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Healthcare Strategies

Xtelligent Healthcare Media

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A podcast for healthcare professionals seeking solutions to today’s and tomorrow’s top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost. Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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As a healthcare professional your expertise is not only needed in direct patient care, but the healthcare industry needs your clinical knowledge to help solve healthcare's most challenging issues. Join us weekly if you are a aspiring or established healthcare or nurse consultant interested in learning the strategies and systems to launch and grow a successful consulting firm.
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The Compliance Mastermind podcast is a weekly show designed for healthcare compliance professionals where the goal is to provide inspiration, strategies, and tips for your healthcare compliance program and your career. Host Rebekah Latchis will cover everything from the Medicare Shared Savings Program, to productivity, to compliance best practices, to leadership, and everything in between. Rebekah is a lawyer turned compliance officer with over 16 years experience in health care compliance.
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show series
 
GLP-1 (glucagon-like peptide 1) medications are revolutionizing weight loss and diabetes care, but behind the hype lies a growing web of regulatory gaps, telehealth expansion and online pharmacy risks. This episode unpacks the opportunities -- and dangers -- shaping the future of these life-changing drugs. Featuring: Scott Roth, Chief Executive Off…
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Staffing shortages and rising operational costs are daunting challenges for community health centers, which are vital for serving underserved populations. How can the right technology investments help community health centers overcome these obstacles? Featuring: Abby Sears, president and CEO of OCHIN Jeff Lowrance, CEO of OSIS In today’s episode, w…
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As many patients decide whether to take glucagon-like peptide 1 agonists (or GLP-1s), providers face various new patient engagement challenges. What patient engagement strategies can providers pursue to achieve shared decision-making, even when their patients decide to take GLP-1 compounds? In this episode, we hear one local dietitian share her exp…
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GLP-1 drugs, like Ozempic, Wegovy, and Zepbound, have gained attention for their significant health impacts and anti-obesity effects. However, there continues to be a lot of unknowns surrounding these medications, their long-term impacts, and access. Featuring: Dr. Lydia Alexander, an obesity medicine specialist, lifestyle specialist, president of …
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General hospitals in New York State are subject to new cybersecurity regulations. What do these regulations entail, and what inspired them? How can hospitals in other states prepare for similar cybersecurity requirements? Featuring: Jill McKeon, associate editor, Healthtech Security, Xtelligent Healthcare Kelsey Waddill, managing editor & multimedi…
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Note: we're taking a quick break next week (10/28) but will be back 11/4 with more conversations. A good population health strategy requires a breadth of health data to make it work. Across social determinants of health data, patient data and data from non-traditional sources, healthcare organizations and professionals can design interventions tail…
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Generative AI adoption is of increasing interest within the healthcare industry. How can healthcare leaders ensure that their workforce has the appropriate AI literacy needed to support successful AI integration in clinical settings? Featuring: Melissa Knuth, vice president of planning at OSF HealthCare In today's episode, we'll cover… How generati…
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Note: Healthcare Strategies will be taking a quick break next week, but will return 10/14 with more great conversations! Connected healthcare models are proliferating, with technologies like telehealth, remote patient monitoring and AI transforming care delivery; however, health inequities stand in the way of progress in this arena. How can healthc…
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Good cyber hygiene is critical to successfully mitigating cyber threats in healthcare. What strategies can healthcare organizations employ to train employees on the tenets of cyber hygiene and prevent data breaches in an increasingly digitally connected healthcare environment? Featuring: Kyle Murphy, vice president, editorial, Xtelligent Healthcare…
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There are many eye-catching artificial intelligence use cases out there, but in today's episode we focus on one AI opportunity that impacts a large swath of the healthcare system: prior authorizations. What can AI do to alleviate provider burden related to prior auth? Featuring: Amber Nigam, CEO and co-founder of basys.ai In today’s episode, we’ll …
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Chronic disease management and prevention strategies are of increasing importance as chronic conditions increase in prevalence. Guests: Sara Heath, executive editor at Xtelligent Healthcare Alivia Kaylor, senior editor, Pharma Life Sciences at Xtelligent Healthcare Anuja Vaidya, senior editor, Virtual Healthcare, and special events lead at Xtellige…
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Leaders in some healthcare organizations, like today's guest, are trying to bridge the gap between stakeholders to achieve a common goal: lowering drug costs for patients. Why do drug costs have such a high impact on overall healthcare spending and what can healthcare organizations do about it? Guest: Cynthia Meiners, senior vice president and stra…
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Since the coronavirus pandemic, mental and behavioral health awareness has improved and innovation in this area has exploded. What is the industry up to now? Guest: Solome Tibebu, Founder and CEO of Behavioral Health Tech In today's episode, we'll cover Behavioral healthcare technologies Challenges and progress in behavioral health since the corona…
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The next big thing in interoperability may involve scaling data exchange efforts. Guest: Terry Douglas, Product Marketing and Sales Enablement Director at Surescripts In today's episode, we'll cover The role of QHINs in interoperability's progress Areas for improvement in payers' data exchange efforts Opportunities for innovation in payers' interop…
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Quality measures play an important role in the Medicare Advantage program. SCAN Health Plan's recent lawsuit against CMS revealed just how important. Guest: Sachin Jain, MD, CEO of SCAN Health Plan In today's episode, we'll cover SCAN Health Plan's lawsuit against CMS Improving the Medicare Advantage program and Medicare Advantage quality measures …
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Employer sponsored health plans cover six in ten non-elderly Americans, making successful collaboration between payers and employers crucial to many Americans' wellness. Todd Woodruff, Chief People Officer at Salt & Straw, and Todd Burton, President of the Commercial Market at Providence Health Plan, shared about trends in mental health, pharmacy s…
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Providers are expected to equip payers with information so that health plan members can find in-network care. But what if those demands from payers were consolidated from 20 separate requests into one? What if providers could enter their information one time in such a way that all of their payer partners could access it? Tyler Ford, Vice President,…
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The generative AI revolution is here. How should payers respond and how can they learn from past technological revolutions in healthcare to inform their next steps? Charles DeShazer, MD, Chief Quality and Health Advocacy Officer at Cigna Healthcare, offers his recommendations in this episode of Industry Perspectives.…
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In this last episode of season 5 of Healthcare Strategies... The United States has a health equity problem, but a lack of comprehensive data standards has limited efforts to mitigate health disparities. In this episode, Keysha Brooks-Coley, vice president of advocacy at Blue Cross Blue Shield Association (BCBSA), discusses the importance of standar…
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In value-based care, providers rely on accurate, timely data. But their needs also evolve as their participation in value-based contracts progresses. Kathryn Eshelman, MD, VP of Clinical Informatics at Inovalon, dives into what providers need at different stages of the value-based care continuum and how healthcare technology vendors can help.…
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Chronic disease management, preventive care, and mental wellbeing all have at least one thing in common in the healthcare field: a need for strong patient education practices in order to be successful. Cathy Moffitt, MD, explains how patient education is not just a provider task. Rather, payers have a role to play in ensuring members understand the…
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Member retention is challenging in the current health insurance landscape, but it is advantageous for achieving high-quality care and member satisfaction. Nicholas Kraft, SVP and chief growth officer at CDPHP, identifies strategies for building member loyalty.بقلم Xtelligent Healthcare Media
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The telehealth industry has leveled out since reaching unprecedented heights of adoption and use during the COVID-19 pandemic, leaving behind a markedly different landscape for stakeholders to navigate. In a new Healthcare Strategies podcast, Dr. Sanjula Jain, senior vice president of market strategy and chief research officer at Trilliant Health, …
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How can healthcare leaders tweak value-based care models to better suit the needs of specialty care providers? Jeremy Wigginton, chief medical officer at Capitol Blue Cross, shares strategies for promoting the quality over quantity mindset in specialty care spaces in today’s conversation from AHIP 2024.…
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Leaders in medical education have been laser-focused on addressing health equity and discrimination in healthcare settings. In this episode, Kenya Beard, EDD, one of the commissioners for the National Commission to Address Racism in Nursing, outlines the progress made in promoting anti-racism in nursing schools, pitfalls to avoid and strategies for…
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Cheruba Prabakar, MD, a minimally invasive surgeon, board-certified obstetrician–gynecologist, and Founder and CEO of Lamorinda Gynecology & Surgery, discusses the new United States Preventive Services Task Force (USPSTF) breast cancer screening guidelines. While the guidelines recommend starting mammograms at age 40, Prabakar expressed concerns ab…
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Medical crowdfunding is one way that patients handle high medical bills. How does this trend reflect on the state of healthcare prices in the US and how can payers and healthcare leaders respond? Divya Sangameshwar, an Insurance Expert and Spokesperson at ValuePenguin by LendingTree, shares the results of a crowdfunding report and discusses these q…
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To make the best health decisions, patients and their physicians must be guided by high-quality, comprehensive information. Jennifer Ford, manager of clinical product management and genomics at MEDITECH, and Jackie Rice, VP and CIO at Fredrick Health, join us to discuss managing the fast-moving nature of genetic information, bringing genomics into …
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How does public health fit into the patchwork of the US healthcare system? Oscar Alleyne, managing director, public health at MITRE, dives into public health data collection and implementation processes and how these overlap with other sectors of the healthcare industry.بقلم Xtelligent Healthcare Media
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Unintentional disclosures of adolescents’ protected health information are major privacy and security concerns that providers must navigate. Natalie Pageler, MD, chief health informatics officer and division chief of pediatric clinical informatics at Stanford Medicine Children’s Health, discusses how the use of large language models (LLMs) could he…
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There are growing pains that come with technological advancement in healthcare. In this episode, Paul Wilder, executive director at CommonWell Health Alliance, addresses the increasing importance of interoperability in the healthcare industry, the biggest challenges in his line of work, the nuances of digital healthcare records, and more.…
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In this episode, Hilary Hatch, PhD, clinical psychologist and Chief Clinical Officer at Phreesia, discusses the multiple factors contributing to vaccine hesitancy. Hatch unlocks the definition of vaccine hesitancy beyond social media rhetoric focused on anti-vaxxers and outlines how the healthcare system can combat hesitancy.…
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From telemedicine platforms to electronic health records, digital transformation has revolutionized healthcare. While it has allowed for enhanced efficiency and accessibility, digital transformation is not without its challenges. David Nace, MD, CMO of Innovaccer, joins us to discuss the importance of recognizing the context of specific data, codin…
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When a ransomware attack hit Change Healthcare in February, claims processing halted for providers nationwide, causing significant operational and financial disruptions that are persisting today. Jill McKeon, associate editor at HealthITSecurity, discusses UnitedHealth Group’s response to the cyberattack, the ongoing recovery process, and what this…
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How can health system leaders keep a finger on the pulse of a community effectively to connect patients with the necessary resources and improve health equity? Nwando Anyaoku, MD, GVP, Chief Health Equity and Clinical Innovation Officer at Providence Health, shares how to maintain strong community connections, incentivize providers to be aware of s…
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Remote patient monitoring (RPM) has proved effective in enhancing chronic disease management among adult and pediatric patients alike. While many health systems choose to partner with third-party digital health companies to employ RPM, Phoenix Children’s Hospital decided to develop these tools in-house. In this episode, David Higginson, the hospita…
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Preparing for the future of technology starts with a flexible strategy. Organizations can ensure efficient strategies by emphasizing communication and collaboration, so they are evaluated from different perspectives. Keith Duemling, senior director of cybersecurity technology protection at Cleveland Clinic, shares his thoughts on the future of the …
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The consequential nature of healthcare calls for tools and technology that are fair, equitable, and useful to both patients and caregivers. With the rise of AI comes ethical questions surrounding its use in healthcare, and how it can be used in the most responsible and efficient ways possible. Brian Anderson, MD, CEO and co-founder of the Coalition…
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For providers, digital quality measure adoption and the ongoing shift to value-based care in the healthcare industry often simply mean more tasks to add to their plates. How can policymakers, payers, and other stakeholders better align quality measures with the provider experience and what needs to change about communication around quality measure …
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Bringing APIs into healthcare has been no small task and this Industry Perspectives guest should know. Don Rucker, MD, is currently the chief strategy officer at 1upHealth, but his former role as the National Coordinator National Coordinator for Health Information Technology gave him insight into how healthcare organizations can better collaborate …
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With persistent health data usability challenges across the industry, The Sequoia Project's Data Usability Taking Root Initiative is looking to drive interoperability through existing data standards. Holly Miller, MD, chief medical officer at MedAllies, a health IT network participating in the initiative, discusses the main data usability issues im…
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CMS produced a new tool to help hospitals comply with price transparency rules, the Food and Drug Administration (FDA) approved an artificial intelligence tool that assesses patients' risk for sepsis, and more on today's episode.بقلم Xtelligent Healthcare Media
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How can Google make healthcare information more useful and accessible? What is the best role for the cloud in healthcare data management? Aashima Gupta, Global Director of Healthcare at Google, and Kalyan Pamarthy, Group Project Manager for Generative AI and Search at Google, address these questions and share their thoughts on the potential for clo…
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Widespread consolidation in healthcare is threatening the independence of most private practices. However, private practices are vital to the healthcare ecosystem, delivering the high-quality, personalized care that patients need. Moshe Chasky, MD, FACP of Alliance Cancer Specialists, shares what happened when a health system came knocking at his d…
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With cyberattacks on the rise--including the advent of the largest cyber event in American healthcare history, the Change Healthcare event--healthcare leaders are scrambling to refortify their health IT security protocols. Matt DeFrain, managing director of MorganFranklin Cyber, and Tamara Nolan, senior director of Cyber & Operational Resilience at…
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FDA approves an artificial intelligence (AI) tool that identifies heart failure in seconds, the American College of Surgeons shares the best uses for telehealth in surgical practices along with guidelines for integration, and more on today's episode.بقلم Xtelligent Healthcare Media
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In this episode, Janpaul Portal, Esq, Managing Director of pharmaceutical and medical device litigation at MSP Recovery Law Firm, sheds light on the complex realm of recent legal challenges surrounding medical devices and pharmaceutical drugs. With a particular focus on sleep apnea devices and insulin pricing, Portal provides valuable insights into…
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In this episode, Rich Birhanzel, senior managing director and global health lead at Accenture, shares the highlights from HIMSS 2024. Specifically, he dives into workforce management and generative AI trends which were the main topics of conversation at the conference.بقلم Xtelligent Healthcare Media
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Diabetes management tools attract a lot of physician and patient attention, but some do not live up to their promises. Epic is adding ambient intelligence to its EHRs. Medicaid disenrollments rocket past HHS projections. A proposal in the Senate would offer financial relief to providers affected by cybersecurity crises.…
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