Podcasts about leonard davis institute

In a conversation with CancerNetwork®, Oluwadamilola “Lola” Fayanju, MD, MA, MPHS, FACS, discussed the key findings from a study she published in JAMA Network Open, which demonstrated that most patients with inflammatory breast cancer do not receive all available types of guideline-concordant care they are eligible for. Additionally, data showed disparities regarding receipt of modality-specific therapy among patients who were Black, Asian, Hispanic, or other racial minority populations. Based on these findings, Fayanju highlighted potential next steps for mitigating these gaps in care for certain patients with breast cancer. These strategies included revising stringent inclusion criteria for clinical trial enrollment, which may disproportionately exclude racial minority populations who have higher rates of diabetes or other medical conditions. Fayanju also emphasized educating clinicians across different oncology specialties to recognize how different populations present with inflammatory breast cancer and better understand the context in which patients receive treatment. “I hope [the study] makes some people angry…Frustration can be a wonderful fuel,” Fayanju stated regarding her research. “[By] recognizing that there isn't as much guideline-concordant care receipt amongst all people as there should be and the hope that's provided when we achieve concordant care, we can mitigate and eliminate racial disparities. I hope [that] will motivate people to think about how we can get more guideline-concordant care to more people and how we can incorporate diverse populations in the development of guidelines for concordant care at the beginning. Then, how can we also develop treatments that achieve efficacious results across diverse populations?” Fayanju is the Helen O. Dickens Presidential Associate Professor, chief in the Division of Breast Surgery at Penn Medicine, surgical director of Rena Rowan Breast Center, director of Health Equity Innovation at Penn Center for Cancer Care Innovation (PC3I), and senior fellow at Leonard Davis Institute of Health Economics (LDI), Perelman School of Medicine at the University of Pennsylvania. Reference Tadros A, Diskin B, Sevilimedu V, et al. Trends in guideline-concordant care for inflammatory breast cancer. JAMA Netw Open. 2025;8(2):e2454506. doi:10.1001/jamanetworkopen.2024.54506

About this episode: As a follow up to our recent episode titled The Potential Impacts of Cuts To Medicaid, we're partnering with our friends at the Tradeoffs podcast. Guest hosts Dan Gorenstein and Ryan Levi, longtime health reporters, take a deeper look at why many Republicans believe a smaller Medicaid program would be a better Medicaid, what proposed cuts might look like, and the challenges Republicans may face in trying to get cuts passed in Congress. Guests: Dan Gorenstein is the executive producer and host of the Tradeoffs Podcast and an adjunct senior fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania.   Ryan Levi is a reporter and producer for the Tradeoffs Podcast. Show links and related content: Why Many Republicans Think Shrinking Medicaid Will Make It Better—Tradeoffs The Potential Impacts of Cuts To Medicaid—Public Health On Call (March 2025) The Oregon Experiment—Effects of Medicaid on Clinical Outcomes—The New England Journal of Medicine (2013) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

Today, we are joined by Dr. Kathy Pearson and Dr. Gregg Pearson.Dr. Kathy Pearson, strategist, systems thinking expert, and decision-making authority, is President and Founder of Enterprise Learning Solutions. She is also an Adjunct Senior Fellow at the Leonard Davis Institute of Health Economics and has served as an adjunct Associate Professor in the Operations and Information Management Department at The Wharton School, both at the University of Pennsylvania. Kathy, an award-winning educator, collaborates with Executive Education groups and global organizations across industries like healthcare, finance, and technology, including clients such as Bank of America and Coca-Cola. She holds a BS in theoretical mathematics (Auburn University), an MS in Decision Sciences (Georgia State University), and a PhD in Industrial Engineering (Northwestern University).Dr. Gregg Pearson is a Partner at ELS and an Adjunct Professor of History at Lehigh University and La Salle University. He specializes in nineteenth-century American political history, twentieth-century American cultural history, military history, the history of technology, and business leadership. Gregg spent 16 years in the packaging industry, including as Northeast Region General Manager at Ball Corporation, overseeing $350M in revenue. He holds a PhD in History from Lehigh University, an MA from La Salle University, an MS in Industrial Engineering from Northwestern University, and is a graduate of the United States Military Academy at West Point.In this episode, we explore how Kennedy evolved as a leader, learning from earlier failures to develop a more effective crisis management approach that became the gold standard for leadership under extreme pressure.Key topics include:• How Kennedy's approach evolved from the Bay of Pigs failure to the Cuban Missile Crisis• The critical importance of gathering reliable information before making decisions• Why seeking contrary viewpoints helps leaders avoid confirmation bias• How clear "commander's intent" empowers teams to adapt in changing circumstances• The value of structured post-mortems to learn from both successes and failures-Website and live online programs: http://ims-online.comBlog: https://blog.ims-online.com/Podcast: https://ims-online.com/podcasts/LinkedIn: https://www.linkedin.com/in/charlesgood/Twitter: https://twitter.com/charlesgood99Chapters:(00:00) Introduction(02:00) Setting the Historical Context(04:40) Technique: Avoiding Confirmation Bias in Leadership(07:00) Tip: Making Decisions with Incomplete Information(09:00) Kennedy's Evolution as a Leader(12:00) Tool: The Role of Objective Information in Crisis(16:00) Tip: The Power of Clear Purpose in Uncertain Times(20:40) Tip: Learning from Failure to Improve Decision-Making(25:00) Technique: The Art of Compromise in Leadership(28:00) Tool: Military After-Action Reviews in Business Context(31:00) Conclusion

Today, we are joined by Dr. Kathy Pearson and Dr. Gregg Pearson. Dr. Kathy Pearson, strategist, systems thinking expert, and decision-making authority, is President and Founder of Enterprise Learning Solutions. She is also an Adjunct Senior Fellow at the Leonard Davis Institute of Health Economics and has served as an adjunct Associate Professor in the Operations and Information Management Department at The Wharton School, both at the University of Pennsylvania. Kathy, an award-winning educator, collaborates with Executive Education groups and global organizations across industries like healthcare, finance, and technology, including clients such as Bank of America and Coca-Cola. She holds a BS in theoretical mathematics (Auburn University), an MS in Decision Sciences (Georgia State University), and a PhD in Industrial Engineering (Northwestern University). Dr. Gregg Pearson is a Partner at ELS and an Adjunct Professor of History at Lehigh University and La Salle University. He specializes in nineteenth-century American political history, twentieth-century American cultural history, military history, the history of technology, and business leadership. Gregg spent 16 years in the packaging industry, including as Northeast Region General Manager at Ball Corporation, overseeing $350M in revenue. He holds a PhD in History from Lehigh University, an MA from La Salle University, an MS in Industrial Engineering from Northwestern University, and is a graduate of the United States Military Academy at West Point. In this episode, we delve into the historical context of Abraham Lincoln's leadership during one of America's most tumultuous times. Key topics include: • Lincoln's assembly of a diverse cabinet • Lincoln's strategic decision-making process • The importance of diversity of thought and trust in leadership We also dive into how modern leaders can cultivate humility, leverage diverse perspectives, and build trust to make informed decisions and drive their organizations forward. Dr. Kathy Pearson and Dr. Gregg Pearson's Website: https://www.elslearning.com/ - Website and live online programs: http://ims-online.com Blog: https://blog.ims-online.com/ Podcast: https://ims-online.com/podcasts/ LinkedIn: https://www.linkedin.com/in/charlesagood/ Twitter: https://twitter.com/charlesgood99 Chapters: (00:00) Introduction (01:47) Historical Context (04:09) Lincoln's Leadership Challenges (05:33) Tool: Diversity of Thought in Leadership (07:56) Lincoln's Humility (11:08) Technique: Fort Sumter Crisis Strategy (13:34) Tip: Building Trust (16:21) Emancipation Proclamation Deliberations (20:34) Tip: Decision-Making in Leadership (24:42) Lincoln's Trust and Support (27:49) Lincoln's Legacy and Leadership Lessons (31:14) Conclusion

In this episode, we're joined by Dr. Oluwadamilola "Lola" Fayanju, a leader in breast cancer care and health equity. With a remarkable background that spans clinical excellence and innovative research, Dr. Fayanju holds the Helen O. Dickens Presidential Associate Professorship at the University of Pennsylvania (PENN) and serves as Chief of Breast Surgery at Penn Medicine. She also leads as the Surgical Director of the Rena Rowan Breast Center, directs Health Equity Innovation at the Penn Center for Cancer Care Innovation, and is a Senior Fellow at the Leonard Davis Institute of Health Economics.

Evidence Based Perioperative Medicine (EBPOM)'s incredible World Congress in London continues and TopMedTalk is there bringing you exclusive interviews with delegates, guests and key opinion leaders. Here we have a much needed discussion regarding regulating artificial intelligence (AI) at the point of care, and the need for proper regulatory frameworks to ensure its safe and effective use. We stress the importance of clear policies and clinician training for AI implementation, highlighting the potential risks of misusing AI tools due to insufficient understanding of their outputs. How do we get transparency from AI manufacturers regarding the data sets used and the intended applications of their algorithms? Is there a need for independent verification bodies to assess the robustness of AI tools? The conversation concludes with a call for collaboration among clinicians, manufacturers, and regulators to harness the power of AI in healthcare while safeguarding patient outcomes, underscoring the exciting yet challenging future of AI in medicine. Presented by Andy Cumpstey and Joff Lacey with their guest Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care and Professor of Medicine at the University of Pennsylvania Perelman School of Medicine, Founder and Principal at Rubrum Advising, LLC, Senior Advisor of the Bipartisan Policy Center and FasterCures of the Milken Institute, Senior Fellow of the Leonard Davis Institute of Health Economics and Visiting Fellow of the Duke-Margolis Center. From July 2020-July 2023, he was the Chief Medical Officer and Director of the Center for Clinical Standards and Quality for the Centers for Medicare and Medicaid Services.

iHeartMedia participated in the annual NRG Choose to Give Media Flag Football Game which benefits Children's Hospital, Philabundance, Big Brothers/Big Sisters and Nemours Children's Hospital.  I speak to Mike Rombach VP and General Manager for NRG Energy.  https://www.nrg.com/The newly passed Philadelphia budget removes funding for syringes in needle exchange programs.  Residents in Kensington have complained about the proliferation of needles on the streets and the handling of the program by local nonprofits.  However Ronald Collman, MD, Professor of Medicine and Microbiology Director, Penn Center for AIDS research (CFAR) and Dr. Florence Momplaisir Assistant Professor, Division of Infectious Diseases, Associate Chief for Diversity, Equity, and Inclusion Fellow, Leonard Davis Institute of Health Economics University of Pennsylvania School of Medicine argue that this  is a misguided step that will harm not just people who inject drugs but the broader Philadelphia population.I'm joined by Angela Giampolo, of Giampolo Law Group and Philly Gay Lawyer  for our monthly feature SpeakOUT about issues related to the LGBTQIA community and how they conect  to the broader community.  This week we talk about how we can be better allies. https://www.phillygaylawyer.com/https://giampololaw.com/   

Welcome to What Matters Now, a weekly podcast exploring one key issue currently shaping Israel and the Jewish World. This week, host deputy editor Amanda Borschel-Dan speaks with legal expert Dr. Cochav Elkayam-Levy. October 7 was not the first time that rape was weaponized in warfare. If history teaches anything, it also won't be the last. Almost immediately following Hamas's murderous onslaught on southern Israel, humanitarian law expert Elkayam-Levy established and now heads The Civil Commission on Oct. 7th Crimes by Hamas against Women and Children. Elkayam-Levy is a Sophie Davis Post-Doctoral Fellow at Hebrew University's Leonard Davis Institute's program on Gender, Conflict Resolution and addition to lecturing at the Hebrew University in Jerusalem and at Reichman University, she, along with her staff, has poured over thousands of pieces of documentation that chronicle Hamas's systemic use of rape and sexual violence against women. The silence and lack of condemnation of this violence from international bodies, including the 30-year-old United Nations office of the Special Rapporteur on violence against women, has been deafening to Israeli women. But domestically, Elkayam-Levy was recently awarded the Israel Prize, the highest honor the state of Israel bestows, as well as other honors. Borschel-Dan visited the headquarters of the Civil Commission on Oct. 7th Crimes by Hamas against Women and Children for a wide-ranging conversation. Listener discretion is advised. So this week, we ask Dr. Cochav Elkayam-Levy, what matters now? What Matters Now podcasts are available for download on Apple Podcasts, Spotify, YouTube or wherever you get your podcasts. This episode was produced by the Pod-Waves.  IMAGE: Law prof Dr. Cochav Elkayam-Levy (Martine Hami)See omnystudio.com/listener for privacy information.

Dr. Kim Waddell is an Assistant Professor in Physical Medicine and Rehabilitation at the University of Pennsylvania's Perelman School of Medicine as well as a faculty member with the Center for Health Incentives and Behavioral Economics, a Senior Fellow in the Leonard Davis Institute of Health Economics, and Research and Innovation Manager in the Penn Medicine Nudge Unit at the University of Pennsylvania. In addition, Kim is a Research Health Scientist at the VA Center for Health Equity Research and Promotion. Kim's research focuses on behavior change and how to help motivate people to make decisions that are more aligned with their longer term goals. She is particularly interested in physical activity and using approaches from behavioral science to motivate adults who have had a stroke or have Parkinson's disease to increase their daily activity. Another area that Kim is interested in is designing clinical decision support systems and ways to improve decision making to make sure that people are getting the right amount of the right kind of rehabilitation after stroke. When she's not working, Kim tries to go running as often as possible to clear her head and disconnect from technology. She also enjoys cooking, particularly trying new recipes, as well as watching local sports teams and traveling. Kim received her BS in Health Science from Truman State University and her Master's degree in Occupational Therapy from the University of North Carolina at Chapel Hill. She then attended Washington University in St. Louis where she earned her PhD in Movement Science and her Master's degree in Clinical Investigation. Kim conducted postdoctoral research at the VA and Penn before joining the faculty there. Recently, she was awarded the 2024 Academy of Behavioral Medicine Research's Early-Stage Investigator Award, and in our interview, she shares more about her life and science.

While stories of private equity firms running amok in health care are easy to find, new research paints a more nuanced picture.Guests:Ambar La Forgia, PhD, Professor of Management of Organizations, Berkeley Haas School of BusinessRachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of PennsylvaniaYashaswini Singh, PhD, Professor of Health Services, Policy and Practice, Brown University School of Public HealthAtul Gupta, PhD, Professor Health Care Management, Wharton School, University of Pennsylvania Learn more and read a full transcript on our website.Subscribe to our weekly newsletter.Follow us on X, LinkedIn and Youtube. Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.

Editor-in-Chief Sue Yom hosts Dr. Lachlan McDowell, a consultant Radiation Oncologist at the Princess Alexandra Hospital and the first author of a new paper this month, "A longitudinal study evaluating sexual health outcomes and prioritization in patients undergoing chemoradiation for human papillomavirus-associated oropharyngeal cancer," Dr. Jie Deng, Professor of Nursing, Senior Fellow at the Leonard Davis Institute of Health Economics, and Faculty Director of the Laboratory of Innovative & Translational Nursing Research at the University of Pennsylvania, and Dr. Barbara Murphy, Professor of Medicine, Hematology and Oncology Division Director, and Director of the Pain and Symptom Management Oncology Services at Vanderbilt University. Drs. Deng and Murphy were the first and last authors on a second paper this month, Longitudinal Pattern of Lymphedema and Fibrosis in Patients with Oral Cavity or Oropharyngeal Cancer: A Prospective Study.

You might be familiar with economics or the study of monetary scarcity, but have you heard of healthcare economics? In this episode, we explore the daily trade-offs inherent in healthcare with Dr. Jayadevappa, whose dedicated focus revolves around healthcare economics and racial disparities between African American and white Prostate Cancer patients. Dr. Jayadevappa offers a glimpse behind the scenes of healthcare decision-making and initiates a discussion on how to address the racial disparities prevalent among patients. This episode was supported by the Patient-Centered Outcomes Research Institute (PCORI) and features this study by Dr. Jayadevappa. Key Highlights: The three trade-offs in healthcare economics are: equity, efficiency, and quality of care. What are examples of overuse of low-value care? What are examples of underuse of high-value care? Racial disparities in healthcare, specifically in Prostate Cancer, between African American and white patients A current solution to disparities that healthcare researchers like Dr. Jayadevappa are looking into is shared decision-making through a preference assessment. About our guest: Dr. Ravishankar Jayadevappa, Ph.D., is an Associate Professor at the Perelman School of Medicine, University of Pennsylvania. He is also affiliated with the Abramson Cancer Center, the Leonard Davis Institute of Health Economics, and the Institute of Aging. Additionally, he holds a position as a Core Investigator at the Center for Health Equity Research and Policy at the Philadelphia VA Medical Center.  Dr. Jayadevappa's research aims to analyze the tradeoff between economic efficiency, equity, and quality, particularly in addressing health disparities based on race, ethnicity, income, and age. He has secured over $20 million in federal, non-federal, and industry-sponsored grants, leading numerous projects related to chronic diseases such as prostate cancer, bladder cancer, obesity, breast cancer, and Alzheimer's. With over 150 peer-reviewed papers and abstracts, Dr. Jayadevappa has made significant contributions to the oncology field and serves as an editor for several medical journals.  Key Moments: At 3:18 “... healthcare is kind of complex and our resources are limited. So it's always like when you try to achieve one thing, excess more of equity, then you are trading off with efficiency. Or if you are looking at only quality of care, you are trading off with equity or efficiency.” At 20:29 “...our hypothesis asked: is it true for African American patients, if they go to high volume physicians, is their quality of care naturally improved? But we found out that's not true… Then our next series of studies looked at the continuity of care. For instance, fragmented care, when they are in and out of the insurance plans or the healthcare providers. So that may be the reason…. And both recent papers concluded that lack of continuity of care was one of the driving forces of disparity in observed outcomes for African American patients." Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. --- Support this podcast: https://podcasters.spotify.com/pod/show/manta-cares/support

Marko Vujicic currently serves as Chief Economist and Vice President of the Health Policy Institute at the American Dental Association. In this role he oversees a comprehensive research program focusing on the U.S. dental care system. Previously, he was Senior Economist with The World Bank in Washington D.C. where he focused on health systems reform in developing countries and directed the global health workforce policy program. He was also a Health Economist with the World Health Organization in Geneva, Switzerland. In all of these roles, Dr. Vujicic led large-scale strategic initiatives focused on bringing cutting edge data and research to specific health policy challenges. Dr. Vujicic has published extensively in peer-reviewed journals such as Health Affairs, The New England Journal of Medicine, JAMA, Health Services Research, Health Economics, Social Science and Medicine, and Medical Care. He is also the lead author of the book, Working in Health, which examines health workforce challenges globally and has written several book chapters on health care policy issues. His team's work has been cited by CNN, The New York Times, NBC News, CNBC, The Washington Post, The Wall Street Journal, Fox News, PBS NOVA, and The Atlantic. He has been invited to provide testimony to federal and state legislative committees. Dr. Vujicic holds several academic appointments. He is adjunct senior fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania and affiliate faculty at the Center for Health and the Social Sciences, University of Chicago as well as the Center for Health Services and Policy Research at the University of British Columbia. He is an adjunct professor at the University of Toronto and a visiting assistant professor at Tufts University. Dr. Vujicic obtained his Ph.D. in Economics from the University of British Columbia and a Bachelor's degree in Business from McGill University in Montreal. Dr. Raymond Cohlmia is currently serving as Executive Director of the American Dental Association. He graduated with a Doctor of Dental Surgery Degree from the University of Oklahoma College of Dentistry in 1988. He was in private practice for 27 years with his father and brother, while also holding a faculty appointment at the College of Dentistry. He served as Assistant Dean for Clinical Operations from 2013 to 2015 and was appointed as Dean of the University of Oklahoma College of Dentistry from 2015 to 2021 and concurrently remained in the practice of dentistry during that time. Dr. Cohlmia has served as a delegate to the American Dental Association and 12th District Trustee from 2015 to 2019. Along with his involvement and leadership in academia, he has served in many capacities, including presidencies at the local and state level, served on many national councils, committees, and task forces for the American Dental Association, as well as many other dental organizations.

Over the last few years of the Covid pandemic we all became used to the idea of contagion and, in particular, how viruses spread through communities. But have you ever thought about how change – most especially behavioural change – spreads through networks, societies and, indeed, organisations? To explore this further we are joined on the Brain for Business podcast by one of the world's leading thinkers in this area, Professor Damon Centola. About our guest… Damon Centola is the Elihu Katz Professor of Communication, Sociology and Engineering at the University of Pennsylvania, where he is Director of the Network Dynamics Group and Senior Fellow at the Leonard Davis Institute of Health Economics. Damon's research centers on social networks and behavior change. His work has received numerous scientific awards and, in addition to his positions at the University of Pennsylvania, is a fellow of the Center for Advanced Study in the Behavioral Sciences at Stanford University. Popular accounts of Damon's work have appeared in The New York Times, The Washington Post, The Wall Street Journal, Wired, TIME, The Atlantic, Scientific American and CNN, among other outlets. He is a series editor for Princeton University Press and the author of How Behavior Spreads: The Science of Complex Contagions and Change: How to Make Big Things Happen. Damon's U Penn webpage can be accessed here: https://www.asc.upenn.edu/people/faculty/damon-centola-phd The Scientific American article referred to in the interview is available here: https://www.scientificamerican.com/article/the-25-revolution-how-big-does-a-minority-have-to-be-to-reshape-society/ The underlying research in that article is available via this link: https://www.science.org/doi/abs/10.1126/science.aas8827

In this episode, Xavier Bonilla has a dialogue with Pinar Yildirim about marketing in our current society. They begin by defining marketing, how marketing influences consumers, and the importance of design and branding in marketing. They also discuss consumer loyalty within marketing and global marketing. They talk about content moderation within social media, public vs. private organizations, Tik Tok and data privacy, and many other topics. Pinar Yildirim is Associate Professor of Marketing at the Wharton School, Associate Professor by courtesy at the Penn Department of Economics, NBER Faculty Fellow, Senior Fellow at the Center for Technology and Innovation at the University of Pennsylvania Law School, and Senior Fellow at the Leonard Davis Institute at the University of Pennsylvania. She holds a PhD degree in Marketing and Business Economics and a PhD in Engineering, both from the University of Pittsburgh.Pinar's research areas are technology, media and information economics. She focuses on applied theory and applied-economics of online platforms, advertising, networks, media, and politics. Her research appeared in leading management, marketing journals including Marketing Science, Journal of Marketing Research, Management Science, and Journal of Marketing. She has received numerous grants and honors including, Marketing Science Institute Scholar, and earlier the Young Scholar, Awards, Seenu Srinivasan Young Scholar Award in Quantitative Methodology and the Erin Anderson Award for Emerging Mentor and Scholar. Her research has been covered by numerous media outlets such as CNN, Wall Street Journal, New York Times, Washington Post, NPR, Forbes, Politico, Vox, San Francisco Chronicle, among others.  She is on the Editorial Board of Marketing Science and Journal of Marketing Research, two leading academic journals of marketing.Website: www.pinaryildirim.comTwitter: @prof_yildirim This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit convergingdialogues.substack.com

In today's episode, Claudio Lucarelli advocates for more nuance in cost-effectiveness measures.Lucarelli is an Associate Professor of Health Care Management at The Wharton School and a Senior Fellow at the Leonard Davis Institute for Health Economics at the University of Pennsylvania. He studies the importance of heterogeneity in preferences in the construction of the measurements we use to decide if a medication is worth its cost. Join our conversation with him about cost-effectiveness and heterogeneity!More information and references for this episode can be found here.WebsiteEmail: unbiased.est@gmail.comTwitter: @UnbiasedEstPodThe Unbiased Estimator is a production of the Duke Med Econ Interest Group. Host @DanWangMed. Co-host and Mixed by @iAnkitChoudhury. Music by Coma-Media from Pixabay.

Hoangmai (Mai) H. Pham, MD MPH, is President and CEO of Institute for Exceptional Care, a nonprofit committed to transforming healthcare for people with intellectual and/or developmental disabilities. She is a general internist and national health policy leader. She was Vice President, Provider Alignment Solutions at Anthem, Inc., responsible for value-based care initiatives at the country’s second largest health insurance company. Prior to Anthem, Dr. Pham served as Chief Innovation Officer at the Center for Medicare and Medicaid Innovation, where she was a founding official, and the architect of Medicare’s foundational programs on accountable care organizations and primary care. She was Co-Director of Research at the Center for Studying Health System Change and has published extensively in the medical literature on provider payment policy and its intersection with health disparities, care coordination, quality performance, provider behavior, and market trends. Dr. Pham serves on numerous advisory bodies, including the National Advisory Council for the Agency on Healthcare Research and Quality, the Maryland Primary Care Program, and the National Business Group on Health, and was a member of the Board Executive Committee at the Health Care Transformation Task Force. She is an Adjunct Fellow at the Leonard Davis Institute of Health Economics of the University of Pennsylvania, and Faculty at the Institute for Healthcare Improvement. Dr. Pham earned her A.B. from Harvard University, her M.D. from Temple University, and her M.P.H. from Johns Hopkins University where she was also a Robert Wood Johnson Clinical Scholar. Here’s a glimpse of what you’ll learn: The importance of engagement strategies to achieve an inclusive healthcare environment. Understand that meaningful engagement can promote joy in healthcare practices. Learn resources and tools available that may not have been provided in traditional medical educational programs Collaboration with patients, families and caregivers is a key component when providing patient care In this episode…. This podcast features Hoangmai (Mai) H. Pham, MD MPH. She discusses how her organization provides training for clinicians and hospital staff around creating an environment of inclusion. IEC was founded by healthcare professionals who also have disabled loved ones. They share the anxiety and isolation of navigating an opaque, disconnected, and underfunded world of support services. Through their training and services healthcare providers can learn how to better engage with patients who have disabilities fostering an environment of inclusion.

Reimbursement and Payment Models in Radiation Oncology. Our Editor-in-Chief Dr. Sue Yom hosts a discussion of reimbursement and the application of alternative payment models to radiation oncology. Guests are Dr. Brian Baumann, Assistant Professor of Radiation Oncology and Chief of the Genitourinary Service at Washington University in St. Louis, and Fellow of the Leonard Davis Institute of Health Economics at the University of Pennsylvania, and Dr. James Yu, Professor and Executive Vice Chair of Radiation Oncology at Columbia University, who specializes in genitourinary and brain malignancies and is an expert in population-based data and comparative effectiveness research. We discuss three articles, "Association of the Oncology Care Model with Value-Based Changes in Use of Radiation Therapy", "Decreases in Radiation Oncology Medicare Reimbursement over Time: Analysis by Billing Code", led by Dr. Baumann, and "The RO-APM: The Wrong Solution to the Wrong Problem", written by Dr. Yu. We review the recent history of payment models for radiation oncology and what this new research tells us about the ability of these models to affect the value or quality of radiation oncology care.

About or guests today  Dr. Rinad Beidas PhD  the director of the Penn Medicine Nudge Unit. She is also the founding director of the Penn Implementation Science Center at the Leonard Davis Institute, an associate director at the Center for Health Incentives and Behavioral Economics, and a professor in the Department of Psychiatry with a joint appointment in the Department of Medical Ethics and Health Policy at the Perelman School of Medicine. She has been appointed the  Chair and Ralph Seal Paffenbarger Professor of Medical Social Sciences at Northwestern U Feinberg SchoolScoping implementation science for the beginner: locating yourself on the “subway line” of translational researchSuicide is a leading cause of death in children and adolescents and a critical public health concern. One promising suicide prevention strategy that is under-utilized includes reducing access to lethal means, or means restriction.Dr. Sary Beidas MD,MBI   Internal medicine and Infectious disease specialist. Involved in education of medical students and residents as well as medical informatics at the clinic level.  Please subscribe to our podcast on apple or amazon and give us a great review. You can make suggestions for guest and topics on our web site below. Thanks for listening.  Follow us on social media YouTube, Instagram, Web PageThe Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into just what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between. The conversations are not intended as medical advice and the opinions expressed are solely those of the host and guest.

Dr. Liao is a physician and Associate Chair for Health Systems in the Department of Medicine at the University of Washington, where he is also the enterprise-wide Medical Director of Payment Strategy for UW Medicine. He trained in internal medicine at Brigham & Women's Hospital and was a Clinical Fellow in Medicine at Harvard Medical School. He is an Adjunct Senior Fellow at the Leonard Davis Institute of Health Economics in the Wharton School at the University of Pennsylvania. Dr. Liao is a leading national expert in health care payment and delivery policy, generating seminal work on value-based payment models, leading large grant-funded projects, and providing expertise to national and state policymakers through a number of capacities, including service on the US Department of Health and Human Services' Physician-Focused Payment Model Technical Advisory Committee, as well as multiple state advisory groups for Washington state. He has published 200+ articles, including over 150 in peer-reviewed medical journals such as the New England Journal of Medicine, the Lancet, the Journal of the American Medical Association, Health Affairs, the Annals of Internal Medicine, and the British Medical Journal. His ideas and insights have also appeared in outlets such as the Washington Post, Forbes, the Boston Globe, NPR, the Seattle Times, and the Philadelphia Inquirer. Bon and Josh talk about behavioral architecture, redesigning the healthcare payment system and the jump from Jacobean drama to Medicine.

President Biden wanted to spend $400 billion to help older and disabled Americans get health care at home, but the proposal has been cut by more than half as Democrats work to pare back their $3.5 trillion spending package. [This episode was originally published on April 8, 2021.]Guests:Howard Gleckman, Senior Fellow, Urban InstituteRachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics at the University of PennsylvaniaLearn more and read a full transcript of the episode: https://tradeoffs.org/2021/04/08/bidens-400-billion-bet-on-caring-for-older-and-disabled-americans-at-home/Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletterSupport this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

"Implementation science is really focused on bridging the evidence to practice gap" One of the highlights of the 2021 Evidence Based Perioperative Medicine (EBPOM) conference. This talk is provided to you in the hope you can help us to spread its content as far and wide as possible. It is introduced by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. Presented by Meghan Fall-Lane, Assistant Professor of Anesthesiology and Critical Care at the Perelman School of Medicine; Co-Director of the Penn Center for Perioperative Outcomes Research and Transformation; and Senior Fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania. Also - make sure you check out www.EBPOM.org for more information about the next conference in the perioperative medicine calendar.

Julian Harris, M.D., is a Partner on the Healthcare Services team at Deerfield and Chairman & CEO at ConcertoCare. Launched in 1994, Deerfield Management Company is an investment firm dedicated to advancing healthcare through information, investment and philanthropy — all toward the end goal of cures for disease, improved quality of life and reduced cost of care. ConcertoCare was formed recently by a combination of the assets of ConcertoHealth and Perfect Health. ConcertoCare is one of the nation's leading risk-based health care companies focused on providing integrated care for seniors where they are best served: in their homes. Before Deerfield, Dr. Harris was the founding President of CareAllies, Cigna's family of multi-payer provider services and home-based care businesses. Previously, he led US Strategic Operations for Cigna and managed a $500M internal investment portfolio focused on technology and innovation. Dr. Harris was also an Adviser to Google Ventures (GV) focused on tech-enabled health care services. Before GV, he led the health care team in the White House Office of Management and Budget (OMB). As the federal government's chief health care finance official, he oversaw a $1 trillion budget and provided management and policy oversight for a range of programs, including Medicare, Medicaid, FDA, NIH and CDC. He also served as the chief executive of the $11 billion Massachusetts Medicaid program. Dr. Harris trained in internal medicine and primary care at Harvard Medical School's Brigham & Women's Hospital and practiced as a hospitalist at Cambridge Health Alliance and as a clinical consultant for BestDoctors. He graduated summa cum laude with a B.A. in Health Policy & Medical Ethics from Duke University and holds an M.Sc. from Oxford University, where he studied as a Rhodes Scholar. He is also a graduate of The Wharton School of Business and the University of Pennsylvania's School of Medicine, where he currently serves as an Adjunct Professor. Dr. Harris is a trustee of the New York Academy of Medicine and a member of the advisory boards for the Leonard Davis Institute for Health Economics at Penn and the NYU Department of Population Health.

First of all, a shout-out to all of you listeners who have shared this show with colleagues and LISTSERVs—really appreciate it. It's because of you and your efforts to share that Relentless Health Value maintains its spot as one of the top podcasts reaching health care executives, executives who take the insights shared by our guests to drive actual change and transformation across our industry. So, thank you. Leaving a rating and/or a review on iTunes is also the bomb and really helps our RHV team stay motivated and keep it going. Weekly shows take a ton of work! Feedback is super appreciated. On to the topic this week: Who has read that white paper put out in February by the University of Pennsylvania, specifically, Penn's Leonard Davis Institute for Health Economics? It's called “The Future of Value-Based Payment: A Road Map to 2030.” I mentioned this paper last week, too. So, if you still haven't read it, go back after this show and take a look. There's links in show notes.  As with every interesting white paper, while you're reading it, you start thinking of more questions. That's why I was thrilled to get a chance speak with Mai Pham, MD, MPH. She is one of the paper's authors, a physician, and a trained health services researcher. Dr. Pham is a former chief innovation officer at the Centers for Medicare & Medicaid Services (CMS). She also spent time at Anthem doing value-based care (VBC) work for the enterprise on a national level. Further, she's the parent of an autistic child and founded the Institute for Exceptional Care to transform health care for people with IDD (meaning intellectual developmental disabilities), which I'll get to in a second. Here's some highlights from my discussion with Dr. Pham: Markets get distorted when insane quantities of dollars rush in. I'm thinking about Medicare Advantage and all of its attendant suppliers right now. Think about all of the amazing brainpower captivated by figuring out how to upcode at scale, which, by the way, only a minority of the time corresponds to actual spend. Dr. Pham has some words on this. Attaining value-based care results and adoption has a big problem. As a policy maker, you can't just keep trying to sweeten the value-based care pot. You don't want to plow even more money into the system. So, at a certain point, we all have to get real and realize that for the cost-driving entities in this country—those IDNs (independent delivery networks) with huge market clout—to get on the VBC bandwagon, value-based care probably has to be a mandate; and it also will mean making FFS (fee for service) much less attractive. Thirdly—and here's something I never considered—commercial prices drive up Medicare prices. You have hospital systems pointing to growing disparities between commercial rates when they negotiate for higher Medicare rates, when the hospital systems themselves created those deltas with their private-sector negotiations. Lastly, we chat national versus local health care reform and about indie doctors and the “why” behind consolidation. It aligns quite a bit, our conversation in this health care podcast, with the insights from the show last week with Nicole Bradberry and Kelly Conroy (EP324).  The last 6 minutes of this podcast is Dr. Pham's insight about the scope and impact of not caring adequately for people with neurodevelopmental disabilities. We're talking about somewhere between 10 and 16 million people, as Dr. Pham notes for perspective. That's the number of new cancer cases each year. Collectively, we spend as a country somewhere between 1% and 2% of the GDP all in on this patient population. You can learn more at ie-care.org.  Hoangmai (Mai) H. Pham, MD, MPH, is a general internist and national health policy leader. She was vice president, provider alignment solutions, at Anthem, Inc., responsible for value-based care initiatives at the country's second-largest health insurance company. Prior to Anthem, Dr. Pham served as chief innovation officer at the Centers for Medicare & Medicaid Services, where she was a founding official, and the architect of Medicare's foundational programs on accountable care organizations and primary care. She was co-director of research at the Center for Studying Health System Change and has published extensively on provider payment policy and its intersection with health disparities, quality performance, provider behavior, and market trends. Dr. Pham serves on numerous advisory bodies, including the National Advisory Council for the Agency on Healthcare Research and Quality, the Maryland Primary Care Program, and the National Business Group on Health, and was a member of the Board Executive Committee at the Health Care Transformation Task Force. Dr. Pham earned her bachelor's degree from Harvard University, her MD from Temple University, and her MPH from Johns Hopkins University, where she was also a Robert Wood Johnson Clinical Scholar. 04:22 What are the nuances within the promises of value-based care? 05:34 “For the first 10 years of … value-based care, it was right in order to generate momentum and get as much participation as possible.” 06:41 “When you leave yourself open to tackling prices, now you open up a whole world of possibilities in terms of how you could redirect sources.” 08:00 “Not all providers are the same.” 09:24 “It's time to stop tracking the phenomenon and actually pay for change.” 10:29 “We haven't done our best to actually make the alternative to value-based payment as bad as it could be.” 12:14 What's the path forward in value-based care, especially for specialists? 15:43 “There has been tremendous business opportunity in Medicare Advantage, not to the benefit of the trust funds.” 17:13 “As a citizen, I gotta ask, ‘How much is enough?'” 19:03 “It's not like we're talking about replacing a really superlative gold standard.” 19:34 EP263 with Andrew Eye from ClosedLoop.ai. 22:02 “It's not just about taking dollars away from certain subsectors; it's about reallocating some of those dollars.” 23:34 “Policy making itself tends to be siloed.” 25:02 “This is about paying some people in health care modestly less.” 25:35 “Most of the costs are driven by fixed costs.” 29:25 “Value-based care is not what has driven consolidation.” You can learn more at ie-care.org.  @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc What are the nuances within the promises of value-based care? @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “For the first 10 years of … value-based care, it was right in order to generate momentum and get as much participation as possible.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “When you leave yourself open to tackling prices, now you open up a whole world of possibilities in terms of how you could redirect sources.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “Not all providers are the same.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “It's time to stop tracking the phenomenon and actually pay for change.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “We haven't done our best to actually make the alternative to value-based payment as bad as it could be.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “As a citizen, I gotta ask, ‘How much is enough?'” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “It's not like we're talking about replacing a really superlative gold standard.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “It's not just about taking dollars away from certain subsectors; it's about reallocating some of those dollars.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “This is about paying some people in health care modestly less.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc “Value-based care is not what has driven consolidation.” @HoangmaiPham discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc

The pain of stigma comes out as Gary Mendell, CEO of Shatterproof talks about his son Brian. It is now his life mission to make a difference, and Shatterproof is doing just that. Shatterproof, under Gary’s leadership shows that words matter. For example, addiction is not just a chronic disease of the brain – it is a treatable chronic disease of the brain. Treatment gives hope. But how do we balance stigma as a stool for prevention – “don’t smoke” “drugs are bad” while we eliminate the stigma against a human being with a problem? Listen to Dr. Lev and Gary discuss this issue. Gary Mendell, Founder and CEO, Shatterproof Gary Mendell is the founder and CEO of Shatterproof, a national nonprofit dedicated to reversing the addiction crisis in the United States. After losing his son Brian to addiction in 2011, Gary founded Shatterproof to spare other families the tragedy his had suffered. Since founding Shatterproof, Mr. Mendell has been recognized as a national leader in the addiction space, working to transform how opioid and substance use disorders are treated. His priorities include advocating for state and federal policy change, ending the harmful stigma of addiction, and supporting and educating our communities. Mr. Mendell has testified in front of the President's Commission on Combating Drug Addiction and the Opioid Crisis and his opinions are frequently reflected in the media.  He also serves on the Executive Advisory Board of the University of Pennsylvania's Leonard Davis Institute of Health Economics, is a member of the National Quality Forum’s Technical Expert Panel for Opioid and Opioid Use Disorder, and is an advisory member of The Opioid Policy Research Collaborative at the Heller School for Social Policy and Management at Brandeis University. Before Shatterproof, Mr. Mendell spent decades as an entrepreneur. He founded HEI Hotels & Resorts, a multi-billion-dollar company that oversees a portfolio of approximately 70 first class hotels. Mr. Mendell received his B.S. from Cornell University's School of Hotel Administration and his MBA with distinction from the Wharton School at the University of Pennsylvania. Shatterproof.orgLearning Points: Ending the stigma of addiction Education – that addiction is a treatable disease Appropriate Language – make an impact on attitude Policy changes

In this special live episode, policy experts and employers debate the best way to improve the health insurance that 150 million Americans get through work. This session was part of “The Promise of Health Reform and a Public Option in a Biden Administration,” a virtual conference put on by the Leonard Davis Institute of Health Economics at the University of Pennsylvania and United States of Care.Guests:Brian Blase, PhD, CEO, Blase Policy Strategies; Senior Fellow, Galen Institute; Senior Fellow, Foundation for Government AccountabilitySuzanne Delbanco, PhD, MPH, Executive Director, Catalyst for Payment ReformAllison Hoffman, JD, Professor of Law and LDI Senior Fellow, University of PennsylvaniaShaundell Newsome, Founder, Sumnu Marketing; Co-Chair, Small Business for America’s FutureSheila Savageau, U.S. Healthcare Leader, General MotorsLearn more about shortcomings of employer-based solution and the policies proposed in this episode on our website: https://tradeoffs.org/2021/05/13/3-employers-2-wonks-and-1-health-insurance-mess/LISTEN BACK to our recent episode on how other employers are managing the cost of health care: https://tradeoffs.org/2021/02/18/the-high-price-of-lowering-health-costs/Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletterSupport this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

President Biden wants to spend $400 billion to help older and disabled Americans get health care at home as part of his $2 trillion infrastructure proposal, a huge investment in an often neglected part of the health care system.Guests:Howard Gleckman, Senior Fellow, Urban InstituteRachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics at the University of PennsylvaniaLearn more and read a full transcript of the episode: https://tradeoffs.org/2021/04/08/bidens-400-billion-bet-on-caring-for-older-and-disabled-americans-at-home/Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletterSupport this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

Dr. Patel is on faculty at the Penn Medicine Center for Health Care innovation and the Center for Health Incentives and behavioral economics, and a Staff Physician at the Crescenz VA Medical Center in Philadelphia, and a Senior Fellow at the Leonard Davis Institute of Health Economics. His research focuses on combining insights from behavioral economics with scalable technology platforms to improve health and health care. He has led more than 25 clinical trials in partnership with health systems, insurers, employers, and community organizations that tested ways to design nudges, incentives, and gamification to change clinician and patient behavior. This work includes digital health interventions using wearable devices and smartphones, and health system interventions using the electronic health record.

Damon Centola is a professor in the Annenberg School for Communication, the School of Arts and Sciences, and the School of Engineering and Applied Sciences at the University of Pennsylvania, where he is Director of the Network Dynamics Group and Senior Fellow at the Leonard Davis Institute of Health Economics. His latest book is Change: How to Make Big Things Happen. In this episode we talk about Damon's childhood growing up in an intentional community, the influence of his undergraduate curriculum in classics, how Heidegger changed his life, transitioning from philosophy and sociology, getting into network science at the perfect time, and building the academic ideas that became Change. Book list: https://bookshop.org/lists/the-damon-centola-social-change-reading-list/

Katy Milkman, Senior Fellow at the Leonard Davis Institute for Health Economics and Professor of Operations, Information & Decisions at Wharton, talks to Wharton Business Daily Host Dan Loney about the psychology behind persuading people to take a vaccine. See acast.com/privacy for privacy and opt-out information.

Damon Centola is a Professor in the Annenberg School for Communication, the School of Arts and Sciences, and the School of Engineering and Applied Sciences at the University of Pennsylvania, where he is Director of the Network Dynamics Group and Senior Fellow at the Leonard Davis Institute of Health Economics. His research addresses social networks and behavior change. His work has been published across several disciplines in journals such as Science, Proceedings of the National Academy of Sciences, American Journal of Sociology, and Journal of Statistical Physics. Before coming to Penn, Centola was an Assistant Professor at M.I.T. and a Robert Wood Johnson Fellow at Harvard University. His speaking and consulting clients include Amazon, Microsoft, Apple, Cigna, the Smithsonian Institution, the American Heart Association, the National Academies, the U.S. Army, and the NBA. Popular accounts of his work have appeared in The New York Times, The Washington Post, The Wall Street Journal, Wired, TIME, The Atlantic, Scientific American, and CNN.

At the end of 2020, Congress finally passed legislation protecting patients from surprise out-of-network medical bills. We dig into the research to understand what we can expect from this long-awaited policy fix.Guests:Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of MinnesotaBenjamin Chartock, Associate Fellow, Leonard Davis Institute of Health Economics; PhD Candidate, Wharton SchoolDig deeper into the research discussed in this episode: https://tradeoffs.org/2021/02/25/will-the-federal-ban-on-surprise-medical-bills-workSign up for our weekly newsletter to see what other research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletterSupport this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

Alison Buttenheim, the Silverstein Endowed Term Chair in Global Women's Health and Director of Engagement at the Leonard Davis Institute of Health Economics at Penn, talks to Dan Loney about the Coronavirus vaccine rollout, the issues with vaccine hesitancy and where she expects we will be by the fall. See acast.com/privacy for privacy and opt-out information.

Cuando se cumplen 15 años de la muerte del investigador Simon Wiesenthal, el Centro Simon Wiesenthal, la Federación de Comunidades Judías de España y el Centro Sefarad-Israel proponen una reflexión en torno a su legado y la importancia de su pensamiento en la lucha contra el odio hoy. Tras estar prisionero en el campo de Mauthausen-Gusen, Wiesenthal dedicó gran parte de su vida a identificar y perseguir a criminales nazis. La conferencia corre a cargo de Dr. Shimon Samuels, Director de Relaciones Internaciones del Centro Simon Wiesenthal en Paris. Anteriormente ha trabajado como director adjunto del Leonard Davis Institute for International Relations en la Universidad Hebrea de Jerusalén, como director europeo de ADL y director en Israel del AJC. Esta actividad coincide además con la fecha que recuerda los acontecimientos de lo que se llamó la “Noches de los Cristales Rotos” (9 de noviembre 1938).

This piece focuses on the work of our guest and her impact upon the crucial area of gender and racial diversity in the US Anesthesia and Critical Care Workforce. How can we advocate for diversity within this field? What do we make of the Athena SWAN (Scientific Women's Academic Network) charter? Can social media help to raise awareness and build communities that can tackle these issues? Also in this piece we discuss Implementation Science, the study of methods to promote the adoption and integration of evidence-based practices, interventions and policies into routine health care and public health settings. More about Athena SWAN (Scientific Women's Academic Network) here: https://www.ecu.ac.uk/equality-charters/athena-swan/ Presented by Desiree Chappell with Monty Mythen and their guest Meghan Fall-Lane, Assistant Professor of Anesthesiology and Critical Care at the Perelman School of Medicine; Co-Director of the Penn Center for Perioperative Outcomes Research and Transformation; and Senior Fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania.

Featured interview: Social media usage and fake news in the 2020 US Presidential election compared to 2016 -트럼프의 2020 미국 대선 소셜미디어 사용량 및 가짜 뉴스 유포 상황 Guest: Professor Pinar Yildirim, Assistant Professor of Marketing at the Wharton School and Senior Fellow at the Leonard Davis Institute, University of Pennsylvania

Andy Slavitt, MBA, discusses recent developments in the COVID-19 pandemic and the US response. Slavitt is former Acting CMS Administrator in the Obama administration, board director at the United States of Care in Washington, DC, and a Distinguished Health Policy Fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania in Philadelphia. Recorded October 16, 2020. Related Article: The COVID-19 Pandemic Underscores the Need to Address Structural Challenges of the US Health Care System

Andy Slavitt, MBA, discusses recent developments in the COVID-19 pandemic and the US response. Slavitt is former Acting CMS Administrator in the Obama administration, board director at the United States of Care in Washington, DC, and a Distinguished Health Policy Fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania in Philadelphia. Recorded October 16, 2020. Related Article: The COVID-19 Pandemic Underscores the Need to Address Structural Challenges of the US Health Care System

As we continue our fight against COVID-19, healthcare leaders and innovators are at the forefront of this battle to ensure we are equipped with the right arsenal to overcome one of the biggest public health crises of our lifetimes. Dr. David Asch, Executive Director of the Penn Medicine Center for Health Care Innovation, and his team are among the leaders creating and implementing game-changing innovations during this pandemic.  Join us in today’s episode as Dr. Asch dives deeply into Penn Medicine’s COVID Watch technology and their COBALT program to bring mental health relief to their employees while in the midst of the Coronavirus and beyond.  Dr. Asch exemplifies the passion his team and other innovators have in helping the world as we rally and work together in order to claim victory over this virus and prepare us for a brighter and healthier future. Episode Highlights: What is Penn Medicine Center for Health Care Innovation  Overview of COVID Watch  Patients' experience with COVID Watch Overview of COBALT program  How COBALT is helping frontline employees and first responders About Our Guest: Dr. David Asch is Executive Director of the Penn Medicine Center for Health Care Innovation and the John Morgan Professor at the Perelman School of Medicine and the Wharton School of the University of Pennsylvania. His research aims to improve how physicians and patients make health choices, combining economic analysis with psychological theory and consumer marketing in the field now called behavioral economics. From 1998 to 2012 he was Executive Director of the Leonard Davis Institute of Health Economics. He created and from 2001 to 2012 co-directed the VA Center for Health Equity Research and Promotion—the Department of Veterans Affairs’ national center to support vulnerable populations and reduce disparities in health and health care. Since 2012, he has directed health care innovation at Penn Medicine. Defining projects include streamlining clinical services, re-directing digital information flows for better clinical care and reduced clinician burden, developing and deploying information technology platforms to better engage patients in the management of acute and chronic disease, reducing dependence on tobacco and opioids and increasing the uptake of effective cancer screening and management, moving care safely out of hospitals and emergency rooms, and reshaping health benefit designs for greater value and employee satisfaction. He is a founding partner of the behavioral economics consulting firm, VAL Health. Dr. Asch received his bachelor’s degree from Harvard University and his MD from Weill-Cornell Medical College. He was a resident in Internal Medicine and a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania and received his MBA in Health Care Management and Decision Sciences from the Wharton School. Links Supporting This Episode: Penn Medicine Center for Health Care Innovation website: (https://healthcareinnovation.upenn.edu/) Dr. David Asch LinkedIn page: (https://www.linkedin.com/in/david-asch-390a378/) NEJM Journal article: (https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0342) Join our online community: (https://www.passionatepioneers.com/) Subscribe to newsletter: (https://forms.gle/4XjvmqWxaaNe21PX6) Guest nomination form: (https://docs.google.com/forms/d/e/1FAIpQLScqk_H_a79gCRsBLynkGp7JbdtFRWynTvPVV9ntOdEpExjQIQ/viewform) Support this podcast

Stephanie Creary, Assistant Professor of Management at the Wharton School, has been teaching a course called “Leading Diversity in Organizations” since Fall 2017. She was one of the principal investigators on a report from Wharton’s People Analytics Department and the firm Diversity Inc. that shows which practices seem to work for companies. Stephanie recently authored a piece in Harvard Business Review called “How to Be a Better Ally to Your Black Friends”. Her research centers on identifying and understanding the work that individuals and leaders do to manage identity in asymmetric relationships – where power differentials between relationship partners are high – and how their efforts shape self-views, relationship quality, and the performance of work. Her research also examines the effectiveness of diversity and inclusion practices. She is a founding faculty member of the Wharton IDEAS lab (Identity, Diversity, Engagement, Affect, and Social Relationships), an affiliated faculty member of Wharton People Analytics, a Senior Fellow of the Leonard Davis Institute of Health Economics (LDI), and affiliated faculty member of the Penn Center for Africana Studies. She heads the Leading Diversity@Wharton Speaker Series as part of her Leading Diversity in Organizations course at Wharton.In this episode, Stew and Stephanie discuss diversity, equity, and inclusion in the workplace, what seems to work and what doesn’t, how to be an effective ally for minority voices, and how to acknowledge and confront systemic racism to make our workplaces and our society more equitable and productive.Here then is an invitation, a challenge, for you, once you’ve listened to the conversation, if you’re interested in practicing to be a better ally to your Black colleagues. Find one with whom you can talk and express, in your own way, that you’re interested in listening and in trying to understand, to better related, to their experience. Write to Stew to let him know what you discover, at friedman@wharton.upenn.edu, or connect with him on LinkedIn. While you’re at it, share your thoughts with him on this episode and your ideas for people you’d like to hear on future shows. See acast.com/privacy for privacy and opt-out information.

This piece focuses on the work of our guest and her impact upon the crucial area of gender and racial diversity in the US Anesthesia and Critical Care Workforce. How can we advocate for diversity within this field? What do we make of the Athena SWAN (Scientific Women's Academic Network) charter? Can social media help to raise awareness and build communities that can tackle these issues? Also in this piece we discuss Implementation Science, the study of methods to promote the adoption and integration of evidence-based practices, interventions and policies into routine health care and public health settings. More about Athena SWAN (Scientific Women's Academic Network) here: https://www.ecu.ac.uk/equality-charters/athena-swan/ Presented by Desiree Chappell with Monty Mythen and their guest Meghan Fall-Lane, Assistant Professor of Anesthesiology and Critical Care at the Perelman School of Medicine; Co-Director of the Penn Center for Perioperative Outcomes Research and Transformation; and Senior Fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania.

Episode SummaryWith dubious news articles clogging the internet it can be difficult to know where to find information you can trust and that's where the Nerdy Girls come in. A group of ten (and growing) female public health experts, including guests of The Sydcast Alison Buttenheim and Lindsey Leininger, came together to provide evidence-based information on the COVID-19 pandemic to the public. Using their “Dear Pandemic” social media profiles, the Nerdy Girls have gone viral for their fact-based answers to everybody's questions about everything COVID. Prepare to feel better informed after this episode of The Sydcast.Syd Finkelstein Syd Finkelstein is the Steven Roth Professor of Management at the Tuck School of Business at Dartmouth College. He holds a Masters degree from the London School of Economics and a Ph.D. from Columbia University. Professor Finkelstein has published 25 books and 90 articles, including the bestsellers Why Smart Executives Fail and Superbosses: How Exceptional Leaders Master the Flow of Talent, which LinkedIn Chairman Reid Hoffman calls the “leadership guide for the Networked Age.” He is also a Fellow of the Academy of Management, a consultant and speaker to leading companies around the world, and a top 25 on the global Thinkers 50 list of top management gurus. Professor Finkelstein's research and consulting work often relies on in-depth and personal interviews with hundreds of people, an experience that led him to create and host his own podcast, The Sydcast, to uncover and share the stories of all sorts of fascinating people in business, sports, entertainment, politics, academia, and everyday life. Alison M. Buttenheim, PhDAlison M. Buttenheim wants to understand how people make decisions about their health and focuses her research on the use of behavioral economics to increase the uptake of evidence-based care. Her work ranges from how households in Peru decide whether to apply insecticide to eliminate a disease-carrying insect to why parents in the United States request exemptions from child immunization laws. Patricia Bleznak Silverstein and the Howard A. Silverstein Term Endowed Professorship in Global Women's Health Assistant Professor of Health Policy, Perelman School of MedicineSenior Fellow, Leonard Davis Institute of Health EconomicsAssociate Director, Center for Health Incentives and Behavioral EconomicsAssociate Director, National Clinician Scholars ProgramLindsey Leininger, PhDLindsey Leininger is a health services researcher who specializes in the health care experiences of vulnerable populations. Prior to joining Tuck, she spent a decade designing and managing advanced analytics projects supporting the Medicaid program. She pursued this work in both academic and non-academic settings, most recently as an associate director and senior researcher at Mathematica Policy Research. She has a longstanding interest in teaching and translating quantitative methods to professionals, and has taught and trained physicians, policy makers, and health care administrators.Clinical Professor of Business Administration, Tuck School of Business, Dartmouth CollegeAdjunct Professor of The Dartmouth InstituteInsights from this episode:Benefits of using communication that is understandable by the general population to provide scientific information on a complicated subject to reach a broader audience.Details on the origin of the Nerdy Girls, how they curate and validate information, and how they are evolving.Strategies behind using social media to reach different audiences and age groups to disseminate accurate information.Secrets we can learn from how the 1918 flu pandemic was managed that can still help today.How to reduce your risk of becoming infected using “personal harm reduction” methods such as forming “pods.”Differences between Sweden's approach to handling the COVID-19 pandemic versus the rest of the world.Benefits of wearing masks now more information has become available that highlights their efficacy.Quotes from the show:On science communication: “I come with a lot of empathy towards scientists because their institutional rewards are not based on translation. They get rewarded for the grants that they get and the scientific publications that they write. I think it's hard to expect scientists to be providing this service when their institutions don't reward it.” – Lindsey LeiningerOn how COVID-19 is motivating scientists: “I really think there are a lot of people who are getting off the bench and into the game right now.” – Lindsey LeiningerOn using social media: ”I would say the climate change folks are actually ahead of the curve … on understanding the science, not just communicating science, but the science of communicating science.” – Alison M. ButtenheimOn changing scientific terminology: “How you frame something is so important and climate change is a much, much more neutral name for something, global warming, it's pretty clear what's going on.” – Syd FinkelsteinOn comparing COVID-19 to the 1918 flu pandemic: “I think the context in which we're living is different enough that it's not unreasonable to be hopeful that we'll have a better outcome.” – Lindsey LeiningerOn comparing COVID-19 to the 1918 flu pandemic: “The other interesting parallel is that there was fake news in 1918. It was just a lot slower.” – Alison M. ButtenheimOn how to balance risk going forward: “That's going to be the name of the game for summer is people figuring out their comfort level.” – Alison M. Buttenheim“It's not that the mask is not going to help you, it's your management of that mask that will reduce the odds that it's going to help you. The mask itself is going to do a good job.” – Syd Finkelstein“I think the fight's actually on three fronts. I think it's on the vaccine front. I think it's on the clinical protocol front, and it's on the treatment front.” – Lindsey Leininger“I am hopeful. I really am hopeful on a vaccine and we have the best minds in the world working on this with a lot of resources.” – Lindsey LeiningerStay Connected: Syd FinkelsteinWebsite: http://thesydcast.comLinkedIn: Sydney FinkelsteinTwitter: @sydfinkelsteinFacebook: The SydcastInstagram: The SydcastThe Nerdy GirlsFacebook: Dear PandemicTwitter: @Dear PandemicInstagram: @Dear_PandemicSubscribe to our podcast + download each episode on Stitcher, iTunes, and Spotify.This episode was produced and managed by Podcast Laundry (www.podcastlaundry.com)

Gregory P. Shea, Ph.D., consults, teaches, researches, and writes in the areas of organizational and individual change, leadership, group effectiveness, and conflict resolution. He has worked extensively in multiple industries and with senior leadership including boards of directors as well as deep within organizations. He is a Senior Fellow at the Wharton School’s Center for Leadership and Change, Adjunct Professor of Management at the Wharton School of the University of Pennsylvania and of its Aresty Institute of Executive Education, Adjunct Senior Fellow at the Leonard Davis Institute of Health Economics at the Wharton School, President of Shea & Associates, Inc, and a Senior Consultant at the Center for Applied Research. He served as Academic Director for the Johnson and Johnson/Wharton Program for Health System CEO’s and for fourteen years as Academic Director for the Johnson and Johnson/Wharton Fellows Program for Nurse Executives. His awards include an Excellence in Teaching Award from Wharton. He is a member of the Academy of Management and the American Psychological Association.

Is it a good idea for hospitals to send patients recovering from COVID-19 to nursing homes?Guests:David Grabowski, PhD, Professor of Health Care Policy, Harvard Medical SchoolRachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of PennsylvaniaGet more information and read the transcript of this episode: https://tradeoffs.org/2020/04/03/after-the-hospital/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Support our show: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

In this episode, we spoke with Matt Loper, CEO and Co-Founder of Wellth, an app that helps people with chronic conditions improve their health through better adherence to their prescriptions. Matt’s company works with healthcare providers and insurers to provide rewards for patients who need small behavioral interventions to stay on track. Wellth does this by “giving” patients money at the start of each month to take their pills. To prove they’re on track, they use the Wellth app to take a photograph of their medicines in the palm of their hand. But every day that they miss, they are penalized in the form of fee, which nets them less money at the end of the month. This loss-contract model is gaining notoriety and it should be: Wellth discovered that positive incentives accounted for adherence rates around 60% while loss-contract models account for better than 90% adherence rates. Matt is quick to point out that the science of behavior change is not like chemistry, where all the inputs and outputs can be measured and is easily replicable. Behavioral science, Matt argues, is much more complex and requires more rigorous testing. In our grooving session, Kurt and Tim discuss loss contracts in greater depth and the complexities of the human condition.   Links Matt Loper: matt@wellthapp.com Kevin Volpp, PhD. Director, Center for Health Incentives and Behavioral Economics, Leonard Davis Institute: https://hcmg.wharton.upenn.edu/profile/volpp70/ Kevin Volpp’s group: https://chibe.upenn.edu/ Eisenberger & Camerer: https://www.deepdyve.com/lp/sage/eisenberger-r-cameron-j-1996-detrimental-effects-of-reward-reality-or-GQliEjHSH0 Teresa Amabile: http://www.hbs.edu/faculty/publication%20files/12-096.pdf Riding the Bike: http://blog.lanterngroup.com/?s=bike Ran Kivetz: https://www8.gsb.columbia.edu/cbs-directory/detail/rk566 Kurt Nelson: @motivationguru and https://www.linkedin.com/in/kurtwnelson/ Tim Houlihan: @THoulihan and https://www.linkedin.com/in/tim-houlihan-b-e/ Check out the Behavioral Grooves website: https://behavioralgrooves.com/   Musical Links Fleetwood Mac – Rumors: https://en.wikipedia.org/wiki/Rumours_(album) Stevie Nicks would be the IT girl today. https://en.wikipedia.org/wiki/Stevie_Nicks Simon & Garfunkel https://en.wikipedia.org/wiki/Simon_%26_Garfunkel Richard Prior – original, foul language comic. https://en.wikipedia.org/wiki/Richard_Pryor Glass Animals. https://www.glassanimals.com/ Alabama Shakes. https://www.alabamashakes.com/ Childish Gambino. https://en.wikipedia.org/wiki/Donald_Glover Kendrick Lamar. https://en.wikipedia.org/wiki/Kendrick_Lamar Led Zeppelin. https://en.wikipedia.org/wiki/Led_Zeppelin The Doors. https://en.wikipedia.org/wiki/The_Doors Black Keys. https://en.wikipedia.org/wiki/The_Black_Keys Kid Cudi: https://en.wikipedia.org/wiki/Kid_Cudi Haim: https://en.wikipedia.org/wiki/Haim_(band) "Loss Aversion" by Tim Houlihan & Kurt Nelson: https://www.youtube.com/watch?v=AyeRNVSWJAI&t=15s 

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's your chance to get virtual a place at one of the most influential gatherings of its kind in the world. Presented by Desiree Chappell with Monty Mythen and their guest Meghan Fall-Lane, Assistant Professor of Anesthesiology and Critical Care at the Perelman School of Medicine; Co-Director of the Penn Center for Perioperative Outcomes Research and Transformation; and Senior Fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania.

This week, we are discussing an article from the Journal Women’s Health Issues, entitled: Understanding High Utilization of Unscheduled Care in Pregnant Women of Low Socioeconomic Status, by Pooja Mehta, Tamala Carter, Cjloe Vinoya, Shreya Kangovi, and Sindhu Srinivas. Pooja Mehta, the lead author of the study, joins us for our conversation. You can find the interview with Dr. David Buck referenced in our conversation here. Dr. Mehta is Director of Maternal & Women’s Health Policy for the Consortium for Health Care Transformation, and Assistant Professor of Health Policy and Systems Management and Obstetrics and Gynecology at the Louisiana State University Health Sciences Center, advising the Louisiana Department of Health and Medicaid Program. Dr. Mehta’s interests are in the use of health care delivery innovation and community-engaged accountable care models to reduce reproductive health disparities, pregnancy-associated mortality, and low-value care, and to support patients with complex health and social needs. Her research has been supported by the Health Resources and Services Administration, the American College of Obstetricians and Gynecologists, and the Leonard Davis Institute of Health Economics. If you like the show, please rate and review us on itunes, google play, stitcher or your favorite podcasting app, which makes the show easier for others to find; and share us on social media. We tweet at @RoSpodcastand are on facebook at www.facebook.com/reviewofsystems. Please drop us a line at audrey@rospod.org. We’d love to hear from you. Listen at the end of the episode for a promo code to receive 15% off registration fees for an upcoming conference from the Harvard Center for Primary Care: Primary Care in 2020 – Future Challenges, Tips for Today.

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Lee Fleisher's talk; "ACOs are the only hope for affordable health care". Various questions from the audience follow a short conversation between Lee and our lead presenter Desiree Chappell. Presented by Desiree Chappell with her guest Lee A. Fleisher, Professor of Anesthesiology and Critical Care and Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania.

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in approximately 15 minutes, lays out the case for Accountable Care Organizations (ACOs) as the only hope for affordable health care. Presented by Lee A. Fleisher, Professor of Anesthesiology and Critical Care and Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania.

Australia hasn’t had a mass shooting event since 1996, after a law was introduced to curb firearm deaths. Requirements owning a gun were strengthened, including a 28 days wait period, an extensive background check, and only handguns available to citizens. Host Dan Loney talks with Postdoctoral Researchers at Wharton’s Leonard Davis Institute of Health Economics’ Ben Ukert and Elena Andreyeva, who are looking at long-term prevention of firearm injuries in their paper, “Association Between Gun Law Reforms and Intentional Firearm Deaths in Australia” on Knowledge@Wharton. See acast.com/privacy for privacy and opt-out information.

Burnout in the Nursing Profession is Not Yet A Priority Nursing burnout is still seen as a “soft” topic. How do we know that? Well, it is still a dilemma that organizations do not know what to do with. That and it is often bumped from the agenda. Think about it- what comes first? Hospital acquired infections? Fall rates? Suicide screening? Catheter acquired or central line infection rates? You know the drill. It is those things that we are measured on. The things that cost us money or hurt the organizational budget. Benchmarks that are tracked and then compared across organizations, counties, and even states. Nurse burnout gets bumped from meeting agendas. Resources such as time or money are not allocated to burnout. The nursing staff keeps working harder and the job continues to get tougher. What is a nurse to do? Nursing Burnout Meets Big Data  Organizational leaders and c-suite executive types speak in data. They prefer one page handouts, bulleted lists, and facts/figures. A lengthy, wonderfully written narrative just is not going to get through to them. Quite frankly, they don’t have the time to read it! So, as an individual nurse, what can we do to help nursing leadership realize that burnout must be a priority? Show them the data!! I use a classic example in my Nursing from Within keynote presentation to highlight the importance of burnout and how it affects the bottom line. Linda H. Aiken, Ph.D., FAAN, FRCN, RN is a nurse researcher who is currently the Director for the Center for Health Outcomes and Policy Research and a Senior Fellow of the Leonard Davis Institute for Health Economics. In her and her research team’s work on nurse burnout, staffing, and patient infections, they showed a relationship between nursing burnout and patient infection cost savings. From the article published in the American Journal of Infection Control: “In a multivariate model controlling for patient severity and nurse and hospital characteristics, only nurse burnout remained significantly associated with urinary tract infection (0.82; P = .03) and surgical site infection (1.56; P < .01) infection. Hospitals in which burnout was reduced by 30% had a total of 6,239 fewer infections, for an annual cost saving of up to $68 million.” Let’s read that number again… an annual cost saving of up to $68 million!!! Maybe sharing this article with the decision makers will help them open up to the fact that nursing burnout is NOT a soft topic. Patient Outcomes Via Nurse Engagement A burned out nurse is not happy at work. He or she is disengaged. The nurse who is experiencing burnout in the nursing profession is suffering both personally and professionally. And a nurse like that— well, you can guarantee that they are affecting the patient experience. If we are looking for positive patient outcomes, safety and quality indicators, and patients being satisfied with the healthcare experience… we need a nursing staff who is ready, willing, and able to take care of patients. A nursing group who feels excited to get into work and has the energy to care as much as it takes. And yes, we need organizations to support their nurses. However, we also need nurses who are accountable to their craft. Nurses who choose healthy behaviors. Who say “no” to people from time-to-time, setting healthy boundaries. We need nurses to choose themselves and their own-welling, without feeling guilty or selfish. We need each and every individual nurse to focus on solutions, appreciate the positive, and learn from every transformative experience. If we want positive patient outcomes, then we need healthy, happy nurses to care for them. Get your copy of Stop Nurse Burnout: https://elizabethscala.com/stop-nurse-burnout.  Check out the blog post that accompanies this episode here: https://elizabethscala.com/burnout-in-nursing-profession-priority/

Listen NowFor nearly four decades, Maryland's “all payer” system has set hospital prices for the state's 53 hospitals.  The state regulates prices for every insurer including Medicaid, Medicare and patients who pay their own bills.  Last week the state proposed to substantially alter how it pays state hospitals by creating over time a capitated payment system (a hard cap) that would increase overall spending using a ten year rolling average.  Maryland would save a minimum projected $300 million over the first three years of the program if the state managed to keep the pace of hospital costs commensurate with the state's economic growth.  If successful, Maryland would join one other state, Massachusetts, in tying hospital spending to the growth of the state's economy. During this 21-minute interview Mr. Cohen explains why Maryland's all payer system remains unique, why the state is now proposing to reform its all payer system, he explains how specifically it intends to revise its reimbursement formula, how it will work practically, how it will generate cost savings (largely through health care quality improvements) and what challenges the state will face should the federal goverment approve its proposal to revise its payment system.    Mr. Robb Cohen is currently Senior VP of Public Policy with the Gorman Health Group.  Prior to Robb founded XLHealth, a Special Needs Plan (SNP), and served as their Chief of Goverment Affairs.  Prior still Robb was the Founder and President of Phoenix Healthcare Consulting.  Robb graduated from the Wharton School of the University of Pennsylvania, the Leonard Davis Institute in Health Economics with an MBA in Finance and Healthcare Management.  Among other community activites Robb has served on a number of State of Maryland Department of Health & Mental Hygiene workgroups and task forces.To learn more about the Maryland proposal go to: http://dhmh.maryland.gov/SitePages/Medicare%20Waiver%20Modernization.aspx. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

Mary Naylor has a national and international reputation as a scholar for her program of research in the areas of transitional care and quality of life of vulnerable older adults. For more than a decade, Dr. Naylor has led an interdisciplinary team of scholars in the testing of an innovative, multidisciplinary model of care designed to improve health outcomes for high-risk elders and their caregivers. Findings from numerous studies conducted under her leadership have significantly advanced the quality of care and influenced health care policy for a growing population of older adults living with multiple health problems. Currently, Dr. Naylor is Director of the RAND/Hartford Center for Interdisciplinary Geriatric Health Care Research and Associate Director of the Center for Gerontologic Nursing Science and the John A. Hartford Center of Geriatric Nursing Excellence. In addition, she is Faculty Co-Director of the School of Nursing’s PACE program, Living Independently for Elders (LIFE) and a Senior Fellow at the Leonard Davis Institute of Health Economics.

Dr. Aiken is director of the Center for Health Outcomes and Policy Research, and is The Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and Senior Fellow of the Leonard Davis Institute of Health Economics at the University of Pennsylvania. Dr. Aiken is an authority on causes, consequences, and solutions for nurse shortages in the United States and around the world. Dr. Aiken leads the International Hospital Outcomes Consortium studying the impact of nursing on patient outcomes in 8 countries, and directed the Nursing Quality Improvement Program in Russia and Armenia demonstrating the successful application of twinning initiatives in nursing to improve hospital quality. She is a member of the Expert Advisory Panel guiding the World Alliance for Patient Safety. She is a leading expert on global nurse migration, its consequences, and solutions in developing and developed countries. Dr. Aiken is winner of the 2006 Baxter International Foundation’s William B. Graham Prize for Health Services Research, the 2006 Raymond and Beverly Sackler Award from Research! America for Sustained National Leadership in Health Research, and the 2005AcademyHealth Distinguished Investigator Award in Health Services Research. She won the 2003 Individual Earnest A. Codman Award from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for her leadership utilizing performance measures to demonstrate relationships between nursing care and patient outcomes. Her research is frequently cited by the press, and she is winner of 3 American Academy of Nursing Media Awards. She is a member of the Institute of Medicine of the National Academy of Sciences, the American Academy of Arts and Sciences, the American Academy of Political and Social Science, the National Academy of Social Insurance, and she is a former president of the American Academy of Nursing, and an Honorary Fellow of the Royal College of Nursing in the United Kingdom.

Dr. Aiken is director of the Center for Health Outcomes and Policy Research, and is The Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and Senior Fellow of the Leonard Davis Institute of Health Economics at the University of Pennsylvania. Dr. Aiken is an authority on causes, consequences, and solutions for nurse shortages in the United States and around the world. Dr. Aiken leads the International Hospital Outcomes Consortium studying the impact of nursing on patient outcomes in 8 countries, and directed the Nursing Quality Improvement Program in Russia and Armenia demonstrating the successful application of twinning initiatives in nursing to improve hospital quality. She is a member of the Expert Advisory Panel guiding the World Alliance for Patient Safety. She is a leading expert on global nurse migration, its consequences, and solutions in developing and developed countries. Dr. Aiken is winner of the 2006 Baxter International Foundation’s William B. Graham Prize for Health Services Research, the 2006 Raymond and Beverly Sackler Award from Research! America for Sustained National Leadership in Health Research, and the 2005AcademyHealth Distinguished Investigator Award in Health Services Research. She won the 2003 Individual Earnest A. Codman Award from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for her leadership utilizing performance measures to demonstrate relationships between nursing care and patient outcomes. Her research is frequently cited by the press, and she is winner of 3 American Academy of Nursing Media Awards. She is a member of the Institute of Medicine of the National Academy of Sciences, the American Academy of Arts and Sciences, the American Academy of Political and Social Science, the National Academy of Social Insurance, and she is a former president of the American Academy of Nursing, and an Honorary Fellow of the Royal College of Nursing in the United Kingdom.