show episodes
 
Conversational technology and patient engagement are two technology trends sweeping through the three trillion dollar healthcare industry. In these short, interactive discussions, industry experts talk about how and where innovation is impacting the customer experience at hospitals, pharmaceutical companies, and the vast array of related services in the industry.
 
Change Healthcare is a leading healthcare technology company, focused on accelerating the transformation of the healthcare system through the power of the Change Healthcare Platform. We provide data and analytics-driven solutions to improve clinical, financial, administrative, and patient engagement outcomes in the U.S. healthcare system. Learn more at changehealthcare.com. *
 
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show series
 
More than 37 million Americans have diabetes today and an additional 96 million adults have pre-diabetes. Access to insulin treatment for many is vital. But in the past 10 years, the cost of insulin has increased by more than 1000% which is driving one in every four people with diabetes to ration or skip doses of insulin. The government and private…
 
Luma Health co-founder and CEO Adnan Iqbal joins the Change Healthcare Podcast to discuss how and why his company created a digital patient engagement platform that empowers healthcare providers to differentiate themselves in a competitive market. Follow Us Twitter @Change_HC Facebook @ChangeHealthcare LinkedIn @ChangeHealthcare Presented by Change…
 
Preventable hospital readmissions cost the healthcare system approximately $25 billion annually, and it is estimated that one of every five Medicare patients is readmitted to the hospital within 30 days of discharge. Our panel of experts shares insights and best practices on lowering readmission rates for patients with chronic health conditions thr…
 
Healthcare has become an expensive, clunky mess for everyone. The path forward has to be digital, but with labor shortages showing no signs of slowing down, the time has come to double down on innovation. The good news is that technology has matured to a place where it may finally be able to make a significant difference. In this episode, Shuo Qiao…
 
The technology behind Conversational AI is maturing rapidly across all sectors as consumers increasingly relying on language to interact with their devices. The labor shortage that plagues most industries has set the stage for technology that powers digital conversations, and the sector that may benefit most is healthcare. Anil Nair, Chief Technolo…
 
Digital technology can give organizations more data, giving them more visibility not only into patients’ clinical profiles but also population health profiles and socioeconomic profiles. Our panel of experts will discuss how health plans can effectively tap the potential of digital technologies to improve care delivery, outcomes and equity for trad…
 
As COVID surged around the world, native Hawaiians were at an increased risk due to socioeconomic factors and comorbidities. To understand the work being done to support vulnerable Hawaiians, we spoke with Kevin Vaccarello to hear how Sustain Hawaii was able to use technology to expand their operation and support their mission of transforming the i…
 
Risk adjustment is much more than a regulatory requirement for Medicare Advantage plans – it can improve the quality of care by providing an accurate picture of each member’s health status and ensuring each member receives the right interventions and treatment. Providers play an important role in risk adjustment, too. An engaged partnership between…
 
Engaging high-needs Medicare and Medicaid members can be a huge barrier to better health and a consistent challenge for even the most innovative health plans. In order to successfully engage these members, health plans must meet them in the communities they live and work and provide the right solutions and resources. Our expert panel of leaders fro…
 
Socially Determined Co-Founder and CEO Trenor Williams, MD, talks with Eric about the importance of accessing and unlocking the potential of member demographic data, including race, ethnicity and language, to identify social risk. Specifically, he shared details of his organization’s partnership with CareFirst BlueCross BlueShield to optimize inter…
 
Billions of people are now fully dependent on various forms of technology as part of their daily lives. Healthcare is no exception. As paper forms give way to digital health records and electronic communications, the risks of losing control of private patient information has risen dramatically. Every organization that deals with healthcare data mus…
 
Loneliness is associated with worsening health-related quality of life, increased mortality, higher risk for a variety of physical and mental health conditions, and other poor health outcomes. While loneliness is typically applied to seniors, it can apply at any age. Michelle Bentzien-Purrington, SVP, Senior Vice President, MLTSS, Molina Healthcare…
 
Featuring: David Shulkin, MD, Former U.S. Secretary of Veterans Affairs Kacey L. Serrano, MPA, CPC, CRC, Director, Medicare Stars and Risk Adjustment, Arkansas Blue Cross and Blue Shield Sean Libby, President, BeneLynk Today, 22% of Medicare Advantage members are veterans of the United States Armed Forces and 5% of Medicare Advantage members use th…
 
With the new CMS and ONC regulations firmly in place, individual access is taking off. But there are still some tricky issues to address around consent and data segmentation. In this episode of the Let’s Talk Interop podcast, our panel explores how technology can support consent capture and revocation as well as consent sharing. They also dive into…
 
Conversational AI is rapidly maturing and becoming a viable technology option for healthcare organizations that need to digitize and scale patient engagement. Language-based user interfaces are ideal for reducing engagement friction and navigating high complexity. But technology experiences that are high on the user friendliness scale also require …
 
Reaching hard-to-reach populations takes heart, determination, and support. And it’s hard. Just because you’re communicating, doesn’t mean you’re connecting. Our panel explores ways health plans can make sure they meet their members where they're at and how to navigate the complicated outreach process. Panelists: Merrill Friedman, RVP, Inclusive Po…
 
As our public health emergency (hopefully) winds down, federal and state governments are reshaping healthcare policy. To gain clarity we sat down with Ceci Connolly, CEO for the Alliance of Community Health Plans to discuss federal and state healthcare policy trends around Medicaid, mental health, preauthorization and value-based care.…
 
In order to implement an effective SDOH strategy, healthcare organizations must develop an infrastructure to integrate both clinical and social interventions. Our panel of experts from Melanin & Medicine, MetroPlus Health, Priority Health, ProMedica, and Socially Determined shares best practices, lessons learned, and key considerations to help you …
 
Dr. Jonah Mink, Medical Director of Health.io discusses how health plans can convert data into actionable insights by leveraging focused chronic care service providers with at-home or last-mile care or diagnostics. Jonah also shares how health plans are generating clinical results and revenue from partnerships with service providers and offers guid…
 
Achieving health equity begins with an ability to identify health disparities and their causes Without adequate data and measures, inequities remain unseen and unaddressed. Our expert panel discusses the importance of leveraging data and analytics to understand, measure, and support equity improvement efforts. They will share successful strategies …
 
The nursing profession is one the most cherished professions there is. Those who take the plunge are true heroes that must work long, hard shifts to help patients of all types get through very difficult situations. When the COVID pandemic hit, nurses had to take things up to another level in order to deal with the massive waves of sick patients tha…
 
Eric goes one-on-one with Chris Delaney, Founder, and CEO of Insignia Health. During the episode, Chris talks about consumer centricity and the importance of the patient activation measure (PAM) for health plans and providers. He provides various case studies and overall guidance on how to successfully implement activation programs that work. This …
 
A recent study looked into patient perceptions about the administrative side of healthcare and found that tasks such as setting appointments, completing paperwork, and getting prior authorizations have gotten so hard, many patients have chosen to defer care to avoid the hassle. Investments to give patients the tools to manage their own healthcare h…
 
Experts from Cigna, SCAN Health Plan and UPMC Health plan share strategies and best practices for generating higher HEDIS and STAR ratings by advancing a holistic approach to their members’ care including “last mile” strategies and caregiver support coupled with physical, behavioral and social needs. Panelists include Ellen Bjeckford, PhD, MPH, Ass…
 
Dr. Cynthia Brandt joins Eric to discuss her mission to unlock philanthropy to improve health for children and mothers around the world through the foundation, which directs all fundraising for the Lucile Lucile Packard Children’s Hospital Stanford and for the maternal and child health programs at Stanford University School of Medicine. Cynthia sha…
 
While crossing professional paths over many years, health IT leaders Eric Lacy and Jim Schreiner became good friends—and learned advocates for the transition of enterprise imaging to the cloud. From their perspectives, informed by a radiology practice and a hospital setting respectively, they offer advice and optimism on what lies ahead on the path…
 
Our panel of experts from Commonwealth Care Alliance, Molina Healthcare of Ohio and BeneLynk share best practices for addressing the SDOH needs of your dual eligible members. Walk away with ideas you can implement in your own organization to close gaps in care, improve outcomes, and reduce costs. Topics include: Topics include: Combining technology…
 
The most lasting impact to the COVID-19 pandemic is likely to be the healthcare labor shortage that shows no signs abating. Hundreds of thousands of workers have left the field, and it’s not just doctors and nurses. Nearly one third of healthcare spending is in the administrative domain and that sector has seen massive reductions in the support sta…
 
Genentech US Medical Affairs is involved in hundreds of concurrent clinical trials that involve a spectrum of participants and investigators. The world of clinical trials and therapy development has been evolving and now COVID-19 is forcing the industry to innovate in different ways as it deals with labor shortages, supply chain disruptions, and a …
 
Mike Russell is the co-founder and CEO of Monument, an online treatment platform for those looking to change their relationship with alcohol. In this episode, Change Healthcare’s Anuj Desai talks with Mike about how his own experience drove him to create a new approach to alcohol treatment. Mike tells Anuj how his company was born and how technolog…
 
Anthem’s Chief Health Officer Shantanu Agrawal, MD, talks to Eric about what the insurer is doing to lessen the effect of social determinants of health (SDOH). He shares the results from Anthem’s recently released report, Driving Our Health: A study exploring health perceptions in America, a national survey of 5,000 U.S. adults. Anthem conducted th…
 
For healthcare providers, the potential of cloud technology intrigues, yet adoption has proven difficult. Nowhere is this more evident than in imaging, which has a legacy of aging, on - premise applications that interact with every point of care. Faced with unscalable solutions and limited alternates, many providers’ have stalled their initiatives.…
 
We recently asked payers across the country about the No Surprises Act. What do they think about it? How are they preparing for it? How do they feel it will affect their business? In this inaugural episode of our government mandates theme — which we plan to record quarterly, or as critical updates become available — our panelists reflect on payers’…
 
Health plans today are facing simultaneous pressures to improve member experience, increase healthcare quality and reduce costs. Hear how leading health plans are designing and implementing exceptional member experiences, boosting quality rating and helping members achieve better health outcomes! Also, learn how looking at the member experience thr…
 
As healthcare works toward value-based care, closing care gaps and engaging consumers in preventive health is a high priority among payers and providers as it reduces costs and improves health outcomes. In this podcast, leaders from Blue Cross Blue Shield of Illinois, Clover Health, Health.io and Humana share successful strategies for closing gaps …
 
Join our presenters as they discuss the history and future of HEDIS reporting. Listen in to discover how existing pain points, regulatory agencies, and environmental factors are influencing the transition from claims-based to clinical-based measures. Today’s panel includes: Genevieve Morris, senior director, clinical interoperability strategy at Ch…
 
As a “free-range” child in the late ‘60s and early ‘70s, Dr. John Halamka rode his bicycle to the dumpsters of defense contractors, pulling out the integrated circuits they had thrown away. By age 14, he had gained an advanced understanding of technology, however his passion lied in biology and life sciences—which led to a “crazy idea”: “What if I …
 
In today’s episode, Tim Suther is joined by Dr. Mark Cullen, who’s been at the forefront of population health for decades—even before it was a recognized field. Listen in as Tim and Dr. Cullen discuss the collaborative effort that has gone into the COVID-19 Research Database, and what the resulting research and analysis can tell us about vaccine ef…
 
In this episode, UnitedHealth Group National Vice President Cyrus Batheja joins Eric to share his inspirational personal story and how it motivates his desire to break down the barriers to healthcare. During the conversation, it becomes clear Cryus is a remarkable individual. He details his family’s journey to America and his experience growing up …
 
Well before the COVID-19 pandemic put a new level of pressure on healthcare, the industry was struggling to deliver patient experiences that were on par with retail, banking, or travel. With more consumer companies evolving into healthcare services providers, the pressure to engage patients at scale became intense for hospital systems. Then COVID-1…
 
The cost of prescription medicine continues to surge for patients. As insurance coverage evolves, the out of pocket burden now exceeds $80B each year. While government and business policy leaders continue to search for a solution, there are opportunities to use innovation to bridge gaps, provide better patient services, and lower costs at the same …
 
In this episode, Lisa Davis, Senior Vice President and Chief Information Officer at Blue Shield of California (BSC) sits down with Eric to talk about BSC's overall Health Reimagined strategy, BSC's Portfolio Product Models, and their new partnership with Google Cloud. In addition, Lisa dives into criminal and counterintelligence and how the overall…
 
Our panel of experts from Banner Health, BlueCross BlueShield of South Carolina, SCAN Health Plan and other leading healthcare organizations share case studies and best practices for engaging consumers in decision-making and behavior change to improve health outcomes. Find out why a human-centric approach may help persuade consumers to actively par…
 
Despite countless billions of dollars spent, and decades of effort, healthcare still lags behind other industries when it comes to successfully using digital technologies to interact with its customers — the patients. The ongoing challenges created by the COVID-19 pandemic have resulted in rapid advances in digital health solutions and telehealth. …
 
The US Government is poised to make groundbreaking federal and state policy decisions. Special guest Matt Salo, executive director of the National Association of Medical Directors, joins us to discuss the latest congressional action on the infrastructure package, challenges of current budget reconciliations, and Medicaid expansion consideration. We…
 
Leaders from Humana, ProMedica, Health Plan of San Mateo, Alliance of Community Health Plans, and Insignia Health share case studies and best practices for leveraging health data to drive consumer activation, improve health outcomes and reduce costs. Topics include: Using AI, machine learning, and language processing to drive more effective communi…
 
Panelists: Cara McNulty, President, Behavioral Health & EAP, CVS | Aetna Claire Neely, MD, FAAP, President & CEO, Institute for Clinical Systems Improvement The mental health experience can be daunting and lonely with the stigma attached preventing many people from getting the care they need. With the COVID-19 pandemic exacerbated mental health iss…
 
Analytics are key to success in value-based care. That’s because analytics deliver data-driven insight into exactly what it takes to achieve desired patient outcomes for any given episode of care. With that insight, payers and providers can collaborate to move more smoothly from fee-for-service to fee-for-value, to create logically bundled payment …
 
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