tracker, Italian X-Rays. Living in the 20th Century and Live! by The Steve Miller Band and Let Your Love Flow by Solomon Burke. Find out more at https://still-toking-with.pinecast.co This podcast is powered by Pinecast.

Relentless Health Value
EP335: Why Is Private Equity Willing to Pay $55,000 per Patient to Primary Care Start-ups? With Brian Klepper, PhD

Relentless Health Value

Play Episode Listen Later Aug 26, 2021 33:01


In this healthcare podcast, I'm talking with Brian Klepper. If you haven't heard of him, Brian's a longtime healthcare analyst and former CEO of the National Business Coalition on Health. This interview takes off like a shot, as most of my conversations with Brian Klepper do. We're talking about primary care and its various iterations. We start out with Exhibit A—the HMO version of primary care from the '90s. This is a great comparator to really get a handle on what's going on today. During the heyday of HMOs (back in the '90s), primary care was basically a glorified gatekeeper kind of doing two things. On one hand, they were restricting access. It wasn't an accident that it was really hard to get an appointment with a PCP.  On the other hand, it also wasn't an accident that, once you got there, the PCP only had 7 minutes to spend with you, which basically meant that you left with an appointment to see a specialist at, of course, the health system that probably had just bought that PCP practice. Everybody's happy then, right? Specialist volume goes up, they make a ton of money for the health system, plans make a ton of money because they make a percentage of total healthcare spend … Oh right, everybody's happy except the patient who can't get care and the PCP who can't do their job. By the way, for more information on why the '90s version of the HMO industry crashed and burned, listen to my conversation with Alex Jung on this exact topic. A big part of the “why” really actually took me by surprise.  But back to primary care … Today, in broad strokes, we have three kinds of PCPs. And when I say three kinds of PCPs, we're not really counting urgent cares or what amounts to urgent cares in that mix—meaning, not counting a lot of the retail clinics because they don't really manage patient care like you'd hope a PCP would manage care. Last I checked, none of them were managing much more than an episodic visit. You can't manage a chronic condition in 15 minutes. So, like I said, there's three kinds of PCPs that are around today; and let's call the first kind the OPCP, the original PCP. This version of the PCP office is primarily fee for service (FFS). Maybe they have a couple of capitated contracts. But the distinguishing factor isn't really what their payer mix is. It's that they're not taking on much risk or any risk of real consequence. Second, we have direct primary care doctors. This group tends to cut out insurers and work directly with either employers or patients themselves. They take a monthly fee, and, in general, a patient can see them however much they need to. Again, no risk or little risk is assumed here beyond the primary care services themselves that are rendered. Third, we have what Brian calls industrialized primary care—or some people call it advanced primary care, or APC—but I'd probably call it something different. I'd call it “taking risk for the full continuum of care” primary care. Maybe I wouldn't even call it primary care at all because this third category really is starting to color outside of the lines of primary care. This third iteration requires many things to accomplish. It requires an unimpeachable relationship with the patient; you cannot be successful with this otherwise. It requires great virtual/digital capabilities. It also requires data—data to help ensure that care gaps are filled but also to make sure that patients are referred to high-quality, high-value specialists downstream who will actually create outcomes. It also includes optimizing specialty pharmaceutical usage, for example. Brian gets into this and how a state employee health plan is on track to save $1.3 billion in this fashion. Brian believes that this third iteration of primary care—this APC industrialized primary care—is the third leg of a three-legged stool that is needed to transform healthcare. If you must know, the second leg is identification and the use of high-performing specialty services; and the third is value-based reimbursement environment. Most of the second half of this conversation with Brian is about why there's just a flurry of investment into various forms of these advanced or just maybe even regular primary care models and how they might evolve moving forward. I ask Brian about Carbon Health and their recent claim that they can do primary care with about 25% to 30% EBITA, even at Medicare FFS rates. So, there's that. One last thing: Next week, we'll be posting an “Ask an Expert” with Brian Klepper, where he gives the backstory about how the RUC—that AMA committee—basically killed primary care. So, come back for that show after you're done with this one. It's a plot full of intrigue, that's for sure. You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. Brian Klepper, PhD, is a healthcare analyst, commentator, and entrepreneur. He is a Principal of Healthcare Performance Inc, a healthcare strategy and business development practice, and CEO/Principal of Worksite Health Advisors, a benefits consultancy focused on linking high-performance/high-impact healthcare organizations with purchasers. He founded and moderates a popular professional healthcare Listserv, Healthcare Hackers, which is a discussion forum on healthcare high performance and value and which has about 850 participating benefits managers, benefits advisors, and innovative vendors. An active author and speaker, Dr. Klepper has provided healthcare commentary to CBS Evening News, the Wall Street Journal, the New York Times, and the Washington Post. He has published widely in healthcare trade and academic publications and in newspapers nationally. Brian is a regular contributor to Employee Benefit News, the Health Affairs Blog, The Health Care Blog, The Doctor Weighs In, Kevin MD, and other expert healthcare blogs. He is a reviewer for Health Affairs and The Journal of Ambulatory Care Management. He is an advisor to the Lundberg Institute and to several for-profit healthcare organizations. In his spare time, Brian is an offshore sailor. 05:10 Is the HMO model of primary care a good model? 07:48 “Industrialized medicine is exciting.” 08:59 What does primary care have the opportunity to do? 09:21 “The problem that goes along with that is that now immense amounts of money are being infused into primary care organizations.” 10:15 Where does direct primary care and advanced primary care fit into this model? 13:35 “At the end of the day, what primary care really needs to be about is … the management of life issues as well.” 14:05 EP295 with Rebecca Etz, PhD.14:19 “Better relationships quantifiably translate to better care.” 21:48 “Almost nobody in healthcare wants any of this to happen.” 23:58 Why the huge amounts of money being invested into primary care is actually a big problem. 28:11 “We should be able to get wildly better health outcomes for about 40% to 45% of the money that we're currently spending.” You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Is the HMO model of primary care a good model? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Industrialized medicine is exciting.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp What does primary care have the opportunity to do? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “The problem that goes along with that is that now immense amounts of money are being infused into primary care organizations.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Where does direct primary care and advanced primary care fit into this model? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “At the end of the day, what primary care really needs to be about is … the management of life issues as well.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Better relationships quantifiably translate to better care.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Almost nobody in healthcare wants any of this to happen.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Why the huge amounts of money being invested into primary care is actually a big problem. @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “We should be able to get wildly better health outcomes for about 40% to 45% of the money that we're currently spending.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Recent past interviews: Click a guest's name for their latest RHV episode! Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr. Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry, Dr Douglas Eby (EP312), Ge Bai  

Relentless Health Value
EP334: Do Consumers Ditch High-Cost Providers After Shopping With Price Transparency Tools? With Sunita Desai, PhD

Relentless Health Value

Play Episode Listen Later Aug 19, 2021 33:29


Let's discuss price transparency, which isn't an end unto itself obviously. The great hope of price transparency (or at least one of them) is that it furthers consumerism, which is also not an end unto itself. Obviously. The great hope of consumerism is that it effectively forces the health care industry to straighten up and fly right. Before I dig into this, let me make one critically important point for context. Enabling consumers to find low-cost providers is not the only goal of price transparency. Employers should be hiring companies to do cost analytics and bring them back insights which should, along with quality indicators, be part of network selection or direct contracting or bundle considerations. Add to that something I heard Katy Talento say the other day. She said something along the lines of: Anyone sitting around whiteboarding cockamamie reasons to keep their prices secret ... how is that not corrupt? You're trying to conceal the prices that your patients will ultimately be responsible to pay, as per, by the way, the financial document that every provider I've ever seen makes patients sign on the way in. You, patient, are ultimately responsible for the bill here. Don't be thinking otherwise. What did I hear the other day, which is a great message for patients everywhere? If you can't see who's holding the bag, check your hands. It might be you. But let's get down to the business of this particular podcast here. As I tend to contemplate many complicated things, I like to play a kind of simplified version of moneyball, otherwise known as sabermetrics, if you are as big a geek as I am. You start at the end state, and you work backwards. If the goal of price transparency ultimately is to drive the usage to better, lower-priced providers, then people/patients have to be shopping. OK … for patients to shop, there has to be shopping tools. For shopping tools to exist, there has to be price transparency. If you look at this flow in reverse, that's the progression needed to realize the goal of disrupting the health care system and causing competition and health care providers and others to get themselves subjected to free market forces to up their game and lower their prices. Going through this again in a bullet point list, here are the seven steps to get from price transparency to the impact of consumerism to create health care quality overall improvements and for costs to go down: Price transparency Shopping tools People shopping People taking the information gleaned from the shopping tools and putting it to use Higher-quality, lower-priced providers get more business. Lower-quality, higher-priced providers get stomped on by the market. Health care quality overall improves, and costs go down. It's funny because we talk about concepts like the impact of consumerism all the time, but I don't think I've ever seen anybody literally write out the mechanics of that progression. And this is an incredibly valuable exercise (I think anyway) because, as we all know so well, to actually achieve anything, we have to be willing to check out how it's going, to learn some lessons, and then evolve our approach accordingly. The short version of the “how's it going,” based on available research, is that most people—your average civilians, I mean—do not really use shopping tools when they are made available. Good news is, if there's advertising and other outreach efforts, then this number of users goes up. So then the next question becomes, what are people then doing with the information? Are they heading to lower-cost providers? Bad news is, sadly, no. They do not tend to do so. Let me just interject right here. There's going to be two different reactions to what I just said. One reaction is going to be anger. I just kicked somebody's sacred cow, and they're all “Earmuffs!” right now. Another reaction is the more productive one, and frankly, it's the only reaction for anyone who is truly committed to transforming health care. That reaction is, “Huh … so then how do we incrementally improve? What are the barriers to this mechanism of action, so to speak, and how are we going to then address those barriers to get the results that we're looking for here?” This is what the conversation with Sunita Desai, PhD, is about in this health care podcast. Sunita Desai is a health economist and assistant professor in the Department of Population Health at the NYU Grossman School of Medicine. She and her colleagues have done extensive research into everything that we discuss in this episode. We talk in depth about the barriers that consumers face when trying to make price information actionable, and you gotta know what the problem is if you're going to solve for it. IRL, if we want consumerism to work, we must overcome its challenges. It would be nice if we didn't need to, but we do. One last thing, and this is going to be a recommendation: I really enjoyed Adam Grant's latest book, which is called Think Again. He talks, for an entire book basically, about how most of us are accustomed to defining ourselves in terms of our beliefs, our ideas, and our ideologies. He says that this becomes a serious issue when our opinions become so sacred that our totalitarian ego leaps in to silence any counterarguments, squash contrary evidence, and close the door on learning, effectively.  You can learn more at Sunita's NYU Web site or by emailing Sunita at sunita.desai@nyu.edu. Sunita Desai, PhD, is a health economist. Her research investigates how policies and incentives shape health care provider behavior and organizational structure. She also examines the role of information and price transparency in consumer decision-making in health care. Her work has been published in leading journals, including JAMA and Health Affairs, and has been covered by media outlets such as the New York Times and Washington Post. She is an assistant professor in the Department of Population Health at NYU Grossman School of Medicine, with secondary appointments in the Department of Economics at NYU Stern and the Department of Health Policy at NYU Wagner. From 2015 to 2017, Sunita was a Seidman Fellow in Health Policy and Economics at the Department of Health Care Policy at Harvard Medical School. Sunita received her PhD in health care management and economics from The Wharton School of the University of Pennsylvania in 2015 and her bachelor's degree in economics from the University of Pennsylvania. 06:23 Why is everyone so interested in price transparency right now? 07:30 How does price transparency enable consumerism? 08:05 What are the two aspects to consumerism in order to enable it in health care? 11:01 Does access to price transparency tools lower costs and spending? 15:19 Why is there such low utilization of price transparency tools? 16:13 What's the first barrier to using price transparency tools? 17:10 Why bypassing the physician at the point of care limits the use of price transparency tools. 17:53 EP284 with Carm Huntress.23:20 EP308 with Mark Fendrick, MD.23:31 How does reducing spending with high-deductible health plans negatively affect high-value health care? 25:23 “There is not a strong correlation between prices of providers and quality.” 28:48 How does a reduction in physician choices undermine price transparency? 29:30 “We owe that information to patients … it's useful for patients to know what out-of-pocket costs they should expect.” You can learn more at Sunita's NYU Web site or by emailing Sunita at sunita.desai@nyu.edu. @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth Why is everyone so interested in price transparency right now? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth How does price transparency enable consumerism? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth What are the two aspects to consumerism in order to enable it in health care? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth Does access to price transparency tools lower costs and spending? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth Why is there such low utilization of price transparency tools? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth What's the first barrier to using price transparency tools? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth Why bypassing the physician at the point of care limits the use of price transparency tools. @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth How does reducing spending with high-deductible health plans negatively affect high-value health care? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth “There is not a strong correlation between prices of providers and quality.” @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth How does a reduction in physician choices undermine price transparency? @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth “We owe that information to patients … it's useful for patients to know what out-of-pocket costs they should expect.” @sunitamd of @nyugrossman discusses #transparency in #healthcare on our #healthcarepodcast. #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry, Dr Douglas Eby (EP312), Ge Bai, Sumit Nagpal

Heads Up Adviser
High Stakes Advising 2021 Recap

Heads Up Adviser

Play Episode Listen Later Aug 17, 2021 33:55


Meet Virtue Health - a private group purchasing consortium that allows employers share risk, control costs and increase benefits - with ease. CLICK HERE to book a call with John Sbrocco and Crystal Hoarau >>  What is the"crocodile brain" and why is it important?How to put yourself in a position of status with your prospect?How to set up tension, intrigue, and emotion in a meeting?  The answers to these and other important questions were given at High Stakes Advising 2021. This week John Sbrocco and Craig Lack do a quick recap remembering some spicy moments from the #1 Event For Healthcare Brokers.  Craig Lack sharing how to build intrigue before the revealHow Mark Lack crushed it on the scene with capturing mediaLee Lewis and prospecting with nice gossipBig box guest providing priceless insights

Relentless Health Value
EP333: Actually Using Care Plans in the Real World, With (in Order of Appearance) Jeff Hogan, Darrell Moon, Dr. Grace Terrell, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy

Relentless Health Value

Play Episode Listen Later Aug 12, 2021 18:35


Recently I was talking to someone, a civilian not in health care, and I mentioned something about how patients don't always get a treatment plan (a care plan) based on the best evidence or sometimes even any evidence. Here's how I explained it to him—what this looks like in the real world: Let's say two patients, patient 1 and patient 2, with the exact same clinical needs and zip code … both these two patients see the exact same doctor. The only difference between these two patients is that they're two different colors. And let's add a third patient into this mix: say, ME. Let's say I have the exact same profile and zip code as those first two patients. I see a different clinician in the same exact practice, though. In all these circumstances, evidence is evidence, right? There should be one care plan that all three of us get when we show up at that same care setting. Until the evidence changes, that is, right? But the reality is that it's just as likely that those other two patients and I, we all get various shades of different care plans. The civilian I was having the original conversation with about evidence-based medicine and this care planning? He literally recoiled in surprise. He was shocked. He said he thought medicine was more science than that. I'm going to take that anecdote as a data point to suggest that there is a disconnect between what patients think is going on and what is actually going on relative to how care plans tend to happen in health care. Alex Akers from Health Catalyst in episode 176 and Clint Phillips from Medici in episode 201 get into this in detail. You can listen to full episodes and learn more about this week's guests at relentlesshealthvalue.com.  Jeffrey Hogan is the northeast regional manager for Rogers Benefit Group, a national benefits marketing and consulting firm. Jeff has been with Rogers Benefit Group for 30 years. Additionally, Jeff operates a consulting firm, Upside Health Advisors, where he provides expert witness services on health care–related litigation, is a consultant to payers and large provider groups for product development and launch, and is a resource to employers desirous of implementing strategies to manage their health spend. Jeff is focused on health care payment reform, health policy, care coordination, value-based health care, health care quality, and precision medicine. Jeff regularly appears on national forums focused on moving to value-based health care and is actively working to promote health care–related transparency measures in the market. He serves as the group's liaison to the National Alliance of Healthcare Purchaser Coalitions. Jeff is the regional leader for The Leapfrog Group. He is also one of the coordinators of Connecticut's Moving to Value Alliance. Darrell Moon founded Orriant in 1996 to change the dynamics of health care and give employers some control over the ever-increasing costs of the health care benefits they offer their employees. Darrell believed that engaging individuals in the management of their own health was a key that had to be inserted back into the economic equation of health care. Darrell received both his bachelor's degree in finance and his master's degree in healthcare administration from Brigham Young University. As the CEO, COO, or CFO, Darrell managed medical and psychiatric hospitals throughout the country for over 10 years prior to creating Orriant. He also has more than a decade of experience managing insurance and managed care products. Darrell is a Forbes leadership contributor. Grace E. Terrell, MD, MMM, is CEO of Eventus WholeHealth, a company focused on integrated value-based behavioral medicine and primary care in the long-term care space. She is a national thought leader in health care innovation and delivery system reform and a serial entrepreneur in population health outcomes driven through patient care model design, clinical and information integration, and value-based payment models. She is the former CEO of Cornerstone Health Care, one of the first medical groups to make the “move to value” by lowering the cost of care and improving its quality for the sickest, most vulnerable patients; the founding CEO of CHESS, a population health management company; and the former CEO of Envision Genomics, a company focused on the integration of precision medicine technology into population health frameworks for patients with rare and undiagnosed diseases. Dr. Terrell currently serves on the US Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee and the board of the AMGA (American Medical Group Association), is a founding member of the Oliver Wyman Health Innovation Center, and is the coauthor of Value-Based Healthcare and Payment Models. Rich Klasco, MD, FACEP, has focused throughout his career on rendering evidence-based medicine operational—that is, making the right thing the easy thing to do. He has pursued this goal in academia, in industry, in policy, and in the press. In addition to publishing extensively in both peer-reviewed journals such as JAMA and lay publications such as The New York Times, Dr. Klasco has taught at leading academic medical centers, including Harvard, Stanford, Mayo, and the University of California, San Francisco; served on the executive committee of Brigham and Women's Hospital Center for Patient Safety Research and Practice; testified before the United States Congress on evidence-based practices; and won CMS (Centers for Medicare & Medicaid Services) approval for an officially designated compendium of evidence-based oncologic drug information. Dr. Klasco previously served as chief medical officer and editor-in-chief for the Thomson Reuters group of health care companies, where he had editorial responsibility for companies including Micromedex, the Physicians' Desk Reference (PDR), and the United States Pharmacopoeia (USP) Drug Information. For the past 15 years, Dr. Klasco has served as chief medical officer for Motive Medical Intelligence, where he provides clinical leadership for the development and deployment of solutions that quantitative assess physician performance for payers, providers, and patients, and integrate scientific knowledge into workflow systems where it can be accessed and applied in real-time. Dr. Klasco received his medical degree from Harvard Medical School. He completed his internship and residency in internal medicine at Brigham and Women's Hospital, and he completed his residency in emergency medicine at the Denver Health Residency in Emergency Medicine, where he served as chief resident. Nicole Bradberry is the founder and chief of growth and innovation officer for MIND 24-7. MIND 24-7 runs mental health crisis centers with a focus on immediate access, quality care, and the understanding that mental health and substance abuse drive significant health cost. She is also the founder of ValueH Network, which aggregates high-performing value-based care network providers in order to enable the best performance in new innovate contracts. In addition, she is currently the chief executive officer and chairman of the board of the Florida Association of ACOs (FLAACOs). FLAACOs is the premier professional organization for accountable care organizations (ACOs) throughout Florida which provides education and collaboration in the fee for value health care space. Nicole spent 16 years leading operations and information technology programs for UnitedHealth Group and Cigna HealthCare. While there, she served as business lead for the technology transformation of the country's largest dental and vision services company, led the national deployment of health care quality and affordability programs, and was responsible for the successful integration of many major health plans. Nicole holds a bachelor's degree in statistics from the University of Florida. She has been recognized for her personal and professional achievements many times, recently as the nation's Outstanding Midmarket IT Leader of the Year and one of the Business Journal's “Women of Influence.” She is often found on the speaker faculty for health care conferences focused on ACOs, population health, and value-based care. She is passionate about changing health care and enabling physicians to provide high-quality, cost-effective, and consumer-focused care. Kelly A. Conroy is director of Pinnacle Healthcare Consulting and brings more than 30 years of health care finance, management, and leadership experience with significant experience in value-based care. As a leader in the field, she'd contributed through multiple start-up health care companies with a leading-edge focus on advancements in care delivery and alignment. Kelly started the first Medicare ACO in the country, which delivered nearly $40 million in savings in its first year and has gone on to manage some of the most profitable ACOs in the country. She is now sought after as a senior advisor and consultant, having developed a reputation as one of the most experienced and effective ACO professionals in the country. As a true catalyst driving the shift in health care culture toward physician leadership, her understanding and strategic vision are unmatched, along with her comprehension of the latest government-proposed valued-based agreements. From starting health care organizations to serving in multiple senior executive leadership roles, Kelly is a seasoned executive with a career record of negotiating and increasing revenues through new product offerings while optimizing efficiency and productivity in the medical field. 02:10 Jeff Hogan (EP309) talks about the consequences of when there's a disconnect between what the patient thinks is happening and what is actually happening in a care plan.03:48 EP315 with Bob Matthews. 03:58 Merrill Goozner's perspective on successful population health.04:55 Why did Darrell Moon (EP305) give up being a hospital administrator because of care plans? 08:02 “It's a myth that population medicine … and precision medicine are incompatible or opposites.”—Dr. Grace Terrell (EP319) 11:28 Dr. Rich Klasco (EP321) explains “noncognitive” medicine and why it bogs physicians down.14:45 What is at the core of appropriateness for care? 16:33 “You start to bring that data to the physician, and it really does open their eyes.”—Nicole Bradberry (EP324) 16:51 Nicole Bradberry and Kelly Conroy (EP324) discuss how to really change the way physicians work. You can listen to full episodes and learn more about this week's guests at relentlesshealthvalue.com.  Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth What are the consequences when there's a disconnect between what the patient thinks is happening, and what is actually happening in a care plan? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth Why did Darrell Moon give up being a hospital administrator because of care plans? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth “It's a myth that population medicine … and precision medicine are incompatible or opposites.” Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth What is “noncognitive” medicine, and why does it bog physicians down? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth What is at the core of appropriateness for care? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth “You start to bring that data to the physician, and it really does open their eyes.” Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth How do you really change the way physicians work? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry, Dr Douglas Eby (EP312), Ge Bai, Sumit Nagpal, Dr Vikas Saini and Shannon Brownlee

Built For The Stage Podcast
#120 - Abbie-Lee Lewis - A MID SUMMER NIGHT'S DREAM AU

Built For The Stage Podcast

Play Episode Listen Later Aug 9, 2021 35:18


Abbie-Lee Lewis / @abbieleelewis All the way from Australia, Abbie-Lee Lewis joins us to share her experience as she plays Hermia in Bell Shakespeare's production of Midsummer Night's Dream. Abbie-Lee is an actor and Arts Educator for Bell Shakespeare in Australia and we are thrilled to hear her story. www.builtforthestage.com - Schedule your one week trial today! www.broadwaypodcastnetwork.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Built For The Stage Podcast
#120 - Abbie-Lee Lewis - A MID SUMMER NIGHT'S DREAM AU

Built For The Stage Podcast

Play Episode Listen Later Aug 9, 2021 35:18


Abbie-Lee Lewis / @abbieleelewis All the way from Australia, Abbie-Lee Lewis joins us to share her experience as she plays Hermia in Bell Shakespeare's production of Midsummer Night's Dream. Abbie-Lee is an actor and Arts Educator for Bell Shakespeare in Australia and we are thrilled to hear her story. www.builtforthestage.com - Schedule your one week trial today! www.broadwaypodcastnetwork.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Re:Launch
Ep23—Lee Lewis and Pastoral Emotional Health

Re:Launch

Play Episode Listen Later Jul 29, 2021 19:42


Lee Lewis from Radiant Church in Austin, TX joins host Marty Duren in a conversation about pastors and their emotional health.

Rock 'n' Roll Grad School
Rock n Roll Grad School #24- The Steve Miller Band's Kenny Lee Lewis

Rock 'n' Roll Grad School

Play Episode Listen Later Jul 7, 2021 40:33


Kenny Lee Lewis has followed the music his whole life and it's led him down some fascinating roads. From his time creating new parts for guitars in the 1970s, to a decades-long stint with the one and only Steve Miller Band, Kenny has been following the music. For more information, check out his website.

Wake Up Hollywood
Kenny lee Lewis

Wake Up Hollywood

Play Episode Listen Later Jun 23, 2021 55:00


KENNY LEE LEWIS is an accomplished studio guitarist and bassist for over 30 years, a few of Kenny's other credits include Bonnie Raitt, Eddie Money, Dave Mason, Billy Preston, Peter Frampton, Boz Scaggs, Brian Wilson, and Steve Stills. Kenny's wide range of vocal stylings range from romantic ballads, blues, hard rock, reggae, and Latin. When not touring or recording, Kenny enjoys taking mature musical excursions when doing album projects, Movie and Television composing, or performing with his friends. Kenny Lee has just released his new comtemporary jazz instrumental guitar CD "New Vintage" on the New Folk/Allegro record label. Taking a break from playing such mega-hits like "Fly Like an Eagle" and "The Joker" for thousands on tour each summer, Kenny Lee has brought together some of the finest celebrity musicians in the business to offer this celebration of classic groove-jazz. Returning back to his early influences while playing in college jazz bands, Kenny Lee borrows sounds and techniques from Wes Montgomery, George Benson, and Howard Roberts. Featuring such notable players as Ricky Peterson, keyboardist and musical director for David Sanborn and currently with Bonnie Raitt. Billy Peterson, former bassist and arranger for the Steve Miller Band, and co-owner of The Artist Quarter jazz club in St. Paul, MN. Paul Peterson, bassist for Kenny Loggins, George Benson, and Oleta Adams. Danny Pelfrey, saxophonist/composer who's credits include Diana Ross and Carole King. Gordy Knutson, drummer for The Steve Miller Band and professor of percussion at the McNally-Smith College of Music in Minneapolis, MN. Jason DeLaire, saxophonist formerly with Michael Bolton. Dianne Steinberg, recording artist and actress who portrayed "Lucy" in the Robert Stigwood production of "Sgt. Pepper's Lonely Hearts Club Band" and many other talented session players. "New Vintage" has recently had rave reviews in Guitar Player Magazine, Vintage Guitar Magazine, and Wine and Jazz Magazine. www.kennyleelewis.com

Dark Horse Entrepreneur
EP 207 Kenny Lee Lewis Fly Like An Entrepreneurial Eagle

Dark Horse Entrepreneur

Play Episode Listen Later Jun 14, 2021 46:33


Kenny Lee Lewis Of The Steve Miller Band Shares On ; Learning And Honing Your Craft; Learn From Pirates Not Just Mainstreamers ; Give Your Best Stuff For Great Opportunities ; Take Your Success Into A New Space And Know How To Hang DarkHorseSchooling.com Start Restart KickStart Your Business Or Podcast Coaching Join The Dark Horse Tribe Facebook Group

Relentless Health Value
Encore! EP244: A Playbook for Jumbo Employers—or Providers, Consultants, Carriers, or Pharma Who Get Paid by Jumbo Employers, With Lee Lewis, Chief Strategy Officer at the Health Transformation Alliance

Relentless Health Value

Play Episode Listen Later May 27, 2021 30:51


This episode seemed particularly relevant right now because it gives insight into how large self-insured employers are prioritizing their efforts to disrupt health care revenue streams that do not provide adequate health outcomes for dollars spent. This episode’s conversation is with Lee Lewis. This is an encore episode. The original was recorded when Lee was the newly minted chief strategy officer at the Health Transformation Alliance, otherwise known as HTA. The HTA is a group of 50 major corporations that have come together in an alliance to do one thing: fix our broken health care system. Anybody who knows Lee knows he knows a lot about how to improve health and health care benefits for large employers. The most amazing thing I always find about improving health and health care benefits is that it’s like having your cake and eating it, too. On one hand, both employer and employee save money. On the other hand, employees get better care and spend less time away from work struggling to navigate the health care jungle all by themselves. Lee’s playbook consists of three chapters which we get into here. The first chapter covers the “how” of health benefits, including what Lee calls the “administrative superstructure.” The second chapter in Lee’s playbook is the “what,” which usually comprises drug spend and then, on the medical side, how care is delivered for specific clinical conditions like musculoskeletal, cardiometabolic, etc. There are a few conditions that tend to rack up the most costs categorically. The last chapter in Lee’s playbook is the “who,” meaning where employees are steered for care, especially in those high-cost areas. If you’re looking for actual examples of forward-thinking employers doing some—or more than some—of the general categories of things that you’ll hear about in this health care podcast, let me drop a few names. Because they may not get as much credit as they often deserve, I wanted to highlight the amazing progress made by some state employee health plans. So let me spotlight the work being done in New Jersey, Connecticut, and Montana, led by Christin Deacon, Thomas Woodruff, and Marilyn Bartlett and their teams. So, to all of you and everyone else working on these endeavors, thank you very much for your service as both a taxpayer and also someone keenly interested in the other things that that money could be used for instead of low-value care like, for example, teachers and firefighters and students and everything else in the budget. Finally, I just want to toss in a mention here of the upcoming Aspirational Healthcare Conference, which will be held on July 14 and 15, 2021 (virtually). Go to the Relentless Health Value Web site because I got you a promo code for free entry that you’ll find there. Lee Lewis, my guest today, is the keynote moderator for Day 1; and yours truly will step up to the microphone on Day 2. This conference will kind of be a who’s who of employer benefit design for the forward thinking looking to do the best they can for their employees at least, and it’s gonna highlight really the Aspirational Healthcare Systems like Southcentral Foundation’s Nuka System of Care in Alaska, for example. You can learn more by visiting htahealth.com and by connecting with Lee on LinkedIn.  Register here for the July 14-15 Aspirational Healthcare Conference and have the registration fee waived using the promo code: !RICHTER$  Lee Lewis serves as chief strategy officer and GM medical solutions for the Health Transformation Alliance. He leads efforts across over 50 large and jumbo employers and six million employees to save lives and save millions of dollars through improved health delivery, outcomes, and experience. Key initiatives in this role include new models of health benefits administration, curated provider steerage, and improved clinical delivery and outcomes. He has advised health care strategy at Fortune 10 employers, insurance companies and administrators, medical associations, and the Departments of Justice and Labor. He incubated and helped form two dozen health benefit start-up companies and has been quoted and featured in Bloomberg and the Wall Street Journal. Lewis is a founding, charter member of the Health Rosetta organization and is credited as a co-founder of the Health Value Exchange. Before joining the HTA, Lewis was a consultant at Gallagher, where he founded Gallagher’s innovation lab and national jumbo employer practice. In 2019 he was recognized with the industry’s top honor as the Outstanding National Consultant for Large & Jumbo Employers Award by the independent Validation Institute. His consulting clients won Diamond Innovation Awards at the World Healthcare Congress, Innovation Awards from the Texas Business Groups on Health, Top 20 Innovator Awards from Healthcare Revolution Conference, and Financial Innovation and Large Group Management Innovation accolades from the Validation Institute. Lee is a Rhodes Scholar nominee. He graduated second in his class, magna cum laude with university honors in accounting from Brigham Young University. 04:00 A playbook to reduce health care spend and achieve better outcomes. 04:08 The “how,” or “administrative superstructure.” 05:19 What Lee typically does when working with companies. 08:57 The “what” of delivery—connecting the “what” to the “clinical.” 10:52 Overseeing the pharmacy benefit manager (PBM). 12:37 EP241 with Vinay Patel. 12:50 Looking at the medical side of health. 15:46 Improving spend and improving quality simultaneously. 18:10 EP240 with Olivia Ross.18:53 Why centers of excellence make sense. 21:54 The “who”—who is providing the care. 24:06 Enabling and empowering PCPs and improving PCP pay to compensate for that. 26:57 Lee’s advice for brokers. 28:02 Lee’s advice for provider organizations, hospitals, and centers of excellence. 29:07 “Hospital systems are not [a] monolith.” You can learn more by visiting htahealth.com and by connecting with Lee on LinkedIn.  Register here for the July 14-15 Aspirational Healthcare Conference and have the registration fee waived using the promo code: !RICHTER$  Check out our newest #healthcarepodcast episode with Lee Lewis of #HealthTransformationAlliance (#HTA). #healthcare #podcast #digitalhealth #employerhealth Reducing #healthcarespend and improving #healthoutcomes. Lee Lewis of #HealthTransformationAlliance (#HTA) discusses his “playbook.” #healthcare #podcast #digitalhealth #employerhealth #AdministrativeSuperstructure and the “how” of Lee Lewis’s #employerhealth “playbook.” #HealthTransformationAlliance (#HTA) #healthcare #podcast #digitalhealth #employerhealth What does Lee Lewis of #HealthTransformationAlliance (#HTA) do to reduce #healthspend and improve #healthoutcomes when working with large employers? #healthcare #podcast #digitalhealth #employerhealth Connecting the “what” to the #clinical. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth How do you oversee the #pharmacybenefitmanager in all of this? Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Looking at the #medical side of #health. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM How reducing #healthcarespend actually improves #healthcareoutcomes and #healthcarequality. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Why do #CentersofExcellence make sense? Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Enabling and empowering #PCPs. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Lee Lewis of #HealthTransformationAlliance (#HTA) offers his advice for #healthcarebrokers. #healthcare #podcast #digitalhealth #employerhealth #PBM Lee Lewis of #HealthTransformationAlliance (#HTA) offers his advice for #healthcareproviders, #hospitals, and #COEs. #healthcare #podcast #digitalhealth #employerhealth #PBM “Hospital systems are not [a] monolith.” Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM

What Could Possibly Go Right?
#39 Victor Lee Lewis: Liberation is a Nonlinear Process

What Could Possibly Go Right?

Play Episode Listen Later May 11, 2021 22:09


Victor Lee Lewis is a progressive life coach, trainer, speaker, and Founder of the Radical Resilience Institute. As a social justice educator, Victor brings a unique, socially progressive vision to the work of personal growth, personal empowerment, and emotional health. He addresses the question of “What Could Possibly Go Right?” with thoughts including:That many esteemed institutions and structures that we deeply believe in are counterfeit to what we really want and need.That humanity and life can’t bear another century of white supremacy, patriarchy, and Western enlightenment-based education. That “we need to unpack and detox our notions of freedom and liberty”, which has typically been construed in racial terms in the United States of America. That liberation is a nonlinear process and much has changed, even if progress isn’t always obvious.That this is an infinite game. “We're not trying to win it, we're not trying to complete it. We're in an infinite game that we want to keep going. I'm not trying to live forever. I'm trying to see that life lives forever.”That “as things fall apart, opening our hearts as well as our minds, and taking courage may yet carry us through.”ResourcesBook: "I Seem To Be A Verb" by Buckminster FullerBlog post: “An Easter Sermonette” by Vicki Robin https://vickirobin.com/an-easter-sermonette/ Current Conversations Episode #307 with Victor Lee Lewis https://www.youtube.com/watch?v=egZ9n7wtSxYConnect with Victor Lee LewisWebsite // FacebookFollow WCPGRFacebook // Twitter // InstagramJoin our Patreon Community to receive bonus conversations with guests and "backstage" conversations between Vicki and other podcast hosts.Learn more: https://bit.ly/wcpgr-resSupport the show (https://www.patreon.com/vickirobin)

Steven Phillips with The Morning Dish
The Morning Dish with Kenny Lee Lewis bassist/guitarist/vocalist with the Steve Miller Band.

Steven Phillips with The Morning Dish

Play Episode Listen Later Apr 13, 2021 17:56


Kenny has been a regular touring member, producer and writer for The Steve Miller Band since 1982.Kenny Lee LewisAn accomplished studio guitarist and bassist for over 30 years, a few of Kenny's other credits include Bonnie Raitt, Eddie Money, Dave Mason, Billy Preston, Peter Frampton, Boz Scaggs, Brian Wilson, and Steve Stills.Kenny's wide range of vocal stylings range from romantic ballads, blues, hard rock, reggae, and Latin. When not touring or recording, Kenny enjoys taking mature musical excursions when doing album projects, Movie and Television composing, or performing with his friends.Kenny Lee has just released his new comtemporary jazz instrumental guitar CD "New Vintage" on the New Folk/Allegro record label. Taking a break from playing such mega-hits like "Fly Like an Eagle" and "The Joker" for thousands on tour each summer, Kenny Lee has brought together some of the finest celebrity musicians in the business to offer this celebration of classic groove-jazz. Returning back to his early influences while playing in college jazz bands, Kenny Lee borrows sounds and techniques from Wes Montgomery, George Benson, and Howard Roberts.Featuring such notable players as Ricky Peterson, keyboardist and musical director for David Sanborn and currently with Bonnie Raitt. Billy Peterson, former bassist and arranger for the Steve Miller Band, and co-owner of The Artist Quarter jazz club in St. Paul, MN. Paul Peterson, bassist for Kenny Loggins, George Benson, and Oleta Adams. Danny Pelfrey, saxophonist/composer who's credits include Diana Ross and Carole King. Gordy Knutson, drummer for The Steve Miller Band and professor of percussion at the McNally-Smith College of Music in Minneapolis, MN. Jason DeLaire, saxophonist formerly with Michael Bolton. Dianne Steinberg, recording artist and actress who portrayed "Lucy" in the Robert Stigwood production of "Sgt. Pepper's Lonely Hearts Club Band" and many other talented session players."New Vintage" has recently had rave reviews in Guitar Player Magazine, Vintage Guitar Magazine, and Wine and Jazz Magazine.Contact: Ken Onstad AC Media LLC 13715 Rhode Island Ave So. Savage, MN., 55378 612-805-1775

Outcomes Rocket
How Employers are Transforming Healthcare with Lee Lewis, Chief Strategy Officer & GM Medical Solutions at Health Transformation Alliance

Outcomes Rocket

Play Episode Listen Later Apr 8, 2021 31:35


In this podcast, we are honored to host Lee Lewis. Lee is the Chief Strategy Officer and GM Medical Solutions for the Health Transformation Alliance. He discusses how his company is trying to save lives and billions of dollars. He shares how his company is working on getting daily data feed so they can make better-informed decisions clinically and financially, on bringing due diligence up to par. He has some very interesting (and funny) comparisons and is just an amazing conversationalist. There's plenty of nuggets in this interview, especially in terms of getting the best value of our health care dollar, so please tune in and enjoy! https://outcomesrocket.health/healthtransformationalliance/2020/09/

Smoked Meat podcast
Hanging with Kenny Lee Lewis from Steve Miller

Smoked Meat podcast

Play Episode Listen Later Mar 24, 2021 54:30


Had a blast talking with Kenny Lee Lewis. You may know him from such bands as the Steve Miller Band, the Beach Boys, Paul McArtney and so many more. Check him out at https://www.facebook.com/kennyleelewisofficial http://www.kennyleelewis.com/ Check out our great sponsors Joe's Underground - https://www.facebook.com/JoesUndergroundAugusta/ Four Points Trading Company - https://fourpointstradingco.com/ W.W. Restaurant Equipment - https://www.facebook.com/WW-Restaurant-Equipment-Co-1119318198084287 As always, share, subscribe and kick back --- Send in a voice message: https://anchor.fm/smokedmeat/message

Hub City Spokes - Lubbock, TX
Yvonne Limon with Lee Lewis Construction, Inc.

Hub City Spokes - Lubbock, TX

Play Episode Listen Later Mar 9, 2021 8:25


On today’s episode, Katherine White chats with Yvonne Limon, Marketing Director for Lee Lewis Construction, Inc. Hear why this Lubbock, Texas native chose to stay in the “Hub City” to pursue a thriving career in the local marketing industry. The post Yvonne Limon with Lee Lewis Construction, Inc. appeared first on Hub City Spokes.

RN Arts - ABC RN
Wesley Enoch doesn't want to be the only Indigenous artist in the room

RN Arts - ABC RN

Play Episode Listen Later Jan 25, 2021 54:04


As Wesley Enoch wraps up his five years as artistic director of the Sydney Festival, he reflects on his decades-long commitment to Indigenous storytelling, the legacy of his directorship and what comes next. Also, we hear a performance from Black Brass at the Perth Festival, inspired by stories of resilience from Perth's African communities, and discuss the enduring popularity of Our Town by Thornton Wilder.

RN Arts - ABC RN
Wesley Enoch doesn't want to be the only Indigenous artist in the room

RN Arts - ABC RN

Play Episode Listen Later Jan 25, 2021 54:04


As Wesley Enoch wraps up his five years as artistic director of the Sydney Festival, he reflects on his decades-long commitment to Indigenous storytelling, the legacy of his directorship and what comes next. Also, we hear a performance from Black Brass at the Perth Festival, inspired by stories of resilience from Perth's African communities, and discuss the enduring popularity of Our Town by Thornton Wilder.

15:14  - Biblical Counseling Coalition

Lee Lewis joins us for this episode of 15:14 to discuss his experience serving in a variety of ministry settings and locations. Lee is a BCC Council member and a member of the Association of Biblical Counselors. He and his family live in Austin, Texas, where he is Pastor of Soul Care Ministries at Radiant Church while also serving as a consultant for Soul Care Consulting. The previous three years were spent in Canada, where Lee was the Pastor of Biblical Soul Care for Harvest Bible Chapel in Muskoka. During that time, he also served in a directing/consulting role for a church plant network in Ontario. Before that, he served as a pastor at The Village Church for nearly 10 years. Lee is married to Andrea, and they have four children, Luke, Abel, Leah, and Miriam. Support 15:14 – A Podcast of the Biblical Counseling Coalition today at biblicalcounselingcoalition.org/donate.

Relentless Health Value
EP305: The 1% Most Expensive Claimants Racking Up Massive FFS Bills and Still Not Getting the Help They Need From Our Health Care System, With Darrell Moon, CEO of Orriant

Relentless Health Value

Play Episode Listen Later Jan 14, 2021 32:49


My guest in this health care podcast is Darrell Moon, who is the CEO over at Orriant. I was super intrigued by some of the work that Darrell and his team are doing regarding high-cost claimants. Said a different and probably better way, certain people in need of care were identified because they were costing so much. Year after year after year, these individuals—I call them hyper-users during this episode, but it’s possible I made that term up myself—these hyper-users were getting all kinds of expensive health care, while at the same time, they were not getting any better. So, Darrell and his team realized that something was afoot here, and it turned out to be a combination of maybe loneliness, maybe low self-esteem and low self-efficacy. And no matter how many times you go to the cardiologist or the rheumatologist or the pulmonologist, none of those things will be cured. In fact, when someone’s identity becomes their myriad of health issues, they have a sort of perverse incentive, if you think about it, not to follow any of their doctor’s recommendations to take meds or make lifestyle changes. So, while their underlying condition—low self-esteem, low self-efficacy—remains untreated, their physical health tends to actually get worse, not better, despite all the medical attention. What’s necessary to help this type of patient is the best that behavioral science has to offer. A nuance I found really interesting and important in the work that Darrell is doing is that it’s pretty easy to identify a hyper-user from someone with a horrid chronic condition simply requiring a lot of care. The hyper-users will respond and appreciate the extra attention that a behavioral health coach/program has to offer. In contrast, those with other ailments will just merely get annoyed—usually on the quick—so they exclude themselves from the program. Sidebar: My guest Darrell Moon is organizing an Aspirational Healthcare Conference for July 14 and 15, 2021. In that virtual meeting, the intent will be to highlight Southcentral Foundation’s Nuka System of Care in Alaska and other similar health care models that achieve much better health care outcomes at half the cost. So, check that out if you are so inclined. Thanks so much also to Lee Lewis from the HTA (Health Transformation Alliance) for the introduction to Darrell and Orriant. You can learn more at orriant.com. Darrell Moon founded Orriant in 1996 to change the dynamics of health care and give employers some control over the ever-increasing costs of the health care benefits they offer their employees. Darrell believed that engaging individuals in the management of their own health was a key that had to be inserted back into the economic equation of health care. Darrell received both his bachelor’s degree in finance and his master’s degree in healthcare administration from Brigham Young University. As the CEO, COO, or CFO, Darrell managed medical and psychiatric hospitals throughout the country for over 10 years prior to creating Orriant. He also has more than a decade of experience managing insurance and managed care products. Darrell is a Forbes leadership contributor. 03:11 What do CEOs want out of the health care system? 04:52 Is it a good strategy to focus on high-cost claimants? 07:04 Who are the people year over year that wind up in the high-cost claimant pool? 07:50 “Really, you have to get to the crux of the problem, which is … they’ve become a victim … to the health care system.” 08:16 Who are these “hyper-users” and how do we define them? 11:35 “Getting that person to have a regular relationship with someone isn’t the hard part; the hard part is then helping them to build their self-esteem.” 13:20 “That’s the key to building self-esteem—is helping people accomplish what’s most important to them.” 14:57 Why helping a patient not to view themselves as a victim helps them manage their care better. 17:45 “It’s often less the training and the right personality of the person.” 18:54 Do health outcomes correlate with the self-esteem of the patient? 19:28 “If you want to identify future claims, ask people two questions: 1) Tell me about your health … and 2) Tell me about your social experience.” 21:21 “They’re the customer/owner of their own health.” 24:23 “How do you help not just the 1% but everybody [in health care]?” 27:16 “The ideal environment is to have a massively powerful primary care team.” 27:47 “Having an influence on that person and what they do and how they behave is more important than getting the diagnosis right.” 29:34 “It’s not about just when [people] reach out … but [getting] people to reach out early.” You can learn more at orriant.com. Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth What do CEOs want out of the health care system? Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth Is it a good strategy to focus on high-cost claimants? Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Really, you have to get to the crux of the problem, which is … they’ve become a victim … to the health care system.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Getting that person to have a regular relationship with someone isn’t the hard part; the hard part is then helping them to build their self-esteem.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “That’s the key to building self-esteem—is helping people accomplish what’s most important to them.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It’s often less the training and the right personality of the person.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If you want to identify future claims, ask people two questions: 1) Tell me about your health … and 2) Tell me about your social experience.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “They’re the customer/owner of their own health.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “The ideal environment is to have a massively powerful primary care team.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Having an influence on that person and what they do and how they behave is more important than getting the diagnosis right.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It’s not about just when [people] reach out … but [getting] people to reach out early.” Darrell Moon of @Orriant discusses #ffs and #healthcarecosts on our #healthcarepodcast. #healthcare #podcast #digitalhealth

Health Focus
Suicide Prevention in Teens

Health Focus

Play Episode Listen Later Dec 29, 2020 3:58


This week Bobbi Conner talks with Dr. Lee Lewis about suicide prevention in teens. Dr. Lewis is a Child and Adolescent Psychiatrist in the Department of Psychiatry and Behavioral Sciences at MUSC. Transcript (PDF) available upon request.

You Really Shouldn't Have
Episode 36: Kenny Lee Lewis

You Really Shouldn't Have

Play Episode Listen Later Dec 14, 2020 23:06


Kenny Lee Lewis, bass player for the Steve Miller Band drops by to discuss his career in music along with the story of the worst gift he's ever been given! 

Health By Heather Hirsch
58. You make my heart flutter: Heart palpitations in women at midlife with Dr. Dara Lee Lewis

Health By Heather Hirsch

Play Episode Listen Later Nov 4, 2020


Listen in to this incredible episode as Dr. Hirsch interviews colleague and women's health cardiologist Dr. Dara Lee Lewis about what are the most common causes for these benign palpitations and the lifestyle measures that you can take at home to diminish the severity of these. The post 58. You make my heart flutter: Heart palpitations in women at midlife with Dr. Dara Lee Lewis appeared first on Heather Hirsch MD, MS, NCMP.

Speak The Truth
EP. 77 Interview W/Pastor & Biblical Counselor Lee Lewis: Establishing Mutual Soul Care In The Local Church

Speak The Truth

Play Episode Listen Later Oct 12, 2020 22:39


In this episode, host, Mike Van Dyke sits down with Pastor and Biblical Counselor, Lee Lewis to discuss establishing mutual soul care in the local church - bringing soul care into the life and culture of the local church. They discuss the process of evaluating the culture in a church - it's care culture and discipleship culture. And asking questions that may reveal being a Sunday heavy church. Is it time to change the model of our churches? Is the current model producing disciples that are equipped to love as Christ called us to in order to show the world that we are His disciples? Episode Resources: www.soulcareconsulting.com Material: Level 1 - Transforming Mutual Care. Level 2 - Transforming Small Group Leadership

Crazy Train Radio
Crazy Train Radio Interview with Musician Kenny Lee Lewis (Steve Miller Band)

Crazy Train Radio

Play Episode Listen Later Oct 6, 2020 62:53


Born in Pasadena, CA & raised in Sacramento this man is a self-taught musician Guitar, Bass, Vocals. An accomplished studio guitarist and bassist for over 30 years this man has been a regular touring member, producer & writer for The Steve Miller Band since 1982. Some of his other credits include playing with Bonnie Raitt, Eddie Money, Dave Mason, Billy Preston, Peter Frampton, Boz Scaggs, Brian Wilson & Steve Stills. Definitely felt like it was taking a deep dive into music history & really appreciated chatting with Mr. Lewis! Visit Mr. Lewis At: Website: http://kennyleelewis.com/ Twitter: @kennyleelewis Visit Crazy Train Radio Facebook: www.facebook.com/realctradio Instagram: @crazytrainradio Twitter: @RealCTRadio YouTube: www.youtube.com/crazytrainradio

Speak The Speech by Bell Shakespeare
S1 Ep6: Abbie-lee Lewis

Speak The Speech by Bell Shakespeare

Play Episode Listen Later Oct 5, 2020 36:31


This week Abbie-lee Lewis joins James on Speak The Speech performing and discussing Mercutio’s Queen Mab speech from Act 1, Scene 4 of Romeo and Juliet. Abbie-lee discusses dreamers and realists in Shakespeare’s famous tragedy, how iambic pentameter ‘clicked’ Shakespeare into place for her, and the importance of representation in the arts. Abbie-lee is a graduate of WAAPA. She has performed with Bell Shakespeare as part of The Players and has appeared in productions for young people of A Midsummer Night’s Dream and Macbeth. Most recently she was Assistant Director on Peter Evans' 2020 production of Hamlet.  

Speak The Truth
EP. 76 Counseling Anxiety: Trauma Induced Anxiety W/Beth Broom & Lee Lewis

Speak The Truth

Play Episode Listen Later Oct 5, 2020 28:20


In this episode, from the 2020 ABC National Conference, hosts, Mike & Shauna, discuss trauma-induced anxiety with experienced counselors, Beth Broom & Lee Lewis, identifying gospel gaps in the anxious heart. Episode Notes: *Trauma-Induced Anxiety *The effects of sin *Identifying gospel gaps in the anxious heart *Concern and trouble are sinful, it's when it goes beyond that to worry and anxiety *What we do with worry either leads to trust or anxiety. And depending on where that trust is, depends on when something turns into full blown anxiety. *Conditioned Anxiety - when one blows right past care and concern into anxiety. *Then anxious heart always puts God on trial and questions His character.

The Jimmy Star Show w/Ron Russell
George C. Romero/ Kenny Lee Lewis

The Jimmy Star Show w/Ron Russell

Play Episode Listen Later Sep 17, 2020 112:09


Director/Writer/Horror Icon George C. Romero and The Steve Miller Band's Kenny Lee Lewis join us on this episode of The Jimmy Star Show with Ron Russell broadcast live from the W4CY studios on Wednesday September 16th, 2020.The Jimmy Star Show with Ron Russell is broadcast live Wednesday's at 3PM ET. The Jimmy Star Show with Ron Russell TV Show is viewed on Talk 4 TV (www.talk4tv.com). The Jimmy Star Show with Ron Russell Radio Show is broadcast on W4CY Radio (www.w4cy.com) part of Talk 4 Radio (www.talk4radio.com) on the Talk 4 Media Network (www.talk4media.com).The podcast is also available on Talk 4 Podcasting (www.talk4podcasting.com).

Crime Over Coffee
Mini: Daniel Lee Lewis - Murderer

Crime Over Coffee

Play Episode Listen Later Sep 7, 2020 11:04


Daniel Lee Lewis was convicted for murdering a family in 1996. He spent about 23 years on death row and was put to death in Indiana on July 14th 2020. He was the first federal execution to happen in the United States in over 17 years. This is his story. Sources: https://www.the-sun.com/news/1127823/daniel-lewis-lee-death-row-crimes-dead/ https://www.cnn.com/2020/07/14/politics/daniel-lewis-lee-supreme-court-rule-execution/index.html https://www.adl.org/education/references/hate-symbols/ss-bolts https://www.blarney.com/triskele-_-triple-spiral-_-tri/ https://www.foxnews.com/us/daniel-lewis-lee-executed-torture-murder-first-federal-execution-17-years https://caselaw.findlaw.com/us-8th-circuit/1344687.html https://www.indystar.com/story/news/crime/2020/07/14/daniel-lewis-execution-indiana/5433395002/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/crimeovercoffee/message Support this podcast: https://anchor.fm/crimeovercoffee/support

The Tattness Podcast
S2 Ep. 34 Kenny Lee Lewis Of The Steve Miller Band

The Tattness Podcast

Play Episode Listen Later Sep 3, 2020 54:42


Tattness has a blast with Kenny Lee Lewis of The Steve Miller Band, a little sarcastic ball busting, stories, and we talk about egos and how to keep yourself grounded.

Outcomes Rocket
How Employers are Transforming Healthcare with Lee Lewis, Chief Strategy Officer & GM Medical Solutions at Health Transformation Alliance

Outcomes Rocket

Play Episode Listen Later Sep 3, 2020 31:35


In this podcast, we are honored to host Lee Lewis. Lee is the Chief Strategy Officer and GM Medical Solutions for the Health Transformation Alliance. He discusses how his company is trying to save lives and billions of dollars. He shares how his company is working on getting daily data feed so they can make better-informed decisions clinically and financially, on bringing due diligence up to par. He has some very interesting (and funny) comparisons and is just an amazing conversationalist. There's plenty of nuggets in this interview, especially in terms of getting the best value of our health care dollar, so please tune in and enjoy! https://outcomesrocket.health/healthtransformationalliance/2020/09/

The Daily Dive
WEEKEND EDITION- Daniel Lee Lewis First Man Executed in 17 Years, California Split on Schools Reopening, Sports Teams Get Tested for Coronavirus Every Day

The Daily Dive

Play Episode Listen Later Jul 18, 2020 26:06


This is a compilation of some of the most compelling stories of the week. Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

TARADIO
STEVEN LEE LEWIS talks about his love for music On THE GET UP with T.Y 29:05:2020

TARADIO

Play Episode Listen Later Jun 3, 2020 9:08


#TheGetUP #NewSingle #Acting #Singing #XFactor @StevenLeeMusiq #GettingCloser #Tar20In2020 #DSTV872 #OVHD609

Health Focus
Helping Children Manage Anxiety during the COVID-19 Pandemic

Health Focus

Play Episode Listen Later Jun 2, 2020 3:58


This week Bobbi Conner talks with Dr. Lee Lewis about helping children manage anxiety during the COVID-19 pandemic. Dr. Lewis is a Child and Adolescent Psychiatrist in the Department of Psychiatry and Behavioral Sciences at MUSC.

Speak The Truth
EP. 60 Depression A Year Later: A Gospel Response to Depression W/Lee Lewis (EP. 10 A/Year Ago)

Speak The Truth

Play Episode Listen Later Jun 1, 2020 34:15


This episode was from a year ago when we were at The 2019 "Called to Counsel" Conference interviewing Lee Lewis, pastor, and biblical counselor - discussing the nature of depression and biblically responsive ways to identify it and confront it. Our hosts and special guest provide a brief contrast on how our culture responds to depression and how the local church can respond to it and provide gospel hope through community; learning from depression and rightly orienting our hearts in the place of sorrow.

Speak The Truth
EP. 55 Building A Culture of Soul Care In The Local Church: Interview W/Lee Lewis

Speak The Truth

Play Episode Listen Later Apr 26, 2020 31:08


In this episode, the hosts, Mike & Shauna and special guest, Lee Lewis, talk about Lee's partnering organization - Soulcare Consulting. Soulcare Consulting specializes in helping local churches build a culture of soul care instead of a side avenue of care. They Provide Training, Resources, and Consulting for Church Leaders Who Want To Lead Healthy. A must-listen for pastors and lay leaders who want to implement a culture of soul care from the informal moments of the body to formal moments - from one to one discipleship to healthy community groups.

Pullin' Weeds
Mental Health Awareness

Pullin' Weeds

Play Episode Listen Later Dec 12, 2019 74:04


Pullin' Weeds visits with Dr. Lee Lewis and Dr. Lindsay M. Squeglia from the Medical University of South Carolina Department of Psychiatry and Behavioral Sciences to discuss Mental Health Awareness. If you feel you need help: Substance Abuse and Mental Health - https://www.samhsa.gov National Alliance on Mental Illness - https://www.nami.org

Relentless Health Value
EP252: The Not-So-Obvious Thing That Musculoskeletal Care and a 4-Minute Mile Have in Common, With Chad Gray, CEO of Integrated Musculoskeletal Care

Relentless Health Value

Play Episode Listen Later Dec 5, 2019 33:04


Musculoskeletal issues, otherwise known as MSK issues, account for something like 20% of the cost to any given health plan or employer or anyone else who is paying the bill for health care. That’s like one in every five dollars, which is meaningful when you consider million-dollar drugs and diabetes and all the other things that a purchaser of health care can write checks for. MSK is a big cost kahuna. In this health care podcast, I talk with Chad Gray, who is the CEO of IMC, Integrated Musculoskeletal Care. Interestingly, Chad says that the problem with MSK in this country isn’t a cost problem usually. It’s a quality problem. It’s a problem of patients getting a whole lot of care that doesn’t actually relieve their symptoms or underlying condition. This is what MSK care and the 4-minute mile have in common besides the blindingly obvious necessity of healthy bones to run fast. Everybody thought it was impossible for a human to run a 4-minute mile—until somebody did. And once that happened, it was like a dam opened and lots of people began breaking that previously impossible time. It’s conventional wisdom that MSK problems are mostly going to turn into intractable chronic conditions that ultimately result in surgery, which still doesn’t, in many cases, cure the symptoms or underlying problem. Chad Gray and his team over at IMC may have broken the 4-minute mile when it comes to inventing a systemic approach to MSK care that actually works. Prepare for the dam to burst. You can learn more at imcpt.com. Chad Gray, MS, PT, Cert MDT, is cofounder and CEO of Integrated Musculoskeletal Care, Inc (IMC), providing outcomes-accountable musculoskeletal care programs that improve overall health care quality, reduce costs, and improve patient and employee safety. He has over two decades of experience as a clinical practitioner and is a widely recognized entrepreneur, health-benefit design consultant, and concierge practitioner focused on innovations in musculoskeletal triage, health care, and self-care. 02:23 How big is musculoskeletal care in terms of health spend? 03:20 One out of three patients are seeking health care for musculoskeletal issues. 03:52 EP244 with Lee Lewis.05:13 “We don’t really have a cost problem in this domain; … we have … a quality problem.” 05:30 The increasing populations of chronic condition categories. 08:19 How to perform precision diagnosis at the macro and micro level. 09:13 Creating a new standard of care. 09:48 Taking accurate diagnosis and scaling that into best practices. 10:43 Ensuring that everyone is diagnosing in the same way. 11:24 EP225 with Joe Selby.13:50 What precision diagnostic tools look like to patients and clinicians. 16:17 Tracking data throughout the entire diagnosis and treatment process, including patient outcomes data. 17:03 Verifying and validating that patients are progressing better through IMC’s system. 19:20 The dramatic shift in quality and cost within this standardized care model. 20:43 “The single most common reason for an opioid prescription … is low-back pain.” 21:40 Why we are so behind on improving musculoskeletal care across the country. 23:50 Why there are such huge gaps in capability and understanding within musculoskeletal care. 24:38 “What’s broken? Why is it broken? How do we fix it? Once we fix it, what does it look like?” 27:06 IMC—Integrated Musculoskeletal Care—and the system they’ve developed to standardize musculoskeletal care and create precision diagnosis. 28:18 Identifying outliers. 28:40 IMC’s continuous feedback loop to show providers the quality metrics. 29:24 Preventing data pollution. 31:19 Connecting to employer-sponsored plans and other payer/provider organizations. You can learn more at imcpt.com.   Check out our newest #healthcarepodcast with Chad Gray of #IntegratedMusculoskeletalCare, as he talks standardizing one of health care’s biggest issues. #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes How big is #musculoskeletal #care in terms of health spend? Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes One out of three #patients are seeking help with #musculoskeletal issues. Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes “We don’t really have a cost problem in this domain; … we have … a quality problem.” Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes Why are the populations of #chroniccondition categories increasing? Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes Performing precision #diagnosis at the macro and micro levels. Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes Creating a new standard of care. Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes Scaling accurate diagnosis into best practice. Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes What do precision #diagnostictools look like to #patients and #clinicians? Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes Tracking #healthdata throughout the entire #diagnosis and #treatment process. Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes “The single most common reason for an #opioid prescription … is low-back pain.” Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes “What’s broken? Why is it broken? How do we fix it? Once we fix it, what does it look like?” Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes Why there are such huge gaps in capability and understanding within musculoskeletal care. Chad Gray of #IntegratedMusculoskeletalCare discusses. #healthcarepodcast #musculoskeletalcare #healthcare #podcast #digitalhealth #healthspend #healthoutcomes

Healing Our Ghosts
Victor Lee Lewis - Release Trauma With EFT

Healing Our Ghosts

Play Episode Listen Later Nov 21, 2019 61:51


Victor watched his sister die when he was not yet 4. He has no memories of the 2 years following that event. It took him a long time to discover EFT (Emotional Freedom Technique which is also known as tapping) which he describes as a life changing discovery. Victor Lee Lewis, who can be seen in the film Wrestling Ghosts, shares his insight on healing from severe trauma, discusses the healing powers of EFT and other somatic modalities, and explore the difference or complexity of healing from attachment trauma vs. PTSDBio:Victor Lee Lewis, MA, is the Founder and Director of the Radical Resilience Institute, and Radical Resilience Coaching and Consulting. He is a Progressive Life Coach, trainer, speaker, and social justice educator. His work supports transformative change agents in improving and maximizing their emotional resilience, mental flexibility, and personal performance and effectiveness. Victor brings a unique socially progressive vision to the work of personal growth, personal empowerment, and emotional health. He is a Neuro-Linguistic Programing Master (NLP) Practitioner, an NLP Health Practitioner, an EFT (Emotional Freedom Techniques) Advanced Practitioner, an AAMET-certifed EFT Trainer, a certified NLP hypnotherapist and a resilient and thriving trauma survivor.https://victorlewis.vpweb.com

Ariel Helwani's MMA Show
Adesanya In Studio, Masvidal, Till, Lee, Lewis, Perry, More

Ariel Helwani's MMA Show

Play Episode Listen Later Nov 4, 2019 212:30


Ariel begins the show by sharing his thoughts on a jam-packed UFC 244. The show's first guest, Darren Till, talks to Ariel about his decision defeat of Kelvin Gastelum in his middleweight debut (4:18). Then, BMF champion Jorge Masvidal discusses his victory over Nate Diaz, his next big challenge and why he's interested in a boxing match against Canelo Alvarez (24:10). Kevin Lee then joins Ariel to shed light on his knockout of Gregor Gillespie and where he'll go from here (49:00). After that, Stephen "Wonderboy" Thompson gives Ariel insight on his win over Vicente Luque (1:02:45) and "The Black Beast" Derrick Lewis explains why Blagoy Ivanov was one the toughest guys he's ever fought (1:11:55). While dealing with car trouble, welterweight Mike Perry talks with Ariel about his upcoming matchup with Geoff Neal at UFC 245 (1:27:20) and Walt Harris shares the latest on his missing daughter before explaining how the MMA community can help find her by emailing findaniahblanchard@gmail.com with any information (1:46:35). The new face of the UFC himself, Israel Adesanya, joins Ariel in studio to weigh in on Darren Till's performance, the BMF fight, his next opponent, when he'll fight Jon Jones and how he plans on staying grounded while experiencing this newfound fame (2:05:26). And finally, Audie Attar of Paradigm Sports Management and MMA manager Tim Simpson talk with Ariel about what it's like representing Adesanya and Leon Edwards (1:46:35). Plus, they weigh in on the latest with McGregor's next fight, his relationship with the UFC and McGregor's eagerness to overcome the legal and moral challenges he'll face in 2020

Relentless Health Value
EP244: A Playbook for Jumbo Employers—or Providers, Consultants, Carriers, or Pharma Who Get Paid by Jumbo Employers, With Lee Lewis, Chief Strategy Officer at the Health Transformation Alliance

Relentless Health Value

Play Episode Listen Later Sep 26, 2019 36:36


In this health care podcast, I speak with Lee Lewis, who is the newly minted chief strategy officer at the Health Transformation Alliance, otherwise known as the HTA. The HTA is a group of 50 major corporations that have come together in an alliance to do one thing: fix our broken health care system. Anyone who knows Lee knows he knows a lot about how to improve health care benefits for large employers. He’s pretty much the perfect guy to be the chief strategic officer at the HTA. The most amazing thing that I always find about improving health care, the structure of health care benefits, and health care benefits for an employer is that it’s like having your cake and eating it, too. On one hand, both the employer and the employee save money. On the other hand, employees get better care and they spend less time away from work struggling to navigate the health care jungle all by themselves. Lee has a playbook for improving the structure of health care benefits or health care benefits for large employers, and this playbook consists of three chapters, which we get into in this podcast. The first chapter covers the “how” of health benefits, including what Lee calls the “administrative superstructure.” The second chapter in Lee’s playbook is the “what,” which usually comprises drug spend and then, on the medical side, how care is delivered for specific clinical conditions like musculoskeletal, cardiometabolic, etc. There are a few conditions that tend to rack up the most costs categorically, and those are the ones that Lee focuses on. The last chapter in Lee’s playbook is the “who,” meaning where employees are steered to for care—and that also includes an emphasis on PCPs (primary care providers). You can learn more by visiting htahealth.com and by connecting with Lee on LinkedIn.  Lee Lewis is an innovator and strategist helping large, national, self-funded employers save millions on health care through leading practices, vendor partnerships, and member engagement. He pioneers methods around the convergence of digital health, medical consumerism, biomedical supercomputing, and system reengineering. Lee runs Gallagher’s Innovation Lab practice, a mission-driven group devoted to improving the cost, quality, and design of American health care. Lee advises several health start-ups working to solve meaningful health care problems. The Innovation Lab has a track record of breakthroughs. It leads the effort to bring sophisticated health plan audits to private employers. It pioneered specialty drug direct purchasing without using a PBM. His team led a grassroots effort to identify all independent freestanding emergency rooms in Texas. The Innovation Lab developed the first HSA-compliant model for back and joint pain prevention and is piloting the first-ever ultra-high-value virtual networks in two major US cities. His current and past clients include American Airlines, Comcast NBCUniversal, Albertsons grocery stores, The Home Depot, Abbott Laboratories, and dozens of other large and jumbo employers. Lee is a Rhodes Scholar nominee. He graduated second in his class, magna cum laude with university honors in accounting from Brigham Young University. 02:30 A playbook to reduce health care spend and achieve better outcomes. 02:47 The “how,” or “administrative superstructure.” 04:11 What Lee typically does when working with companies. 09:41 The “what” of delivery—connecting the “what” to the “clinical.” 11:42 Overseeing the pharmacy benefit manager (PBM). 13:46 EP241 with Vinay Patel.13:59 Looking at the medical side of health. 17:02 Improving spend and improving quality simultaneously. 19:30 EP240 with Olivia Ross.20:13 Why centers of excellence make sense. 25:13 The “who”—who is providing the care. 27:27 Enabling and empowering PCPs and improving PCP pay to compensate for that. 30:45 Where the HTA is headed. 32:26 Lee’s advice for brokers. 33:15 Lee’s advice for provider organizations, hospitals, and centers of excellence. 34:48 “Hospital systems are not monolith.” You can learn more by visiting htahealth.com and by connecting with Lee on LinkedIn.  Check out our newest #healthcarepodcast episode with Lee Lewis of #HealthTransformationAlliance (#HTA). #healthcare #podcast #digitalhealth #employerhealth Reducing #healthcarespend and improving #healthoutcomes. Lee Lewis of #HealthTransformationAlliance (#HTA) discusses his “playbook.” #healthcare #podcast #digitalhealth #employerhealth #AdministrativeSuperstructure and the “how” of Lee Lewis’s #employerhealth “playbook.” #HealthTransformationAlliance (#HTA) #healthcare #podcast #digitalhealth #employerhealth What does Lee Lewis of #HealthTransformationAlliance (#HTA) do to reduce #healthspend and improve #healthoutcomes when working with large employers? #healthcare #podcast #digitalhealth #employerhealth Connecting the “what” to the #clinical. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth How do you oversee the #pharmacybenefitmanager in all of this? Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Looking at the #medical side of #health. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM How reducing #healthcarespend actually improves #healthcareoutcomes and #healthcarequality. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Why do #CentersofExcellence make sense? Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Enabling and empowering #PCPs. Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Where is the #HTA headed? Lee Lewis of #HealthTransformationAlliance explains. #healthcare #podcast #digitalhealth #employerhealth #PBM Lee Lewis of #HealthTransformationAlliance (#HTA) offers his advice for #healthcarebrokers. #healthcare #podcast #digitalhealth #employerhealth #PBM Lee Lewis of #HealthTransformationAlliance (#HTA) offers his advice for #healthcareproviders, #hospitals, and #COEs. #healthcare #podcast #digitalhealth #employerhealth #PBM “Hospital systems are not [a] monolith.” Lee Lewis of #HealthTransformationAlliance (#HTA) explains. #healthcare #podcast #digitalhealth #employerhealth #PBM

Relentless Health Value
EP238: Who Will Be the Knights in Shining Armor Who Fix the American Health Care System? With Brian Klepper, PhD, From the Validation Institute

Relentless Health Value

Play Episode Listen Later Aug 8, 2019 36:27


We have gotten ourselves into this pickle: Americans—all of us as taxpayers, as patients, as employees, as employers—spend exorbitantly for highly variable results. Great work, great health care in some areas by some great physicians and their teams, and then voluminous other areas rife with overtreatment, errors, abysmal chronic care management, predatory pricing by entities owned by private equity or with billing departments gone wild. Who will be our knight in shining armor when it comes to fixing health care in the United States today? Will it be legislators? Will it be our current crop of large health care stakeholders? Will it be a self-proclaimed disrupter like Amazon or Haven Healthcare, that Amazon, Chase, and Berkshire Hathaway collaboration? In this health care podcast I speak with Brian Klepper, PhD. Brian has opinions on these questions. Spoiler alert: Some of the entities that Brian points to as intrinsic to the mission of fixing American health care are brokers who are not compensated in secret by insurance carriers. He also calls out primary care physicians and new primary care models as crucial. If you’re looking for brokers of this kind, go to healthrosetta.org for a list of them. You could also listen to my podcast with David Contorno (EP186). On the primary care side of the equation, listen to my chat with Jed Constantz (EP209) and also the one with Alex Lickerman (EP184). In case you haven’t heard of him, Brian is a health care analyst, commentator, and also an entrepreneur. He’s executive vice president at the Validation Institute, executive analyst and editor at the Health Value Institute, and principal of Healthcare Performance, Inc, a health care strategy and business development practice. He’s also principal of Worksite Health Advisors, a benefits consultancy. Formerly, Brian served as the CEO of the National Business Coalition on Health. You can learn more at careandcost.com, by emailing bklepper@gmail.com, and by visiting validationinstitute.com. Brian Klepper, PhD, is executive vice president of the Validation Institute, principal of Worksite Health Advisors, and a nationally prominent health care analyst and commentator. He speaks, writes, and advises extensively on high-performance health care, primary care clinics, and the management of clinical and financial risk. His current consulting focus is on health care organizations that consistently deliver better health outcomes at lower cost than conventional approaches in high-value niches. In his role at the Validation Institute, he spearheads programs that identify, validate, celebrate, and promote true high-performance health care programming. 02:54 How solving the health care crisis can be done within the marketplace. 04:13 “Half or more of everything that we do in health care is unnecessary or inappropriate.” 04:29 “We have come to depend upon doing the wrong thing.” 04:39 How we fix health care when the vested interests have no incentive to do so. 08:50 Money on the table vs doing the right thing. 10:24 What we should be doing right now to fix this before we price ourselves out of health care. 12:34 Why the health industry does have a marketplace. 18:29 Laser focusing initiatives to fix health care by fixing the biggest costs of health care and following the money. 19:37 “We’re not just talking about managing care; we’re talking about managing health care, clinical, and financial risks.” 22:34 EP186 with David Contorno. 22:50 Lee Lewis of Gallagher. 24:25 How the Validation Institute identifies high-performance vendors. 25:54 Why working with a broker is essential for employers in order to find health providers they can trust. 28:05 Health Rosetta, founded by Dave Chase. 28:17 An outcomes-accountable health care place. 28:30 Brian’s advice on what one of the “BUCAs” should be doing right now. 29:18 “Are they willing to make less money?” 30:53 “Big change is coming.” 31:15 Brian’s advice to organizations to prepare for and fix health care’s coming inflection point. 34:11 Places to watch that are ahead of the rest of the nation in making these changes: the South. You can learn more at careandcost.com, by emailing bklepper@gmail.com, and by visiting validationinstitute.com. How can the #healthcare crisis be solved by the #marketplace? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #podcast #digitalhealth #healthcost #healthincentives “Half or more of everything that we do in #healthcare is unnecessary or inappropriate.” @bklepper1 of @careandcost discusses on our #healthcarepodcast. #podcast #digitalhealth #healthcost #healthincentives “We have come to depend upon doing the wrong thing.” @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives How do we fix #healthcare when vested interests have no incentive to do so? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #podcast #digitalhealth #healthcost #healthincentives Money on the table vs doing the right thing. @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives Does the #healthindustry have a marketplace? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives Following the money to fix health care. @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives “We’re not just talking about managing care; we’re talking about managing health care, #clinical, and #financialrisks.” @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives How does the #validationinstitute identify high-performance vendors and #providers? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives

HACK sessions
Ep. 9 - Speak Affection with Jaime Lee Lewis

HACK sessions

Play Episode Listen Later Jul 15, 2019 87:16


This episode of HACK sessions has Jaime Lee Lewis as a guest. He is a highly sought-after Spoken Word Poet and Educator, as well as the 2016 Nyorican Slam Champion, and the first guest that I have actually met in person. Our conversation focuses on the concept of human vulnerability which naturally came as a result of paring his poem "Affection" with my piece, "Speak". Thanks for listening! Please subscribe, rate, review, and share with a friend!

Speak The Truth
EP. 10 Lee Lewis Interview On: Depression - A Gospel Response

Speak The Truth

Play Episode Listen Later Jun 2, 2019 34:15


In this episode we interview Lee Lewis, pastor, and biblical counselor on the nature of depression and biblically responsive ways to identify it and confront it. Our hosts and special guest provide a brief contrast on how our culture responds to depression and how the local church can respond to it and provide gospel hope through community; learning from depression and rightly orienting our hearts in the place of sorrow.

Jeff and Jeremy in the Morning
Kenny Lee Lewis tells us about his "Dead Man's Hand"!

Jeff and Jeremy in the Morning

Play Episode Listen Later May 8, 2019 11:40


Great conversation with Steve Miller Band Bassist Kenny Lee Lewis about how classic rock stars are out on the road more and more because of necessity. He also told us how his fretting hand became the hand of a Dead Man and shared his latest song with us.

Turn the lights out Podcast.
Episode #17 - Flat Earth

Turn the lights out Podcast.

Play Episode Listen Later Apr 14, 2019 101:21


The lads discuss James's recent fight news they also dmtalk flat earth with friend of the show Lee Lewis among many other subjects.

Crossway San Antonio
SOUL CARE_ GOD'S CALL TO THE CHURCH

Crossway San Antonio

Play Episode Listen Later Apr 1, 2019 37:49


Galatians 6:1-2 | Lee Lewis

Crossway San Antonio
SOUL CARE_ GOD'S CALL TO THE CHURCH

Crossway San Antonio

Play Episode Listen Later Apr 1, 2019 37:49


Galatians 6:1-2 | Lee Lewis

Turn the lights out Podcast.
Episode - #10 - Lee Lewis

Turn the lights out Podcast.

Play Episode Listen Later Feb 3, 2019 102:52


The lads are joined by former pro golfer Lee Lewis for a chat about a little of everything. Like, share and please leave a review

MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Self-Insured Employers: Takeaways for Providers

MedAxiom HeartTalk: Transforming Cardiovascular Care Together

Play Episode Listen Later Jan 30, 2019 15:59


Recent healthcare headlines tell us that disruptive change is happening at a staggering pace across the country, and now, the market is being led by, and developed to support, self-insured employers. This video focuses on how self-insured organizations are attempting to select providers, how they are looking to pay providers using a bid-price bundle methodology, and how providers can succeed in this rapidly changing environment. Joseph Sasson, Ph.D., Executive Vice President of MedAxiom Ventures, interviews Lee Lewis, Area Vice President of Arthur J. Gallagher, and Eric Haberichter, CEO of Access HealthNet, LLC.For more information, contact: HeartTalk@medaxiom.com or visit https://www.medaxiom.com.

Bklyn Mixtape
A conversation with educator, poet, artist, Jaime Lee Lewis

Bklyn Mixtape

Play Episode Listen Later Apr 20, 2018 36:06


Jaime Lee Lewis is a artist, poet, writer, and educator based in NYC, who uses the Info Commons recording studio to create the music and poetry that adds to his growing brand of artistic content.  Interviewed by Info Commons Librarian Phillip Bond

At The Hayes
Lee Lewis & Max Lambert

At The Hayes

Play Episode Listen Later Dec 16, 2017 57:31


Richard Carroll is joined by Helpmann-winning director Lee Lewis (artistic director of Griffin Theatre Company) and legendary Australian composer and musical director Max Lambert (The Boy From Oz, Miracle City) to discuss their new production of Darlinghurst Nights at the Hayes. Darlinghurst Nights is a classic Australian musical by Katherine Thomson and Max Lambert (based on the poems of Kenneth Slessor), which debuted at Sydney Theatre Company in 1988. The show depicts working class people in Kings Cross and Darlinghurst in the early 1930s. The 30th anniversary production at the Hayes brings the show to the very area it depicts. www.hayestheatre.com.au

You Need To Know Podcast
You Need To Know Podcast - Lee Lewis of I AM BLACK BUSINESS

You Need To Know Podcast

Play Episode Listen Later Oct 25, 2017 17:33


Tommy B Talks with Lee Lewis, Co-Founder of the Black Business Directory, WWW.IAMBLACKBUSINESS.COM . Find their new app on iTunes and for Droid devices by searching, "I Am Black Business."

Griffin Theatre Company
The D Word: Angela Catterns with Darren Yap, Michele Lee & Lee Lewis

Griffin Theatre Company

Play Episode Listen Later Aug 2, 2017 17:28


Angela Catterns interviews a panel of theatre professionals – including Darren Yap, Michele Lee & Lee Lewis – about cultural diversity in Australian theatre, now. Produced by Angela Catterns Sound by Jason Blackwell

Harvest Niagara
The Exposing Essence Of Suffering [July 30 2017]

Harvest Niagara

Play Episode Listen Later Jul 30, 2017 66:58


A sermon by Lee Lewis, Pastor of Biblical Soul Care in Harvest Bible Chapel Muskoka.

Backstage Pass with Meredith Marx
Backstage Pass #3 w/ Kenny Lee Lewis "The hum of the tour bus"

Backstage Pass with Meredith Marx

Play Episode Listen Later Jul 5, 2017 82:56


BAM!; Local Flavor with The Mayan Factor; Kenny's book about Twins on Amazon; Healthy veggie drinks!

JDSA's Law Talk
Common Questions About Commercial Litigation

JDSA's Law Talk

Play Episode Listen Later Jul 4, 2017 12:41


Being sued? You’re not alone. It happens to businesses every day. And it comes with a lot of questions. Is this a serious matter that is going to be decided by a jury, or a judge? Can you settle out of court? And who is paying for this lawsuit? Commercial Litigation involves virtually every type of dispute that can arise in business such as breach of contracts, partnership disputes, class actions, and other corporate disputes. In this episode, Lee Lewis discusses Common Questions About Commercial Litigation.

JDSA's Law Talk
When to Hire an Appellate Lawyer

JDSA's Law Talk

Play Episode Listen Later Jun 13, 2017 11:40


We’ve all heard someone say, “We plan to appeal the decision.” That’s where the Appellate Lawyers come in. Appellate Law is another stage in the litigation process. After a trial has reached a resolution or ruling, the appellate courts can be a “second look” to determine whether a decision was supported by facts, or legally correct. So, how do you know what decisions can be appealed – and what considerations should be made before considering an appeal? Is an appeal worth the money? Described as “the litigation after the litigation”, in this episode, Lee Lewis discusses When to Hire an Appellate Lawyer.

JDSA's Law Talk
What to Consider Before Signing a Construction Contract

JDSA's Law Talk

Play Episode Listen Later May 23, 2017 11:28


A well-drafted construction contract clearly contains the scope of work to be completed, the price to be paid, and the payment terms. It is the governing document that will control the relationship between the parties. However, what else should the contract include? And, what can be done to avoid potential problems? In this podcast episode, Lee Lewis discusses What to Consider Before Signing a Construction Contract.

Sydney Theatre Company
Ep 13: Angus Cerini on writing The Bleeding Tree

Sydney Theatre Company

Play Episode Listen Later Mar 7, 2017 12:56


We sit down with playwright Angus Cerini to discuss his multi-award-winning play The Bleeding Tree, which is about to open at STC's Wharf 1 Theatre. This production of The Bleeding Tree, directed by Lee Lewis, was originally staged at Griffin Theatre Company in 2015. Those shows quickly sold out, so its upcoming season at the Wharf gives those who missed out a second chance to see it. The Bleeding Tree, 9 Mar – 8 Apr 2017, Wharf 1 Theatre Seeing the show? Let us know your thoughts. Tag @sydneytheatreco and #STCBleedingTree

Art Smitten: Reviews - 2017
Review: The Homosexuals, Or Faggots

Art Smitten: Reviews - 2017

Play Episode Listen Later Feb 28, 2017 4:08


The Homosexuals, Or Faggots, is a new stage production at the Malthouse written by local theatre maker Declan Green, of Sisters Grimm, and directed by Griffin Theatre Companies artistic director Lee Lewis. I’ve been a fan of everything I’ve seen of Declan Greens works, and The Homosexuals, Or Faggots is no exception. It is a contemporary farce, set in a luxury apartment in Sydney owned by a married gay couple Warren and Kim,  played by Simon Burke and Simon Corfield, Kim and Warren are both white cis gay man, Warren is a journalist and Kim is a university lecturer on gender. The events of the play take place over one night, during mardigra, Warren is setting up to do a photo shoot with a young male model Lucacz, played by Lincoln Younes when Kim unexceptedly arrives home from a conference after being ‘cyber bullied’ by a student Bae Bae played by Mama Alto, Bae Bae, publicly critisized Kim for using the term ‘biological gender’ during one of his lectures. Warrens friend Diana arrives, played by Genevive Lemon, a older trans woman, and is keen to get to a party with Warren. Warren then is informed that he will be interviewing Bae Bae, and it all goes a bit wild from there. Pam, a young woman who Kim and Warren have a past with is also chucked into the mix, who is also played by Mama Alto. The performers work together beautifully as an ensemble, but Mama Alto, for me, was the stand out performer. Her unique performance style was extremely refreshing to see on a mainstream stage.  If you see this show just for Mama, it would be worth it! The Homosexuals is pretty full on, and at times I felt like it was too much for me, I actually had ‘nightmares’ that night about myself somehow being homophobic and transphobic and being ostracized by my friends, which is funny because I identify as queer and trans. I wonder what reaction cis, hetrosexual people had to this piece, I’d be interested to know because it really stuck with me. On a subconscious level at least, it evoked feelings of fear of being politically incorrect and hurting people. I find the show quite difficult to explain and talk about maybe because of its complexity or maybe because I’m scared of saying the wrong thing, or maybe both or another reason completely different, but it was a hell of a journey, which left me feeling exhausted, intellectually stimulated and generally satisfied with what happened, even though I’m not quite sure what happened internally for me, it was a clever story and very engaging. I was definitely invested in what was going to happen. This is a fast paced, intense, riot of a show, and it on at The Malthouse Theatre in Southbank until March 12th.   Written by Finley Fletcher

Griffin Theatre Company
State of Play: Angela Catterns with Fred Copperwaite, Lee Lewis, Chris Mead and Alana Valentine

Griffin Theatre Company

Play Episode Listen Later Feb 27, 2017 19:11


State of Play: Why do we need theatre in Australia? Angela Catterns interviews a panel of theatre professionals – including Fred Copperwaite, Lee Lewis, Chris Mead and Alana Valentine – about the state of Australian theatre, now. Produced by Angela Catterns Music by Charlie Chan Sound by Tony David Cray

Back Porch Productions Podcast
Episode #62 w/ Lee Lewis

Back Porch Productions Podcast

Play Episode Listen Later Jul 17, 2016 107:35


Tonight we bring in new listener and beer buddy Lee Lewis.  We try a ton of IPAs and a few other great beers.  We check out some tunes from Juliana & A Soul Purpose and Seven Shy during the show.  We also test another Bourbon County Stout and follow it with a stout to be named at the end of the show.  Worth the listen and did you all know how big the town of Keithsburg is?

Hit Parade
HIT PARADE del 21/03/2015 - Con Francesco Guccini

Hit Parade

Play Episode Listen Later Mar 21, 2015 26:18


Francesco Guccini oggi racconta l'impatto che il Rock 'n roll ebbe su di lui e i suoi coetanei quando raggiunse anche l'Italia degli anni 50. Spazio quindi a E. Presley, G. Vincent, J. Lee Lewis, Little Richard e... all'Avvelenata, forse l'unico suo pezzo con una vera anima rock.

derivative
TKJ Prodcast: What was the point of this song anyway? Oh yeah.

derivative

Play Episode Listen Later Mar 31, 2014 27:56


Featuring 3 brand new jingles and demoes including parodies of Billy Joel, Ryan Adams, and Oasis. This week, Jerry plays 5 great jingles including top trending tunes like "Did You Know I Know Magic?" and "Doctorate Degree (Jessie's Girl)." This episode also features several jingles about Tony's supporting cast and personalities from his life. Featuring performances by Paul Westerberg, Brad Weiss, Jason Thurman, Lee Lewis, Slim Stanton, Andy Schoenberger and Jerry Negrelli. All that, plus Baby Ana in the chick chair and the mailbag!

TK Jingles Weekly Prodcast
March 31, 2014: "What was the point of this song anyway? Oh yeah."

TK Jingles Weekly Prodcast

Play Episode Listen Later Mar 31, 2014 27:56


Featuring 3 brand new jingles and demoes including parodies of Billy Joel, Ryan Adams, and Oasis. This week, Jerry plays 5 great jingles including top trending tunes like "Did You Know I Know Magic?" and "Doctorate Degree (Jessie's Girl)." This episode also features several jingles about Tony's supporting cast and personalities from his life. Featuring performances by Paul Westerberg, Brad Weiss, Jason Thurman, Lee Lewis, Slim Stanton, Andy Schoenberger and Jerry Negrelli. All that, plus Baby Ana in the chick chair and the mailbag!

Richard Vasquez Podcast
124.OpenYourHeart:AllVinylMix on VestaxTurntablesBy:RichardVasquez.aka.Dr.Love.MB

Richard Vasquez Podcast

Play Episode Listen Later Aug 28, 2013 79:30


Tracklist for #124 1.OpenYourHeart - Madonna.SteveThompson 2.Trapped – ColonelAbrams.RichardBurgess 3.TurnMeLoose - WallyJumpJr.ArthurBaker.Jr.Vasquez.BoydJarvis. 4.SoSweet - LoleattaHolloway 5.DonQuichotte - Magazine60 6.BeyondTheClouds - Mr.Fingers (JackTrax 7.I'llNeverLetYouGo - WillIAmS 8.SevenWays - Hercules.MarshallJefferson (DanceMania) 9.RideTheRhythm - FrankieKnuckles (TraxRecords) 10.TimeToJack –ChipE 11.ICan'tTurnAround - FarleyJackmasterFunk&JessieSaunders 12.J'aiD'AdoreDancing - MarkImperial.RalphiRosario.LarrySturm (D.J.International) 13.DancingInOuterspace - Atmosfear http://www.theparadisegarage.net/pg/klewisonllevan.html Excerpt from article by Kevin Lewis From when it opened in January 1977, to its last party in the Autumn of 1987, the Paradise Garage was the clubbing focal point of New York. A place where dance artists like D-Train and Loleatta Holloway would come to perform. And the place where people like Mick Jagger, Stevie Wonder, Diana Ross, Grace Jones and Keith Haring would all hang out. It was the testing ground for labels like West-End and Salsoul, and producers like Francois Kevorkian and Levan himself. It was all these things, and much, much more. For the 2,000 regulars, Larry Levan was like a God. They even tagged his late-night sessions ‘Saturday Mass’. He did things with records that other DJs just didn’t do. He would tell a story with his music. Sometimes sending the crowd crazy, and minutes later, making them break down and cry. There was, and still is, no DJ like him. He was an insanely talented genius, both behind the turntables and in the studio. And he made the Paradise Garage the legend that it is. “He was the inspiration for all the important DJs in New York today,” says Mel Cheren, owner of disco-giant West End Records and executor of Levan’s estate. “People like Junior Vasquez, Frankie Knuckles and David Morales became DJs because of Larry.” Judy Weinstein, director of Knuckles and Morales’ Def mix organization agrees: “He was brilliant. A true genius. He was, and still is, the best.” And, as for why, six years after his death, Levan and the Garage are still placed at the pinacle of the clubbing world, fellow disco producer and regular guest DJ at the Garage, Francois Kevorkian, says this: “The reason why it is so important is because everyone and their mothers were there every week-end checking it out. It was so obviously and blatantly superior to anything else going on. You had the best sound system around, the most talented DJ you can imagine with amazing records that no-one else could get. Things he’d made himself and things others had made exclusively for him.” And yet it was more than just that. Levan was obsessed with perfection. He would spend hours re-arranging the speakers in the club until the sound was absolutely perfect. Then change it all again the next week so that the crowd didn’t get bored. “He was a technical wizard,” explains Weinstein, who got to know Levan working at Dave Mancuso’s NY Record Pool. “He could re-build a radio from scratch. He helped Richard Long create the Garage sound system. Larry would tell Richard what he wanted and if Richard told him that they couldn’t do it, he would keep on at it until it was invented for him. Larry would always find a way to make things happen.” David DePino, Levan’s best friend and the DJ who used to warm up for him, remembers his perfectionism on a different level: “He never wanted it to become stale, he never wanted it to become regular. He always said, “The people won’t come. They’ve gotta know that it’ll be different.’ And they did. People never came into a stale place. I’ve seen nights where everyone was rushing around to get things open and they’d forget something like cleaning the mirror-balls. It’d be one o’clock and Larry would run on to the dance floor with a ladder to clean all six mirror-balls. The record would run out and everyone would be standing there waiting. Not booing, nothing mad, just waiting. And when he finished, he’d go up and put the next record on and people would go mad. They loved that. The fact that even though he was the DJ, he’d spend half an hour cleaning all the mirror-balls.” He produced his music with a similar passion. There were times he would be in the studio week after week as he tested new versions of songs on the Garage crowd. Some records took over a year to complete. His passion for DJ-ing lead him to play on three turntables working studio effects and his own special edits into the mix. He invented the now commonplace trick of a capella mixing. The presentation of the music and the pure entertainment of his crowd was paramount. He would use video clips on the huge screen above the dance floor to accentuate certain records and, as the night wore on, he would upgrade the turntables to ones with state-of-the-art needles for the ultimate aural experience on the floor. Communication with the dance floor was his motivation. His message was one of love, hope, freedom and universal brotherhood. And the set of songs he played was the dialogue he used. He’d even leave gaps between certain parts of the journey. So if he played three songs in a row about music, and the next one was about freedom, he’d leave a short pause or drop in an effect. “He built sets with stories that went into one another,” explains Kevorkian. “I’m not saying that he only played vocals, but there was a concept there was a concept that he studied and became an amazing practitioner of. He was able to truly use songs, and when I say songs, I mean songs. I’m talking about songs with a voice speaking to you and inspiring you, not some crappy sample repeating 175 times until you’re made to feel like you’re very stupid because it has to be repeated that many times until you understand it. Songs with lyrics. And he used those lyrics to talk to people. It was very, very common for people on the dance floor to feel like he was talking to them directly through the record. And it was a two way thing. Not just the DJ saying, ‘Here is the law,’ or the crowd saying, ‘We’ll only listen to this,’ there was an unspoken mental energy flowing back and forth. I think, more than anyone else I’ve known, he was the one that could pick this up more than anyone else.” That ability to talk to the dance floor is one of the main reasons why Levan is still revered today. He created something so special between the hours of midnight on a Saturday night and whenever the club closed on Sunday afternoon, that the crowd came back religiously, week after week, for more. “You had 1000-1200 people actually on that dance floor communing together,” continues Kevorkian. “Sharing their energies together to the music. Singing the lyrics and ad-libbing on top of the music. Today I see 1200 people on the dance floor each in their own little mental head-space. Isolated from each other most of the time. Sometimes clubs get off a little, but not at the level of the Garage. And if you haven’t seen it, I’m sorry to say, but you can’t understand it. It’s like telling me you’ve seen a bicycle ride and I’ve seen race-cars and rockets. It’s a whole different thing.” “If there were 2,000 people in there every Saturday,” adds Depino, “a good thousand of them knew each other by name. And it was the same, year after year.” The one thing, however, that really made Levan different from DJs today was that people actually loved him. Not just the hero figure. They loved Levan the person. They loved the fact that he would stop the music and spend half an hour cleaning the mirror-balls. They loved the fact that on membership days, when Michael Brody, the owner, would hold interviews for those wishing to join the club, Levan would open the back door, let the huge queue of hopefuls into the club and start playing the biggest records of the week (much to Brody’s annoyance). They loved the fact that he would put on a record, then run straight down to the dance floor and join in the party. They loved it when he hooked up his radio the sound system and played the Garage mix show on WBLS back to the crowd. They loved the fact that his passion for the party was completely all-consuming and that sometimes, he was just plain crazy. --Lee Lewis

Red Town Radio
Kenny Lee Lewis - The Rawkin Mohawk

Red Town Radio

Play Episode Listen Later Sep 25, 2011 61:00


Born in Pasadena, California, in 1954, Kenny grew up in a music-filled household. His early affinity to music is a reflection of his Native American roots. His bloodlines come directly from two Indian Nations, the Mohawk and the Cherokee.  Kenny Lee Lewis is credited as one of the songwriters who gave Steve Miller "personality". Yet, as many Native people do, he chose to stay in the background helping other artists to shine by composing for them. His "Cool Magic" on the Steve Miller Band's Abracadabra album reached Billboard's Hot 100 chart. And, his co-produced "Shangri-La" on Italian X-Rays was described as "the LP's standout track". Kenny’s "Midnight Train" was featured on The Steve Miller Band's 1993 WideRiver album. Always proud of his Native roots, Kenny Lee Lewis - the Rockin’ Mohawk, is showing America that Indian artists have talent and longevity in many musical genres.  He is currently a member of the Native American Music Association. It is the world’s leading membership-based association consisting of music industry professionals directly involved in the recording and distribution of traditional and contemporary Native American Music initiatives.   In addition to music, Kenny chooses to volunteer his time and talent to the cause of helping Native children who live with a disability. He serves as an Ambassador for a program that teaches Native parents to advocate for their children with school systems. He believes that it his duty to give back by serving the most vulnerable people in Native society. For more information and tour schedule for Kenny Lee Lewis - the Rockin’ Mohawk, please visit www.stevemillerband.com and www.kennyleelewis.com.

The Jimmy Star Show With Ron Russell
George C. Romero/ Kenny Lee Lewis

The Jimmy Star Show With Ron Russell

Play Episode Listen Later Jan 1, 1970 112:09


Director/Writer/Horror Icon George C. Romero and The Steve Miller Band's Kenny Lee Lewis join us on this episode of The Jimmy Star Show with Ron Russell broadcast live from the W4CY studios on Wednesday September 16th, 2020. Support this podcast at — https://redcircle.com/the-jimmy-star-show-with-ron-russell9600/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy