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About Madhu Pawar:Madhu Pawar is a board director and cross-disciplinary technology leader operating at the intersection of healthcare, data, and product innovation. She serves on the Board of Directors at Talkspace (NASDAQ: TALK) and is the Chief Product Officer for Optum Insight, where she drives product strategy and platform innovation across UnitedHealth Group's most critical assets. Prior to Optum, she spent over six years at Google leading the global SMB Ads product ecosystem—overseeing AI-driven insights platforms, multi-billion-dollar revenue lines, and large-scale engineering, product, and operations teams across multiple continents. Madhu also teaches consumer analytics in healthcare as an adjunct professor at Carnegie Mellon University. Earlier in her career, she was a partner in McKinsey's Global Healthcare Practice, where she built and scaled technology and services businesses for payers, providers, and fast-growth health companies. She began her career in software engineering at Hewlett-Packard Labs, earning patents in authentication and location-aware computing, followed by roles at PwC in security and technology. Madhu holds graduate degrees from Stanford School of Medicine and Carnegie Mellon University and a bachelor's in computer engineering from Nanyang Technological University.Things You'll Learn:Real-time data exchange between payers and providers can significantly reduce the confusion, delays, and costs associated with today's claims processes. AI-enabled reasoning over contracts and encounters improves accuracy from the start.Optum Real aims to bridge the transparency gap by connecting stakeholders through a multi-party hub, enabling real-time understanding of coverage and reimbursement. Early pilots show tangible reductions in denials and improved patient clarity.The majority of first-time denied claims are avoidable, signaling an industry-wide opportunity to remove unnecessary rework. Solving this problem increases efficiency for providers, payers, and patients.Real-time intelligence opens the door for more effective value-based care arrangements. When providers can see financial implications instantly, incentives align more naturally.The long-term vision includes real-time payment flows, AI-driven clinical decision support, and improved patient engagement. Breaking down paper-based silos will unlock entirely new use cases at scale.Resources:Connect with and follow Madhu Pawar on LinkedIn.Follow Optum on LinkedIn and visit their website.
In this episode (from our National Conference), moderated by WEDI Chair Merri-Lee Stine (Aetna) and featuring Steve Berkow (InterSystems), Anna Taylor (MultiCare), and Stephan Rubin (Optum), we dive into the real-world state of CMS 0057 implementation, bringing together perspectives from payers, vendors, providers, and the HL7 Da Vinci implementer community. Our guests unpack where progress is being made, where complexity has crept in, and why testing, trust, and simplicity are critical to success. From navigating multiple players and messy real-world data to lessons learned from incremental implementation, the conversation highlights practical solutions that can move the industry forward. We close with a look ahead to 2026 and what the 0057 landscape—and broader interoperability environment—may look like as policy, technology, and collaboration continue to evolve.
What happens when a class clown from Monaghan builds one of the most quietly impactful healthtech companies in Europe - and then takes on the U.S. healthcare system? In this year-end episode of The Shot of Digital Health Therapy, we sat down with Neill Dunwoody
This episode, from our November National Conference, explores one of healthcare's most persistent challenges: how hospitals and health plans can move from operating at cross-purposes to truly rowing in the same direction. Our guests are Danielle Lloyd, SVP of Private Market Innovations and Quality Initiatives, AHIP and Molly Smith, Group VP for Public Policy, American Hospital Association. Led by moderator Stephan Rubin from Optum, Danielle and Molly dig into the misconceptions that providers and payers often hold about each other and discuss how better data transparency, shared incentives, and policy alignment — including recent CMS rules such as 0057F — can help bridge long-standing divides. The 3 examine the future of prior authorization, the promise and limits of interoperability initiatives like TEFCA and the CMS Aligned Network, and why value-based care still struggles to scale despite years of policy focus. Finally, they look ahead to the role of AI, automation, and emerging data standards in reshaping care delivery and payment, and ask what real payer-provider collaboration must look like to deliver a more seamless, efficient, and patient-centered healthcare system.
Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Dan Arnold of Brown University to discuss his recent paper exploring higher payments within UnitedHealth's Optum network, which found UHC Paid Optum providers more than non-Optum Providers using price transparency data. Order the November 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.
About Harpaul Sambhi:Harpaul Sambhi is a serial entrepreneur and the founder of Magical, where he's building Agentic AI for healthcare to transform how people and systems interact in one of the world's most vital industries. Based in the San Francisco Bay Area, Harpaul combines a deep technical background with a passion for human-centered innovation. Before founding Magical in 2020, he built and sold Careerify to LinkedIn, where he later led product initiatives within LinkedIn Talent Solutions and Microsoft, helping shape the future of talent acquisition and HR technology.Alongside building companies, Harpaul has served as Entrepreneur in Residence at Bain Capital Ventures, Advisor at On Deck, and a Limited Partner in leading VC funds, including Bain Capital Ventures, iNovia Capital, and OnDeck. Earlier in his career, he authored Social HR (published by Thomson-Reuters) and lectured at the Schulich Executive Education Centre on innovation, technology, and the evolving workplace.At his core, Harpaul is guided by simple principles—striving to be a good human and a dedicated father, husband, son, brother, and friend—while working with great people to build great products that make a difference. A graduate of the University of Waterloo with a degree in electrical engineering, he continues to live by curiosity, humility, and the drive to create technology that serves people, not the other way around.About Doug Hires:Douglas Hires is a seasoned healthcare executive, consultant, and entrepreneur with over 35 years of leadership experience across the healthcare and information technology sectors. Based in Dallas, Texas, Douglas has built a distinguished career driving operational excellence, business transformation, and financial performance for some of the nation's leading healthcare organizations. His expertise spans providers, payers, government, and life sciences, and his track record includes accelerating growth, restructuring operations, and guiding organizations through strategic reinvention.Currently, Douglas serves as Executive Advisor at Magical, Managing Partner at JD Hires Advisory Group, and Founder & President of New World Wine Designs, where he combines his business acumen with his passion for fine wine and craftsmanship through bespoke wine cellar design and building. He also advises healthcare and sales organizations through roles with Healthcare IT Leaders and SalesSparx LLC, lending his strategic insight to help teams scale with precision and purpose.Previously, Douglas held multiple senior leadership roles at Optum, including Chief Operating Officer for OptumInsight Provider and COO of the Hospital Services Division, overseeing end-to-end revenue cycle operations for Dignity Health's 36 hospitals. His earlier career includes executive roles at Santa Rosa Consulting, 3M Health Information Systems, SoftMed Systems, and First Consulting Group, where he earned recognition as a respected thought leader and sought-after industry speaker.Things You'll Learn:Agentic AI surpasses automation by reasoning, adapting, and executing end-to-end workflows, thereby freeing healthcare workers from repetitive tasks.Healthcare organizations are already seeing results, such as doubling prior authorization volume while cutting staff needs and decision times in half.The shift from RPA to agentic AI mirrors the evolution from MapQuest to autonomous vehicles, smarter, smoother, and self-correcting.Successful AI adoption requires attention to change management and staff reallocation, not just technology deployment.Evaluating AI vendors using six key pillars (reasoning, adaptability, interoperability, agility, scalability, and fault tolerance) helps cut through the hype and identify real solutions.Resources:Connect with and follow Harpaul Sambhi on LinkedIn.Connect with and follow Doug Hires on LinkedIn.Follow Magical on LinkedIn.Visit Magical's website.
Join us for a deeply human and candid conversation with someone who has mental health experiences from every angle. Melissa Fors Shackelford is a healthcare executive and the author of the Amazon #1 Best Seller, Harnessing Purpose.While Melissa is known for building compelling brands and advising Fortune 100 leaders, her path to purpose was forged through personal adversity. In this episode, we normalize the conversation on family mental health and substance abuse as Melissa shares:The Impact of Family Adversity: How growing up with family members affected by substance abuse profoundly shaped her life choices, empathy, and career path.The Power of Experience: Her invaluable perspective gained from working at institutions like Hazelden Betty Ford and how it taught her about the complexity of mental health and recovery.The Vital Tool: The role of journaling as a non-negotiable practice for processing difficult emotions and finding clarity in the face of chaos.Making the Leap: What inspired her to leave behind a high-level corporate career (at Optum, Cigna, etc.) to bet on herself and build her own purpose-driven consulting practice, Shackelford Strategies.Breaking the Barrier: Why making yourself available to ask for help is the most crucial step in activating your support circle and fostering true mental resilience.Melissa brings a rare blend of corporate expertise and personal vulnerability, proving that leading with integrity requires you to first understand and embrace your own story. This episode offers essential encouragement for anyone seeking to blend their personal challenges into a foundation for meaningful impact.Support the showHave a question for the host or guest? Want their freebee? Are you looking to become a guest or show partner? Email Danica at PodcastsByLanci@gmail.com.This show is brought to you by Coming Alive Podcast Production.CRISIS LINE: DIAL 988
This week on That Entrepreneur Show, host Vincent A. Lanci sits down with Melissa Fors Shackleford, award-winning marketer, bestselling author of Harnessing Purpose, and founder of Shackleford Strategies. With over 20 years of experience leading marketing for powerhouse organizations like Optum, Cigna, and Hazelden Betty Ford, Melissa brings unmatched insight into what it means to build a brand with soul — one grounded in authenticity, purpose, and impact.In this inspiring episode, Melissa reveals how to: ✨ Build a mission-driven brand that goes beyond logos and taglines.
The Trump Administration reaches a deal to lower prices on weight loss drugs, the FDA fast-tracks biosimilars, and a new report shows UnitedHealthcare pays its Optum physicians more than others. Hear the latest on The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.
The state of Minnesota is hiring a third-party auditor to look for fraud in 14 Medicaid programs. These programs are intended to provide housing and care for people with disabilities and severe mental illnesses. Gov. Tim Walz announced Wednesday the state will temporarily stop paying providers of these services while the auditor, Optum, analyzes billing. A statement from the governor's office said this pause will last 90 days, but's not clear when it will begin. Josh Berg is director of Minnesota services and strategic growth for nonprofit Accessible Space, Inc. He's also on the board of directors of Association of Residential Resources in Minnesota, which lobbies on behalf of disability service providers. He spoke to MPR News host Nina Moini about how this pause could impact how providers can care for people with disabilities and severe mental health illnesses.
Approximately one in four people will face a cancer diagnosis. For most, the hardest part won't be the treatment itself but the waiting, the 3 AM questions, the logistical maze of care coordination that can mean the difference between hope and despair. Ann Stadjuhar knows this truth from both sides of the stethoscope. When Ann navigated her own cancer diagnosis, she had every advantage: 20 years of healthcare expertise, knowledge of case volumes, connections to top surgeons at Optum. Yet even she found the system overwhelming. Her uncle in rural New Mexico wasn't as fortunate; by the time he reached MD Anderson, inadequate local care had sealed his fate. These parallel experiences crystallized Ann's mission at Reimagine Care: ensuring no one faces cancer alone, regardless of their zip code or insider knowledge. This conversation comes at a critical moment. As cancer increasingly strikes younger populations, with many cancers now appearing in people's 20s and 30s rather than their 50s, we need innovators who understand that technology without empathy is just expensive machinery. Ann represents a new breed of healthcare leaders who see AI not as a replacement for human connection, but as a way to multiply it. "The worst part of cancer is the wait," Ann explains. "We can be there 24/7 to understand whether there may be social determinants of health needs. I need a ride to treatment. I need someone to watch my dog. I have issues paying my electric bill. Sometimes people are honestly more comfortable telling the bot they're having these challenges." After two decades revolutionizing digital health from women's health to pandemic response centers, Ann calls cancer care her "capstone." She's witnessed how the 18-month health system adoption cycle literally costs lives. Now, armed with Meta glasses and AI tools that multiply her capabilities "times four," she's racing against a broken system where your uncle's zip code shouldn't determine whether his cancer stays operable. In this episode of Inspiring Women with Laurie McGraw, discover how one woman's journey through cancer transformed into a mission to democratize access to the kind of insider knowledge that can save lives. From the Cancer X Accelerator to Reimagine Care's AI companion REMI, Ann reveals why the future of cancer care isn't about choosing between humans and machines. It's about creating technology sophisticated enough to know that sometimes, the most advanced intervention is simply helping someone find a dog sitter so they don't miss chemotherapy. For Ann Stadjuhar, reimagining cancer care isn't about replacing human connection. It's about multiplying it. In a healthcare system where staying curious might be the difference between innovation and stagnation, between treatment and tragedy, she's proof that the most powerful technology is the kind that remembers to be human. Key Insights: Why patients confess more to AI than to their doctors, and what that means for care How social determinants of health become matters of life and death in cancer treatment The hidden complexities even healthcare insiders struggle to navigate Why the next generation needs emotional intelligence more than technical skills How one woman's cancer diagnosis became a blueprint for system-wide change About the Guest: Ann Stadjuhar brings 20+ years of digital health innovation to her role as Chief Growth Officer at Reimagine Care. From launching pharmaceuticals to scaling population health tools, she's run what she calls "the gauntlet" of healthcare transformation. Her personal cancer journey while at Optum revealed the gaps even insiders face, inspiring her mission to ensure 24/7 companionship for every cancer patient through AI-powered human care. Guest & Host Links Connect with Laurie McGraw on LinkedIn Connect with Ann Stadjuhar on LinkedIn Connect with Inspiring Women Browse Episodes | LinkedIn | Instagram | Apple | Spotify
How one organization is tackling primary care issues by reducing burnout, building team-based models, and using technology to create a better practice environment.
On episode 244, we welcome Troyen Brennan to discuss the pitfalls of the US healthcare system, the fee-for-service model's implications for patient outcomes, primary care as a more viable alternative, Walmart's failed attempt to establish primary care clinics, Optum's contrasting success, how to incentivize primary care, AI streamlining prior authorizations, increasing government funding and venture capital for primary care, how preventative care keeps patients from falling through the cracks, and why medical professionals tend to dislike the business side of medicine. Troyen A. Brennan is an adjunct professor of health policy and management at the Harvard T. H. Chan School of Public Health. A former professor of medicine at Harvard Medical School and the former chief medical officer at CVS Health, he is the author of The Transformation of American Health Insurance: On the Path to Medicare for All and Just Doctoring: Medical Ethics in the Liberal State. His new book, available October 7, 2025, is called Wonderful and Broken: The Complex Reality of Primary Care in the United States. | Troyen A. Brennan | ► Website | https://www.researchgate.net/scientific-contributions/Troyen-A-Brennan-38805570 ► Linkedin | https://www.linkedin.com/in/troyen-brennan-494bb533 ► Wonderful and Broken Book | https://amzn.to/3KBnjQD Where you can find us: | Seize The Moment Podcast | ► Facebook | https://www.facebook.com/SeizeTheMoment ► Twitter | https://twitter.com/seize_podcast ► Instagram | https://www.instagram.com/seizethemoment ► TikTok | https://www.tiktok.com/@seizethemomentpodcast ► Patreon | https://bit.ly/3xLHTIa
Dr. Koushik Kasanagottu, a primary care physician with Optum in San Bernardino, discusses how we can prepare for wildflowers.
How do we produce better health outcomes and an exceptional experience at a lower cost, at scale, every day? Learn how a large health care services company is striving to serve its population's physical, mental, pharmacy, social, and financial needs through three core areas: value-based care, pharmacy services, and technology...
In this episode of Robots and Red Tape, host Nick Schutt interviews Anoop Mehendale, an entrepreneur and AI innovator with extensive experience in healthcare and data analytics, to explore AI's transformative potential in revolutionizing healthcare through unified medical records and data-driven solutions. Anoop shares his journey from building an R&D center for Daimler Chrysler in India to launching an AI-driven healthcare startup that went IPO in 2022. He discusses how AI can address healthcare's data fragmentation, streamline administrative inefficiencies, and enhance patient care, drawing from his work at Highmark, Optum, and Aetna. Reflecting on the White House's CMS-led initiative for unified medical records, Anoop notes, “With AI, you can do a lot more with a massive dataset” (53:24), emphasizing its potential to boost research and personalize medicine while addressing challenges like standardization and privacy concerns. He delves into the need for industry-specific AI benchmarks and a convenor role for CMS to align data standards, advocating for AI as a collaborative tool that complements human oversight. Tune in for insights on how AI can reshape healthcare, from improving patient outcomes to advancing public health research. Subscribe for more insights on AI.
Nick is a rider who proves that passion, persistence, and maybe a touch of stubbornness can take you pretty far—whether that's up a Wasatch climb at sunrise or across the finish line at Leadville. He grew up in Salt Lake City as the oldest of three kids. He earned his Eagle Scout, served an LDS mission in Milan, Italy, earned his Economics degree from the U and MBA from Westminster. He even found time to volunteer at the 2006 Turin Winter Olympics, supporting the U.S. Olympic Team with athlete services and translation. He's been with Optum for 23 years, working his way up from sales to Director of Business Operations, and I think he'd tell you the reason he's stayed so long is because of the people and relationships. He's been married to his wife, Jennilynn, for 17 years - and she keeps him fueled with plenty of baked goods. He is a proud dad of two (one through fertility treatments and one through adoption), and shares his home with Bella, a 5-year-old St. Bernard who probably weighs more than all of his bikes combined. He's been passionate about sports since he was young. He ran track and cross country, once ran a marathon, finishing in 4hrs and 4 min, and swore ‘never again,' and eventually found his true love in cycling. Since then, he's tackled countless endurance events—multiple century rides, six LOTOJAs, Steamboat Springs Gravel, and most recently, the Leadville 100 MTB. Nick is so grateful for the Mi Duole team. Riding with them has pushed him to grow as a cyclist while also creating meaningful friendships that extend beyond the bike. Around the house, he's known as the guy who fills the garage with bikes, never stops talking about cycling, and occasionally finishes a project or two in between rides. Passionate, disciplined, and just stubborn enough to keep pushing through the hard stuff is what makes him such a strong rider and a great husband and father.
Welcome to the Health Marketing Collective, where strong leadership meets marketing excellence.On today's episode, we're joined once again by Melissa Fors Shackelford, health marketing strategist, accomplished consultant, renowned keynote speaker, and now Amazon's #1 bestselling author with her new book, “Harnessing Purpose: A Marketer's Guide to Inspiring Connection.” Host Sara Payne leads a deep-dive conversation into the essential role of purpose in marketing, exploring how both personal and brand purpose are at the very heart of meaningful work and, crucially, business success.Melissa draws on two decades of shaping brand and growth strategies for healthcare organizations, including Optum, Hazelden Betty Ford, and Cigna's Evernorth, to share why connecting our personal “why” with the organizational mission isn't just aspirational, but also practical, powerful, and profitable. Together, Sara and Melissa unpack the realities of burnout and the so-called “soul-selling” reputation that sometimes haunts the marketing profession, contrasting it with Melissa's own purpose-driven approach. The episode explores how leaders and organizations can avoid performative platitudes, instead cultivating authentic, values-aligned cultures that foster engagement, resilience, creativity, and tangible business outcomes.Whether you're feeling disconnected from the “why” of your day-to-day or are a marketing leader looking to inspire deeper commitment within your team, today's discussion is packed with actionable guidance, real-world examples, and candid advice on harnessing purpose for both individual fulfillment and organizational growth.Key Takeaways:Aligning Personal and Brand Purpose Unlocks Engagement and Performance: Melissa emphasizes that the most effective marketing and the most fulfillment for marketers happens when personal purpose aligns with brand values. Marketers who understand both their own “why” and their organization's mission are more resilient, creative, and motivated, producing authentic campaigns that resonate internally and externally.Purpose-Driven Companies Outperform Competitors: The episode isn't just about feel-good motivation Melissa cites research (from the likes of HBR and Deloitte) that shows 85% of businesses with a clear purpose see sales increase, while 42% without purpose see stagnation or decline. Purpose-driven organizations attract like-minded employees and customers, resulting in higher engagement, loyalty, and performance.Authenticity and Consistency Are Essential to Building Trust: Saying the right things isn't enough; posting values on lanyards or walls without truly living them can actively erode employee and consumer trust. Melissa and Sara discuss why it's critical for leadership to model values and use them as a filter for decisions from hiring to service delivery, especially in high-stakes sectors like healthcare.Purpose as a Decision-Making Filter Empowers Employees: The ultimate goal is for every employee to use company purpose and values as a guide in daily and “in the moment” decisions, especially when leaders aren't around. This means purpose isn't just strategy, it's culture, empowering staff with clarity and confidence, and fueling both psychological safety and creative risk-taking.Marketing Can and Should Be a Force for Good: Melissa challenges marketing's manipulative stereotype by sharing real healthcare examples where marketing ethics and mission-driven approaches protect vulnerable populations and foster positive change. She encourages all marketers to use their role for good, highlighting the growing importance of authenticity in both B2C and B2B environments.To connect with Melissa Fors Shackelford or learn more about her bestselling book, visit harnessingpurpose.com or reach out on...
FHC #186: From rare diseases to rural America, Optum's CEO talks healthcare's future In this special return to Season 10, which focused on transformative technologies in medicine, Fixing Healthcare hosts ... The post FHC #186: Optum CEO on AI, big data & preventing disease appeared first on Fixing Healthcare.
Hannah Ryu is a storyteller, AI Strategist, and the co-founder of Oak Theory, a creative technology studio specializing in UX/UI, web, application design, and development. We explore: Co-founding a creative technology studio, aiming to address the lack of diversity in UX design firms. Confronting negative self-talk/narratives when building a business The role of perfectionism in Korean culture The exciting utility of AI in creating tailored educational information for children, increasing accessibility to education Use of AI for self-reflection and as a starting point to engage in therapy How to maintain being human through curiosity, accepting that we make mistakes, and unconditional love ========================================== Hannah's full bio: Hannah is a storyteller, AI Strategist, and the co-founder of Oak Theory, a creative technology studio specializing in UX/UI, web, application design, and development. With over a decade of experience across branding, UX/UI, and digital strategy, she partners with organizations navigating transformation, helping them turn complexity into clear, scalable experiences. As a first-generation Korean American and mother of two, Hannah brings a layered lens to leadership, blending creative instinct, cultural awareness, and operational know-how, especially during times of growth, change, or reinvention. Her expertise has been trusted by industry leaders and universities like Google, Optum, Columbia University, and Vanderbilt University. She's been featured at the Women in Tech Global Conference, on the top 0.5% business podcast The UpFlip Podcast, and in outlets such as Forbes, Success Magazine, and Entrepreneur. The company's websites are oaktheory.co and undertheoak.co. Under the Oak is a media company that seeks to discuss how to be more human. Socials: https://www.instagram.com/oaktheory.co/ https://www.linkedin.com/in/hannahryu/
Kevin Sommers is a 2018 graduate of the Harbert College of Business at Auburn University. He currently serves as the Assistant Chief Financial Officer of TriStar Skyline Medical Center, part of HCA Healthcare, in Nashville, TN. He has worked at SCA Health (part of Optum and United Health) in their Financial Operations group, supporting surgery centers and surgical hospitals across multiple states. Before that, Kevin was a member of the finance team at UAB Health System in Birmingham, Alabama.Originally from Huntsville, Alabama, Kevin is a proud alumnus of Auburn University, holding a degree in accounting. He furthered his education at the University of Alabama at Birmingham with a Master of Science in Health Administration and a Master of Business Administration. Outside of work, Kevin enjoys staying active with golf, tennis, and pickleball, and loves to travel and spend time with family and friends. He currently serves on the Young Alumni Council for the Harbert College of Business and is an avid supporter of Auburn athletics.
173: Discover what it's really like to operate at the top. In this eye-opening conversation with Mackenzie Lee, we explore the evolving role of the Chief of Staff, the transformation of the CEO office, and how AI is reshaping leadership. Whether you're an Executive Assistant, rising leader, or startup founder, this episode delivers actionable insights on succession planning, strategic decision-making, and the future of executive operations. Learn how to build a world-class office, improve performance through health checks, and download the top-rated Office of the CEO playbook. --- Mackenzie is the CEO & Founder of Cedar. He helps CEOs and their C-suite teams to let go and do more. He gives leaders the freedom to do things that matter. Mackenzie fights C-suite distractions, busywork and blockers. He helps his clients to hire a Chief of Staff, build the Office of the CEO, and implement operating systems that turn executives into fast and fearless leaders. As a former management consultant, startup founder and Chief of Staff, Mackenzie has almost two decades of experience partnering with C-suite to scale new heights, no matter what challenges they face. Mackenzie has worked with leaders from Fortune 1000 companies, top scaleups, private equity-backed companies, and government organizations, with a particular focus on financial services, technology and healthcare industries. He's advised executives at Google, Palantir, Citi, Optum and the Department of Energy among other top organizations. Mackenzie is a sought-after speaker, researcher, and thought leader on all things related to leadership, Chief of Staff and the Office of the CEO. He is a graduate of the Stanford StartX accelerator, proud Stanford management science & engineering alum and Stanford public policy alum. Mackenzie now lives in New York City. Links Office of the CEO Playbook: https://static1.squarespace.com/static/636a8c999b042104adda3b25/t/67af97f07853b3570690d08e/1739560946882/Cedar+-+The+Office+of+the+CEO+Playbook%2C+1st+Edition.pdf Chief of Staff Playbook https://static1.squarespace.com/static/636a8c999b042104adda3b25/t/67af97e0e4fc9777da84391e/1741362537688/Cedar+-+The+Chief+of+Staff+Playbook%2C+2nd+Edition.pdf Haufe Chief of Staff Zertifizierung https://www.haufe-akademie.de/41675 ---
Over 160 million Americans are served by Optum, yet many still don't fully understand what it actually does—or why it matters.Dr. Patrick Conway, newly appointed CEO of Optum and former head of CMS Innovation Center and Blue Cross NC, joins Steve for a wide-ranging discussion on the state of healthcare delivery, affordability, and the potential of value-based care at a national scale. With experience spanning the frontlines of medicine to top government and corporate leadership, Conway breaks down how Optum aims to improve care while controlling costs—and why he continues to practice as a pediatric hospitalist on weekends.We cover:
Believe it or not, 60% of healthcare payments in the US are tied to value. But it's still surprisingly hard to find examples of health systems that have been doing VBC at scale, successfully, over time. So that's what Advisory Board researchers set out to do. And across 66 conversations with 44 systems, we found four systems with approaches worth emulating. This week, we're unpacking the approach at one of those systems: Advocate Health. Host Abby Burns sits down with Don Calcagno, Chief Population Health Officer and President of Advocate's largest clinically integrated network, Advocate Physician Partners. Don lays out how putting operations at the center has led Advocate to become one of the top-performing systems in Medicare risk models, generate millions of dollars in savings, and, most importantly, improve quality of care. Not to mention, juggle over 100 VBC contracts across 13 accountable care organizations and clinically integrated networks, and carry $1 billion in capitated risk. Links: Read the case study: Inside Advocate Health's VBC approach that saved $136M VBC self-assessment: Find out where your organization stands 2025 Advisory Board Summit- Carlsbad, CA - join us for the full event, and check out our session featuring another VBC case study Registration is live for our VBC Roundtable in October: HOME - How to deliver the next era of VBC Ep. 243: What's now and what's next in value-based care How UNC Health made VBC sustainable in an academic health system Optum Advisory can help you create a VBC strategy for growth and profitability. Connect with an expert. How to succeed in VBC — according to Optum experts VBC success is possible. Here's how. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Believe it or not, 60% of healthcare payments in the US are tied to value. But it's still surprisingly hard to find examples of health systems that have been doing VBC at scale, successfully, over time. So that's what Advisory Board researchers set out to do. And across 66 conversations with 44 systems, we found four systems with approaches worth emulating. This week, we're unpacking the approach at one of those systems: Advocate Health. Host Abby Burns sits down with Don Calcagno, Chief Population Health Officer and President of Advocate's largest clinically integrated network, Advocate Physician Partners. Don lays out how putting operations at the center has led Advocate to become one of the top-performing systems in Medicare risk models, generate millions of dollars in savings, and, most importantly, improve quality of care. Not to mention, juggle over 100 VBC contracts across 13 accountable care organizations and clinically integrated networks, and carry $1 billion in capitated risk. Links: Read the case study: Inside Advocate Health's VBC approach that saved $136M VBC self-assessment: Find out where your organization stands 2025 Advisory Board Summit- Carlsbad, CA - join us for the full event, and check out our session featuring another VBC case study Registration is live for our VBC Roundtable in October: HOME - How to deliver the next era of VBC Ep. 243: What's now and what's next in value-based care How UNC Health made VBC sustainable in an academic health system Optum Advisory can help you create a VBC strategy for growth and profitability. Connect with an expert. How to succeed in VBC — according to Optum experts VBC success is possible. Here's how. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Deb Bubb is the former Chief People Officer at Optum and Co-founder of The Institute For Moral Imagination. This ThoughtCast is an insightful chat about creativity, passion, and purpose. Our guest, Deb Bubb, shared with us how she pivoted into a new chapter of her life, chasing a passion and building something new. Deb also spoke about the fears, uncertainty, and challenges of making a transition and embracing the unknown. The conversation centered on the idea that every life is a creative act. By embracing all of our creativity, we have a way to access all our potential. She shares how she has built creativity and art into her life. This discussion will energize you to dive into your creativity and look for art all around you. Get in touch Visit us at tignum.com Email us at contact@tignum.com Think clearer. Show up better. Maximize impact.
Welcome to the Health Marketing Collective, where strong leadership meets marketing excellence. In today's episode, host Sara Payne sits down with Mike Cronin, Cofounder and Chief Strategist at Verve, to explore the evolving landscape of creativity in B2B healthcare marketing. Mike, whose impressive résumé includes brand and campaign strategy for UnitedHealth Group, Blue Cross Blue Shield, Optum, and revered consumer brands like Harley-Davidson and Samuel Adams, brings a rare blend of creative vision and strategic rigor to his work. His fundamental belief? That creative work's purpose is to move people, not just fill space. In this conversation, Mike and Sara dive deep into how B2B health brands can move beyond “safe” ideas and unlock emotionally resonant, unforgettable campaigns—even within highly regulated and risk-averse spaces. They discuss why simplicity is a superpower, the importance of strategic “boxes,” and how marketing leaders can create environments where big swings are encouraged, not stifled. Along the way, Mike shares memorable stories from his work (including a campaign that fused Lizzo's “Good as Hell” into healthcare advertising), offers insight into the universal human truths marketers often miss, and outlines what separates teams that produce great creative from those that simply make noise. Thank you for being part of the Health Marketing Collective, where strong leadership meets marketing excellence. The future of health care depends on it. Key Takeaways: Creativity Thrives Within Constraints: Mike challenges the conventional wisdom of “thinking outside the box.” He argues that true creativity is often unlocked not by limitless freedom, but by well-defined strategic constraints. It's within the confines of a focused brief—what Mike calls “the freedom of a tight brief”—that intelligent, emotionally resonant ideas emerge. Rather than aiming for “crazy” or “flashy,” the best creative is smart, intentional, and purpose-driven. Emotion and Human Truth are Universal, Even in B2B: B2B often gravitates toward rational benefits: cost savings, efficiency, or productivity. But, as Mike notes, even financial administrators and clinicians are humans first—they respond to messages that tap into universal emotions and experiences: hope, fear, dignity, and relief from frustration. Brands that connect on this human level, rather than just touting features and benefits, become memorable and meaningful. Strategic Alignment is the Key to Unlocking Great Creative: Teams that produce truly breakthrough work consistently prioritize strategy. When everyone is aligned on the core insight and brief, creativity can flow freely within those parameters. Conversely, weak or vague direction leads to “safe,” generic campaigns. Mike's experience shows that great creative always starts with a shared, sharp strategic foundation. Boldness is Essential for Breaking Through the Noise: Healthcare, especially B2B, often defaults to playing it safe (“everything's blue”)—but in a crowded marketplace, standing out is non-negotiable. Mike advocates for boldness that is grounded in the brand's truth and strategically anchored. The result: unforgettable, not just noisy, marketing. Leadership's Role: Foster Honesty, Empathy, and Trust: Leadership sets the tone for creativity and trust. Mike urges CMOs and marketing leaders to lead with clarity and honesty—eschewing “BS” and toxic positivity for real, truthful dialogue about challenges and opportunities. Teams (and audiences) respond to authenticity; when leaders call things as they are and create space for truth, better work results. Resources and Contact: Want to connect with Mike or learn more about Verve's approach to strategic creativity? Visit
Once called a “unicorn” for her entrepreneurial approach, Vicki Apodaca is a seasoned marketer, entrepreneur, and philanthropist. Vicki has been a founding member of several tech startups (Phalanx, StellarFi, Joust, and Soply), and have also been through two exits (Joust acquired by ZenBusiness, Starship HSA acquired by Optum). Her passion in go-to-market and marketing strategy has led her to now be a Fractional CMO and Advisor across several startups worldwide. A native Burqueña, Vicki co-founded the New Mexico chapter of Techqueria – a Latinx in tech 501(3)(c) nonprofit – and NMClimate – a community for climate and energy-focused entrepreneurs. She lives in a cozy home with her partner and two Pekingese who run their house. Links NM Lottery Program FiatVentures Advisors site Phalanx site Techqueria New Mexic0 site Atomic 66 site Q Station site SpaceValley Foundation site CNM Ingenuity site nDigitize site Vicki on LinkedIn
Welcome to The Power Lounge. In this episode, we explore a significant shift in healthcare marketing with our guest, Melissa Forrest Shackleford. With over twenty years of experience, Melissa has developed inclusive marketing strategies for organizations such as Optum and the Hazelden Betty Ford Foundation. She joins host Amy Vaughn to discuss how inclusive marketing can challenge stigmas in healthcare.Melissa details her journey and the impact of purpose-driven marketing in breaking down barriers and fostering meaningful consumer connections. The conversation covers the effectiveness of inclusive initiatives, the importance of language and accessibility, and provides practical strategies for obtaining executive support for inclusive marketing efforts. Additionally, Melissa highlights the tools and innovations that are driving change in the industry.This episode offers valuable insights and actionable advice for marketers, healthcare professionals, and anyone committed to making a difference. For further reading, Melissa's book, "Harnessing Purpose: A Marketer's Guide to Inspiring Connection," provides more comprehensive knowledge. Join us in building a more inclusive future.Chapters:00:00 - Introduction02:14 - "Evan North's Transformative Marketing Impact"04:57 - Understanding Consumer Stigma Insights08:18 - "Understanding Health Care Marketing Challenges"11:04 - Fighting Stigma in Lung Cancer Screening13:27 - Progress in Health Care Perception17:26 - Authenticity in Testimonies20:10 - Inclusive Marketing Awareness23:50 - Person-First Language Explained25:15 - Language Nuance and Impact30:56 - Delivery Service Boosted Sales33:29 - Reaching Diverse Audiences Economically37:26 - Champion Accessible UX Today41:44 - Purpose-Driven, Authentic Marketing44:25 - "Values-Driven Consumer Purchases"48:36 - Beyond Performative Inclusivity51:14 - Inclusive Audience Targeting Importance54:02 - Essential Inclusive Marketing Strategies55:25 - OutroQuotes:"Inclusive marketing means truly seeing and understanding each person, unlocking its transformative power."- Amy Vaughan"Shifting from stigma to understanding changes perceptions, saves lives, and forges genuine connections."- Melissa Forrest ShacklefordKey Takeaways:Breaking Stigma Starts with UnderstandingAuthentic Representation MattersAccessibility is Key to InclusivityLanguage as a Powerful ToolLeveraging Technology for PersonalizationInclusivity Equals GrowthConnect with Melissa Forrest Shackleford:LinkedIn: https://www.linkedin.com/in/mfors/Check out Melissa's book: https://a.co/d/5HGTje6Connect with the host Amy Vaughan:LinkedIn: http://linkedin.com/in/amypvaughanPodcast: https://www.togetherindigital.com/podcast/Learn more about Together Digital and consider joining the movement by visiting https://togetherindigital.comSupport the show
It feels like only yesterday that workforce challenges were the biggest problem facing the healthcare industry. While COVID-19-related staffing shortages may have declined, an inefficient workforce can still threaten health system operations and finances. Often, systems turn to staffing ratios or benchmarks to determine whether they need more cuts or more hires. However, systems need more than staffing ratios to make sure they have the right headcount and the right expertise in place to safely and effectively care for patients. The question is: if workforce benchmarks aren't enough, then what is? To answer that question, host Rachel (Rae) Woods invites Advisory Board nursing expert Ali Knight to unpack the state of the workforce five years after the peak of COVID-19. Later, Rae brings on Optum Advisory workforce management experts Sherilynn Quist and Anne Schmidt to break down their work in the field, addressing what they call the “blocking and tackling” of workforce efficiency within a hospital. Links: Optum Advisory: Healthcare consulting services [Webinar, May 18] Broaden your definition of the nursing care team Insights from Advisory Board's 2024 workforce benchmarks [Roundtable, Aug. 18-19] How to thrive in an evolving nursing landscape Ep. 205: Live from ViVE 2024: Four leaders on how technology is redefining clinical work Ep. 207: Nurses Week 2024: Build care teams, not assembly lines 2025 Advisory Board Summit - Carlsbad, CA Advisory Board Fellowship Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
It feels like only yesterday that workforce challenges were the biggest problem facing the healthcare industry. While COVID-19-related staffing shortages may have declined, an inefficient workforce can still threaten health system operations and finances. Often, systems turn to staffing ratios or benchmarks to determine whether they need more cuts or more hires. However, systems need more than staffing ratios to make sure they have the right headcount and the right expertise in place to safely and effectively care for patients. The question is: if workforce benchmarks aren't enough, then what is? To answer that question, host Rachel (Rae) Woods invites Advisory Board nursing expert Ali Knight to unpack the state of the workforce five years after the peak of COVID-19. Later, Rae brings on Optum Advisory workforce management experts Sherilynn Quist and Anne Schmidt to break down their work in the field, addressing what they call the “blocking and tackling” of workforce efficiency within a hospital. Links: Optum Advisory: Healthcare consulting services [Webinar, May 18] Broaden your definition of the nursing care team Insights from Advisory Board's 2024 workforce benchmarks [Roundtable, Aug. 18-19] How to thrive in an evolving nursing landscape Ep. 205: Live from ViVE 2024: Four leaders on how technology is redefining clinical work Ep. 207: Nurses Week 2024: Build care teams, not assembly lines 2025 Advisory Board Summit - Carlsbad, CA Advisory Board Fellowship Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
In this episode, Dr. Ken Cohen, Executive Director of Translational Research at Optum Health, discusses the impact of value-based care models on patient outcomes. He shares key findings from his recent research, including how Medicare Advantage patients in value-based arrangements receive superior care and how these benefits extend to traditional Medicare patients.
There is a lot happening in federal policy that may affect healthcare payment transformation and care delivery. But we've said it before: healthcare leaders can't afford to focus on fighting near-term fires at the expense of driving long-term success and sustainability. Amidst the uncertainty, it's more important than ever to push forward conversations about how we can structurally evolve our systems to align incentives to patient health. So, in this episode, we're talking about value-based care. Host Abby Burns invites Advisory Board expert Clare Wirth and Optum Advisory expert Erik Johnson to unpack the state of VBC in early 2025, and where they see it going next. They debate whether bundles can truly be considered “value-based care,” how specialty care will fit into the future VBC landscape, and which payer lines of business they have their eyes on. Links: VBC in 2025: What's now and what's next Inside Advocate Health's VBC approach that saved $136M How UNC Health made VBC sustainable in an academic health system The obstacles between health systems and VBC success Ep. 201: Value series: What does health system VBC adoption actually look like? Ep. 231: Big deal, little deal, or no deal? A 2024 health policy retrospective Value-based care landing page Optum Advisory can help you design a VBC strategy that drives sustainable growth and profitability. Get in touch Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
There is a lot happening in federal policy that may affect healthcare payment transformation and care delivery. But we've said it before: healthcare leaders can't afford to focus on fighting near-term fires at the expense of driving long-term success and sustainability. Amidst the uncertainty, it's more important than ever to push forward conversations about how we can structurally evolve our systems to align incentives to patient health. So, in this episode, we're talking about value-based care. Host Abby Burns invites Advisory Board expert Clare Wirth and Optum Advisory expert Erik Johnson to unpack the state of VBC in early 2025, and where they see it going next. They debate whether bundles can truly be considered “value-based care,” how specialty care will fit into the future VBC landscape, and which payer lines of business they have their eyes on. Links: VBC in 2025: What's now and what's next Inside Advocate Health's VBC approach that saved $136M How UNC Health made VBC sustainable in an academic health system The obstacles between health systems and VBC success Ep. 201: Value series: What does health system VBC adoption actually look like? Ep. 231: Big deal, little deal, or no deal? A 2024 health policy retrospective Value-based care landing page Enjoying this episode? Discover how Optum Advisory experts can help you design a VBC strategy to drive sustainable growth and profitability for your organization. Connect with one of our experts today. Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
In this episode, Dr. Ken Cohen, Executive Director of Translational Research at Optum Health, discusses the impact of value-based care models on patient outcomes. He shares key findings from his recent research, including how Medicare Advantage patients in value-based arrangements receive superior care and how these benefits extend to traditional Medicare patients.
Partnerships between health systems and life sciences play a critical role in giving patients access to the best data, therapies, and technologies available in the market. However, these partnerships can be less fulfilling if both sides don't align on purpose and expectations. This week, host Rachel (Rae) Woods invites Advisory Board expert Fanta Cherif to break down the current state of health system and life sciences partnerships, share the spectrum of collaboration options, and the strategic middle ground that is often overlooked, but can serve as a lifeline in today's challenging economic landscape. Let us know what you think about today's discussion, or share your ideas for future episode topics by leaving us a voice message or emailing us. Links: Ep. 151: Making vendor-provider partnerships work Ep. 183: John Muir Health and Optum reflect on what makes their partnership work How to bridge the communication gap in vendor-provider partnerships Metrics that matter: How different stakeholders define value in healthcare Join Advisory Board experts for these upcoming philanthropy webinars: March 20, 2025 (1-2 p.m. ET/10-11 a.m. PT): What the future of health system growth means for philanthropy leaders Register here: What the future of health system growth means for philanthropy leaders April 1, 2025 (1-2 p.m. ET/10-11 a.m. PT): How market data can transform your philanthropy strategy Register here: Using market data to inform your philanthropy strategy A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Partnerships between health systems and life sciences play a critical role in giving patients access to the best data, therapies, and technologies available in the market. However, these partnerships can be less fulfilling if both sides don't align on purpose and expectations. This week, host Rachel (Rae) Woods invites Advisory Board expert Fanta Cherif to break down the current state of health system and life sciences partnerships, share the spectrum of collaboration options, and the strategic middle ground that is often overlooked, but can serve as a lifeline in today's challenging economic landscape. Let us know what you think about today's discussion, or share your ideas for future episode topics by leaving us a voice message or emailing us. Links: Ep. 151: Making vendor-provider partnerships work Ep. 183: John Muir Health and Optum reflect on what makes their partnership work How to bridge the communication gap in vendor-provider partnerships Metrics that matter: How different stakeholders define value in healthcare Join Advisory Board experts for these upcoming philanthropy webinars: March 20, 2025 (1-2 p.m. ET/10-11 a.m. PT): What the future of health system growth means for philanthropy leaders Register here: What the future of health system growth means for philanthropy leaders April 1, 2025 (1-2 p.m. ET/10-11 a.m. PT): How market data can transform your philanthropy strategy Register here: Using market data to inform your philanthropy strategy A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Dr. Harlan Levine began his career practicing internal medicine but soon moved into business leadership roles at national healthcare organizations to help improve the dysfunction with payer-provider relationships that he experienced firsthand as a physician.At United Health Group, Dr. Levine joined as clinical lead of the team that launched Optum, where he subsequently served as chief medical officer for more than six years. He also led the health management practice at Towers Watson and served as executive vice president of comprehensive health solutions at WellPoint, among other roles.In 2013, Dr. Levine joined City of Hope, one of the country's largest and most advanced cancer research and treatment organizations. City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.In addition to currently serving as president of health innovation and policy at City of Hope, Dr. Levine is also chair of the board of AccessHope. A spinout from City of Hope, AccessHope partners with the nation's most prestigious cancer research centers to help make leading-edge cancer care available to all, regardless of geographical location.Dr. Levine joined Keith Figlioli for the second episode of a Healthcare is Hard series exploring opportunities in oncology. Some of the topics they discussed include:Community practice vs. academic medical centers. Delivering personalized care and giving patients access to cutting-edge treatment is equally important, yet historically difficult to balance. In the first episode of this series, Dr. Stephen Schleicher from Tennessee Oncology shared how one of the nation's most successful community oncology practices is tackling the challenge. In this episode, Dr. Levine discussed City of Hope's model of putting academic research at the center and connecting it with community practices. He described how City of Hope is changing the direction of cancer care – not just delivering it – by giving patients faster access to emerging science.Defining value in oncology. Dr. Levine calls himself an outlier when it comes to value-based care in oncology because he thinks the industry missed a critical first step – defining what the term means. In most circumstances, discussions around value are centered around reducing cost. But Dr. Levine points out that a cancer patient defines value very differently. They define it as survival. They think about whether or not they returned to normal functionality in normal life, and what their experience was through the entire treatment process. He says the industry needs to recognize and customize models for these unique aspects of cancer care before the term VBC should be used in oncology.AI in oncology. Dr. Levine shared his outlook for the many ways artificial intelligence will change oncology – from drug discovery to care delivery. He believes AI will completely disrupt the approach to cancer care and that the revolution will happen quickly – not in seven to 10 years, but in three to five. He talked about the ways he sees AI changing how doctors deliver care, and why he's even more optimistic about its ability to accelerate research.To hear Dr. Levine and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.
In this conversation, Dr. David Carmouche discusses the critical transition from fee-for-service to value-based care in the healthcare industry, emphasizing the role of AI in enhancing primary care and improving patient outcomes. He highlights the financial pressures on health systems and the importance of aligning incentives to achieve sustainability. The discussion also covers the innovative solutions offered by Lumeris and the transformative potential of AI in automating care processes and improving patient engagement. Finally, Dr. Carmouche addresses the need for regulatory guardrails as AI becomes more integrated into healthcare delivery.In this episode , they discuss:The shift from fee-for-service to value-based care is essential for financial sustainability.AI is poised to transform primary care delivery and patient engagement.Healthcare costs have been deemed unsustainable for decades, necessitating change.Aligning incentives is crucial for improving patient outcomes in healthcare.Lumeris has a decade-long history of partnering with health systems for value-based care.AI can automate and standardize care processes, enhancing efficiency.Data availability and interoperability are key to successful value-based care models.Generative AI can proactively engage patients and improve care delivery.Training clinicians to effectively use AI is vital for its successful integration.Regulatory guardrails will be necessary as AI becomes more prevalent in healthcare.A little about Dr David Carmouche: David Carmouche, MD, is the Executive Vice President & Chief Clinical Transformation Officer at Lumeris. Dr. Carmouche is a visionary leader in transformational healthcare delivery, with a unique blend of provider, payer, retail, and integrated delivery network leadership experience.Prior to joining Lumeris, Dr. Carmouche served as Walmart's Senior Vice President of Healthcare Delivery, where he led the fleet of Walmart Health centers, Walmart Health Virtual Care, a value-based care partnership with Optum, and Walmart's work to address Social Determinants of Health. Dr. Carmouche has also held significant leadership roles with Ochsner Health, the largest nonprofit academic healthcare system in the Gulf South, and Blue Cross Blue Shield of Louisiana, where he introduced the company's first value-based care contracts. Earlier in his career, he built and led a multidisciplinary internal medicine and preventive cardiology practice.Dr. Carmouche attended Tulane University and LSU Medical School in New Orleans. Board-certified in Internal Medicine, he completed his residency at the University of Alabama at Birmingham, where he later served as Chief Resident. He serves as President of the Board of the Consortium for Southeastern Healthcare Quality and on the advisory board at Stellar Health. He has served on the board of the National Association of Accountable Care Organizations.
AP correspondent Haya Panjwani reports on a Wisconsin couple suing Walgreens and Optum Rx.
Back in December, we discussed why leaders should re-envision their approach to digital change management. But to truly implement digital change, health systems must understand their organization's success (or failure) to date. However, assessing digital progress is not a simple task. While models exist that measure digital maturity in other industries, there is a serious lack of tools to measure progress in the healthcare field—which is why we made our own. This week, host Rachel (Rae) Woods invites John League, Advisory Board digital health expert, and K. R. Prabha, Optum's Vice President of Strategy, Growth and Innovation to define what digital maturity for health systems looks like and unpack why so many organizations are stalled at merely “being” digital. Together, they introduce a new tool they've designed to help health systems assess their own digital maturity. For an on-the-ground perspective, Rae invites Dr. David Ingham, Vice President and Chief Information Officer of Allina Health, to discuss how Allina Health leveraged this tool to assess their progress and prioritize next steps on their digital journey. Links: Understand the digital maturity of your health system Ep. 233: Your digital strategy needs more than “change management” Optum Advisory: Healthcare consulting services Allina Health Care & Medical Services In MN & Western WI Get in touch with us [Webinar, 2/19] Imaging market trends in 2025 Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Back in December, we discussed why leaders should re-envision their approach to digital change management. But to truly implement digital change, health systems must understand their organization's success (or failure) to date. However, assessing digital progress is not a simple task. While models exist that measure digital maturity in other industries, there is a serious lack of tools to measure progress in the healthcare field—which is why we made our own. This week, host Rachel (Rae) Woods invites John League, Advisory Board digital health expert, and K. R. Prabha, Optum's Vice President of Strategy, Growth and Innovation to define what digital maturity for health systems looks like and unpack why so many organizations are stalled at merely “being” digital. Together, they introduce a new tool they've designed to help health systems assess their own digital maturity. For an on-the-ground perspective, Rae invites Dr. David Ingham, Vice President and Chief Information Officer of Allina Health, to discuss how Allina Health leveraged this tool to assess their progress and prioritize next steps on their digital journey. Links: Understand the digital maturity of your health system Ep. 233: Your digital strategy needs more than “change management” Connect with Optum Advisory to design your digital transformation strategy Allina Health Care & Medical Services In MN & Western WI Get in touch with us [Webinar, 2/19] Imaging market trends in 2025 Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
In this episode, Scott Becker and Jakob Emerson, Associate News Director at Becker's Healthcare, explore UnitedHealth Group's 2024 earnings report, the challenges faced in Medicare Advantage, and the strategic shifts at Optum, including its move away from urgent care.
David Toung and Matt Montefusco break down UnitedHealth's (UNH) earnings. David says rising medical and prescription costs are pressuring EPS and revenue. However, he thinks the company is building a long-term growth model. Matt highlights elective procedures rising and the potential headwinds of the Trump administration cutting medical spending. He says they should focus more on their Optum segment than the insurance unit. ======== Schwab Network ======== Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribe Download the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185 Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7 Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watch Watch on Vizio - https://www.vizio.com/en/watchfreeplus-explore Watch on DistroTV - https://www.distro.tv/live/schwab-network/ Follow us on X – https://twitter.com/schwabnetwork Follow us on Facebook – https://www.facebook.com/schwabnetwork Follow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about
When it comes to leadership, emotional intelligence often gets overlooked. For years, the American work culture has emphasized suppressing emotions in the workplace. But times are changing.Today, emotional intelligence is as crucial as any leadership skill–if not the most essential. Our guest is here to show us why it matters and how to manage our emotions effectively.Meet Roberta Fernandez. Roberta is a professional development consultant specializing in emotional intelligence and organizational cultural change. She holds a Master Practitioner certification in NLP and is a Board-certified Hypnotherapist, making her uniquely skilled in understanding human behavior. Roberta's past clients form a diverse portfolio, including Kemps, Sam's Club, Target, Optum, Pentair, governments, academic institutions, and private small businesses.In this episode, Roberta and I explore the transformative power of emotional intelligence in the workplace. Roberta shares how emotions influence behavior and introduces practical tools for managing team dynamics effectively.With practical tips on staying calm in heated situations, navigating tough conversations, and recognizing workplace emotions, this episode is packed with insights to improve your leadership and collaboration skills.Join the conversation now!Get FREE mini-episode guides with the big idea from the week's episode delivered to your inbox when you subscribe to my weekly email.Conversation Topics(00:00) Introduction(01:56) What is emotional intelligence?(04:06) Understanding and addressing your emotions(07:28) Why emotional awareness is critical for managers(11:32) The FARE framework (Focus, Associate, Repeat, and Expect) explained(16:45) Tips for navigating the emotions that come with change(19:21) How to manage emotions during heated conversations(25:19) Why do people act based on their beliefs(30:19) A great manager Roberta has worked for(31:16) Keep up with Roberta(31:22) [Extended Episode Only] How to proactively prevent a conversation from getting emotional(34:28) [Extended Episode Only] Using the Frame Tool for taking emotions out of team problem-solvingAdditional Resources:- Get the extended episode by Joining The Modern Manager Podcast+ Community for just $15 per month- Read the full transcript here- Follow me on Instagram here - Visit my website for more here- Upskill your team here- Subscribe to my YouTube Channel hereKeep up with Roberta Fernandez- Follow Roberta on LinkedIn and Instagram- Visit her website for more information hereFREE Emotional Intelligence Assessment and the Frame ToolRoberta is providing members of Podcast+ with access to her emotional intelligence assessment as well as “the frame” tool, which she explains in the extended episode.To get this guest bonus and many other member benefits, become a member of The Modern Manager Podcast+ Community.---------------------The Modern Manager is a leadership podcast for rockstar managers who want to create a working environment where people thrive, and great work gets done.Follow The Modern Manager on your favorite podcast platform so you won't miss an episode!
President-elect Donald Trump nominates Robert F. Kennedy Jr. as the next Secretary of the Department of Health and Human Services. And the Biden Administration sues to halt Optum's multibillion dollar acquisition of home health provider Amedisys on antitrust grounds. We get those stories—and more—coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.
The Current State of Podcasting: A Comprehensive GuideIn the latest episode of our podcast, we had the pleasure of hosting Jeff Umbro, the CEO of Podglomerate. Jeff shared his extensive knowledge about the podcasting industry, offering valuable insights into its growth, best practices for independent podcasters, and effective monetization strategies. This blog post will break down the key points discussed in the episode, providing actionable advice and thorough explanations to help you navigate the podcasting landscape.Jeff begins by highlighting the impressive growth of podcasting over the past 16 years. According to the Edison Infinite Dial Report, approximately 132 million people in the U.S. listen to podcasts regularly, averaging about seven shows each month. This growth has been further accelerated by the pandemic, which increased streaming audio consumption. Podglomerate, founded in 2017, is a podcast services company that focuses on producing, marketing, and monetizing podcasts. They work with a diverse range of clients, from large corporations like Netflix and PBS to small businesses and individual creators. Jeff emphasizes that their goal is to help podcasters create high-quality content and effectively reach their target audience.Jeff also discusses the recent consolidation in the podcasting industry, with major players like Spotify, SiriusXM, and Apple acquiring smaller companies. This consolidation has led to a shift in the types of shows being produced, with a growing focus on ad sales and listener engagement. Despite these changes, advertising on podcasts remains highly effective. Jeff notes that podcast ads often outperform other digital mediums, attracting more brands to the space. He emphasizes the importance of creating quality content that resonates with listeners and advises podcasters to focus on engagement metrics such as social media mentions, listener feedback, and overall consumption patterns. For those with limited budgets, Jeff recommends leveraging owned properties like websites, newsletters, and social media to promote their shows and suggests cross-promotion with similar shows as a more effective strategy for audience growth.About Jeff Umbro:Jeff Umbro is the founder and CEO of The Podglomerate, the award-winning company which produces, distributes, and monetizes podcasts. The Podglomerate is a boot-strapped organization which now works with more than 70 podcasts and more than 30 million monthly podcast downloads. Jeff has written for and been quoted in Bloomberg, Morning Brew, Adweek, Quartz, Hot Pod, Paste, The Daily Dot, and more. Prior to launching the Podglomerate, Jeff had his hands in audience growth and business development for companies like Product Hunt, Serial Box, VotePlz, Talkshow, and Goldberg McDuffie Communications.About Podglomerate:The Podglomerate has been producing, distributing, and monetizing podcasts since 2016. Now representing more than 70 podcasts accounting for over 30 million monthly downloads, The Podglomerate's clients have topped the podcast charts and have received features on every major podcast distribution app and national coverage in print, digital, radio, and television. The Podglomerate has worked with Freakonomics Radio, PBS, NPR, A+E, Lifetime, History Channel, Harvard Business School, MIT, Stanford, Lit Hub Radio, NPR stations (including KPCC/LAist, NHPR, WHYY, WUNC, VPM, WPM, GBH), WNET, Substack, Magnificent Noise, Expedia, Optum, CVS Health, Hubspot, and Hoff Studios, among many others.Apply to be a Guest on The Thoughtful Entrepreneur: https://go.upmyinfluence.com/podcast-guestLinks Mentioned in this Episode:Want to learn more? Check out Podglomerate website athttps://podglomerate.com/Check out Podglomerate...
In this podcast episode, Dr. Jonathan H. Westover talks with Jonathan Hunt Glassman and Joshua Lee about digital health innovations in addiction treatment. Jonathan Hunt Glassman - A healthcare entrepreneur and CEO of Oar Health, an addiction recovery platform that is revolutionizing the way people approach Alcohol Use Disorder (AUD) treatment. With over 15 years of experience in the healthcare industry, including strategic leadership roles at Humana, Optum, and Bain & Company, Jonathan combines his expertise with a personal journey of overcoming alcohol addiction to make a meaningful impact in the field of addiction and recovery. Joshua Lee specializes in medication-assisted treatment of alcohol and opioid use disorders. He conducts clinical trials and treats patients struggling with addiction as a primary care physician. As a Professor at NYU Grossman School of Medicine, he leads the Addiction Medicine Fellowship and conducts research focused on justice and community outcomes. He is ready to explore the intersection of addiction treatment with innovative solutions, and personal and professional growth. Check out all of the podcasts in the HCI Podcast Network!
All Home Care Matters and our host, Lance A. Slatton were honored to welcome Jonathan Hunt-Glassman CEO and Co-Founder of Oar Health as guest to the show. About Jonathan Hunt-Glassman: Jonathan Hunt-Glassman is the CEO and co-founder of Oar Health. Jonathan founded Oar Health after struggling with alcohol misuse for more than 15 years before taking back control over alcohol with help from medication. Before founding Oar, Jonathan held healthcare strategy leadership roles at Humana, Optum and Bain & Company. About Oar Health: Oar Health is a telehealth platform that simplifies access to a daily pill to drink less. Oar has helped more than 35,000 members get started with safe, effective, FDA-approved medication that helps them drink less or quit alcohol altogether.
The Dad Edge Podcast (formerly The Good Dad Project Podcast)
Cory Jenks is the founder of ImprovRx and is a Clinical Pharmacist in Ambulatory Care at Optum. He's a convention-breaking pharmacist, comedian, author, and speaker who combines his healthcare expertise with improv comedy skills to help others adapt to uncertainty and create meaningful connections. Through his innovative approach, books, and performances, he inspires audiences to break free from limiting prescriptions both medical and metaphorical–while finding humor in life's challenges. Today, Cory Jenks shares his unique journey of integrating humor and improv into his roles as a dad and healthcare professional. The conversation explores how a sense of humor can transform parenting challenges into cherished memories and teach resilience through laughter. Cory discusses his background in improv comedy, which he initially pursued to cope with the unpredictability of healthcare, and how it became a vital part of his life. Cory explains key improv principles, such as the "yes, and" technique, demonstrating their application beyond comedy to enhance listening, empathy, and adaptability in daily life. The episode features interactive improv exercises showcasing how these skills can improve interactions with patients, strengthen marriages, and enrich parenting experiences. Listeners will gain insights on incorporating humor and improv techniques to become more present and resilient in their roles as fathers and husbands. Cory's new book, "I Guess I'm a Dad Now," is highlighted as a resource offering practical and hilarious tips for new dads, complementing the episode's engaging and lighthearted discussion. www.thedadedge.com/friday166 www.thedadedge.com/alliance www.linktr.ee/coryjenks Facebook | LinkedIn | Instagram | X | Website