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No one is better equipped to support patients than providers. But do health systems have the power required to improve the healthcare system? In this episode of Healthcare Insider, Premier Inc. President and CEO Mike Alkire explains why a provider-led model—not one led by payers or legacy tech vendors—is the only viable path forward. He outlines how hospitals can take back control and lead transformation by focusing on high-value partnerships, smarter use of data and AI-driven solutions. Listen to learn how health systems can: Shift power from payers to providers through strategic partnerships Leverage data and AI to reduce costs and improve outcomes Incentivize innovation to build a more sustainable system
Three Intermountain Health hospitals recently ranked among the Top 50 heart hospitals in the nation for 2025, according to a new national study of heart hospitals in America by Premier Inc. Intermountain Medical Center in Murray, Intermountain McKay-Dee Hospital in Ogden, and Intermountain St. George Regional Hospital, all made the list due to their quality of care, outcomes, and patient experience, among other criteria. According to the study, if hospitals around the country had similar marks to those making the Top 50 list, it could mean 14,000 fewer deaths, 28,600 fewer bypass and angioplasty patients suffering complications, and save more than 1.5 billion dollars for inpatient costs in 2025. To learn more, visit the Intermountain Health website. The Salt Lake Chamber. We Stand as the Voice of Business. Originally aired: 3/11/25
The Healthtech Marketing Podcast presented by HIMSS and healthlaunchpad
This special episode of The HealthTech Marketing Show dives into all things related to the buyer's journey, including insights and highlights from expert interviews and research conducted throughout the year. You will hear highlights from the HIT Buyer Research with Matt Carollo, Senior director of sales enablement at HIMSS, Kaycee Kalpin, CMO of Premier Inc., and Karsten Russell-Wood, CMO of Equum Medical. Then head of Research at 6Sense, Kerry Cunningham shares insights from new research on B2B buying behavior. You will then get the healthcare IT buyer's perspective with JD Whitlock, CIO of Dayton Children's Hospital. Melanie Turner, CIO at UAB Medicine, shares what buyers want from vendors and how to engage with them effectively. From buyer group complexity to content strategies and account-based marketing, this episode is packed with actionable insights to help healthtech marketers navigate today's intricate B2B buying processes. Key highlights include: [0:48] HIMSS Research Highlights and Key Stats [4:29] Account-Based Marketing Strategies [7:00] Insights from Kerry Cunningham and findings from the Buyer Experience Study [13:34] Healthcare IT Buyer Perspective and differences between decision-making and implementation stakeholders. [19:06] Content Preferences of Buyers and Multi-Channel Outreach [21:41] Closing Thoughts This episode is a must-listen for healthtech marketers looking to deepen their understanding of the buyer journey and optimize their go-to-market strategies.
The Healthtech Marketing Podcast presented by HIMSS and healthlaunchpad
Understanding the modern healthcare technology buyer's journey is essential yet increasingly complex for marketing teams today. To bring clarity to the current dynamics, the Healthtech Marketing Podcast invited HIMSS's Matt Carollo to present proprietary research around the shifting dynamics of healthcare IT buying teams, cycles, content needs, and more. Download the research to read along Joining Carollo to discuss the findings were two executives bringing extensive B2B healthtech marketing experience: Kaycee Kalpin, Chief Marketing and Brand Officer of Premier Inc. Karsten Russell-Wood, Chief Marketing and Experience Officer at Equum Medical In this wide-ranging episode, the group covers everything from the expanding size and variety of buying groups to the extension of typical decision cycles and surging importance of relationships and in-person events for driving technology selection. Notable statistics shared include: 27% of organizations have 10+ people involved in healthcare IT buying now 50%+ report investment cycles exceeding 19 months (with many over 2 years) 86% want product demos when researching vendors 80% see in-person events as extremely or very trustworthy This complexity now requires orchestrating an integrated combination of personalized content, digital campaigns, peer engagements, immersive experiences, and sales interactions across elongated buyer journeys. Kalpin and Russell-Wood further expand on imperatives around showcasing value, promoting customer success, supplying relevant materials, coordinating initiatives, and concentrating on establishing authentic connections. For an in-depth exploration of the data and perspectives shaping the modern healthcare IT buyer experience, join us for this dynamic Healthtech Marketing Podcast episode.
Today we are talking with Charlotte McLaren about her career path and current role. She received her bachelor's degree from Davidson College in biology and economics and her Master's in Business Administration from UNC. Her previous work experience includes working as a Sales Analyst for Sun Life Financial, as a Manager of Corporate Development at Premier Inc., and as a Client Executive for IBM. She is currently a Strategic Account Director at Salesforce. We discuss: 0:41: An overview of her current role 1:37: Her typical roles and responsibilities 3:12: The typical process of her sales deals 4:48: The typical timeline of a sales deal 5:41: Examples of what client meetings are about 7:40: Examples of types of products she sells 8:48: How long people typically stay in this role 10:01: How success is measured 12:02: Benefits of the role 13:17: What a typical day is like 15:16: How social the role is 17:52: Challenges of the role 18:50: How she got into this role 21:16: Why she chose Salesforce 22:34: Prerequisites for going into sales 23:37: Pros and cons of getting an MBA for a sales job 26:28: Advice for how to be successful in a sales role
You can quickly make up for years of experience.Get inspired by Kaycee Kalpin, Chief Marketing Officer for Premier Inc, where she shares her story of accelerating from Manager to CMO in just 8 years. Some thought she was too young to become an executive, but she relied on one strategy to make up for multiple decades of experience that many of her coworkers had.Now Kaycee's even hand picked a team of over 50 marketing professionals.Before joining Premier Inc, she spent over a decade in Washington, D.C. There she grew her health tech and marketing experience as a leader with the American College of Cardiology. She led the development of a suite of digital apps that empower cardiovascular patients to take control of their health.Kaycee's a graduate of Florida State University with a MBA from American University.Premier Inc is a leading healthcare improvement company headquartered in Charlotte, NC. They work with more than 4,000 U.S. hospitals and health systems, approximately 175,000 other providers and organizations, and other industry stakeholders to co-develop solutions that support high-quality, efficient and sustainable care delivery models. They've also been named one of the World's Most Ethical Companies® 14 years in a row, LinkedIn Profile https://www.linkedin.com/in/kaycee-kalpin-b928bb33/Company Link: https://www.premierinc.com/What You'll Discover in this Episode:A tip for fast-tracking your way to executive leadership.Why becoming the note-taker can lead to becoming decision-maker.The key trait she'd instill every employee should have.Powerful advice she'd give her younger self today.The art of storytelling: Lesson from from the C-Suite.-----Connect with the Host, #1 bestselling author Ben FanningSpeaking and Training inquiresSubscribe to my Youtube channelLinkedInInstagramTwitter
Today, Laurie speaks with Corri Smith! Corri's love story is unique on so many levels - she was ready to be single for the rest of her life, found a guy during the pandemic and got married to him in a cemetery! Corri lives life on her own terms and offers some great insights on how to create your own story, your way.Corri Smith is the owner of Black Wednesday, a Charlotte-based Marketing and PR company focused on personifying brands through creative, innovative, and organic strategies. With community-building as a focus, BW helps brands tell their stories in unique ways; specifically through use of PR, consultancy, social media, influencer marketing, events and design. Black Wednesday works with small to large size businesses, boasting clients like Chopt Creative Salad Co., Premier Inc., Movement Mortgage, Viva Chicken, Third & Urban, and more.Learn more about Corri and Black Wednesday at…blackwednesday.co@blackwedco on social: Instagram | Twitter | Facebook@corriasmith on social: Instagram | TwitterYou can donate to Samaritan House at https://thesamaritanhouse.org/ Follow Laurie on Instagram at http://instagram.com/carolinasmatchmaker Learn more about Laurie and her team at http://carolinasmatchmaker.com
Host Tom Foley invites Soumi SaHa, SVP Government Affairs at Premier, Inc. As director of advocacy Soumi has her finger on the pulse on the hill. She discusses what she expects with the current administration and the new congress coming in. And is anything going to going to happen now before the new congress? To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. 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
Between Seasons 4 and 5, we're going to be throwing back to some exciting interviews from Season 1! When you do a laparoscopic case, do you have all of the open instruments available on your back table? Do you spend precious time counting your open and laparoscopic instruments prior to every case? Is this practice still necessary? Find out what the experts think as we interview Marilyn Burns, RN, BS, CNOR, principal of MMBG Consulting and Director Portfolio Advisor-Surgical Services at Premier Inc. We're going to address all of these questions, discuss the pros and cons of laparoscopic surgery, and dive into current practices on this week's episode of First Case! Enjoy the show and let us know your thoughts in the comments section below... Love our show? Download the First Case mobile app on:
Today's guest is Mathaeus Dejori, Chief Data Scientist at Premier Inc. Premier Inc. is a healthcare improvement company uniting an alliance of approximately 4,400 U.S. hospitals and health systems, and more than 225,000 other providers and organizations. As an industry leader, Premier has created one of the most comprehensive databases of actionable data, clinical best practices and efficiency improvement strategies. Premier's award-winning and revolutionary technologies enables members to collaborate more easily and efficiently. Their goal is to improve our members' quality outcomes, while safely reducing costs. By engaging members and revealing new opportunities, we empower the alliance to improve the performance of healthcare organizations, helping them do what they do best, Heal First™. Named one of the World's Most Ethical Companies® 13 years in a row, Premier are well-equipped to help health systems thrive. In the episode, Mathaeus will discuss: Interesting roles he has held through the years, How Premier are embracing automation in healthcare, The data science team's impact within clinical decision support, How the team is structured for success, Upcoming trends within AI in Healthcare that excite him, & Why Premier is a great place to work
This week we have a very rich conversation about leading and living in the now with Susan DeVore, former CEO of at Premier Inc. Susan & Jeanie discuss different types of leaderships philosophies and styles including “Leading from Within”, to discover a style that allows us to be productive and confident in our careers. Susan also shared invaluable advice and wisdom from the many successes and low points in her 40 year career. Susan DeVore is the Former CEO, and ongoing Advisor to Premier with approximately 40 years of experience. DeVore's tenure with Premier has centered on driving innovation in healthcare and leading the industry through profound change by engaging stakeholders to co-develop solutions that support high-quality, efficient, and sustainable care delivery models.DeVore is an industry-leading thinker who has consistently been named multiple times to Modern Healthcare's 100 Most Influential People and Top 25 Women in Healthcare lists. She is the recipient of the Charlotte Business Journal's 2018 Women in Business Lifetime Achievement Award, was named to Becker's Hospital Review's 2017 100 Great Healthcare Leaders to Know and was recognized as a 2016 UNC Charlotte Distinguished Alumnus.DeVore serves on the board of directors of Advent Health, Unum Group and the Anthem, Inc. board of directors. In addition, DeVore also serves as the chair of the UNC Charlotte Board of Trustees. Previously she served on the board of directors of Premier Inc. and served as the chair and member of the board of trustees of the Healthcare Leadership Council, a DC based policy organization.Under DeVore's leadership, Premier has been named as one of the World's Most Ethical Companies for the past 14 years and received the Malcolm Baldrige National Quality Award.Please join us again next week as we continue our conversations with other “Fierce Females”.(5:08) Susan shares her “continuously distributed” leadership style and how other styles can lead to unwanted results(7:30) At what point in Susan's life did she realize that leadership and becoming a CEO was her goal(11:07) A conversation about facing fears and how to overcome them(14:35) The importance of proving your worth through actions and not just words(15:32) Susan shares how to “love the issue, love the problem, love the challenge” instead of fighting against the unpredictable experiences in career and life(18:57) Becoming the “smarter big sister” to colleagues and gaining respect(23:16) “Making rules that work for you” - a belief that Susan shares to help deal with the challenges in finding a balance between work & life (28:15) Say “Yes” and often as you can and “No” when you really need to(32:56) Life is short, live in the moment!(37:15) Susan shares the highs and lows over her 40 year careerConnect with Susan DeVorehttps://www.linkedin.com/in/susan-devoreSubscribe: Warriors At Work Podcasts Website: https://jeaniecoomber.comFacebook: https://www.facebook.com/groups/986666321719033/Instagram: https://www.instagram.com/jeanie_coomber/Twitter: https://twitter.com/jeanie_coomber LinkedIn: https://www.linkedin.com/in/jeanie-coomber-90973b4/YouTube: https://www.youtube.com/channel/UCbMZ2HyNNyPoeCSqKClBC_w
In this episode we are joined by Ryan Nellis, Vice President and General Manager at PINC AI™ Clinical Decision Support, to discuss how payers and providers are collaborating to navigate the shift to value based care, what are the challenges and opportunities there, why we spend so much on care but do not see better results, and more. This episode is sponsored by PINC AI™ Clinical Decision Support, Premier Inc.
The Healthtech Marketing Podcast presented by HIMSS and healthlaunchpad
Kaycee Kalpin is the hyper-energetic and super smart, Chief Marketing Officer of Premier Inc. Among many other things, she is a devotee and evangelist of agile marketing, In this episode, Kaycee explains how Premier works with thousands of healthcare vendors to meet the needs of hundreds of healthcare organizations. She dives into how they are changing the perception of Premier from being a huge GPO to being a solution provider for the value-based care needs of healthcare organizations. She explains how marketing serves the needs of their key account leads and last but not least goes into her passion for agile marketing and how her team operates with these principles.
In this episode, our guest is Our guest, Sonia Oskouei, PharmD, BCMAS, DPLA, joined Cardinal Health in June 2020 to lead the company's biosimilar strategy. She most recently served as the Vice President of Innovation and Digital Health at Premier Inc., where she led their national biosimilars strategy on behalf of 4,000 where she partnered with pharmaceutical manufacturers and providers to create resources, and education to help health system stakeholders evaluate and adopt biosimilars. Sonia is an established thought leader with numerous publications and currently serves on the Board of Advisors for the Center for Biosimilars. She holds a Doctor of Pharmacy from Belmont University. Main Talking Points: Commonly asked questions: what are biosimilars? How they are different than generics How long they have been approved in the U.S. (and the rest of the world) Why are they important (eg cost savings) Explaining the interchangeability designation + why it matters Understanding state regulations and how that will affect pharmacist adoption i. Plug the map! Current market dynamics and what is on the FDA horizon for future biosimilars Host - Hillary Blackburn, PharmD, MBA www.hillaryblackburn.com https://www.linkedin.com/in/hillary-blackburn-67a92421/ @talktoyourpharmacist for Instagram and Facebook @HillBlackburn Twitter
Joseph Machicote is the Chief Diversity and Inclusion Officer of Premier Inc. Joe partners with the CEO, executive team, and other stakeholders to formalize a culture of diversity, equity, inclusion, and belonging within the company. He also serves as premier spokesperson on matters related to DEI. Some of his specialties include human resource management, diversity and inclusion, organizational psychology and development, organizational design, employee relations, employment, labor law, and labor relations. In our conversation, Joseph shares that even though he is not new to this work, he never stops seeking new information and development that he can apply to his practices and his role. He shares his recommendations for those that may be new to DEI work on how to get started. He details the four categories of DEI within Premier, and the strategies for implementation within the organization. To connect with Joseph, you can find him on LinkedIn: https://www.linkedin.com/in/joseph-machicote-a3858a5 Topics In This Episode Creating DEI policies and practices that are easily integrated and implemented 4 Levels of DEI within Premier The ripple effect of supplier diversity Assessing and evaluating current strategies before implementing new ones The relationship between culture and accountability A growth mindset versus a fixed mindset Other Conversations We've Enjoyed Social Conditioning and Its Effect on Leadership DEI is the responsibility of all leaders, not just those with the ‘DEI' title Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Sonia Oskouei is the Vice President of Biosimilars for Cardinal Health. She leads the company's biosimilar strategy and leverages an enterprise perspective to maximize the value of biosimilars to enhance patient access, improve outcomes, and lower healthcare costs. Prior to joining Cardinal, Dr. Oskouei served as the Vice President of Innovation and Digital Health at Premier Inc. where she led their national biosimilars strategy on behalf of 4,000 hospitals and 175,000 other providers. She also served as a Corporate Supervisor for Pharmacy Purchasing and Procurement for Novant Health. Dr. Oskouei holds a Doctor of Pharmacy degree from Belmont University and is a Board Certified Medical Affairs Specialist by the ACMA (Accreditation Council for Medical Affairs). She is an established thought leader with numerous publications and currently serves on the Board of Advisors for the Center for Biosimilars. Connect with Sonia today on LinkedIn at https://www.linkedin.com/in/sonia-tadjalli-oskouei-2551a165/ Are you a healthcare professional or healthcare executive looking to advance your career, build a better brand, or create a leadership legacy? Iqbal can help! Schedule your FREE CONSULTATION at https://calendly.com/iqbalatcha/initial_consultation or visit http://www.atchainternational.com for more information. Connect with Iqbal on: - Linked at https://www.linkedin.com/in/iqbalatcha/ - Instagram at https://www.instagram.com/iqbalatcha1 - Twitter at https://twitter.com/IqbalAtcha1 Join us next week for another exciting episode of the "Healthcare and Higher" podcast! #HealthcareAndHigher #IqbalsInterviews Song Credits: "Life Is A Dream" by Michael Ramir C. "Stay With Me" by Michael Ramir C. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/iqbal-atcha/support
Dr. Natasha Anushri Anandaraja was born in New Zealand where she earned her medical degree. She worked with international NGOs on child health and disaster relief before coming to New York City in 2002, where she trained in Pediatrics, Global Health and Public Health at the Icahn School of Medicine at Mount Sinai. She was the Director of Global Health Education at the Icahn School of Medicine at Mount Sinai from 2008 until 2015, and then the Director of the Office of Wellbeing and Resilience at Mount Sinai from 2018 until October 2020. Dr. Stella Safo is a HIV primary care physician with experience in clinical transformation and healthcare redesign at Mount Sinai Health System and Premier Inc, where she respectively serves as an Assistant Professor and Strategic Advisor. Dr. Safo received her medical degree from Harvard Medical School and a public health masters with a focus on global health at the Harvard School of Public Health, where she served as a Zuckerman fellow with the Harvard Center for Public Leadership. Dr. Safo completed a residency in Primary Care and Social Medicine at Montefiore Medical Center in the Bronx, New York, followed by an HIV fellowship from the HIV Medicine Association. In this packed episode Dr's Anadaraja and Safo discuss gaslighting and holding institutions accountable with a transparency that is not readily accessible in a healthcare system entrenched with aggressive leadership bullying and silencing. They set a precedent that these types of behaviors should not be tolerated because they are driving black and brown women out of medicine at high rates. They speak up so others will be encouraged knowing that they are not alone and strengthened in their battles against inequity through collective a voice. They do not want you to let your experiences make you small but rather use your voice during your experience and grow from it. This insightful conversation normalizes your experience and equips you with five powerful tools to use as you combat inequity in healthcare.
In this episode, Mike Alkire, President & Incoming CEO of Premier Inc., discusses the ongoing vaccine roll-out and the lack of resiliency in the medical supply chain for U.S. healthcare. He discusses how Premier is expanding their data analytics capabilities, such as AI and machine learning to make the supply chain infrastructure more resilient and […]
In this episode, Mike Alkire, President & Incoming CEO of Premier Inc., discusses the ongoing vaccine roll-out and the lack of resiliency in the medical supply chain for U.S. healthcare. He discusses how Premier is expanding their data analytics capabilities, such as AI and machine learning to make the supply chain infrastructure more resilient and […]
What makes a great clinical educator? How should someone start preparing right now for a career as a clinical educator? On this Beyond Clean episode 2 of Season 12, we sit down with Marilyn Burns, RN, BS, CNOR, to talk all things education, learning, and the nitty gritty of how people interact with information in the clinical setting. Marilyn is the principal of MMBG Consulting, Director Portfolio Advisor-Surgical Services at Premier Inc. and spent many years as the Director of Clinical Affairs at Medical Education at Symmetry Surgical. Tune in to hear her perspective on how learners learn and what tools a good clinical educator should have in their proverbial tool box! Season 12 of Beyond Clean is releasing under the 1 Episode = 1 CE delivery model, so once you finish this interview, you can get your 1 CE credit immediately by passing the short quiz linked below each week. For access to this CE quiz and over 175 other free CE credit, visit our CE Credit Hub -> http://www.beyondclean.net/ce-credit-hub #BeyondClean #SterileProcessing #Podcast #CE
Premier Inc.'s Senior Product Director, Rush Shah joins us for an extremely enlightening and forward-thinking discussion around how big data and analytics currently influence the development of medical technologies. Then shares how the utilization of these tools will influence moving towards a more connected healthcare system to better patient's lives and the steps she imagines we need to take to build the infrastructure to support it.Rush Shahhttps://www.linkedin.com/in/rushshah/The Data Standardhttps://datastandard.io/https://www.linkedin.com/company/the-data-standard/
Despite being worlds apart, guest Andrew Rigie, Executive Director at NYC Hospitality Alliance, spent some time discussing the similarities between the restaurant biz and the healthcare world. Joined by guest co-host Kaycee Kalpin, the Vice President of Strategic Marketing at Premier Inc, the trio talked about the increasing need for PPE, the recent hospitality resurgence, and where the two industries converge.
Why is collaboration more important than ever in the Med Tech space? Are you interested in some of the best practices that a Group Purchasing Organization & a Healthcare Performance Improvement company, such as Premier uses with innovative commercialization and go to market approaches? In this episode of Med tech Gurus Kaycee Kalpin Vice President of Strategic Marketing with Premier takes us through her thoughts and actions around these initiatives. Kaycee also gets into the best practices her team at Premier is using to become more customer centric. Gurus you will love the information that Kaycee provides in this episode!
An Executive Profile with the woman at the helm of Premier Inc. Topics include: supply chain management solutions in COVID, vaccine distribution, collecting and tracking personal data, shifting the focus in the pandemic, healthcare trends, and improving maternal healthcare.
For the last episode of 2020, John interviews Kaycee Kalpin and Stacey Ackerman about the state of Agile Marketing.Kaycee is Head of Strategic Marketing for Premier Inc., a role in which she leads brand and marketing across the entire enterprise. Kaycee also provides strategic guidance and vision for business growth, digital modernization, competitive differentiation, and best-in-class customer experiences.Stacey Ackerman is the founder of Agilify Coaching and Training, an organization with a mission to bring marketing into the 21st century through Agile Marketing. Stacey is passionate about helping marketing organizations around the world learn how Agile Marketing can help them cut through the red tape and rapidly deliver high-quality campaigns.
If you’re wondering why the U.S. has had such a hard time during the pandemic keeping frontline health workers supplied with the protective equipment they need, or what is being done to improve the situation, Mike Alkire has some answers for you. He is president of Premier, Inc. which helps more than 4,000 hospitals and health systems improve efficiency and clinical outcomes through supply chain management and other strategies. He’s intimately familiar with the global medical supply chain and where the breakdowns and problems are that need to be addressed. Perhaps the most important change needed, he says, is manufacturing more of these critical items in the U.S. In this episode, Alkire and host Shiv Gaglani also discuss the use of AI in the health system, standardization of care to improve quality and safety, and the potential to share best practices across industries. Discover, too, why the key words for Alkire are humility, courage, and humanity.
NorthShore University HealthSystem CEO J.P. Gallagher is communicating with trust, leaning into purpose, and emphasizing the power of technology, community and connection as he leads one of the nation’s largest teaching hospitals through the uncertainty and challenges of the coronavirus. Join Inside Out host Mike Alkire, President of Premier Inc., as he speaks with J.P. about big learnings, leadership and the importance of inspiring connection and resilience in the COVID era.
In her recent op-ed, former George W. Bush presidential advisor Karen Hughes writes about the importance of clear, consistent communication, wearing a mask and the moral responsibility we all have to come together to protect others, especially when lives are on the line. Join Inside Out host Mike Alkire, President of Premier Inc., as he speaks with Karen about the pandemic’s epic test of character for business leaders and how companies are coping with extraordinary communication demands and challenges with employees and stakeholders.
On this episode we are joined by Dr. Stella Safo for a discussion on Voting in 2020. This pandemic has highlighted the intersection of health and politics. This has inspired multiple healthcare professionals to step up as poll workers and voting rights advocates.Dr Safo is an HIV primary care provider based in New York City. She holds a role as an assistant professor of medicine at Mount Sinai and is a strategic advisor at Premier Inc. She’s one of the cofounders of Vote Health 2020 a non-partisan coalition of health professionals collaborating to increase the number of our peers and patients registered to vote by November 3, 2020. Thank you for listening to the Millennial Health Podcast. Please subscribe to the podcast, share with your friends and leave a review on Apple Podcasts. If you have questions or comments feel free to reach out on Instagram and Twitter @DrJaySheree
This episode features Mike Alkire, President at Premier Inc. and Host of the Popular Inside Out Podcast. Here, he discusses points of pride in Premiere, how the organization has evolved over the years, and more.
Can technology and data improve the experiences of screening and surveillance of such diseases as breast cancer to the point that more people are engaging in preventative care and communities are healthier? How can we help improve understanding across social, economic and ethnic populations? Join Inside Out host Mike Alkire, President of Premier Inc., as he speaks with Agnes Berzsenyi, President and CEO of Women’s Health and X-Ray at GE Healthcare on advancements in women’s health and how learnings can apply to other demographic groups.
While COVID-19 crisis has created unprecedented challenges for MedTech, it is also a time for companies and leaders to live their values amid civil unrest and social justice. Join InsideOut host Mike Alkire, President of Premier Inc., as he speaks with Medtronic CEO Geoff Martha on how the pandemic is reshaping MedTech, the role of healthcare innovation in charting a recovery amid uncertainty, and how the company is working to address racial disparities and advance social justice.
Docs Outside The Box - Ordinary Doctors Doing Extraordinary Things
What’s good everyone, Voting is at the root of our democracy. The stakes of this election can give someone heartburn (I got my Zantac ready)! Lucky enough, we got a group of medical professionals making it easy for doctors and patients to register to vote. Their organization is called Vote Health 2020 and they are nonpartisan. Dr. Stella Safo, who is a cofounder, comes on the hotseat to talk about what this organization is doing and how you can take action. Dr. Stella Safo is a HIV primary care physician with experience in clinical transformation and healthcare redesign within Mount Sinai Health System and Premier Inc, where she respectively serves as an Assistant Professor and Strategic Advisor. Dr. Safo received her medical education from Harvard Medical School and a masters degree in public health with a focus on global health at the Harvard School of Public Health; she completed a residency in Primary Care and Social Medicine at Montefiore Medical Center in the Bronx, New York followed by an HIV fellowship from the HIV Medical Association. Her research areas focus on qualitative analyses of healthcare delivery to vulnerable populations around the world. This episode is sponsored by Professional Solutions & Development. Experts in holistic career coaching – check them out at www.psdrecruit.org/docsoutsidethebox
US Foods, Inc. (USF) is a leading, national foodservice distributor providing a complete range of products to restaurants, hospitality, education, healthcare and other industries across the country. Join InsideOut host Mike Alkire, President of Premier Inc., as he speaks with USF president and CEO Pietro Satriano on how food service and products in hospital and health systems are contributing to overall health and healing, and the critical role data plays in feeding our nation's hospitals. The discussion also highlights the 20-plus year successful strategic partnership between both companies.
Stella Safo and Saranya Loehrer discuss the role of physicians and other healthcare providers in helping shape policy by taking a more active role in the voting process AND by having those discussions with their patients. Topics of disparities in healthcare and the exacerbation of those disparities in COVID are also discussed. See bios below: https://www.votehealth2020.com Dr. Stella Safo is a HIV primary care physician with experience in clinical transformation and healthcare redesign within Mount Sinai Health System and Premier Inc, where she respectively serves as an Assistant Professor and Strategic Advisor. Dr. Safo received her medical education from Harvard Medical School and a masters degree in public health with a focus on global health at the Harvard School of Public Health; she completed a residency in Primary Care and Social Medicine at Montefiore Medical Center in the Bronx, New York followed by an HIV fellowship from the HIV Medical Association. Her research areas focus on qualitative analyses of healthcare delivery to vulnerable populations around the world. Saranya Loehrer is the founder of VoteHealth 2020, a growing non-partisan coalition of health professionals collaborating to increase the number of our peers and patients registered – and voting safely – this November. In addition, Saranya serves as the Head of Innovation at the Institute for Healthcare Improvement and a leader of IHI’s Leadership Alliance, a group of 50+ leading US health care executives working courageously and collaboratively to deliver on the full promise of the Triple Aim. Prior to joining IHI, Saranya worked for Physicians for Human Rights, leading global and domestic grassroots advocacy efforts to create more just and scientifically sound HIV/AIDS policies. She received her MD from Loyola University Chicago Stritch School of Medicine, where she was an Albert Schweitzer Fellow, and her MPH from the Harvard School of Public Health, where she was a Zuckerman Fellow.
For the past year, our hospitals have experienced an unprecedented strain to treat the masses of patients infected with COVID-19 – a challenge that has revealed many important barriers to accessing quality care. So, in the middle of a pandemic, it seems only fitting that we'd explore the advances taking place to modernize health care delivery, many of which are powered by disruptive technologies.To tell us more about what this transformation could look like and how can we ensure that no one is left behind, we're joined by Susan DeVore, CEO of Premier Inc., a leading US-based healthcare improvement company, and Beste Kucukyazici, former McGill professor of Operations Management.For a transcript of this episode, visit mcgill.ca/delve Hosted on Acast. See acast.com/privacy for more information.
Medicaid plays a central role in our healthcare system. It provides health and long-term care coverage to millions of low income children, pregnant women, adults, seniors, and individuals with disabilities. It also finances nearly a fifth of all personal health care spending in the U.S., providing significant financing for hospitals, physicians and many other roles in the health care sector. InsideOut host Mike Alkire, President of Premier Inc., speaks to Matt Salo, Executive Director of the National Association of Medicaid Directors, about the program’s crucial role and future in America’s health care system.
As the pandemic crisis continues to impact lives and livelihoods, healthcare leaders are challenged to emerge from it in a way that lays a foundation for a stronger, more resilient healthcare system in the years to come. Fundamental to this opportunity is to reimagine not just a more equitable and innovated healthcare system, but a system that works together to become far more than just the sum of its own parts. InsideOut host Mike Alkire, President of Premier Inc., speaks to Sarah Dash, President and CEO of The Alliance for Health Policy, on building consensus across the healthcare system and using technology to redefine the blueprint of the future of healthcare.
In this episode, Mike Alkire, President of Premier Inc. and Dr. Jonathan Slotkin, Vice Chair of Neurosurgery and Associate Chief Medical Informatics Officer of Geisinger discuss how technology and data is helping public health officials to keep a balance in opening the economy versus managing the spread of COVID-19 virus. Premier recently launched a surveillance […]
In this episode, Mike Alkire, President of Premier Inc. and Dr. Jonathan Slotkin, Vice Chair of Neurosurgery and Associate Chief Medical Informatics Officer of Geisinger discuss how technology and data is helping public health officials to keep a balance in opening the economy versus managing the spread of COVID-19 virus. Premier recently launched a surveillance […]
This special episode of Healthcare is Hard: A Podcast for Insiders puts listeners “in the room” for LRVHealth’s annual planning meeting where the firm and its partners from across the health system determine strategic directives for the upcoming year.But this year was much different than the past. Months of extensive planning for what is typically a two-day event in Boston was thrown completely out the window in response to the Covid-19 crisis. The event quickly became virtual, and perhaps more significantly, the content was entirely refocused to address the new realities that are changing every facet of the healthcare industry.To lead a discussion about fast-changing healthcare policy directives at a federal level, LRVHealth tapped Blair Childs who, the day before, had been at the White House discussing these very issues with the president, vice president and hospital leaders from across the country. Blair is SVP of public affairs at Premier Inc, a company that unites an alliance of 4,000 hospitals and health systems and more than 175,000 other providers and organizations. As Premier’s primary spokesperson and communications strategist in Washington, Blair serves as liaison to the U.S. Congress, White House, healthcare policymakers and other major bodies involved in healthcare policy and regulation.During his presentation for LRVHealth’s strategic partners, Blair provided a view inside the beltway and shed light on the biggest issues impacting the healthcare industry including:Rapid regulatory changes. In response to the pandemic, the federal government made about 70 different regulatory changes to make it easier for providers to care for patients. And it all happened in about a month – a remarkable pace for such change to occur. But as the public health emergency subsides, the focus will soon turn towards deciding when new regulations should be rolled back, and in many cases, whether they should be rolled back at all. Blair reviews some of the major changes that have occurred so far and offers insight into how some of them – on a range of issues from telehealth to FDA approvals – might fare into the future.Election implications and policy predictions. With the general election occurring in November and close contests that could shift power in the White House and both houses of congress, Blair offers his analysis on the different races and how they might impact the healthcare market. He reviews issues such as the shift to retail ambulatory care that has been incentivized by the realities of Covid-19 and how those changes will not be impeded by either party. And he also talks about issues that hang in the balance such as the battle between providers and payers that could swing towards collaboration with Democrats in power, or continue to rely more on market-based solutions under Republican leadership.To get an inside look at LRVHealth’s annual meeting and hear what Blair Childs shared with the firm’s strategic partners to help them plan for and adapt to major shifts occurring in Washington, listen to this episode of Healthcare is Hard: A Podcast for Insiders.
Ben Emons, Managing Director at Medley Global Advisors, and Phil Orlando, Chief Equity Market Strategist at Federated Investors, talk about stocks falling on trade concerns. Michael Alkire, President of Premier Inc., talks about the healthcare industry.
In this health care podcast, I speak with John Gorman, who is a government-sponsored health programs guru. He’s also the founder of a newly minted organization called Nightingale that (spoiler alert) we discuss toward the end of our conversation. I just want to interject right here that I, for one—but I’m sure John would agree—do not believe that Medicare Advantage (MA) is, as is, perfectly terrific and devoid of problems. There are, of course, well-known issues with coding, the whole exaggerated diagnoses for higher reimbursements thing … then there’s the whole potentially wasteful quotas payments and the restrictive networks of doctors cited issues. We don’t get into these during our conversation, focusing instead on comparing MA to FFS (fee-for-service) Medicare. From there, we get into advice for independent physicians in rural hospitals and then we wind up at price gouging by nonprofit hospitals. John’s points are insightful as always, and I guarantee he will give you a lot to think about. You can learn more and connect with John on LinkedIn. John Gorman is the founder and former executive chairman at Gorman Health Group (GHG). For 22 years he led the development of the industry’s leading consulting practice and several entrepreneurial ventures in government health programs. John’s work focuses on Medicare Advantage, Medicaid, and Accountable Care Act strategy, governance, and social determinants of health. John considers himself a defender and fixer of health insurance coverage, especially Medicare, Medicaid, and subsidized individuals served by health plans. He has strong opinions and relies on evidence and sound policy. Prior to founding GHG in 1996, he was appointed by President Clinton as the first assistant to the director of the Health Care Financing Administration’s (now Centers for Medicare and Medicaid Services) Office of Managed Care. After leaving GHG in July 2018, John founded and currently serves as the CEO and chairman of Nightingale Partners, an organization dedicated to helping payers and providers make an impact on social influences that prevent patients from achieving healthy, happy lives. Nightingale Partners is a qualified Opportunity Zone investment firm focused on social determinants of health. John continues to speak regularly at about two dozen industry conferences across the country each year and is regularly quoted in the trade press and national media. He serves on the board of directors of Henry Ford Health System’s Health Alliance Plan in his birthplace of Detroit and serves as a senior adviser on Medicare Advantage and Medicaid to Premier Inc., the hospital purchasing cooperative. John serves on the editorial advisory boards of several industry publications, including Bloomberg Government. 01:37 The quality measures being used to assess value. 04:00 “Half of the rating is attributable to the member experience.” 04:29 Are the ways that FFS and Medicare Advantage value-based care measures are weighted legitimate? 07:59 Insurance carrier profitability. 08:33 Medicare for all to Medicare Advantage for all—how John sees this morphing into the future. 11:07 Is insurance profitability at the expense of the rest of the country? 13:47 “A more rigorous antitrust approach to hospital mergers would certainly help.” 15:10 “Get bigger and get more sophisticated in … the value you bring to the table.” 16:49 “There’s always strength in numbers.” 20:35 EP202 with Frazer Buntin.23:28 “If you’re not adapting, you’re dying in this environment if you’re a hospital.” 24:37 John’s advice to rural hospitals. 27:44 EP219 with Arshad Rahim. 28:27 What Nightingale is and what they do. You can learn more and connect with John on LinkedIn. Check out our newest #healthcarepodcast with @JohnGorman18. #healthcare #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging The #quality #measures being used to assess value with @JohnGorman18. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “Half of the rating is attributable to the member experience.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging Are the ways that #FFS and #MedicareAdvantage #valuebasedcare measures are weighted legitimate? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging #Insurancecarrierprofitability. @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging How will #medicareforall morph into #medicareadvantage for all? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging Is #insuranceprofitability at the expense of the rest of the country? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “A more rigorous antitrust approach to hospital mergers would certainly help.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “Get bigger and get more sophisticated in … the value you bring to the table.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “There’s always strength in numbers.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “If you’re not adapting, you’re dying in this environment if you’re a hospital.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging What Nightingale is and what they do? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging
Phil Orlando, Chief Equity Market Strategist at Federated Investors, on markets, the Fed and current investment strategy. Clint Watts, Distinguished Research Fellow at the Foreign Policy Research Institute, on Trump pulling out of Syria, General Mattis' resignation, and China's espionage. CoinShares Chairman Danny Masters discusses why Switzerland unveiling a legal framework for regulating blockchain on a national level is "meaningful." Susan DeVore, CEO of Premier Inc., on what to expect in health care in 2019. Hosted by Pimm Foxx and Lisa Ambramowicz.
In 1950, medical information doubled every 50 years. It’s been estimated that, in 2020, it will take only 73 days for medical knowledge to double! This is not surprising given that a new biomedical journal article is published every 26 seconds! It is clear that we will need tools to manage and synthesize all of this data, and that’s where the clinical decision support (CDS) comes in. Our guest today is Dr. Scott Weingarten. Dr. Weingarten recently joined Premier Inc., retaining his role as CEO of Stanson Health - a clinical decision support company he founded approximately 6 years ago. Prior to joining Premier Inc., Scott was the Senior Vice President and Chief Clinical Transformation Officer at Cedars-Sinai Hospital. In addition to his long-standing tenure as a practicing physician and executive, Scott is also a serial entrepreneur and inventor - holding three software patents. Prior to forming Stanson Health, Scott co-founded Zynx Health, a highly successful leader in ‘order sets’ and ‘care plans’ for electronic health records.In this interview Scott will share:The demonstrable positive impact of CDS on organizational quality and cost - resulting from marked improvements in appropriate utilization of lab tests, imaging studies and medication prescribing.The sophistication of today’s CDS technology that results in the provision of real-time, patient-specific, evidence-based recommendations.The vast breadth of clinical situations and conditions for which Stanson Health has created evidence-based clinical decision supports.The specific benefits for practicing clinicians: offering providers performance data on how they compare to their colleagues and to evidence-based standards.The highly sophisticated analytic approach Stanson Health takes to streamline and optimize clinical alerts embedded in the electronic medical record - removing a substantial percentage of “low value alerts” - what Scott calls “pruning the tree”.I went into this interview understanding CDS as a tool to enhance clinical practice - improving providers’ and organizations’ ability to meet quality goals, as well as optimize utilization of tests and treatments. I came out of this interview believing that CDS is not only a basic necessity if we are going to practice safe, high quality medicine; but, that it's also one of the most profound technologies shaping medical practice - fundamentally changing the way providers & patients will experience clinical encounters in the future. Imagine when a care provider will be able to dialogue with a patient, supported by natural language processing software and sentiment analysis, feeding the artificial intelligence that will be making real-time, evidence-based, customized recommendations for that individual patient. This reality does not seem that far off, and I suspect Scott and Stanson Health are moving rapidly toward that day. Imagine how liberating and humanizing that would be - allowing providers and patients to really communicate and engage with one another, with technology aiding that human-to-human interaction rather than interfering with it. The take-home point is that Clinical Decision Support is not just about meeting quality metrics or reducing inappropriate testing and prescribing. CDS is not just about assisting providers in consistently delivering up-to-date, evidence-based medical care. CDS is not just about reducing unnecessary costs of care. The purpose of CDS, as I understand it now, is to make healthcare more accessible, affordable, effective, personalized and relationship-oriented. The highly informed perspective, and the picture that Dr. Scott Weingarten paints for the future of healthcare is, indeed, a bright one. His is a hopeful and realistic message, and one that is well worth listening to.
Susan DeVore has been in and around the healthcare industry for most of her life – long before she became president and CEO of Premier Inc., a company that unites an alliance of more than 4,000 hospitals and health systems and approximately 165,000 other providers and organizations to transform healthcare. It’s a little-known fact that Susan’s roots at Premier date back to her childhood when her father, a biomedical engineer, worked for a predecessor to the company. After working at Ernst & Young – including time as a partner and senior healthcare industry management practice leader, among other roles – she got the call to interview at Premier. No one was aware of Susan’s company legacy at that time, but after she joined, there were longtime employees who remembered her attending the company picnic or other gatherings as a young teenager. Susan’s lifelong focus on improving the healthcare system and her current role at Premier – driven by insight from such a vast network of care delivery organizations – combine to give her an incredibly valuable perspective for solving healthcare’s biggest challenges. Premier’s network enables it to maintain a dataset that encompasses roughly 45% of patients in the US. Those data inform Susan’s leadership and the decisions the company makes to help solve cost and quality challenges and develop a unique model of care delivery. At the HIMSS Global Conference & Exhibition in February Susan will be delivering a keynote session titled, “Healing from Within: Leading Change, Inspiring Action.” But you can hear her first on this episode of Breaking Health Podcast. Susan’s conversation with Keith Figlioli covers a number of pressing topics including: • Reducing Waste in the System – Susan talks about how there’s still 30% waste in the system and three times unwanted variation in care delivery, and how these challenges can’t be solved by insurance companies or the government. She believes the only way to tackle them is head-on, from within the system, and shares her thoughts about how data, technology, and influence within healthcare systems are all critical to driving transformation.• Changing the Social System – the decades-old social system that the healthcare industry is built upon is one that’s difficult to change. But it’s starting to change in experimental ways, driven by innovators and early adopters who recognize that it’s unsustainable for healthcare costs to grow at twice the rate of the economy, and who want to do something about it. Susan talks about how and why it’s easy to stay in a fee-for-service world and shares her thoughts on the main barriers to change.• The Path to Alternative Payments – as Susan sees it, the big thing that’s holding health systems back from adopting alternative payment models is uncertainty. If providers that haven’t adopted or are only experimenting in alternative payments think there’s a chance that fee-for-service might last longer, it’s much harder for them to make the leap. However, she talks about her view of federal regulations and how the “training wheels are coming off” to force change more quickly.• The Next Big Thing: Making Big Data Small – while increasing access to healthcare data is playing an important role in transforming the industry, one big challenge right now is the sheer volume of data that exists. Susan talks about how the next big thing on the horizon will be figuring out ways to make vast amounts of data more usable. She talks about how to get “small data” into the workflow so it’s available for physicians and patients to use in making informed decisions that change the care being delivered.To hear Susan DeVore talk about these topics and more, listen to this episode of Breaking Health Podcast.
Susan DeVore has been in and around the healthcare industry for most of her life – long before she became president and CEO of Premier Inc., a company that unites an alliance of more than 4,000 hospitals and health systems and approximately 165,000 other providers and organizations to transform healthcare.It’s a little-known fact that Susan’s roots at Premier date back to her childhood when her father, a biomedical engineer, worked for a predecessor to the company. After working at Ernst & Young – including time as a partner and senior healthcare industry management practice leader, among other roles – she got the call to interview at Premier.No one was aware of Susan’s company legacy at that time, but after she joined, there were longtime employees who remembered her attending the company picnic or other gatherings as a young teenager.Susan’s lifelong focus on improving the healthcare system and her current role at Premier – driven by insight from such a vast network of care delivery organizations – combine to give her an incredibly valuable perspective for solving healthcare’s biggest challenges. Premier’s network enables it to maintain a dataset that encompasses roughly 45% of patients in the US. Those data inform Susan’s leadership and the decisions the company makes to help solve cost and quality challenges and develop a unique model of care delivery.At the HIMSS Global Conference & Exhibition in February Susan will be delivering a keynote session titled, “Healing from Within: Leading Change, Inspiring Action.” But you can hear her first on this episode of Healthcare is Hard: A Podcast for Insiders. Susan’s conversation with Keith Figlioli covers a number of pressing topics including: Reducing Waste in the System – Susan talks about how there’s still 30% waste in the system and three times unwanted variation in care delivery, and how these challenges can’t be solved by insurance companies or the government. She believes the only way to tackle them is head-on, from within the system, and shares her thoughts about how data, technology, and influence within healthcare systems are all critical to driving transformation. Changing the Social System – the decades-old social system that the healthcare industry is built upon is one that’s difficult to change. But it’s starting to change in experimental ways, driven by innovators and early adopters who recognize that it’s unsustainable for healthcare costs to grow at twice the rate of the economy, and who want to do something about it. Susan talks about how and why it’s easy to stay in a fee-for-service world and shares her thoughts on the main barriers to change. The Path to Alternative Payments – as Susan sees it, the big thing that’s holding health systems back from adopting alternative payment models is uncertainty. If providers that haven’t adopted or are only experimenting in alternative payments think there’s a chance that fee-for-service might last longer, it’s much harder for them to make the leap. However, she talks about her view of federal regulations and how the “training wheels are coming off” to force change more quickly. The Next Big Thing: Making Big Data Small – while increasing access to healthcare data is playing an important role in transforming the industry, one big challenge right now is the sheer volume of data that exists. Susan talks about how the next big thing on the horizon will be figuring out ways to make vast amounts of data more usable. She talks about how to get “small data” into the workflow so it’s available for physicians and patients to use in making informed decisions that change the care being delivered.To hear Susan DeVore talk about these topics and more, listen to this episode of Healthcare is Hard:
Lisa Abramowicz and Mike Regan, filling in for Pimm Fox, talk to Susan DeVore, CEO of Premier Inc., about the future of Obamacare under Donald Trump. Then, Mike Underhill, a money manager at RidgeWorth Capital Innovations, discusses the landscape for commodities. Also, Max Abelson, a Bloomberg finance reporter, talks about why the bankers who Trump ridiculed on the campaign trail are now embracing his future administration. Finally, Logan Mohtashami, a senior loan officer at AMC Lending Group, gives an outlook for mortgage rates and the housing market.
The engagement of patients, particularly those with multiple chronic conditions, continues to challenge healthcare providers. However, as Steven Valentine, vice president of advisory consulting services for Premier Inc., explains in this podcast, clinicians actually have a host of tools at their fingertips to engage patients—tools they must employ in order to succeed in value-based healthcare.
Unable to attend the 2016 NASP Annual Meeting & Expo in Washington, D.C.? Don’t worry! In this episode of the Specialty Pharmacy Podcast, you’ll hear a live recording from the conference where host Suzette DiMascio, CHE, CMCE, CPC, moderated a panel titled Specialty Pharmacy in Health Systems on Tuesday, September 27. In this panel, DiMascio was joined by Brandon Newman, PharmD, CSP, Manager, Clinical Services, Vanderbilt Specialty Pharmacy; John C. Robicsek, AVP Strategy, Business, and Program Development, Carolinas HealthCare System; and Dave Vorhoff, SVP, Corporate Development, Premier Inc.