Welcome to "Quality Matters," the podcast where we unpack the complexities of modern healthcare to shape a brighter future. Join us as we delve into the dynamic world of healthcare quality and innovation, exploring topics such as digital transformation, health equity, and quality standards. Each episode brings together thought leaders, industry experts, and innovators to discuss the latest trends, best practices, and challenges shaping the future of healthcare. With a focus on convening voic ...
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The Move to Digital Quality Measurement
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In this episode of Quality Matters, host Andy Reynolds sits down with Rebecca Jacobson, CEO of Astrata, to explore the challenges and opportunities in transitioning to digital quality measurement in health care. Rebecca offers an in-depth look at the sociotechnical shifts required for this evolution, sharing practical strategies to help organizatio…
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The US Playbook to Address Social Determinants of Health
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In this episode of Quality Matters, host Andy Reynolds discusses the U.S. Playbook to Address Social Determinants of Health with its lead author, Dr. Sandra Elizabeth Ford. Dr. Ford, a pediatrician and public health advocate with extensive experience at both local and federal levels, highlights the necessity of looking beyond clinical care to facto…
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On this episode of “Quality Matters” with host Andy Reynolds, we explore the vital role of Sexual Orientation and Gender Identity (SOGI) data in healthcare. Our expert guests, Kellan Baker, Executive Director of the Whitman-Walker Institute, and Dr. Carl Streed, a primary care physician at Boston University, share why SOGI data are essential for de…
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You Can’t Spell “Equity” Without “IT”
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In the first episode of a two-part series titled, 'In Data We Trust,' host Andy Reynolds and Tam Ward, Senior Vice President of Business Strategy and Operations at Oscar Health, discuss the intersection of technology and health care to improve care equity, especially in underserved communities. Focusing on initiatives by Oscar Health, Tam highlight…
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One State’s Billion-Dollar Bet on Better Behavioral Healthcare
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Join us for an insightful conversation with North Carolina Secretary of Health and Human Services, Kody Kinsley, as he shares how growing up without health insurance influences his drive to improve health care access and affordability in his home state. Discover the transformative impact of the state’s recent Medicaid expansion and substantial inve…
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An Unconventional Approach to Health Equity
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University of Chicago professor and Doctor, Marshall Chin, joins us on Quality Matters to revolutionize medical training with his unique blend of improv and stand-up comedy. Discover how these innovative techniques equip medical students with the skills to care for diverse patients and engage in vital discussions about systemic racism and social pr…
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Welcome to "Quality Matters," the podcast where we unpack the complexities of modern healthcare to shape a brighter future. Join us as we delve into the dynamic world of healthcare quality and innovation, exploring topics such as digital transformation, health equity, and quality standards. Each episode brings together thought leaders, industry exp…
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continue reading
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Inside Health Care #125: The Digital Drive from Sick Care to Value-Based Care
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In this episode, we highlight two companies that leverage data from many different sources to create a more complete picture of a person’s health. The ultimate goal? Shifting away from the current model of “sick care” - where patients primarily see their doctors when they aren’t feeling well – to care models that prioritize long-term health and sel…
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Inside Health Care #124: Targeting Health Equity Gaps with Digital Tools
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The course of the Digitalization of Health doesn’t always run smooth. But for every set of pain points a provider might experience, there are companies developing technological solutions – platforms and tools – that not only guide us through digital transformation but identify crucial patient and population data along the way. In this episode, we t…
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Inside Health Care #123: Health Equity & Making the Commitment to Change
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This episode of “Inside Health Care: a Podcast by NCQA” features three interviews recorded live at our Health Innovation Summit in October 2023. Among many panels and presentations was an incredible session titled “Health Equity Trailblazers: Where Vision Meets Commitment.” Health equity leaders discussed their organizations’ health equity strategi…
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Inside Health Care #122: Teaching Medical Residents to Follow a Value-Based Model of Care
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In this Inside Health Care interview, we explore GME — graduate medical education — and explore a few fundamental questions. How can we make sure today’s medical residents are paying attention to their patients? How do we teach residents to ask the right questions? And even more fundamentally, how do we make sure that the next generation of clinici…
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Inside Health Care #121: Peggy O'Kane and Driving Digital Transformation in 2024
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We close 2023 with our annual year-end State of Health Care interview with NCQA President Peggy O’Kane. In this interview, Peggy talks with Vice President for Public Policy and External Relations, Frank Micciche, about NCQA’s progress in 2023—both in improving equitable access to health care and implementing digital transformation across the ecosys…
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Inside Health Care #120: Bringing PCMH Back Home and Digging into Supplemental Data
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In this episode of our “Inside Health Care” podcast, we hear two interviews that each demonstrate how close we are to solving the challenges of health disparities and digital transformation. Our first interview finds a real-life, “Last Mile” solution that will bring historically under-served populations to the health care services they need and des…
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Inside Health Care #119: Bringing Alcohol Screening to the PCPs & Coordinated Care through CBOs
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In this episode of Inside Health Care, we present two interviews that each ask really basic, yet complex, questions about health care. The first question: Why are patient alcohol and substance use issues so often overlooked in primary care? This interview will not only answer that question: it will point patients and providers in the right directio…
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Inside Health Care #118: Collaboration Is the Key to Interoperability and Equity for All
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In this episode, we explore a much-discussed Inside Health Care topic: interoperability. Within the process of health care digitalization, interoperability deals with the multi-lane, multi-directional transfer of electronic health records, or EHRs. But more and more, in that transfer process, companies discover data they hadn’t considered using, da…
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Inside Health Care #117: Live from NCQA's Second Health Innovation Summit
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In this episode, we hear clips from four interviews recorded live at NCQA’s 2nd annual Health Innovation Summit. Parker Holcomb is Chief AI Engineer at Elevance Health. At NCQA’s 2023 Health Innovation Summit, he participated in a session titled “Building Trust in Clinical Data for Value-Based Care”. Parker stands at the forefront of data quality, …
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Inside Health Care #116: Fighting Structural Racism and Promoting Virtual Care
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In this episode of “Inside Health Care,” we meet two guests, in two interviews. Our first guest advocates for birth, racial and gender equity, driven by her own distressing experiences as a patient. Our second guest developed effective ways to implement virtual care on a large scale to improve equity and representation for rural communities. Sinsi …
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Inside Health Care #115: Telehealth, Adult Immunization, and the Pandemic in Retrospect
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In this episode of “Inside Health Care,” we take a look back at what we’ve learned since the pandemic hit over two years ago. We first chat with an upcoming star speaker at NCQA’s 2023 Health Innovation Summit on what we’ve garnered from the growth of telehealth in remote medicine. Then in our second interview in this episode, we discuss the public…
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Inside Health Care #114: Dr. James Tcheng and the FHIR Side of Hypertension
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In this episode of “Inside Health Care,” we talk interoperability with a cardiologist who helped develop a new standard for data records exchange. Fast Healthcare Interoperability Resources, a.k.a. FHIR, can improve efficiencies in use and transfer of electronic health records. It can ease pressure on medical staff while also improving health equit…
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Inside Health Care #113: Fee-Based vs. Value-Based Care and Careful Credentialing
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In this episode of “Inside Health Care,” we chat with a prominent NCQA board member about flipping fee-for-service models to value-based models, all in order to ease digital transformation. Then, we talk about the challenges and true rewards of pursuing Credentialing Accreditation. Dr. Craig Samitt is the CEO and Founder of ITO Advisors, an advisor…
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Inside Health Care #112: Patient Focus, Equity Lensing, and Next Steps for Long-Term Services and Supports
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In this episode of “Inside Health Care,” we talk digital transformation with a prominent medical informaticist. Then, we hear a conversation on NCQA’s long-term services and supports programs, a.k.a. LTSS, from a long-time accredited managed care supporter. Dr. John Glaser is Executive in Residence at Harvard Medical School Executive Education. Pre…
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Inside Health Care #111: Cozeva, Data Aggregator Validation, and Data Credibility
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In this episode, we talk with two leaders of an amazing NCQA partner company, Cozeva, while revisiting one of NCQA’s cutting edge digital products, our Data Aggregator Validation program [DAV]. Cozeva, a member of the original program cohort, is an integrated, comprehensive population health platform. Our Data Aggregator Validation program now form…
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Inside Health Care #110: Dr. Xiaoyan Huang, Danielle Christensen and the Value of Patient-Centered Specialty Practice Recognition
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In this episode, we’re focusing on NCQA’s PCSP—Patient-Centered Specialty Practice Recognition program. As noted on our website, the PCSP Recognition program focuses on coordinating and sharing information among primary care clinicians and specialists. It requires clinicians to organize care around patients—across all clinicians seen by a patient. …
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Inside Health Care #109: The End of the Emergency and the Rise of Medicaid Redetermination
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On this episode of Inside Health Care, we talk Medicaid with a large, equity-focused provider about the end of the Fed’s pandemic-related emergency Medicaid provisions. Following that, a chat with one of our 2022-2023 PCMH Certified Content Expert Quality Award winners. Later on, some fast facts for you in observance of World Hepatitis Day. Elevanc…
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Inside Health Care #108: Dr. Alex Keuroghlian and the State of Health Equity for LGBTQIA+ Patients
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On this episode of Inside Health Care, we celebrate Pride Month with discussions on gender health equity, sexual orientation and gender identity health care quality issues, and health care access and representation for the LGBTQIA+ community. Later, some tips on improving the provider experience for transgender patients. Dr. Alex Keuroghlian is an …
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Inside Health Care #107: Dr. Ava Jones and the Pursuit of Health Equity for the Homeless
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On this episode of Inside Health Care, we feature two interviews celebrating winners of two different NCQA awards: a NCQA 2022 Health Innovation Award and a 2022-2023 PCMH CCE Quality Award Winner. Later in the show in our Fast Facts segment, we discuss gender equity-related health care terminology. In our first interview, we talk with Dr. Ava Jone…
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Inside Health Care #106: Dr. Ben Kligler with Integrative Medicine through a Quality Lens
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On this episode of Inside Health Care, we talk about acupuncture, yoga and a host of other “alternative” therapies with a health leader in the U.S. government. After that, we explore a newly announced breakthrough in digitalization exploration with NCQA’s Chief Technology Officer. Our first guest is one the foremost experts in the U.S. on integrati…
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Inside Health Care #105: Dr. Pippa Shulman and the Growth of Hospital at Home
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On this episode of Inside Health Care, we interview a pioneering speaker and a featured presenter at NCQA’s 2023 Quality Talks event. We first interviewed Dr. Pippa Shulman back in episode 76, which dropped in April 2022. Since then, Dr. Shulman's seen the growth and expansion of her business, Medically Home, the world’s first virtual hospital. Med…
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Inside Health Care #104: Dr. Garth Graham, Dr. Aaron Neinstein, and Pushing Health Care into the Digital World
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On this episode of Inside Health Care, we interview two upcoming speakers at NCQA’s 2023 Quality Talks event. First, we meet a global leader with a deep understanding of the need for health equity. Following that, we have an in-depth discussion with an amazing tech expert on digital transformation in the health care ecosystem. Dr. Garth Graham is M…
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Inside Health Care #103: Dr. Nzinga Harrison, Dr. Suchi Saria and the Many Ways to Equity
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On this episode of Inside Health Care, we’ll hear from two health care innovators. One developed a unique yet powerful approach towards resolving historic gaps in health equity. The other champions artificial intelligence as a key solution in the drive towards streamlined patient-centered care. And...both of them will be featured speakers at NCQA’s…
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Inside Health Care #102: Dr. Liz Kwo and Using Tech to Put Patients First
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On this episode of Inside Health Care, we hear from a digital entrepreneur who’s dedicated to getting the most out of health tech. Dr. Liz Kwo is Chief Medical Officer of Everly Health and an upcoming speaker at NCQA's 2023 Quality Talks event. Dr. Kwo is an expert in development and implementation of digitalization to improve diagnostics-driven he…
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Inside Health Care #101: Jennifer Goldsack on the Fast Track for Digital Medicine
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On this episode of Inside Health Care, we hear from a digital scientist and researcher eagerly finding tech solutions to promote immediate change in health care. Jennifer C. Goldsack is founder and CEO of the Digital Medicine Society (DiMe), a 501(c)(3) non-profit organization dedicated to advancing digital medicine to optimize human health. Jen ea…
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Inside Health Care #100: Inside Health Care Turns 100
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In celebration of the 100th episode of the Inside Health Care podcast, we take a moment to tell stories of health equity and health digitalization. Through clips from six interviews over the past few years, we explore the evolution of these two concepts—both now pillars of NCQA programming. Thanks to all our podcast guests of the past 5½ years. We’…
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Inside Health Care #99: Dr. Eric Wei and Dr. Ted Long and the Crisis of Health Worker Burnout
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On this episode of Inside Health Care, we offer two interviews. NYC Health + Hospitals leaders, Dr. Eric Wei and Dr. Ted Long, discuss hospital worker burnout, including suicide, and the need for awareness, mitigation and prevention. After that, Inland Empire Health Plan Chief Quality Officer, Dr. Edward Juhn, talks about “algorithmic bias,” a soft…
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Inside Health Care #98: Horizon BCBS of New Jersey and the Local Links to Health Equity
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On this episode of “Inside Health Care,” we hear from Tracy Parris-Benjamin, Director for Community Health and Health Equity at Horizon Blue Cross Blue Shield of New Jersey, about its 2022 NCQA Innovation Award-winning program “Neighbors in Health.” “Neighbors in Health” is a statewide Community Health Workers program delivered through a collaborat…
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Inside Health Care #97: Dr. Don Rucker and the Race to Digitalization
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On this episode of “Inside Health Care,” we revisit our 2022 Health Innovation Summit interview with Dr. Don Rucker, a leader in health care digitalization. As you might have experienced, when you go from one doctor to the next, your health records don’t always go with you. Dr. Rucker’s provides insight into interoperability: getting health care so…
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Inside Health Care #96: Lisa Morris, Karmen Stephens, & the Pharmacist's POV
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In this episode of “Inside Health Care,” we discuss both gender health equity and today’s pharmacists, and their roles and positions in the health care ecosystem. Both guests in this episode’s interview, recorded live at NCQA’s inaugural Health Innovation Summit in November 2022, are board-certified geriatric pharmacists for Consana, a pharmaceutic…
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Inside Health Care #95: Peggy O'Kane & the State of Health Care 2022
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In this episode of “Inside Health Care,” featuring NCQA’s President, Peggy O’Kane, we look back at the challenges and successes of 2022 and consider what lies ahead for quality in 2023. Peggy and NCQA’s Vice President of Public Policy and External Relations, Frank Micciche, discuss a wide range of issues, including NCQA’s Health Equity Accreditatio…
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Inside Health Care #94: John Palmieri, Maria Stanfield & the Ground Game for Behavioral Crisis Mitigation
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This episode of “Inside Health Care” features three interviews recorded live at NCQA’s inaugural Health Innovation Summit in November 2022. We first talk about the national "988 Suicide and Crisis Lifeline" with a broader look at behavioral health crisis management at the national, county and community levels. Later on, we get an inside look at NCQ…
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Inside Health Care #93: Dr. Darrell M. Gray, II, & Health Equity Leadership for the New Generation
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First on this episode of Inside Health Care, we discuss Health Equity in an interview with Darrell M. Gray II, MD, the first Chief Health Equity Officer for Elevance Health. The company, as announced in Fall 2022, was one of 9 companies to earn distinction in both of NCQA's Health Equity Accreditation programs. This interview is one of three podcas…
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Inside Health Care #92: Dr. Raymond Osarogiagbon & the Hopes of Lung Cancer IPN Screenings
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On this episode of Inside Health Care, we help observe the Lung Cancer Awareness month of November with a talk on advances in lung cancer screening. This interview, recorded at our Inside Health Care podcast center at the 2022 Health Innovation Summit, is sponsored by AstraZeneca. Dr. Raymond Osarogiagbon is the Chief Scientist at Baptist Memorial …
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Inside Health Care Mini-Episode 8: A View from the Summit with Dr. Jaewon Ryu
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We continue our limited Inside Health Care series, A View from the Summit, featuring interviews recorded in person with speakers and staff from NCQA's first Health Innovation Summit. In this mini episode, we hear from Geisinger President and CEO, Jaewon Ryu, MD, JD, as we explore a common topic of discussion on Inside Health Care, value-based model…
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Inside Health Care Mini-Episode 7: A View from the Summit with Dr. Osagie Ebekozien
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We continue our limited series, "A View from the Summit," as we're recording live interviews this week from NCQA’s first annual Health Innovation Summit, hosted this year at the Marriott Marquis hotel in Washington, DC. In this episode, we’re talking about diabetes. But as often on this show, we’re not really just talking about diabetes. Diabetes i…
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Inside Health Care Mini-Episode 5: A View from the Summit with Dr. Don Rucker
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We continue our limited Inside Health Care series, A View from the Summit, featuring interviews recorded in person with speakers and staff from NCQA's first Health Innovation Summit. In this mini episode, we feature part of an interview with Summit speaker and interoperability expert Dr. Don Rucker. This mini episode focuses on the efforts to make …
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Inside Health Care Mini-Episode 6: A View from the Summit with Dr. John Palmieri
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Welcome again to our limited series, A View from the Summit, featuring in-person interviews conducted at NCQA's first Health Innovation Summit. In this mini episode, we explore Behavioral Health Crisis Care and one powerful tool created by the Federal government, the 988 Suicide and Crisis Lifeline. John Palmieri, MD, MHA, is a Senior Medical Advis…
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Inside Health Care Mini-Episode 4: A View from the Summit with Diane Holder
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12:58
We continue our limited Inside Health Care series, A View from the Summit, featuring interviews recorded in person with speakers and staff from NCQA's first Health Innovation Summit. This mini episode features my quick but informative conversation with the head of the University of Pittsburgh Medical Center health plan, Diane Holder. Ms. Holder bri…
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Inside Health Care Mini-Episode 3: A View from the Summit with Dr. Mary Giswold & Dr. Stephen Parodi
15:18
15:18
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15:18
Welcome again to our limited series, A View from the Summit, featuring in-person interviews conducted at NCQA's first Health Innovation Summit. We continue our ongoing podcast discussions regarding hospital at home with two guests representing Kaiser Permanente. Nobody wants to be in the hospital at all, or no more than necessary. And in a time whe…
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Inside Health Care Mini-Episode 2: A View from the Summit with Frank Micciche
13:56
13:56
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13:56
Over the course of this week, "Inside Health Care" is conducting live in-person interviews with speakers and participants at this year’s Health Innovation Summit, which we’re holding in Washington, DC. NCQA Vice President for Public Policy & External Relations Frank Micciche joined us for insights into the goings-on here at the 2022 Health Innovati…
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Inside Health Care Mini-Episode 1: A View from the Summit with Nancy Gin, MD, & Brenda Jackson, DNP
20:56
20:56
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20:56
When it comes to carrying a child in the time of pandemic, what are the options for care that keep the parent and child as safe as possible? At this year’s NCQA Health Innovation Summit, we heard some answers from Dr. Nancy Gin and Dr. Brenda Jackson, both of Kaiser Permanente. Together, the offered a presentation titled: Reducing perinatal risk, i…
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Inside Health Care #91: Dr. Jason Spangler & the True Meaning of Value
49:52
49:52
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In the health care world, we talk about “value-based care” in terms of putting patients first, listening to patients’ stories and giving thoughtful input. Sometimes we talk about “value-based payment models”—where providers and clinicians are encouraged to base their payment drivers on achieving positive patient outcomes rather than on a purely fin…
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