Podcasts about Population Health Management

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Best podcasts about Population Health Management

Latest podcast episodes about Population Health Management

Relentless Health Value
EP462: Managing Populations of Whole, Actual People Who Are Not the Sum of a Bunch of Different Body Parts, With Scott Conard, MD

Relentless Health Value

Play Episode Listen Later Jan 30, 2025 33:35 Transcription Available


This podcast today is with Dr. Scott Conard, founder of Converging Health. You might remember him from the earlier episode (EP391). First of all, I enjoyed how it came to be. Brian Uhlig, an employee benefit consultant of some acclaim, came to me and offered to sponsor a show for someone else. Not himself. I gotta say, it's stuff like this that warms my heart. It's this village that we have here, this tribe of Relentless folks trying so hard to stand up for and help patients. So, thanks again to Brian Uhlig. Right now, Dr. Conard is doing a bunch of work with Mike Adams from 7-Eleven, helping their plan members. A lot of this work is centered on and about a few pretty striking but very common insights that many plan sponsors will find in their own data. It turns out about 70%, give or take, of people who wind up costing the plan whatever the high-cost threshold is in any given plan year. These higher-cost claimants didn't fall out of the sky unexpectedly, 70% of them. They were actually high risk but low cost in prior years. So, the trick is to find these individuals and help them not fall into the high-risk and high-cost part of the graph. If the goal is how to best manage a population of members, a lot of that is, again, identifying high-risk patients who are currently in the low-cost zone, who, any given plan year, are gonna go out of that zone and get into the high-cost area. So, if we're thinking about best practices to avoid this, I'm gonna run through Dr. Conard's list that we mostly run through in the show that follows. Lastly, we touch a little bit in the show today on community-run primary care. This is a community paying for primary care for community members, just like they pay the fire department and the police department. There's a town in Rhode Island doing this that Dr. Conard talks about today. In fact, Michael Fine, MD, is part of this effort in Rhode Island.  === LINKS ===

AMA COVID-19 Update
How to improve value-based care: Population health management strategies and benefits of CPT codes

AMA COVID-19 Update

Play Episode Listen Later Jan 24, 2025 9:47


What is value-based care? How does value-based care work? How to optimize value-based care? What is population health management? What is cost control in healthcare? Our guest is Lori Prestesater, senior vice president of Health Solutions at the American Medical Association, discusses the evolution of value-based care delivery and the the three pillars of value-based care: population health and quality management, cost management, and alternative payment models. She shares CPT code news and examples of CPT code changes in healthcare payment models, like the rise of digitally enabled care during the COVID pandemic for telehealth and telemedicine services. AMA CXO Todd Unger hosts.

Boundless Body Radio
BONUS! My Appearance on the My Metabolic Life YT Channel with Brett Smith! 740

Boundless Body Radio

Play Episode Listen Later Dec 1, 2024 60:26


Send us a textToday we are releasing another bonus episode! This is my recent appearance on The My Metabolic Life YouTube Channel with Brett Smith!! As always, it was a fun chat, and I'm always so grateful to be a guest on someone else's show!Check out this episode on YouTube as well to see the full video!Brett Smith is a former Population Health Management and Risk Management executive turned health coach, author, and health activist.Eventually he started his channel My Metabolic Life, which focuses on the relationship between how our metabolism impacts our health.He has also recently started the channel called- Metabochondriacs Brett Smith & Dr. Ryan Cooley - Awakening & Healing w/ Metabolic Therapy.Find Brett at-https://mymetaboliclife.com/YT- @My Metabolic LifeYT- @The MetabochondriacsFind Boundless Body at- myboundlessbody.com Book a session with us here!

Boundless Body Radio
My Metabolic Life with Brett Smith! 698

Boundless Body Radio

Play Episode Play 30 sec Highlight Listen Later Sep 4, 2024 53:39


Send us a textBrett Smith is a former Population Health Management and Risk Management executive turned health coach, author, and health activist.One day, a family member who had achieved amazing results on a low-carbohydrate diet, piqued Brett's curiosity. He had spent over 20 years in the health insurance, corporate wellness, disease management, and pharma industries and had never heard the words "low carb or keto". Always loving a good mystery, he put on his detective hat and started down the rabbit hole.Eventually he started his channel My Metabolic Life, which focuses on the relationship between how our metabolism impacts our health. His focus is to explore the culprit to most of what ails us, which is mitochondria dysfunction. This not only includes the chronic diseases that hardly ever existed 100 years ago, but also most of our mental health and neurologic conditions.He has also recently started the channel called- Metabochondriacs Brett Smith & Dr. Ryan Cooley - Awakening & Healing w/ Metabolic Therapy. They will be sharing topics regarding how our metabolic health dictates much of what is happening in our physical and mental health.Find Brett at-https://mymetaboliclife.com/YT- @My Metabolic LifeYT- @The MetabochondriacsFind Boundless Body at- myboundlessbody.com Book a session with us here!

United Public Radio
Spirit Switchboard - Dr Scott Guerin - Connecting With Angels

United Public Radio

Play Episode Listen Later Jul 15, 2024 110:05


Spirit Switchboard Episode #64 July 12th Topic: Understanding and Connecting with Angels Guest: Dr. Scott Guerin This week Spirit Switchboard welcomes author, educator and retired healthcare professional Dr. Scott Guerin. Have you ever wanted to connect with your Angels? In this segment of Spirit Switchboard we discuss Dr. Guerin's latest book Looking for Angels: A Guide to Understanding and Connecting with Angels. Guest Bio: The driving force behind Dr. Scott Guerin's life has been his passion for unraveling the mysteries of God, Universe, and Source, and the intricate tapestry of their relationship with humanity. A distinguished author, educator, and retired healthcare professional, Scott is committed to the exploration of spiritual development. With two master's degrees and a doctorate in human development with a focus on spiritual development, Scott's journey has been a remarkable one that delves into the profound realms of the human spirit. His popular Angel in Training series describes how society has begun to shift from organized religion to spirituality. Through it, Scott shares his experiences over decades of pursuing a spiritual life, resulting in three books, A Spiritual Journey and 12 Lessons, that document his journey to spiritual freedom. His conclusion is that we are all angels in training— eternal, connected, and capable beyond belief. His new book, Looking for Angels: A Guide to Understanding and Connecting with Angels was written by Dr. Guerin and renowned intuitive Nichole Bigley, this book shares the history of angels throughout religion, science, and psychology. In addition, detailed instructions are provided to help you connect with your spirit team. Scott's twenty-three-year tenure as an adjunct professor in psychology at Kean University in New Jersey allows him to impart wisdom and knowledge to countless eager minds, helping them foster a deeper understanding of human psychology and spirituality. Scott's insights into spiritual development have been covered in top publications such as the Chicago Tribune, Population Health Management, Thrive Global, U.S. News and World Report, Real Simple, and many more. To learn more about Scott or take his free spiritual course, Where Are You In Your Spiritual Journey?, visit angelintraining.org or follow him on Instagram: @scottguerinauthor. Guest Links Websites - http://www.lookingforangels.com http://www.angelintraining.org Instagram- https://www.instagram.com/scottguerinauthor/?hl=en Facebook- https://www.facebook.com/Angelintrainingseries Email - Guerinscott@gmail.com Message from Kerrilynn: I want to hear from you! I want to hear about your ghost stories, paranormal adventures and occurrences. I would also love your show suggestions to cover in the future. Email me at kerrilynn.shellhorn@gmail.com. If you enjoy the content on the channel please live, subscribe and share. My deepest gratitude to you all! A formal disclaimer: The opinions and information presented or expressed by guests on Spirit Switchboard are not necessarily those of the Host or the United Public Radio Network/UFO Paranormal Radio Network and its producers. As always Spirit Switchboard strives to hold space for open, respectful dialogue with show guests and listeners. Host links: http://www.kerrilynnshellhorn.com https://www.instagram.com/theoriginalkerrilynnshellhorn.com/ https://www.facebook.com/kerrilynn.shellhorn https://www.youtube.com/@kerrilynn-SpiritSwitchboard/streams

The Other 80
Revisiting CalAIM with Dr. Palav Babaria

The Other 80

Play Episode Listen Later Jun 26, 2024 41:23


The scope, scale and timeline of what California is trying to do with CalAIM is truly breathtaking. It's been almost a year-and-a-half since the launch of the program and Dr. Palav Babaria joins us to discuss how it's going and what comes next. Dr. Babaria is a primary care physician who leads quality and population health management for California's Medicaid program - Medi-Cal. We discuss:Which community supports are used most, or least? One of the big learnings from CalAIM: the enhanced care management models that work for adults dont work for childrenHow Medi-Cal is leveraging health plans as the organizers of social care because that's where the members areThe soon-to-be-released population health management service will address two big issues: standardized and equitable approaches to identifying high risk members and integrating state level benefits data, like for WIC Palav reminds us that CalAIM was built through listening:“Not everyone may know this, but CalAIM was generated from a statewide listening tour. Our previous state Medicaid director went around the state and literally asked communities… rooms full of plans, members, providers, what do you need from Medi-Cal that isn't working today? [The] smorgasbord of recommendations is what turned into CalAIM … Listening to the community and responding to the community's needs is in the core DNA of this program.”Relevant LinksListen to our related episode “Reflecting on Year One of CalAIM with Jacey Cooper”CalAIM dashboard Population health management policy guide California and other states require managed care plans to reinvest in local communitiesNY waiver summaryAbout Our GuestDr. Palav Babaria was appointed Chief Quality Officer and Deputy Director of Quality and Population Health Management of the California Department of Health Care Services beginning in March 2021. She was formerly the Chief Administrative Officer of Ambulatory Services at Alameda Health System. In that capacity, she operationally and clinically oversaw 26 specialty clinics, four large primary care FQHCs, specialty and integrated behavioral health, and is responsible for all outpatient value-based payment programs. Prior to that role, she served as Medical Director of K6 Adult Medicine Clinic. She also has over a decade of global health experience and her work has been published in the New England Journal of Medicine, Academic Medicine, Social Science & Medicine, L.A. Times, and New York Times. Her areas of interest include ambulatory transformation in resource-limited settings, shifting to value-based care, and issues of gender in medicine. Babaria received her bachelor's from Harvard College, as well as her MD and Masters in Health Science from Yale University. She completed her residency training in...

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Voices of Self Funding: Fred Goldstein-President, Founder Accountable Health Part 2

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

Play Episode Listen Later May 16, 2024 29:10


On this episode, Ramesh continued his discussion with Fred Goldstein, co-founder and lead host of PopHealth Week, a weekly radio show that engages thought leaders, disruptive companies, and health systems in the field of Population Health Management. This is the second of a two-part podcast that was recorded in front of a live audience at HCAA's Executive Forum and examined GLP-1, weight loss, gene therapies, reinsurance, and outcomes based contracts. The discussion also focused on population health and the use of data, access to primary care, maternity and musculoskeletal care, and more. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well

Dementia is a complex topic that requires a delicate balance of understanding, compassion, and expertise. With the prevalence of dementia on the rise, healthcare providers, caregivers, and individuals themselves must have a solid grasp on how to navigate these challenging conditions. Our guest Brent Forester is an expert in geriatric psychiatry and dementia care, bringing almost three decades of experience supporting individuals with dementia and older adults facing mental health challenges. Discussing his co-authorship with Tom Harrison of "The Complete Family Guide to Dementia: Everything You Need to Know to Help Your Parent and Yourself", we hear about his proactive approach to caregiving and education for families and his journey into geriatric psychiatry. Through his insights into the nuances of dementia care, early diagnosis, treatment, the importance of distinguishing between various types of dementia, and grief in caregiving, Brent guides us in developing resilience and adapting to the emotional complexities of caring for a loved one with dementia.   Listen and Learn:  The admiration for his role model grandmother and fascination with problem-solving in medicine that influenced Brent's career in Geriatric psychiatry  The process of diagnosing dementia and the benefits of early diagnosis The difference between the clinical syndrome, which we call dementia, and the disease of dementia What are the causes and symptoms of dementia?  The multifaceted challenges dementia presents and the need for comprehensive healthcare approaches that consider these complexities Goal setting and the importance of self-care for caregivers of people suffering from dementia  Resources:  More about Brent: The Complete Family Guide to Dementia: Everything You Need to Know to Help Your Parent and Yourself About Brent P. Forester Brent P. Forester, MD, MSc. is the Dr. Frances S. Arkin Professor and Chair of Psychiatry at Tufts University School of Medicine, Psychiatrist in Chief and Chairman for the Department of Psychiatry at Tufts Medical Center and Director of Behavioral Health for Tufts Medicine.  Dr. Forester spent a quarter of a century of his professional career at McLean Hospital and Mass General Brigham where he served as the Chief of the Division of Geriatric Psychiatry at McLean Hospital and Senior Medical Director for Value Based Care Solutions in the Population Health Management department at Mass General Brigham. Dr. Forester is an expert in geriatric psychiatry, specializing in the treatment of older adults with depression, bipolar disorder, and behavioral complications of Alzheimer's disease and related dementias. He is a Past President of the American Association for Geriatric Psychiatry (AAGP), a distinguished fellow of the American Psychiatric Association, and has previously served on the board of directors of the Alzheimer's Association of Massachusetts/New Hampshire and chair of their Medical Scientific Committee. Dr. Forester's research focuses on novel treatment approaches to manage the disabling behavioral complications of dementia, such as agitation and aggression. Dr. Forester's work also includes the implementation and evaluation of collaborative care models for comprehensive dementia care within primary care medical settings Related Episodes: A Family Guide to Dementia 338. ACT for Burnout with Debbie! 207. Burnout with Debbie and Jill 204. Ageless with Andrew Steele 13. Healthy Aging and the Brain Learn more about your ad choices. Visit megaphone.fm/adchoices

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Voices of Self Funding: Fred Goldstein-President and Founder Accountable Health-CoHost PopHealthWeek

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

Play Episode Listen Later Apr 18, 2024 30:06


Host Ramesh Kumar interviewed Fred Goldstein, co-founder and lead host of PopHealth Week, a weekly radio show that engages thought leaders, disruptive companies, and health systems in the field of Population Health Management. This is the first of a two-part podcast that was recorded in front of a live audience at HCAA's Executive Forum and examined GLP-1, weight loss, gene therapies, reinsurance, and outcomes based contracts. The discussion also focused on population health and the use of data, access to primary care, maternity and musculoskeletal care, and more. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

We’re All Psychic
Looking for Angels - Scott's Interview

We’re All Psychic

Play Episode Listen Later Mar 27, 2024 68:20


Misty and I interview Scott about the book he cowrote with Nichole Bigley entitled, Looking for Angels, and a while bunch more! Thank you, Scott! This is a video podcast on Spotify. Want to know more about Scott? About the book, authors, and signed copies https://www.lookingforangelsbook.com/   Amazon https://www.amazon.com/Looking-Angels-Guide-Understanding-Connecting/dp/B0CP2Z21ZL/ref=sr_1_1?crid=H2T2QHWDNRS4&dib=eyJ2IjoiMSJ9.wgNNRnd_iKQ-54ZJP-KBhuOSSPzsLhkt3T_gcnAtdYY.C5WxD-YOYjs4-ejGjG3tZfXGb8pGHXGP2izXv8EYUHc&dib_tag=se&keywords=looking+for+angels+by+scott+and+nichole&qid=1711501330&sprefix=looking+for+angels%2Caps%2C134&sr=8-1   Scott's website https://angelintraining.org/   Scott's Instagram https://www.instagram.com/scottguerinauthor/?hl=en   Book Description The majority of people worldwide believe in the existence of angels. But believing in them and interacting with them are two very different matters. Our recent international study showed 75 percent believe in angels, and of those, 36 percent indicated they've had an angel experience or encounter.   Whether you are a true believer, a healthy skeptic, or somewhere in between, Looking for Angels: A Guide to Understanding and Connecting with Angels will help you do just that. Written by Dr. Scott Guerin and renowned intuitive Nichole Bigley, this book shares the history of angels throughout religion, science, and psychology. In addition, detailed instructions are provided to learn how to connect with your spirit team.   Through true stories, data and insights, and expert tips, this book is an invaluable tool for anyone interested in learning more about these divine beings, as well as how to connect and communicate with them.   Looking for Angels is the definitive book on who or what angels truly are across all spiritual traditions and on how to call on them, recognize them, and work with them (even if you never thought you could). No other book on angels is as comprehensive or as practical. —Katy Koontz, editor of Unity Magazine      Scott Guerin, PhD   The driving force behind Dr. Scott Guerin's life has been his passion for unraveling the mysteries of God, Universe, and Source, and the intricate tapestry of their relationship with humanity. A distinguished author, educator, and retired healthcare professional, Scott is committed to the exploration of spiritual development. With two master's degrees and a doctorate in human development with a focus in spiritual development, Scott's journey has been a remarkable one that delves into the profound realms of the human spirit. His popular Angel in Training series describes how society has begun to shift from organized religion to spirituality. Through it, Scott shares his own experiences over decades of pursuing a spiritual life, resulting in two books, A Spiritual Journey and 12 Lessons, that document his journey to spiritual freedom. His conclusion is that we are all angels in training— eternal, connected, and capable beyond belief.    Scott's twenty-three-year tenure as an adjunct professor in psychology at Kean University in New Jersey allows him to impart wisdom and knowledge to countless eager minds, helping them foster a deeper understanding of human psychology and spirituality. Scott's insights into spiritual development have been covered in top publications such as the Chicago Tribune, Population Health Management, Th rive Global, U.S.  News and World Report, Real Simple, and many more.   To learn more about Scott or take his free spiritual course, Where Are You In Your Spiritual Journey?, visit angelintraining.org or follow him on Instagram: @scottguerinauthor. Support the podcast! You can best support us by following and subscribing. https://www.wereallpsychic.com/ Thank you for watching and listening. --- Send in a voice message: https://podcasters.spotify.com/pod/show/lisa-rusczyk/message

Outcomes Rocket
Unleashing the Potential of Technology in Value-Based Care with Jean-Claude Saghbini, a leading expert in technology and engineering for population health management at Lumeris

Outcomes Rocket

Play Episode Listen Later Feb 2, 2024 13:45


In value-based care, technology is the catalyst, but success requires management and aligned incentives for better, cost-effective care. In today's episode, Jean-Claude Sagbini, a leading expert in technology and engineering for population health management at Lumeris shares the foundational role of technology in succeeding in value-based care within healthcare. Jean-Claude underscores the importance of understanding the populations and individual patients being served, which requires access to diverse, often unstructured healthcare data. He explores the vital role technology plays in value-based care and how it enables healthcare providers to understand and serve their patient populations effectively. Jean-Claude highlights the challenges of accessing and aggregating vast amounts of healthcare data and the transformative insights that can be derived through machine learning and AI. He discusses Lumeris' approach to using generative AI, keeping physicians at the forefront, and implementing necessary guardrails to ensure quality outcomes. Furthermore, he explores the future of primary care and how AI-powered solutions can revolutionize how healthcare services are delivered.  Join us as we discuss the vital role of technology in value-based care, the use of generative AI, and the future of AI-powered primary care. Resources: Connect with and follow Jean-Claude on LinkedIn. Follow Lumeris on LinkedIn. Visit Lumeris on their Website.

Relentless Health Value
EP417: 5 Kinds of Payer and Provider Collaborations and 5 Must-Haves for Said Collaborations to Work, With Josh Berlin, JD

Relentless Health Value

Play Episode Listen Later Nov 2, 2023 33:43


Yeah, it's a fact that the vast majority of past and present provider and payer relationships are not exactly collaborative. They may better be described as fairly adversarial, actually—especially when viewed through the lens of provider organizations trying really hard to find a payment model that will enable them to do better by their patients and deliver better outcomes. We've had Justina Lehman (EP414), Ali Ucar (EP362), Dan O'Neill (EP359) talking about this from the provider organization standpoint. We also had Dan Serrano (EP410) and Will Shrank, MD (EP413) corroborating here. But after each of these earlier episodes, many comments and conversations ensued about said potential (or not) payer/provider collaborations. And there was a theme of many of these online exchanges. The theme was wondering if we'd all get laughed at for even talking about these rare and elusive Shangri-la scenarios. Like expending words and energy thinking about payers and providers working together was as crazy as being seen earnestly discussing, I don't know, whether mermaids know about pants or something. And that's why I wanted to get Josh Berlin on the podcast today: to talk about the why, the what, and the how of collaboration. I wanted to know if there really is a solid why here for the why collaborate, especially from a payer point of view. And when I say payer, I mean a payer kind of payer like a Blue Cross, United, Cigna, Aetna plan kind of payer. And I'm calling that out because payers are intermediaries in all cases except for their fully insured members. Except for that one book of business, entities actually taking the risk are taxpayers or self-insured employers. So, saving money on its face is not a super compelling value proposition. Listen to the show with David Contorno (EP339) for the why there. As we talk about in the interview that follows, though, what might be compelling is predictable spend, possibly—or even more compelling could be a competitive differentiation for that payer that leads to higher market share. Payer/provider collaborations can also lead to a more resilient market foothold that can stand up to threats from upstart competitors or big tech and big retail swooping in looking for a tasty slice of this $3 trillion industry. There's also the potential for a higher profit margin. And, oh, one additional reason to collaborate if you're a payer that we don't get into super heavily but I'd be remiss to not mention is the whole Star Ratings thing for Medicare Advantage plans, because stars equal big money. But a payer is not gonna get that Star Rating shekel if providers aren't delivering high enough quality care. Also, of course, we have HEDIS (Healthcare Effectiveness Data and Information Set) and other quality measures that have financial value ascribed to them. In the conversation that follows, Josh talks about different types of collaborations. Collaboration is a really very vague term, so what exactly is this collaboration, what does it entail, and how do you do it? Josh told me that there are five kinds of collaboration, and here they are in order of their depth of entanglement, I guess you could call it. 1. Sharing data back and forth 2. Use that data to identify areas of need and then do something programmatic together, like create clinical pathways or work on one very specific type of quality program. 3. A joint venture (JV)—you JV and work together on some sort of narrow network kind of product 4. Become capital partners in some way. 5. Having a risk-bearing kind of relationship—the provider gets a piece of the premium dollar So, that's the five types of collaboration. But here's the things you've got to tick through, that you have to really go through and make sure you've got all these things before you start. Otherwise, it'll be a monumental waste of time. 1. Complementary capabilities that enable scalability 2. A desire for sustainability in a market, and both have common goals and objectives and an agreed-upon time horizon 3. Both parties need to be pretty flexible. Rigid products have a shelf life. You've got to be willing to advance with market dynamics flexibly—know how to iterate around whatever it is you're doing. 4. Excel at collaboration. If you're going to collaborate, you have to know how to collaborate. And that's a cultural thing. 5. Compatible risk profiles—this means not just “taking risk” but knowing how to do it in a way that will work and navigating around things that could cause trouble when moving from fee for service to a more capitated way of going about things. Josh talks about some of them. Just to loop back around on #4 there, because … yeah, to collaborate, you need to collaborate. I call Josh out on this one, and he reiterates that … yeah, nothing to take for granted here. It might seem obvious, but it's so frequently an internal unknown unknown—at a lot of payers especially. I mean, if I'm a provider organization and you force me to only communicate with you through snail mail (ie, postage stamp, letter box, the whole nine), I don't know, I'd kind of get the vibe that I'm being enthusiastically ignored, which I just cannot square with a collaborative spirit of any kind. Josh Berlin is a founding partner of Rule of Three, which is a consulting firm. Rule of Three has clients that are physician practices, hospitals, health systems on the traditional side; and they also work with nontraditional organizations like Walmart Health and Wellness. They also work with payers, like regional blues and employer plans.   You can learn more at Rule of Three and by connecting with them on LinkedIn.   Josh M. Berlin, JD, is CEO of Rule of Three, LLC, with more than 25 years of experience, most of which has been in healthcare advisory in service to his clients. Most recently, he has served as principal and co-practice leader of Citrin Cooperman's Healthcare Practice and managing partner for IBM Watson Health's Strategic Advisory Practice, leading a unique group of consultants in each instance to serve clients across the full healthcare ecosystem (providers, payers, employers, governments, advocacy, etc). Prior to those roles, Josh served as a principal in the healthcare consulting practice at Dixon Hughes Goodman (now FORVIS), helping to lead their strategy consulting business, and served as a leader in all versions of KPMG (KPMG Consulting/BearingPoint and KPMG). Currently, he serves on the Boards of the Validation Institute, Population Health Management journal, and HealthTrackRx. Josh's expertise spans both the consulting and healthcare industries. Some of his clients have included the Hospital Corporation of America, the Department of Health and Human Services (including the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services), various pediatric health systems, the National Association for Healthcare Quality, Nebraska Medicine, Penn Medicine, the Ochsner Health System/Network, the BJC Collaborative, and The Leapfrog Group, as well as a variety of other healthcare organizations. Josh has developed long-standing client relationships at all levels of organizations, notably including some of the most prestigious C-suite executives in healthcare today.   06:06 Why should payers want to collaborate with providers? 09:46 “Collaboration … is bilateral. … Both sides, plan and provider, should be equally as interactive with the individual populations they work with.” 12:37 What are the must-haves for collaboration between providers and payers? 13:10 What are the five different types of collaboration? 16:03 What are the five characteristics you want to be focused on in partnership? 21:35 EP359 with Dan O'Neill. 22:16 In order to collaborate, do you have to be collaborative? 26:11 Ochsner as a great example of collaboration. 27:46 Episodes with David Carmouche, MD, and Eric Gallagher. 28:51 A collaboration failure in Haven.   You can learn more at Rule of Three and by connecting with them on LinkedIn.   Josh M. Berlin of Rule of Three, LLC, discusses #payer and #provider #collaboration on our #healthcarepodcast. #podcast #digitalhealth #valuebasedcare #healthcare   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Adam Brown, Rob Andrews, Justina Lehman, Dr Will Shrank, Dr Carly Eckert (Encore! EP361), Dr Robert Pearl, Larry Bauer (Summer Shorts 8), Secretary Dr David Shulkin and Erin Mistry, Keith Passwater and JR Clark (Summer Shorts 7), Lauren Vela (Summer Shorts 6)  

Pharma Market Access Insights - from Mtech Access
Population health management: a community effort across health and life sciences

Pharma Market Access Insights - from Mtech Access

Play Episode Listen Later Nov 1, 2023 64:01 Transcription Available


How can our community support NHS leaders to deliver a data-led, people-centric health service?Dr Mark Davies (Global Chief Health Officer, IBM) joins Prof. Phil Richardson (Chair and Chief Innovation Officer, Mtech Access) to explore the power of data, the role of community and how the health and life sciences ecosystem can support the NHS's population health management goals.Population health management has the potential to be a powerful tool for healthcare systems, effecting the way health and care is strategised, budgeted, targeted, and delivered. We see a future where key decisions in the NHS are driven by population health data. What we now need is a new way of working powered by local need, quality evidence and a systematic approach.In this webinar, Phil and Mark explore:  - How the NHS can use population health management to transform the system - The importance of community in population health management - How Pharma, Medtech, and the wider life sciences sector can work above brand to support the NHS with population health management - What a data-driven, people-centric approach means for the way treatments are valued - How population health management could transform the economics of healthcareThis episode was first broadcast as a live webinar on Friday 8th September 2023. Learn more at: https://mtechaccess.co.uk/uk-nhs-insights/ Discover more about our work in this area at: https://mtechaccess.co.uk/uk-nhs-insights/Subscribe to our newsletter to hear more news, insights and events from Mtech Access.

The Healthy Project Podcast
Navigating Health Disparities: Innovating Care Processes with Vanessa Guzman

The Healthy Project Podcast

Play Episode Listen Later Oct 9, 2023 28:23


In this compelling episode of The Healthy Project Podcast, I welcome Vanessa Guzman, the dynamic force behind Smartrise Health, a platform meticulously designed to re-engineer and enhance care processes across health systems and organizations. Dive deep with us as we explore the innovative methodologies employed by Smartrise Health in mitigating health disparities and promoting equitable care.Discover insights into: The comprehensive re-calibration and redesign of care processes for health systems and plans, ensure a robust framework to address disparities. The meaningful impact and tangible outcomes of implementing Smart Rise's strategies, including staggering savings and enriched community-focused programs.  Educational platforms and fellowships aimed at empowering healthcare leaders and embedding a culture of health equity across organizations. The benevolent layer of Smartrise, reinvests a significant portion of revenue into charitable activities, thus perpetuating a cycle of giving and community upliftment. Vanessa shares firsthand experiences and innovative approaches towards designing a healthcare model that doesn't just identify, but also strategizes and implements practical solutions for bridging the gaps in quality care. We delve into not just the how but also the why behind creating a healthcare system that is equitable, accessible, and effectively addresses the root causes of disparities.Connect with Vanessa and explore more about Smartrise Health's pivotal role in championing health equity, redefining care processes, and shaping the future of healthcare delivery. www.smartrisehealth.comConnect with Corey:LinkedinInstagramFacebookYouTubeX (formerly Twitter)Website ★ Support this podcast ★

OneDigital Employer Advisory
Moneyball Benefits Podcast 5: Hard-Dollar Savings with Population Health Management

OneDigital Employer Advisory

Play Episode Listen Later Aug 7, 2023 39:11


If you're like most employers, you're constantly making decisions about the best way to allocate scarce resources. This is a difficult and high-stakes task that has only been made more important by rising costs, a down economy, and a red-hot labor market. OneDigital is here to help with the Moneyball Benefits Podcast.In this series, Director of Compliance and Innovation Scott Wham takes inspiration from the "Moneyball" philosophy that revolutionized professional sports in the 2000s and applies it to the world of human capital management. In episode five, Scott is joined by National Health and Wellbeing Practice Leader Shira Wilensky to talk about how a modernized population health management strategy can save employers money.

Breaking Health
Episode: 163 - Women, Families, and Health: Understanding the Market, Its Impact, and How You Measure Success

Breaking Health

Play Episode Listen Later Jun 20, 2023 44:03


For the past few years, digital health has made great strides in providing new ways of healthcare access for patients. But this also means new challenges and obstacles have emerged. This year, at the Digital Healthcare Innovation Summit, leaders in women's health talked about how they and their companies are finding ways to help patients access healthcare more easily, as well as the creation of sustainable business models, understanding the market, and how to measure success. They also share their own experiences of working with patients and what inspired them to find new ways to help the underprivileged. Finally, they address generational needs and differences and discuss their hopes for the future of women's health. Links from this episode:  HealthEdge  

NEJM Catalyst Leadership Podcast
Population Health Management: The Next Big Inflection in Health Care

NEJM Catalyst Leadership Podcast

Play Episode Listen Later Jun 8, 2023


The external and internal factors necessary for population health management in the transformation to value-based care.

Master Your Healthcare Career
How Population Health Management Programs Create Disruptive Innovators

Master Your Healthcare Career

Play Episode Listen Later Jun 1, 2023 36:54


Joining Anthony on today's podcast is Jenni Gudapati, MBA, RN, the Program Director for Value-Based Healthcare at Boise State University's College of Health Sciences. Jenni brings a wealth of experience and expertise in healthcare leadership, with a particular focus on creating innovative and efficient healthcare delivery to enhance patient outcomes. In this session, Jenni shares her inspiring healthcare journey and how her passion for improving patient outcomes led her to a career in population health management. She highlights her impetus to collaborate with the Healthcare Financial Management Association (HFMA) to design a population health management program, recognized this year as a recipient of the CAHME/George and Regi Herzlinger Innovation Education award.Jenni goes on to explain the similarities and differences between healthcare, quality and safety, and population health management programs, offering valuable insights. Moreover, she provides real-life examples of the diverse career paths pursued by students who have successfully completed the program. 

HLTH Matters
S3 Ep43: Better Engagement = Better Outcomes —featuring Crystal Brown

HLTH Matters

Play Episode Listen Later May 30, 2023 13:40


About Crystal Brown:Crystal Brown is Vice President of Product and Strategy at Benefitfocus, a cloud-based benefits administration technology company serving Health Plans and Employers nationwide.  Crystal is the lead for all aspects of product strategy, roadmap development, and product execution for the full product portfolio of Benefitfocus. In this role, she ensures the viability, feasibility, and desirability of the product offerings, by tapping the expertise of business leaders and keenly knowing the competitive landscape. Crystal brings with her 20+ years of leadership experience spanning deep business acumen, user insights, and technical savvy delivering product designs resulting in a compelling competitive advantage.Prior to this role, Crystal was the Vice President of Strategic Programs at Florida Blue. There she was responsible for leading enterprise strategy, roadmap development, and program execution for transformational initiatives in Sales, Engineering, Clinical Operations, and Provider Networks. A sampling of strategic initiatives she most recently led includes Provider Interoperability, Cost and Quality Transparency, Population Health Management, and Enterprise Data Governance.An active member of her community, Crystal has annually served through United Way leading and participating in community service activities focused on supporting local agency programs.  Agencies of support include Clara White Mission, Daniel Kids, Hands on Jacksonville, and Children's Home Society of Florida.  While in and out of the office, Crystal remains an active mentor providing interview coaching, development plan building, career pathing, and on-the-job competency mentoring. She is most passionate about mentoring individuals in technology as they prepare for progression into management, focusing on coaching, organizational structure, and general management practices.  Crystal holds a Master of Business Administration degree from the University of North Florida with a concentration in Marketing and eCommerce. She is a native of Jacksonville and enjoys cheering alongside her husband of 20 years at the various activities of their three children. Things You'll Learn:Advanced Engagement Services is Benefitfocus' enhanced automated communication solution to help health plans and employers connect with their customers and employees.Disengaged members are often three times more likely to have unmet medical needs and two times more likely to delay medical care.Health plans that proactively engage their members can see an increase in overall satisfaction when they try to keep out-of-pocket costs low. It's hard to create personalized and meaningful communications for customers without their complete and accurate information.Usher Technology, Benefitfocus' latest partner, uses a no-code AI-driven platform that delivers a highly personalized digital experience in customer journey automation with a secure, HIPAA-compliant, password-free customer interface. Resources:Connect with and follow Crystal Brown on LinkedIn.Follow Benefitfocus on LinkedIn.Visit the Benefitfocus Website.Reach out to Crystal at sales@Benefitfocus.com

ACCP JOURNALS
Quality measures to help define the importance and value of CMM as a key component of population health management - Ep 102

ACCP JOURNALS

Play Episode Listen Later Apr 18, 2023 16:01


Comprehensive medication management (CMM) provided by a clinical pharmacist can improve the quality of care and reduce health care costs through the optimization of medication use and a significant reduction in medication-related problems. Dr. Curtis Haas discusses the limitations of the current evidence and recommends structure, process, and outcome measures to ensure that the key elements of CMM that drive the observed benefits are implemented with fidelity to address the goals of the quadruple aim. Read the full text article at: https://accpjournals.onlinelibrary.wiley.com/doi/10.1002/jac5.1767.

NHS England and NHS Improvement Podcast
Population Health Management bitesize #3: Making the case for PHM

NHS England and NHS Improvement Podcast

Play Episode Listen Later Mar 29, 2023 25:30


“When we hear the phrase the return on investment, there is a predilection to jump towards cash returns on cash investment. Actually, what we invest is more than cash: we invest better knowledge, we invest better relationships, and we return not just cashable savings, but the value that is returned is more joined up care for residents.” Dr Andy Knox and Dr Sakthi Karunanithi from Lancashire and South Cumbria talk to us about making the case for population health management to improve population health and reduce inequalities. They discuss how using PHM and collaborating beyond the usual care deliverers can help systems to get upstream to help alleviate pressures. Audio transcript is on the PHM Academy on Future NHS: https://future.nhs.uk/populationhealth/view?objectId=162826597

Becker’s Healthcare Podcast
Kidney Population Health Management Strategy with Healthmap Solutions

Becker’s Healthcare Podcast

Play Episode Listen Later Mar 23, 2023 19:50


In this episode, we are joined by Tom Gaffney, Chief Growth Officer at Healthmap Solutions, and Eric Reimer, Chief Executive Officer at Healthmap Solutions, to discuss the strategy behind their Kidney Health Management program, their focus on earlier staged CKD patients, the collaboration between the patient, the provider, and the payer, and much more.This episode is sponsored by Healthmap Solutions.

Passionate Pioneers with Mike Biselli
Starting Patients on the Right Path to Improved Mental Health with Dr. Thomas Young

Passionate Pioneers with Mike Biselli

Play Episode Listen Later Jan 30, 2023 25:30


Episode Sponsor:This episode's Community Champion Sponsor is Catalyst. To virtually tour Catalyst and claim your space on campus, or host an upcoming event: CLICK HERE---Episode Overview: During this episode, I am honored and excited to welcome Dr. Tom Young, a board-certified family physician, a national mental health expert, and the Founder and Chief Medical Officer of Proem Behavioral Health. While together, Dr. Young shares how his company uses a fresh and innovative approach to deliver mental healthcare through an evidence-based behavioral health workflow engine that simplifies the complex process of delivering mental healthcare and helps providers and researchers get the data they need to make more informed clinical decisions and produce better outcomes for patients suffering from mental illness. Join us as we discuss how Dr. Young and the Proem Behavioral Health team are starting patients on the right path to improved mental health. Let's go! Episode Highlights:How Dr. Young started his career in the mental healthcare fieldThe ah-ha moments for creating Proem Behavioral HealthWhat biometric markers in behavioral health mean in 2023 and beyondThe effect of the pandemic on mental health and how Proem has helped others during these difficult timesAbout our Guest: Thomas R. Young, MD is a board-certified family physician with more than 35 years of medical experience. He is also a recognized thought leader on ways to better identify and manage mental health disorders, especially among adolescents and teens.Dr. Young currently serves as the Medical Director for Port of Hope in Nampa, ID, where he provides psychiatric services for clients with substance use disorders and co-occurring mental healthdisorders. Dr. Young is also the Founder and Chief Medical Officer of Proem Behavioral Health, a behavioral health technology company providing tools for physicians and researchers to help diagnose psychiatric disorders accurately and efficiently.Previously Dr. Young served for six years as the Medical Director of Idaho Medicaid and has remained active in the formation of medical and mental health policy for the state of Idaho. Dr. Young was also Chief Clinical / Medical Officer of Idaho Medicare QIO Qualis Health.Dr. Young also served as President of Behavioral Imaging Solutions, a technology firm recognized for its application of video imaging for the treatment of children with autism. Most recently, he served as Chief Operating Officer at US Preventive Medicine, a health technology leader in Population Health Management.He is also a successful entrepreneur. His business ventures include Diversified Franchises, LLC which owns a chain of specialty restaurants, a home health business, and Elite Sports Society, a successful sports marketing business where he serves as the business development officer.Links Supporting This Episode:Proem Behavioral Health website: CLICK HEREDr. Thomas Young LinkedIn page: CLICK HEREMike Biselli LinkedIn page: CLICK HEREMike Biselli Twitter page: CLICK HEREVisit our website:

NHS England and NHS Improvement Podcast
Population Health Management bitesize #2: Setting up effective structures in Leeds

NHS England and NHS Improvement Podcast

Play Episode Listen Later Jan 10, 2023 18:00


In this episode we're joined by Jenny Cooke from Leeds Health and Care Partnership along with Claire Turner from Carers Leeds. They were on wave one of the NHS England Population Health Management Development Programme and were also part of the Place Development Programme this year. They have been working closely to embed population health management within their system and talk to us about how this structure works and how relationships with the third sector have been developed. Audio transcript is on the PHM Academy on Future NHS.

Healthcare Trailblazers
How Covid Crashed the System | Ep. 15

Healthcare Trailblazers

Play Episode Listen Later Dec 5, 2022 15:14


In this short chat with David, we talk about his background, steps on how to fix the American healthcare system and his thoughts of value based care. Book How Covid Crashed the System: A Guide to Fixing American Health CareGet Your Book Here - https://www.amazon.com/How-Covid-Crashed-System-American/dp/1538164256  AboutDavid B. Nash, MD, MBA, is the Founding Dean Emeritus and the Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, at the Jefferson College of Population Health (JCPH). He also serves as a Special Assistant to the Chief Physician Executive of Jefferson Health. A board-certified internist, Dr. Nash is internationally recognized for his work in public accountability for outcomes, physician leadership and quality-of-care improvement. He serves as Chief Health Advisor for the Philadelphia Convention and Visitor's Bureau and has received wide acclaim for his COVID-19 thought leadership. Repeatedly named to Modern Healthcare's list of Most Powerful Persons in Healthcare, his national activities cover a wide scope. Dr. Nash is a principal faculty member for quality of care programming for the American Association for Physician Leadership (AAPL). He has governance responsibilities for organizations in the public and private sectors including: Geisinger Commonwealth School of Medicine (GCSOM); the National Investment Center for Senior Housing and Care (NIC); the AMGA Foundation Board; InfoMC; ANI Pharmaceuticals; FOX Rehab; and Arsenal Capital Partners. Dr. Nash has received many awards in recognition of his achievements including: the top recognition award from the Academy of Managed Care Pharmacy; the Philadelphia Business Journal Healthcare Heroes Award; honorary distinguished fellow of the American College of Physician Executives (now AAPL); the Elliot Stone Award for leadership in public accountability for health data from NAHDO; the Wharton Healthcare Alumni Achievement Award; the Joseph Wharton Social Impact Award; and the Philadelphia Business Journal award for innovation in medical education. Dr. Nash's work is well known through his many publications, public and virtual appearances, and online column, MedPage Today. He has authored and edited numerous peer-reviewed articles and books. He is Editor-in-Chief of American Journal of Medical Quality, Population Health Management, and American Health and Drug Benefits. He is also on the founding editorial board of TeleHealth and Medicine Today. Dr. Nash received his BA in economics (Phi Beta Kappa) from Vassar College; his MD from the University of Rochester School of Medicine and Dentistry and his MBA in Health Administration (with honors) from the Wharton School at the University of Pennsylvania. While at Penn, he was a former Robert Wood Johnson Foundation Clinical Scholar. He has received honorary doctorates from Salus University in Philadelphia, GCSOM, and the University of Rochester.Learn more about David:LinkedIn: https://www.linkedin.com/in/davidbnash/Learn more about Previva Health Group:Website: https://previva.com/ LinkedIn: https://www.linkedin.com/company/previva-health-group/

NHS England and NHS Improvement Podcast
Population Health Management Bitesize #1: Making PHM business as usual

NHS England and NHS Improvement Podcast

Play Episode Listen Later Dec 5, 2022 15:28


In this episode we're joined by Emma Higgins from the Bath, North East Somerset, Swindon and Wiltshire (BSW) Integrated Care Board. BSW were on wave two of the NHS England Population Health Management (PHM) development programme and they talk to us about their journey, their plans to make PHM business as usual and how are they planning to scale and sustain the learning they took from our programme. Audio transcript is on the PHM Academy on Future NHS

Rx Investor Podcast
015 - Using Real Estate Investing to Serve His Healthcare Purpose with Bryce Platt, PharmD

Rx Investor Podcast

Play Episode Listen Later Nov 29, 2022 40:57


Bryce Platt is super focused on his pharmacist career but also invests in real estate. His real estate portfolio allows him to serve his healthcare purpose and take risks in his career.In this episode, Bryce talks about the disastrous beginnings of his house hacking journey and the lessons that came out of it. He also explains the house hacking strategy and gives tips for pharmacists who want to try it out. Listen and be inspired by his story!Key Points from This Episode:Bryce talks about his life in Kansas City.Why Bryce picked pharmacy and how his career started.His advice for younger pharmacists: invest in your education and network.Bryce has found a way to get real estate investing to serve his healthcare purpose.How his house hacking journey began and the lessons he has learned.Bryce explains the house hacking strategy for pharmacists and other healthcare professionals.Where should pharmacists who want to house hack start?What is Bryce's goal in the future and what are other areas of real estate or investing that he would like to venture into?Tweetables:“I see reading as a bigger mentor than anybody I ever had.” [00:10:29]“There are all those kinds of things that are risks in your business and if you only have that one income source, you don't have control of that. [00:20:22]“I could see commercial investing as the way to make it even more passive. [00:35:20]Links Mentioned:Bryce Platt on LinkedInThe Two-Hour Job SearchThe House Hacking StrategyAbout Bryce Platt, PharmDBryce Platt, PharmD is a consultant pharmacist at MakoRx and a real estate investor. He earned his Doctor of Pharmacy degree from the University of Kansas. He is a disciplined, growth-minded pharmacist who implements time-saving procedures and process improvements and constructs patient health programs. He used a concierge service to land a 4-by-4 condo in North Carolina, where he plans to take on 3 rent-paying tenants to live for FREE! Bryce is experienced in Medicare, Medicaid, commercial programs, quality improvement efforts such as HEDIS and Star measures, and interprofessional group collaboration. His expertise includes designing and implementing new programs and products that enhance patient health and lower healthcare costs. Bryce is a pharmacist that has created multiple programs that utilize pharmacists to enhance patient health and lower healthcare costs. He completed a post-doctoral fellowship in Population Health Management with Omnicell and Campbell University College of Pharmacy and Health Sciences in July 2019. The main sponsor of our podcast is Rx Real Estate Investment. They make everything we do possible, and our conversations and interviews would not be available without their support. If you want to diversify your retirement portfolio and get into commercial real estate investing, working with Rx Real Estate Investment may be a great match for you. Check out the website at www.rxrei.com.

Health Care Rounds
#155: Complex Population Health Management and Comprehensive Value-Based Models for High-Risk Patients, with Dr. Robert Jarve

Health Care Rounds

Play Episode Listen Later Nov 18, 2022 44:31


Dr. Robert Jarve is the Associate Chief Medical Officer for Population Health at Corewell Health West. In this role, he leads the strategy and development of population health analytics capabilities for the system, as well as the implementation of a value-based care model for underserved, high-risk patients. He is also leading a pilot to help house at-risk patients who are experiencing homelessness.In addition to his administrative responsibilities, Dr. Jarve practices as an internal medicine and pediatrics physician, providing primary care to high-risk patients one day a week. He has diverse experience in population health management, including implementing and leading care management teams, developing care pathways and analytics solutions, and leading the change management of health care teams to more integrated team care models. Dr. Jarve holds BS and MSc degrees from Michigan State University, an MD degree from Wayne State University, and an MBA from Grand Valley State University.Dr. Jarve has lived in Michigan his whole life and enjoys spending time with his wife, two teenage boys, and pets. Outside work, his favorite activities are hiking, reading, traveling, and snowboarding. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group. He is leading ongoing, in-depth research initiatives on integrated health systems, accountable care organizations, and value-based care models. He is a faculty associate in the W.P. Carey School of Business and the graduate College of Health Solutions at Arizona State University.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow. About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin's client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Bright Spots in Healthcare Podcast
How Hybrid Models Transform Value-Based Care

Bright Spots in Healthcare Podcast

Play Episode Listen Later Oct 28, 2022 59:45


Hybrid care models provide a more personalized, flexible, and seamless patient journey, improving the in-person experience and giving patients more autonomy over their own care. Our expert panel discusses leveraging hybrid-care models to improve access to care, close gaps in care and improve outcomes. Learn successful strategies and best practices you can implement in your organization.   Panel:  Tracy Rico, Director, Virtual Care Services, Superior HealthPlan (Centene Corporation); Erika Pabo, MD, MBA, Vice President Transformation & Central Operations, Centerwell/Humana; Donna O'Shea, Chief Medical Officer of Population Health Management, UnitedHealthcare;; Elizabeth Hyatt, Director of Payer Solutions,TytoCare   This episode is sponsored by TytoCare TytoCare is one of the world leaders in enabling providers to practice healthcare virtually. Imagine remote physician exams from your home. TytoCare has a consumer friendly, remote exam system to deliver on the full promise of telehealth. https://www.tytocare.com/

The Balance: An Inside Look at the Leadership of Finance in the NHS
Population Health Management with Wesam Baker

The Balance: An Inside Look at the Leadership of Finance in the NHS

Play Episode Listen Later Oct 3, 2022 29:26


In this episode, Wesam Baker, NHS Director of Strategic Analytics, Economics and Population Health Management, talks about data interpretation and provides a strategic insight on how to transform and improve patient care.

Self-Funded With Spencer
Modern Benefits Consulting - Genesys Health - Matt Monahan - Chief Strategy Officer

Self-Funded With Spencer

Play Episode Listen Later Aug 30, 2022 53:03


Modernizing Benefits Consulting at Genesys Health, with Chief Strategy Officer Matt Monahan. Genesys puts a large emphasis on Population Health Management in their practice, helping members navigate their healthcare journey with actionable data, guidance, and support. Matt has an extensive background from the carrier world with Aetna, having spent a 12 year period as a large group rep. He started at GE/Genworth as a group rep as well, after a short period of time playing semi-pro rugby. Matt brought that expertise, as well as a tenure at Namely on the technology side of insurance to Genesys, where he gets to apply his diverse skillet into the benefits consulting world. https://www.genesys.health/ Chapters: 00:00 Intro Hook 00:23 Podcast Opening Credits 00:33 Hello to Matt Monahan 04:50 Matt's Rugby Background 08:40 Matt's Early Career 15:25 Career at Aetna 20:00 Genesis of Genesys Health 28:57 Changing Employee Behavior 37:55 Approach to Consulting 41:20 The Genesys Brand 49:06 Future of Care 51:40 Closing Thoughts --- Support this podcast: https://anchor.fm/spencer-harlan-smith/support

Self-Funded With Spencer
Modern Benefits Consulting - Genesys Health - Matt Monahan - Chief Strategy Officer

Self-Funded With Spencer

Play Episode Listen Later Aug 30, 2022 53:03


Modernizing Benefits Consulting at Genesys Health, with Chief Strategy Officer Matt Monahan. Genesys puts a large emphasis on Population Health Management in their practice, helping members navigate their healthcare journey with actionable data, guidance, and support. Matt has an extensive background from the carrier world with Aetna, having spent a 12 year period as a large group rep. He started at GE/Genworth as a group rep as well, after a short period of time playing semi-pro rugby. Matt brought that expertise, as well as a tenure at Namely on the technology side of insurance to Genesys, where he gets to apply his diverse skillet into the benefits consulting world. https://www.genesys.health/ Chapters: 00:00 Intro Hook 00:23 Podcast Opening Credits 00:33 Hello to Matt Monahan 04:50 Matt's Rugby Background 08:40 Matt's Early Career 15:25 Career at Aetna 20:00 Genesis of Genesys Health 28:57 Changing Employee Behavior 37:55 Approach to Consulting 41:20 The Genesys Brand 49:06 Future of Care 51:40 Closing Thoughts --- Support this podcast: https://anchor.fm/spencer-harlan-smith/support

DocPreneur Leadership Podcast
450. Is Concierge Medicine Fair?

DocPreneur Leadership Podcast

Play Episode Listen Later Jun 9, 2022 44:53


By The DocPreneur Leadership Podcast, the Exclusive Podcast of Concierge Medicine Today, the industry trade publication. Today's topic defines how a Patient views this subscription-based healthcare delivery program we call 'Concierge Medicine.' We define it, we talk about it and we even argue for and against it. We hope it helps provide some additional education and perspective on a topic you might want to learn more about. RESOURCES MENTIONED IN TODAY'S EPISODE New MDVIP Study Reveals Personalized Preventive Care Yields Decreased Costs and Better Health Management Source: MDVIP | February 25, 2016 - A new study in Population Health Management from MDVIP (MD-Value In Prevention) highlights how a primary care model based on personalized preventive care achieves definitive cost savings and improved… See more    By Medical Economics | Survey shows zero percent pandemic closure rate for membership-based medical practices - Read More ... | March 12, 2021 | Written By Dr. Dean McElwain DISCLAIMER AND USE: In no event is this information considered medical, legal, tax, financial, accounting or other professional advice (Please see full disclaimer below). This Podcast Is Subject to the Terms and Conditions of Use (https://conciergemedicinetoday.org/tcpp/) and is recorded/hosted by Concierge Medicine Today, LLC. Concierge Medicine Today, LLC., our representatives, agents or employees accept no responsibility or liability for direct, indirect, special, incidental or consequential damages or financial costs or claims made by the Physician(s) interviewed or our guests. OTHER RESOURCES FOR PHYSICIANS https://members.fordoctorsforum.org/ www.ConciergeMedicineFORUM.com www.ConciergeMedicineToday.org www.ConciergeMedicineToday.net

Becker’s Healthcare Podcast
Mallory Callahan, Director of Population Health Management and Innovation at Nebraska Health Network

Becker’s Healthcare Podcast

Play Episode Listen Later May 28, 2022 18:08


This episode featueres Mallory Callahan, Director of Population Health Management and Innovation at Nebraska Health Network. Here, she joined the podcast to talk about how the ACO is evolving, payer and physician relations and value-based care.

PopHealth Podcast
California DHCS Chief Quality Officer Palav Babaria & 2023 Population Health Management Launch

PopHealth Podcast

Play Episode Listen Later May 23, 2022 25:04


Palav joins host Gavin Ward to discuss the new Popation Health Management efforts that DHCS is launching in 2023 in California. Before getting into the details, Palav reveals her competiveness in board games and where her passion for serving the safety net was inspired.

The ACR Bulletin Podcast
Radiology's Role in Population Health Management with Syed Zaidi, MD, MBA, FACR, and Ryan Lee, MD, MBA, MRMD

The ACR Bulletin Podcast

Play Episode Listen Later May 5, 2022 24:40


Syed Zaidi, MD, MBA, FACR, and Ryan Lee, MD, MBA, MRMD, explain radiology's role in population health management.

Pharma Market Access Insights - from Mtech Access
Population to Person: How will the NHS translate population health management into impactful, person-centred service change?

Pharma Market Access Insights - from Mtech Access

Play Episode Listen Later Mar 15, 2022 56:04


What does population health management mean for the NHS, for patients, and for industry? How will the NHS translate population health management into impactful service change and what will this look like for patients?Tom Clarke (Director, Mtech Access) explores all this and more with guest speaker Dr Steven Laitner (GP, Parkbury House Surgery). Steven and Tom explore how the NHS can translate the theory of population health management into practical service changes that improve care for patients. They consider the role data will play, the challenges of limited data and whether a busy and tired health service can utilise population health data effectively. They also consider where and how Pharmaceutical and Medtech companies can support the NHS with population health management and service improvement.This episode was first released as a live webinar on 4th March 2022. Learn more about this webinar at: https://mtechaccess.co.uk/nhs-population-health-management/Learn more about the changing NHS environment for UK market access and our work at Mtech Access at: https://mtechaccess.co.uk/uk-nhs-insights/We are delighted that our podcast has been featured in this list of the Best 35 Pharma Podcasts by Feedspot: https://blog.feedspot.com/pharma_podcasts/

Healthcare IT Today Interviews
AssureCare - Population Health Management for Providers, Payers, and Pharmacies

Healthcare IT Today Interviews

Play Episode Listen Later Dec 29, 2021 25:53


Yousuf Ahmad, President & CEO at AssureCare, has been working on the problem of population health for a while previously as a hospital executive and now at AssureCare. Healthcare IT Today had the chance to sit down with him and talk about some of the market challenges healthcare organizations are facing and AssureCare's approach to solving them. Plus, he shares what makes AssureCare's approach to population health different than other vendors. Ahmad shares some of the proactive ways they are improving care for patients and he dives into how they're working with SDoH (Social Determinants of Health) to improve the health of populations. We also ask Ahmad to share about their work with pharmacies and he shares some of the largely untapped potential of pharmacies and the pharmacist. He talks about how the pharmacist's role is changing. Finally, we discuss why it's so important to put the patient at the center of the care continuum and what kind of impact doing so has in your population health efforts. Learn more about AssureCare: https://assurecare.com/ Find more great Health IT content: https://www.healthcareittoday.com/

Healthy Children
Invisible & Imaginary Friends

Healthy Children

Play Episode Listen Later Dec 28, 2021


The first time your child starts interacting with an invisible friend it can be a little worrying. But it turns out, it's much more common than you think!The first time your child starts interacting with an invisible friend it can be a little worrying. But it turns out, it's much more common than you think!Imaginary friends help build social and communication skills, imagination, and more.Joining us to talk about all kinds of magical and mystical friends, and why you most likely don't need to be worried, is Dr. Datta Munshi. Dr. Munshi is a community pediatrician with a strong interest in pediatric behavioral health. She completed her pediatric training in Philadelphia before moving to Georgia in 2001 and has worked in the urgent care setting at Children's Healthcare of Atlanta and private practice in the North Fulton, and South Forsyth area for more than 15 years. She is currently completing her Masters in Population Health Management at Johns Hopkins University and is working towards increasing collaborative and comprehensive mental healthcare for our children.

RadioMD (All Shows)
Invisible & Imaginary Friends

RadioMD (All Shows)

Play Episode Listen Later Dec 28, 2021


The first time your child starts interacting with an invisible friend it can be a little worrying. But it turns out, it's much more common than you think!The first time your child starts interacting with an invisible friend it can be a little worrying. But it turns out, it's much more common than you think!Imaginary friends help build social and communication skills, imagination, and more.Joining us to talk about all kinds of magical and mystical friends, and why you most likely don't need to be worried, is Dr. Datta Munshi. Dr. Munshi is a community pediatrician with a strong interest in pediatric behavioral health. She completed her pediatric training in Philadelphia before moving to Georgia in 2001 and has worked in the urgent care setting at Children's Healthcare of Atlanta and private practice in the North Fulton, and South Forsyth area for more than 15 years. She is currently completing her Masters in Population Health Management at Johns Hopkins University and is working towards increasing collaborative and comprehensive mental healthcare for our children.

Bloomberg Businessweek
Omicron Variant Grips Markets

Bloomberg Businessweek

Play Episode Listen Later Nov 29, 2021 49:48


Dr. Rhonda Medows, President of Population Health Management at Providence on surging virus cases and variant concerns. Bloomberg Intelligence Senior Tech Industry Analyst Mandeep Singh on Twitter CEO Jack Dorsey stepping down. Bloomberg Businessweek Editor Joel Weber and Bloomberg News Legal Reporter David Yaffe-Bellany on lawyer defending Roe bets on precedent to save abortion rights. Bloomberg New Economy Editorial Director Andy Browne on China study says adopting U.S. stance would trigger Covid surge. Greg Portell, Head of Consumer Industries & Retail Practice at Kearney, on Black Friday/Cyber Monday retail and e-commerce sales. And we Drive to the Close with Dave Donabedian, CIO of CIBC Private Wealth Management. Hosted by Carol Massar and Tim Stenovec. Producer: Paul Brennan Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

TKG's Healthcare Insights - Exploring Healthcare's Critical Issues
PART 2 - Advancing Patient-Centered Care

TKG's Healthcare Insights - Exploring Healthcare's Critical Issues

Play Episode Listen Later Aug 26, 2021 22:08


Advancing Patient-Centered Care – Part 2 Each summer, The Kinetix Group brings in several student interns, to explore the critical issues in healthcare, and learn alongside the TKG team. In this episode of TKG's Healthcare Insights, we will be highlighting the findings from three of our summer intern's research projects, focused on “Adopting Patient-Center Care.” The team looked at patient centered care from four distinct perspectives: Health Equity and Social Determinants of Health; Digital Health Trends, including Telehealth; Population Health Management; and how the use of big data has helped to reshape patient care over the last year. This year's summer interns are Danielle Dror, from Tulane University, Prem Shah, from Temple University, and Ava Ritchie, from the University of Southern California. All three are students pursuing degrees in healthcare.

TKG's Healthcare Insights - Exploring Healthcare's Critical Issues
PART 1 - Advancing Patient-Centered Care

TKG's Healthcare Insights - Exploring Healthcare's Critical Issues

Play Episode Listen Later Aug 23, 2021 23:34


Advancing Patient-Centered Care – Part 1Each summer, The Kinetix Group brings in several student interns, to explore the critical issues in healthcare, and learn alongside the TKG team. In this episode of TKG's Healthcare Insights, we will be highlighting the findings from three of our summer intern's research projects, focused on “Adopting Patient-Center Care.” The team looked at patient centered care from four distinct perspectives: Health Equity and Social Determinants of Health; Digital Health Trends, including Telehealth; Population Health Management; and how the use of big data has helped to reshape patient care over the last year. This year's summer interns are Danielle Dror, from Tulane University, Prem Shah, from Temple University, and Ava Ritchie, from the University of Southern California. All three are students pursuing degrees in healthcare.TKGOncology.com

Redesigning Normal
Navigating Pandemic Healthcare with Population Health Management feat. Gloria Berwick, VP of Operations at Spring Hills Management Services Organization

Redesigning Normal

Play Episode Listen Later Aug 9, 2021 39:06


Gloria Berwick is VP of Operations at Spring Hills Management Services Organization & Population Health where she oversees operations supporting physicians through business services. Spring Hills offers a full spectrum of integrated healthcare services for individuals and families. In this episode, Gloria focuses on population health management, an approach that integrates medical and behavioral care to provide patients with options and help them overcome socioeconomic and other barriers to receiving adequate healthcare. Gloria discusses the challenges and successes of launching Spring Hills' new population health management program during Covid, especially the normalization of telehealth across the healthcare industry. She also explores the role of a supportive culture in fostering innovation, the importance of caring for caregivers to avoid burnout, and the benefits of remaining a fully remote workforce. After you listen, connect with Gloria Berwick on LinkedIn. Learn more about Spring Hills Senior Communities and Home Care Services by visiting SpringHills.com and following on Twitter @SpringHills. This episode of Redesigning Normal is brought to you by Invisible Health Technologies.

The Wellness Paradox
Technology as a Game Changer for our Health w/Pallav Sharda

The Wellness Paradox

Play Episode Listen Later Jul 14, 2021 53:58


In episode 9 we're joined by Pallav Sharda to discuss the role of technology in healthcare. Pallav's diverse background in medicine and technology gives him a unique perspective on how technology can be used to make us healthier and help our healthcare system run more in a more patient-centric fashion. With technological advancement occurring at a rapid pace (particularly with regard to wearables) and new laws being introduced that allow for more flexibility with health data sharing, this is a very important and timely conversation. Our Guest: Pallav Sharda After finishing medical school, in 2001 Pallav veered into a technology-focused career that enabled him to work at medical device companies (GE, Omnicell), health insurer (UnitedHealth Group), hospital systems (Kaiser Permanente), big tech (Google) and several startups. He currently serves as the Chief Product Officer at CarrumHealth.com, a digital health company working on value-based care transformation. Over the last two decades Pallav has worked with Electronic Health Records, Health Information Exchanges, Clinical Data Analytics, Population Health Management and Cloud technology products. He has taught graduate-level Medical Informatics courses at Northwestern University and his book on Health IT innovation and entrepreneurship titled "Before Disrupting Healthcare" was published in June 2016. Pallav received his MBA from Northwestern University, a Masters in Medical Informatics from Columbia University, and a Bachelors of Medicine and Surgery (MBBS) from Delhi University, India. Pallav received his MBA from Northwestern University, a Masters in Medical Informatics from Columbia University, and a Bachelors of Medicine and Surgery (MBBS) from Delhi University, India. Find out more about him on pallavsharda.com or LinkedIn, Twitter, and Quora.

Improve Healthcare
Exploring Global Public Health Initiatives in Africa: Insights on HIV/AIDS management in Nigeria

Improve Healthcare

Play Episode Listen Later May 10, 2021 27:25


Great conversation with Dr. Udoete, a Nigerian-born physician and public health champion on insights in managing HIV/AIDS in Nigeria.Iboro Udoete, MD is a trained and ECFMG certified physician and graduate learner in public health at Central Michigan University in Mount Pleasant, MI. She grew up in Nigeria and gained her medical degree from All Saints University, Dominica. Her experience in healthcare delivery includes Nigeria, Dominica, and the United States.Dr Udoete is a global health enthusiast with a focused interest on HIV/AIDS care services, especially among resource-challenged and underserved communities. She currently works with the HIV surveillance department at the Michigan Department of Health and Human Services (MDHHS) to increase pre-exposure prophylaxis awareness, prescribing efforts, and promotion among at-risk HIV populations across the state.She previously worked with a USAID funded Non-profit organization, FHI360 whose goal is to assist the Government of Nigeria to enhance sustained cross-sectional integration of HIV/AIDS services in the different high-risk states. She is very passionate about mitigating global health disparities and improving the quality of care of people living with HIV.

Views from the Crow’s Nest
#003 - Data Science + Population Health Management - Neet Shah and Dr. Elena Koshkina

Views from the Crow’s Nest

Play Episode Listen Later Nov 19, 2020 56:01


Views from the Crow's Nest returns with a special double interview with Neet Shah and Dr. Elena Koshkina, two tenured professionals in healthcare analytics and data science. In our conversation we delve into some interesting developments at the intersection of data science advancements and the field of population health management. Some of the topics we covered include: What population health management is (and why it's important) How the differing structures of US/UK healthcare systems impact population health initiatives  Key leaders in population health management and which innovations are driving better outcomes Technology's impact on the wellness space HIPAA concerns around patient data collection How to drive patient engagement in a world where everyone can look up their symptoms online

The Blooming Is A Habit Podcast With Dr. Stephanie Akoumany
S2:E5 Dr. Mark Bittle. Barriers to Healthcare in the US Before COVID-19

The Blooming Is A Habit Podcast With Dr. Stephanie Akoumany

Play Episode Listen Later May 1, 2020 65:08


Before the COVID-19 outbreak, 27.5 million Americans did not have health insurance. Only 60% of companies offered their employees health insurance, but even then so many Americans could not afford the premiums because they were high deductible health plans so they could not afford the out-of-pocket cost. Listen to the Blooming is A Habit Podcast S2:E5 as we interview the amazing Dr. Mark Bittle the Program Director of John Hopkins School of Public Health's Master of Health Administration & Online Masters of Applied Science in Population Health Management as we discuss barriers to accessing healthcare in the US, more inclusive healthcare models, the need for universal healthcare, and what habits, mindsets, and work cultures can best support patients, healthcare practitioners, and healthcare administrator's holistic wellness.  Guest Bio: Mark J. Bittle, DrPH, MBA, FACHE Dr. Mark Bittle is a Senior Scientist in Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. An experienced health care executive, Dr. Bittle is board certified in health care management as a Fellow in the American College of Healthcare Executives (FACHE). His healthcare executive experience spans all facets of ambulatory services, including development and operations of community-based primary and multispecialty physician practices, hospital-based ambulatory and faculty practices organizations, quality and patient safety improvement activities.   Currently, Dr. Bittle is Program Director for the Master of Health Administration and the innovative online Master of Applied Science in Population Health Management at the Bloomberg School of Public Health. He teaches courses in Leadership and Management, Collective Impact and Collaboration, Health Care Financing, Medical Practice Management, and Healthcare Strategy. His areas of research interest include physician leadership development, organizational and management factors that influence physician alignment and managing change in complex organizations, and developing effective strategies for collaboration within population health management.  Dr. Bittle serves on various boards including the Maryland Rural Health Association, the Maryland Association of Health Care Executives, and The Shepherd's Clinic, a unique, non-profit organization providing free, quality comprehensive health care to Baltimore's uninsured. He is active in the American College of Health Executives where he serves as Regent for Maryland and as faculty. Dr. Bittle is the Ambulatory and Medical Group Practices faculty forum leader for Association of Universities and Programs in Health Administration (AUPHA), and is currently serving a 2 year term as a governing councilor for the American Public Health Association (APHA). Dr. Bittle earned his Doctorate in Public Health (DrPH) with a concentration in Leadership and Management, from Johns Hopkins Bloomberg School of Public Health, his MBA from the University of Baltimore and his Bachelor of Science in Emergency Health Services from the University of Maryland, Baltimore County. Contact: Dr. Bittle: mbittle1@jhu.edu  Follow Bloom on  IG: www.instagram.com/dr.stephanieakoumany/  Blog: justbloom.io  Email: stephanie.akoumany@justbloom.io  Linkedin: www.linkedin.com/in/stephanieakoumany  Johns Hopkins Center for Adolescent Health's Blog www.jhsph.edu/research/centers-and-institutes/center-for-adolescent-health/blog/bloom-wellness-summit  Stephanie Introducing President Obama at White House Pell Grant Press Conference   www.c-span.org/video/?285476-1/president-obama-remarks-higher-education-policy  2018 NAIS POCC Conference- Self-Care and Mindfulness Strategies to Help Faculty of Color youtu.be/w6p-Fyip5d0

A Healthy Dose
Covid Crisis #6: A Conversation with Stephen Rosenthal

A Healthy Dose

Play Episode Listen Later Apr 21, 2020 36:14


In the sixth episode of the ‘A Healthy Dose' Covid Crisis miniseries, Trevor and Steve talk with Stephen Rosenthal, Senior Vice President of Population Health Management at Montefiore Health System.