Outcomes Rocket

High deductible health plans have shifted a significant financial burden to patients, requiring new strategies for healthcare providers to collect payments. In this episode, Chris Cox, Chief Strategy Officer at iVitaFi, talks about his experiences with debt management and the challenges faced by hospitals in collecting payments. He explains how iVitaFi helps healthcare providers by offering non-recourse financing options that improve patient accessibility and reduce financial burdens for hospitals. Chris discusses the impact of high deductible health plans and the importance of digital transformation in healthcare, emphasizing the need for a patient-first approach and the potential role of AI once foundational digital systems are in place. He also shares insights on overcoming challenges like launching during the COVID-19 pandemic and highlights iVitaFi's commitment to providing 0% interest loans to patients. Tune in and learn how innovative financing solutions can enhance healthcare accessibility and streamline revenue cycles! Resources: Watch the entire interview here. Connect and follow Chris Cox on LinkedIn. Learn more about iVitaFi on LinkedIn and their website.

AI technology in dentistry can achieve human-level accuracy and improve patient care by providing more precise diagnoses. In this episode, Wardah Inam, co-founder and CEO of Overjet, discusses how her company is pioneering AI technology in the dental industry to improve patient care. She highlights the challenges and advancements in AI technology, the importance of measuring care quality, and the need for proper training and adoption in dental practices. Wardah also addresses the evolving role of AI in dentistry, the future of treatment planning, and the impact of technological progress on dental education. Tune in and learn how AI is revolutionizing dental care and what the future holds for this innovative technology! Resources: Connect with and follow Wardah Inam on LinkedIn. Follow Overjet on LinkedIn and explore their website! Read the “Attention is All You Need” paper here. Watch the entire episode on YouTube and get more details at Think Oral Health.

Prioritizing people and processes over technology is essential for successful healthcare innovations. In this episode, Dr. Arun Mathews discusses strategies for improving healthcare delivery in rural areas and managing hospital capacity post-pandemic. He highlights the importance of focusing on people and processes before implementing technology, sharing a successful example of how clinician engagement led to better patient care and cost reduction. Tune in to learn how technology-driven solutions are transforming patient care in underserved areas! Resources: Connect and follow Dr. Arun Mathews on LinkedIn. Follow MultiCare Health System on LinkedIn. Discover MultiCare Health System’s Website! About Memora Health: Memora Health, the leading intelligent care enablement platform, helps clinicians focus on top-of-license practice while proactively engaging patients along complex care journeys. Memora partners with leading health systems, health plans, and digital health companies to transform the care delivery process for care teams and patients. The company’s platform digitizes and automates high-touch clinical workflows, supercharging care teams by intelligently triaging patient-reported concerns and data to appropriate care team members and providing patients with proactive, two-way communication and support.

Understanding the healthcare ecosystem is crucial for developing successful digital health solutions. In this episode, Bill Snyder, CEO of Cylinder, discusses his journey and mission to revolutionize gastrointestinal care through his company, which provides a scalable digital platform for individuals suffering from chronic GI conditions like ulcerative colitis, Crohn's disease, and IBS. The platform personalizes care with a coordinated team, including health coaches and dietitians, and integrates with the existing healthcare ecosystem to ensure seamless care, with 92% of users reporting reduced digestive symptoms and 88% identifying trigger foods. Throughout this interview, Bill stresses how his success with Cylinder greatly comes from his ten years at Humana, which provided valuable insights into healthcare systems. He also emphasizes the importance of understanding the healthcare ecosystem, building strong relationships, and having a passionate team. Tune in and learn how digital health innovations are transforming gastrointestinal care and improving patients' lives! Resources: Watch the entire episode here. Connect and follow Bill Snyder on LinkedIn. Learn more about Cylinder on their LinkedIn and website.

Digital transformation in health care often fails due to a lack of stakeholder involvement, with a success rate of only 11%. In this episode, Howard Rosen, CEO of Nova Insights, discusses how he and his team are contributing to humanizing healthcare technology. He emphasizes the importance of entrepreneurs having passionate ideas, addressing their constituency, and identifying root problems over buzzwords. Howard underlines the need to focus on core issues rather than AI hype and explains that implementing AI solutions in health care requires significant effort and stakeholder involvement to be effective. He stresses how digital transformation in healthcare often fails due to a lack of stakeholder engagement and explores how virtual healthcare is for disadvantaged and rural populations, bypassing legacy systems, and advocates for balancing passion with practical client needs. Tune in and learn how to make technology work for healthcare transformation! Resources: Watch the entire interview here. Connect and follow Howard Rosen on LinkedIn. Learn more about NOVA Insights on their LinkedIn and website. Listen to Howard’s previous interview on our podcast here. Email Howard directly here.

Clear Blue Smiles offers high-quality orthodontic care for under $5,000, less than traditional treatments. In this episode, Kevin Dillard, co-founder and CEO of Clear Blue Smiles, shares his journey into the healthcare industry and how he and his team are revolutionizing orthodontic care. Throughout his career, Kevin witnessed the struggle between low-cost orthodontics and the need for proper diagnostics, prompting him to collaborate on a hybrid treatment model that combines technology and traditional orthodontics and offers lower prices while maintaining professional integrity and ensuring thorough patient diagnostics. He also explains how Clear Blue Smiles requires comprehensive checks, including X-rays and 3D scans, to prevent damage and ensure proper treatment. Positioned in the middle of the market, Kevin underscores that the company offers high-quality care for under $5,000 and maintains doctor-patient relationships. Despite initial misunderstandings, the company now provides a platform for patients and doctors to connect easily. Tune in and learn how innovation is transforming orthodontic care! Resources: Watch the entire interview here. Connect and follow Kevin Dillard on LinkedIn. Learn more about Clear Blue Smiles on their LinkedIn and website.

Digital transformation in healthcare enhances patient experience and optimizes call center operations, patient financial services, and overall access to healthcare. In this episode, Dr. Scott Schell, Chief Medical Officer at Cognizant, shares insights into how digital transformation is shaping healthcare delivery in 2024, highlighting the challenges and opportunities it presents. He delves into specific complaints and struggles related to patient experience projects and the tangible effects of AI and machine learning on providers and patients. Dr. Scott also discusses potential pitfalls in Gen AI and tips for healthcare organizations embarking on their digital transformation journey. Throughout this interview, he reflects on the importance of automation tools in alleviating staff burnout. Tune in to gain valuable knowledge and practical advice from Dr. Schell's expertise at the intersection of healthcare, technology, and patient experience. Resources: Connect with and follow Scott Schell on LinkedIn. Follow Cognizant on LinkedIn and visit their website.

The healthcare industry's shift towards digitization and interoperability has increased data overload that can be addressed with advanced AI solutions. In this episode, Kevin Agatstein, CEO of KAID Health, discusses his early interest in the complexity of healthcare and the inspiration behind founding KAID Health. He recounts personal stories, including his wife's struggle with EMR review, which led him to leverage AI technology to simplify healthcare data management. Kevin elaborates on the challenges and opportunities posed by payment reforms and the crucial role of technology, particularly generative AI, in improving healthcare efficiency. He emphasizes the importance of understanding regulations and the need for clinical expertise in healthcare IT and highlights how KAID Health's solutions reduce chart review time significantly, enabling healthcare providers to focus more on patient care. Kevin also underscores that success in healthcare IT requires balancing technological innovation with practical knowledge of the healthcare environment. Tune in and learn about the innovative approaches transforming healthcare data management and the essential elements driving success in this field! Resources: Watch the entire episode here. Connect and follow Kevin Agatstein on LinkedIn. Learn more about KAID Health on their LinkedIn and website.

Technology is reshaping the dental industry, from AI models to data analytics, creating new opportunities for skill development. In this episode, Stephenie Goddard shares exciting developments, including Glidewell's newest acquisition of a UK tech company set to revolutionize sports technology with a smart appliance designed for athletes. She also discusses Glidewell's impactful employee leadership programs and investment in training, which foster impressive career growth within the organization. Join us as we uncover Glidewell Dental's journey and discover how innovation, culture, and strategic vision are shaping the future of the dental industry. Resources: Connect with and follow Stephenie Goddard on LinkedIn. Follow Glidewell Dental on LinkedIn and explore their website! Watch the entire episode on YouTube and get more details at Think Oral Health.

Cyber attackers are becoming smarter and more organized, making it crucial for healthcare systems to stay ahead with robust cybersecurity measures. In this episode of "The Future of AI in Health" podcast series, co-hosts Dr. Jenny Yu and Saul Marquez interview Ed Gaudet, CEO and founder of Censinet, on how AI revolutionizes healthcare, particularly in third-party risk and enterprise risk management. Ed shares how his company is revolutionizing the way hospitals assess the cybersecurity readiness of third-party vendors through automation and a multi-sided network, drastically reducing the time required for cybersecurity risk assessments in healthcare. Addressing the complexities of AI in healthcare, he emphasizes the importance of robust governance. He also explains why organizations need to establish clear policies for AI use, considering the unique risks associated with AI, which extend beyond traditional cybersecurity threats. Join us as we explore the future of AI in healthcare and the critical role it plays in ensuring patient safety and improved care. Stay tuned! Resources: Watch the entire interview here. Check more episodes of this Thought Leadership Series here. Connect with and follow Ed Gaudet on LinkedIn and email him here. Follow Censinet on LinkedIn and the website. Check out the Risk Never Sleeps podcast. Connect with and follow Jenny Yu on LinkedIn. Learn more about Healthline Media on LinkedIn and their website.

Discover the evolving healthcare landscape as Sandie Dela Cruz shares her journey from audiology to spearheading digital solutions in the medical device industry. In this episode, Sandie discusses how her early experiences in audiology and operational excellence laid the groundwork for her medical device industry role. She delves into the transformative potential of AI in medicine, from virtual reality simulations for physician training to advanced diagnostic tools. Sandie also explores the challenges and opportunities in integrating AI into healthcare, highlighting its impact on efficiency, patient care, and regulatory hurdles. Whether you're a healthcare professional, tech enthusiast, or curious about the future of medicine, this conversation offers valuable insights into the innovations shaping the future of healthcare. Resources: Connect with and follow Sandie Dela Cruz on LinkedIn. Learn more about Edwards Lifesciences on their LinkedIn and website. Listen to Siemens Healthineers’ podcast, Healthcare Perspectives, here.

Frontline managers, who often oversee large teams, can significantly benefit from technology that optimizes their daily efforts. In this episode, Tim Darling, co-founder of Laudio and president of Laudio Insights, dives into the world of healthcare data and analytics, explaining how technology can address challenges like nurse burnout and employee shortages in healthcare. His company offers an AI-based platform designed to help nurse leaders manage their workflows and improve outcomes. Tim highlights that Laudio’s platform prioritizes tasks, enhances engagement, and even drafts annual reviews, saving time and improving quality. He also emphasizes the critical role of technology in managing healthcare teams, especially in the post-pandemic era where system-based solutions are in high demand. Tune in and learn how technology is revolutionizing frontline healthcare management, empowering leaders, and improving team productivity and well-being. Resources: Watch the entire episode here. Connect and follow Tim Darling on LinkedIn. Learn more about Laudio on their LinkedIn and website. Buy Jocko Willink’s Extreme Ownership here.

The key to business growth is not just consistency but also providing free and valuable content. In this episode, John Lee Dumas, the creator of the successful podcast Entrepreneurs on Fire, explains how he turned his show into a media empire, garnering over 175 million listens across more than 4000 episodes. He talks about his inspiration for creating a daily podcast, emphasizing the importance of becoming the number one solution to a real problem, and discusses his approach to identifying audience needs and developing products and services to meet those needs. John emphasizes the value of delivering consistent and valuable content and provides insights from his book, The Common Path to Uncommon Success. He also encourages listeners to focus on adding value to others' lives, crediting his success to emulating the achievements and avoiding the mistakes of the entrepreneurs he interviews. Tune in and learn from John's experiences, the strategies he used to achieve success, and how you can apply these lessons to your entrepreneurial journey! Resources: Watch the entire episode here. Connect and follow John Lee Dumas on LinkedIn. Learn more about Entrepreneurs On Fire on LinkedIn and their website. Buy John’s book, The Common Path to Uncommon Success, here. Listen to Saul’s episode on the Entrepreneurs On Fire podcast here.

Recognizing the front-line healthcare professionals’ contributions fosters a culture of innovation and problem-solving within healthcare organizations. In this episode, Ann Louise Puopolo, Chair of the Customer Advisory Board at RLDatix, shares insightful thoughts on the challenges facing healthcare staffing and how technology can revolutionize patient care. She highlights the pivotal role of nurses and the need to optimize their usage to ensure better outcomes for both patients and healthcare providers. Throughout this interview, Ann Louise delves into the significance of leveraging data and analytics to optimize workforce utilization. She also discusses the potential impact of digital transformation on healthcare delivery. Don't miss this episode, as Ann Louise offers valuable insights to shape the future of healthcare delivery! Resources: Connect with and follow Ann Louise on LinkedIn. Follow RLDatix on LinkedIn and visit their website. Reach out to Ann at [email protected]

Coaching can be highly beneficial for leaders in transition, helping them navigate new roles and challenges with a clear goal in mind. In this episode, Saul Marquez interviews Dr. Mike Horne, a seasoned HR and organizational development leader, who discusses his approach to coaching, emphasizing the importance of understanding oneself, trusting others, and having clear goals. He recounts his experiences with leaders and organizations, highlighting the value of listening, respect, and continuous development. Dr. Horne emphasizes the importance of knowing yourself, including your biases and values, to become an effective leader. He also explains why successful people often seek continuous improvement and benefit from having someone to challenge their assumptions. Tune in and learn how to elevate your leadership skills and organizational effectiveness with practical tips and expert advice from Dr. Mike Horne! Resources: Watch the entire interview here. Connect and follow Dr. Mike Horne on LinkedIn. Learn more about Mike and his services on his website. Buy Mike Horne’s book, Integrity by Design, here. Listen to Mike’s podcast, The People Dividend Podcast, here.

Discover the importance of an end-to-end platform that simplifies the pre-treatment workflow and ensures collaborative care between dental and medical experts. In this episode, Alice Limkakeng shares her insights on transitioning to digital workflows, streamlining patient experiences, and the pivotal role of technology in bridging the gap between medicine and dentistry. She also discusses the challenges and opportunities for dental professionals entering this field and how her platform is designed to simplify and optimize care from end-to-end. Sit back and join us for a compelling conversation with Alice Limkakeng. Resources: Connect with and follow Alice Limkakeng on LinkedIn. Follow SleepArchitects on LinkedIn and explore their website! Email Alice here and call her at (914) 341-2468 or their team’s number: (888) 777-3198 Watch the entire episode on YouTube and get more details at Think Oral Health.

The recent HFMA conference revealed growing confidence in AI's capabilities among healthcare professionals. In this episode, Malinka Walaliyadde, CEO and co-founder of AKASA, discusses the innovative work of his firm, a technology company leveraging generative AI to enhance healthcare revenue cycles. He explains how their AI tools streamline complex tasks like medical coding and prior authorization, making them more efficient and reliable. Malinka emphasizes the importance of building trust in AI by allowing staff to understand and verify the AI's recommendations, touching on the increasing acceptance of AI in healthcare and the need for real-world examples to demonstrate its effectiveness. He also shares his insights from the recent HFMA conference, noting a shift towards greater confidence in AI's potential and encouraging listeners to explore AKASA’s educational content and reach out for tailored solutions. Tune in and learn how AI tools like AKASA can address labor challenges in medical coding by making skilled workers more efficient. Resources: Watch the entire episode here. Connect and follow Malinka Walaliyadde on LinkedIn. Learn more about AKASA on their LinkedIn and website. Listen to Malinka’s previous episode on our podcast here. Email Malinka directly here.

AI plays a crucial role in creating personalized sleep medicine based on collected sleep data. In this episode, Raj Mills, the Chief Technology Officer at Sleep Number, shares insights into the company's innovative sleep solutions, such as smart bed technology that tracks and personalizes sleep metrics. She explains how Sleep Number sets itself apart from competitors through its dedication to science and data, analyzing over 22 billion hours of sleep data and offering downloadable sleep reports for physicians. Raj stresses the impact of sleep on cardiovascular, cognitive, and metabolic health, emphasizing the importance of collaborations with health systems and leveraging AI for personalized sleep medicine. She also explores the shift towards consumer-driven healthcare, sleep apnea, fall prevention, and comfortable end-of-life options. Tune in and learn how better sleep can enhance your health and well-being! Resources: Watch the entire interview here. Connect and follow Raj Mills on LinkedIn. Learn more about Sleep Number on their LinkedIn and website.

Many founders transition from other industries, seeking to improve healthcare, but often underestimate its complexities. In this episode, Jordan Harmon, former Vice President, Chief Innovation Officer, and Commercialization Officer at the Hospital for Special Surgery in New York, discusses his journey as an entrepreneur and his passion for advancing the healthcare industry, highlighting the high failure rates of startups, emphasizing the necessity of a clear strategy for success. He shares insights on the importance of understanding the complexities of healthcare, such as HIPAA regulations and the need for resilience, and discusses the significance of diving deep into the healthcare landscape. Host Saul Marquez adds to the conversation by stressing the need for a clear mission and strategy, understanding market challenges, and the value of mentorship. Reflecting on his own career pivot and the impact of faith and data on his success, Jordan stresses innovation, economic considerations, and patient outcomes, encouraging listeners to collaborate and drive healthcare forward. Tune in and learn how to navigate the healthcare industry and make a meaningful impact! Resources: Watch the entire interview here. Connect and follow Jordan Harmon on LinkedIn. Learn more about Hospital for Special Surgery on their LinkedIn and website. Listen to Jordan’s previous interview on our podcast here.

Can you imagine a platform dedicated to retaining human involvement alongside AI and ML applications ensuring that judgment remains a vital component in decision-making processes? In the latest episode Live at ViVE, Dave Sohigian, CTO at Large at Workday, provides thought-provoking insights on topics such as the AI Hype Cycle, reshaping healthcare delivery in 2024, technological innovations in patient care, and critical issues of data security and privacy. He discusses how AI and ML are changing the landscape of technology and how organizations can harness their power to drive tangible outcomes. In this conversation, Dave also emphasizes how Workday is applying AI in its applications and the critical role of human intelligence in ensuring the responsible use of AI and ML. Stay tuned for an eye-opening conversation with Dave Sohigian on how AI is reshaping the future of healthcare. Resources: Connect with and follow David on LinkedIn. Follow Workday on LinkedIn and visit their website.

The transformative potential of AI in healthcare is no secret, but there are certain limitations and risks associated with its generalization. In this episode of the AHIP 2024 series, Yoni Shtein, CEO of Laguna Health, discusses how his company uses conversational AI to enhance care management for health plans. He explains how Laguna leverages ambient listening and a large language model to analyze conversations between care managers and members, improving efficiency, outcomes, and effectiveness in chronic, high-risk, or acute care management. The technology aligns with the needs of regional and national payers and facilitates better member service and patient outcomes. Yoni emphasizes integrating new technology in Interactive Care Planning (ICP), utilizing virtual, multimodal interactions like telephonic chat text, and highlights companies such as Abridge, Ambience, Nabla, and Suki for capturing language across mediums to gain valuable insight He also covers the pros and cons of conversational AI in healthcare, addressing cybersecurity risks and AI hallucinations while emphasizing the importance of recognizing opportunities and concerns. Tune in and learn how conversational AI is starting to leave its mark on healthcare! Resources: Watch the entire interview here. Follow and connect with Yoni Shtein on LinkedIn. Learn more about Laguna Health on their LinkedIn and website. Listen to Yoni’s previous interview on our podcast here.

AI offers customizable, Lego-like solutions for health systems, providing genuinely modular and flexible coding tailored to your specific needs, whether it's clinical billing or value-based care. In this episode, Hamid Tabatabaie, co-founder and CEO of CodaMetrix, discusses medical coding and the revolutionary ways AI is making coding automation a possibility and a reality. He explores how CodaMetrix, with its roots in Mass General Brigham, is transforming the revenue cycle by enhancing coding accuracy and harnessing the full potential of clinical data. Hamid also introduces the concept of value-based coding, a holistic approach that promises to streamline coding processes across various departments within health systems. He also provides insights on CodaMetrix's exciting collaborations and developments, including their partnership with Epic and their plans for scaling. Whether you're a healthcare professional, tech enthusiast, or someone curious about the future of medical coding, this episode is packed with insights you will want to take advantage of. Let's dive in! Resources: Watch the entire interview here. Connect and follow Hamid Tabatabaie on LinkedIn. Learn more about CodaMetrix on their LinkedIn and website. Reach out to CodaMetrix via email here. Listen to Hamid Tabatabaie’s previous interview on our podcast here.

Andrew L'Huillier, a leader in the diagnostics industry, joins us to discuss his work on groundbreaking diagnostic products. Learn about the challenges and opportunities in regulatory compliance, drug discovery, and the implementation of cGMP guidelines. Discover how precision medicine is revolutionizing healthcare and improving patient care. Tune in! Resources: Connect with and follow Andrew L'Huillier on LinkedIn.

Addressing social isolation and loneliness is crucial for improving overall health outcomes. In this episode of the AHIP 2024 series, Tom Carlough, Chief Technology Officer at Wider Circle, discusses the significance of building trust and community in healthcare, particularly focusing on health equity and social isolation. He explains how Wider Circle uses in-person community groups to foster social connections and trust, which helps in collecting essential health information and encouraging health practices like home visits. Tom shares insights from a recent study showing significant improvements in health outcomes through their approach, emphasizing the importance of addressing loneliness and social isolation as fundamental health needs. He also highlights the new CMS regulations mandating health equity, urging healthcare plans to prioritize trust-building and personalized community support, and underscores that social proof and peer pressure within community groups can encourage individuals to prioritize their health. Tune in and learn how community and trust can transform healthcare and promote health equity! Resources: Watch the entire interview here. Follow and connect with Tom Carlough on LinkedIn. Learn more about Wider Circle on their LinkedIn and website.

Trust and collaboration between payers and providers are crucial for better healthcare outcomes. In this episode of the AHIP 2024 series, Chuck Feerick, VP of Sales for Clarify Health Solutions, discusses the evolving dynamics between payers and providers, with a focus on AI's role and the integration challenges it faces. Chuck explains fee-for-service 2.0, which lets providers act as if they're in a value-based contract, and emphasizes the importance of trust and collaboration in payer-provider relationships, highlighting Clarify's tools for assessing provider performance and improving care quality. He underscores the need for standardized healthcare contracts and data's role in creating opportunities, noting that Clarify aims to reduce friction and improve healthcare flow by combining health plans and provider data. Chuck also talks about how AI in healthcare faces challenges like hallucination and emphasizes the need for accurate data input while also stressing that innovation in healthcare is driven by everyone involved, from providers to payers. Tune in and learn how value-based care is evolving, focusing more on outcomes than processes! Resources: Watch the entire interview here. Connect and follow Chuck Feerick on LinkedIn. Learn more about Clarify Health Solutions on their LinkedIn and website.

Early and continuous engagement in quality programs can significantly boost health outcomes and ratings. In this episode of the AHIP 2024 series, Ryan Boulier, VP of Business Development at Sprinter Health, shares insights into how his company is enhancing healthcare engagement through in-home services. He explains how Sprinter Health focuses on reaching underserved populations by providing preventive care at home using a skilled workforce known as "sprinters." By employing community-based sprinters who perform various diagnostic services such as A1C tests, blood pressure checks, and diabetic eye exams, Sprinter Health fosters trust and improves patient follow-up. Ryan emphasizes the importance of early and continuous engagement in quality programs to boost health outcomes and ratings while also highlighting the success of their consumer-based outreach methods in engaging patients who often skip visits. Tune in and learn how innovative home-based healthcare solutions can transform patient engagement and outcomes! Resources: Watch the entire interview here. Follow and connect with Ryan Boulier on LinkedIn. Learn more about Sprinter Health on their LinkedIn and website. Listen to Sprinter Health’s previous episode on our podcast here.

AI has the potential to significantly improve prior authorization, payment structures, and patient navigation. In this episode, Brian Urban, Director of Innovations and Emerging Markets at FinThrive, talks about why understanding and utilizing non-clinical data is crucial for addressing social health needs effectively. He explains how FinThrive, a leading revenue cycle management company, is addressing issues like payment integrity, care coordination, and social health needs. Brian emphasizes the importance of AI in reducing remittances and friction and improving provider-payer relations. He also discusses the importance of social determinants of health data and why he believes intrapreneurship within organizations can drive significant advancements in the healthcare sector, underscoring the importance of data literacy for creating a sustainable healthcare system. Tune in and learn how AI and innovation are set to revolutionize the healthcare industry, making it more efficient and equitable! Resources: Watch the entire interview here. Connect and follow Brian Urban on LinkedIn. Learn more about FinThrive on their LinkedIn and website. Listen to FinThrive’s podcast, Healthcare Rethink, here.

Navigating healthcare economics, particularly Medicare Advantage, presents challenges but offers learning opportunities. In this episode, Ed Liebowitz, EVP and Chief Strategy Officer at Solera Health, discusses his path from being diagnosed with juvenile diabetes at 26 to getting inspired for a bright career in health tech. Solera Health started by supporting digital diabetes prevention and expanded to cover various health areas, including mental health, weight management, and hypertension. Ed explains how the company utilizes a pay-for-performance model, ensuring cost-effective, clinically relevant outcomes. Throughout this interview, he shares insights on the complexities of healthcare economics, especially in Medicare Advantage, and the potential of AI in improving healthcare delivery. Ed also emphasizes the importance of innovation, patient care, and leveraging technology to empower individuals and encourages listeners to stay updated on digital health advancements. Tune in and learn about the transformative power of digital health solutions and the future of healthcare innovation! Resources: Watch the entire interview here. Connect and follow Ed Liebowitz on LinkedIn. Learn more about Solera Health on their LinkedIn and website. Learn more about Solera Health’s partners: Sworkit Kaia Health Sword Vori Health 9amHealth

True power lies in naivety, creativity, curiosity, and courage, transforming visionary ideas into tangible outcomes. In this episode, Christian Coachman shares insights from his journey from academia to entrepreneurship, emphasizing the essential qualities of naivety, creativity, curiosity, and courage that have fueled his success. He explores the development of Digital Smile Design, the importance of collaboration to enhance patient outcomes, and his philosophy of sharing ideas to foster innovation while addressing challenges in the dental industry, such as clinicians' business acumen and maintaining quality care amidst scalability pressures. Whether you're a dental professional or curious about tech in healthcare, this episode offers insights as Christian Coachman shapes the future of dentistry, one smile at a time. Resources: Connect with and follow Dr. Christian Coachman on LinkedIn and Instagram. Follow Digital Smile Design on LinkedIn and Instagram and explore their website! Watch the entire episode on YouTube and get more details at Think Oral Health.

AI and predictive analytics offer exciting possibilities for improving patient care and operational processes. In this episode, Jonathan Adam Fialkow emphasizes the importance of empathy and support in medical care, personalized and value-based care strategies, and the effective use of technology in cardiology and population health. He highlights the necessity of addressing provider burnout, the benefits of team-based and concierge care, and the rapid development of big data technologies while also covering how digital tools improve patient engagement and streamline care management, leading to better outcomes and physician satisfaction. Tune in and learn how combining empathy, technology, and innovative strategies can transform patient care and healthcare systems! Resources: Connect and follow Jonathan Adam Fialkow on LinkedIn. Follow Baptist Health South Florida on LinkedIn. Discover Baptist Health South Florida’s Website! Listen to the Baptist HealthTalk podcast here! About Memora Health: Memora Health, the leading intelligent care enablement platform, helps clinicians focus on top-of-license practice while proactively engaging patients along complex care journeys. Memora partners with leading health systems, health plans, and digital health companies to transform the care delivery process for care teams and patients. The company’s platform digitizes and automates high-touch clinical workflows, supercharging care teams by intelligently triaging patient-reported concerns and data to appropriate care team members and providing patients with proactive, two-way communication and support.

A holistic approach to healthcare involves engaging members in preventive care rather than waiting for them to become sick. In this episode of the AHIP 2024 series, Nicholas Kraft, Chief Growth Officer at CDPHP, discusses the health plan's dedication to innovation and quality in healthcare. CDPHP, a physician-led nonprofit serving 400,000 members in New York's Capital District, prioritizes community care, challenges high healthcare costs, and promotes collaboration among leaders to improve healthcare access and affordability. Nicholas highlights the potential of fee-for-service 2.0, emphasizing the need for openness and trust among providers, payers, and members, advocating a holistic approach that prioritizes preventive care and early member engagement. He also urges listeners to join their mission to enable patients to spend more time with their families. Tune in and learn how innovative strategies are shaping the future of healthcare! Resources: Watch the entire interview here. Connect and follow Nicholas Kraft on LinkedIn. Learn more about CDPHP on their LinkedIn, Instagram, Facebook, and website.

The Clinic by Cleveland Clinic and Amwell’s collaboration bridges geographical gaps in specialist care. In this episode of the AHIP 2024 series, Frank McGillin, CEO of The Clinic by Cleveland Clinic, explores how their joint venture with Amwell is transforming healthcare by providing virtual access to over 3,500 specialists. This innovative platform, available through various channels like direct visits, health plans, and employers, helps users better understand their diagnosis and treatment, significantly reducing the risk of misdiagnosis and saving about $8,700 per second opinion. Throughout this conversation, Frank explains how The Clinic's nurse care managers ensure patients are matched with the right specialists, improving outcomes and maintaining in-network care. He also highlights the platform's impact on chronic disease management and medication optimization, emphasizing that the service makes it convenient for patients to access top-tier care, whether locally or at Cleveland Clinic. Tune in and learn how this collaboration is making a significant difference in healthcare delivery! Resources: Watch the entire interview here . Connect and follow Frank McGillin on LinkedIn. Learn more about The Clinic by Cleveland Clinic on their LinkedIn and website. Listen to Frank’s previous episode on our podcast here.

Real-time access to patient data through electronic medical records' APIs is a game-changer for healthcare analytics. In this episode of the AHIP 2024 series, Donald Rucker, the Chief Strategy Officer at 1upHealth, discusses the critical role of modern data representations and FHIR APIs for payers and providers. He highlights the significance of electronic medical records and their APIs for real-time patient data access and analytics, explaining how payers can utilize the Bulk FHIR API for core data and how advancements in JSON and RESTful APIs have made clinical data access smarter and more efficient. Donald emphasizes the importance of building a quality FHIR data pipeline for modern analytics and AI while also delving into the re-architecting of healthcare through data science, stressing the need to involve consumers in the process. He also explains how he and his team are focused on improving industry processes like quality measurement, network design, prior authorization, case management, and payer-to-patient outreach, expressing excitement for the industry's future and involving consumers in healthcare data processes. Tune in and learn how healthcare is evolving with the power of data! Resources: Watch the entire interview here. Connect and follow Donald Rucker on LinkedIn. Learn more about 1upHealth on their LinkedIn and website.

The demand for mental health and substance use services is growing, requiring more clinicians and alternative support roles like coaches and peers. In this episode of the AHIP 2024 series, Solome Tibebu, founder and CEO of Behavioral Health Tech, discusses the importance of payer partnerships with digital health innovators in behavioral health. She emphasizes the need for collaboration to ensure members are directed to the right services, particularly for specialized conditions like eating disorders and OCD, while also highlighting the role of technology, health equity, and innovation in expanding access to mental health, substance use, and IDD care. Solome underscores the success of pioneering plans like NovaWell in reaching underserved populations, including young people and people of color, but notes the ongoing challenges with payment codes and reimbursement. She also stresses the need for more clinicians to meet the rising demand for mental health services and suggests that coaches and peers can help fill this gap, though many payers are not yet reimbursing for these roles. Tune in and learn how collaboration and innovation are shaping the future of behavioral health! Resources: Watch the entire interview here. Follow and connect with Solome Tibebu on LinkedIn. Learn more about Behavioral Health Tech on their LinkedIn and website. Subscribe to the Behavioral Health Tech newsletter here. Book a ticket to the Annual Behavioral Health Conference here.

How can integrated delivery systems leverage emerging technologies like data analytics, AI, and machine learning without losing the human touch in patient-provider relationships? In this groundbreaking episode, Nick Stefanizzi explores how employers can drive healthcare system change, emphasizing data analytics, AI, and maintaining human touch in patient care. He highlights employers' pivotal role in healthcare transformation through data-driven strategies and innovative partnerships with providers, reshaping health plans to enhance care access, quality, and affordability. Join us as we uncover the untapped potential of employer-led initiatives and their ability to reshape the future of healthcare delivery! Resources: Connect with and follow Nick Stefanizzi on LinkedIn. Learn more about Northwell Health on their LinkedIn and website. Check out healthcare-specific sources of information mentioned by Nick Stefanizzi, like Modern Healthcare, Becker’s Hospital Review, Fierce Healthcare, SIIA, and Dr. Eric Bricker’s LinkedIn.

No chronic inflammation in the body is the foundation of longevity. In this episode, Dr. Miguel Stanley discusses the critical connection between dentistry and overall health, stressing the need for better communication between doctors and dentists, integrating medical and dental records, and understanding the systemic impact of oral health. Highlighting his innovative approach to interdisciplinary dental practices and Missing Link AI's ability to identify hidden dental diseases through X-ray scans, he shares his mission to revolutionize dentistry with a focus on patient well-being and advanced diagnostics. Tune in and learn why bridging the gap between medicine and dentistry can improve patient outcomes by addressing systemic health issues related to oral health! Resources: Connect with and follow Dr. Miguel Stanley on LinkedIn and Instagram. Visit Dr. Stanley’s website! Follow the White Clinic on LinkedIn and discover their website! Follow Missing Link AI on LinkedIn and visit their website! Watch the entire episode on YouTube and get more details at Think Oral Health.

Synchronizing provider data between health organizations and insurance companies ensures accurate information and reduces costs. In this episode of the AHIP 2024 series, Eric Demers, CEO of Madaket Health, discusses his company’s role in benefitting patients through reducing administrative waste and enhancing efficiencies for providers and payers. By streamlining and automating functions, Madaket Health helps synchronize provider data between health organizations and insurance companies, ensuring accurate information flow and reducing costs. Eric stresses the importance of accurate provider data managed by organizations like insurance companies, which supports initiatives like the No Surprises Act and enhances provider network management, member satisfaction, and quality. He highlights the challenges of misinformation in healthcare and the need for accurate directories, emphasizing that improving provider directories can enhance quality, reduce costs, and increase revenues. He also explains that using platforms like Madaket Health can prevent revenue loss and create business opportunities. Tune in and learn how to navigate the complexities of the healthcare industry and improve your organization's operations! Resources: Watch the entire interview here. Connect and follow Eric Demers on LinkedIn. Learn more about Madaket Health on their LinkedIn and website. Listen to Eric’s previous episode on our podcast here.

Care delivery is shifting towards home and community settings to improve accessibility and reliability. In this episode of the AHIP 2024 series, Ashish Shah, Co-Founder and CEO of Dina Care, centers the discussion on the shift in care delivery to the home and community, focusing on improving accessibility, reliability, and transparency. Ashish highlights organizing care logistics for services like skilled nursing and physical therapy at home and emphasizes the need for health plans and providers to improve access to essential services suitable for home and community delivery. He discusses the benefits of Dina's technology in quickly confirming requests and establishing strong connectivity, reducing friction, and enhancing well-being, especially for Medicare Advantage members, while also addressing health equity challenges and the value of nonmedical benefits. Additionally, he emphasizes the importance of collaboration among providers, payers, solution providers, and vendors, mentioning how Dina Care’s platform ensures members get the necessary services, positively impacting outcomes Tune in and learn how home-based care is transforming healthcare and why collaboration among providers, payers, solution providers, and vendors is essential for this initiative’s success. Resources: Watch the entire interview here. Connect and follow Ashish Shah on LinkedIn. Learn more about Dina Care on their LinkedIn, X, and website.

Organizations like Vitality Group are driving momentum for change and innovation in the healthcare system in a unique way. In this episode of the AHIP 2024 series, Tanya Little, Chief Commercial Officer of Vitality Group, explains how the company combines behavioral science, actuarial science, technology, and incentives to help healthcare payers engage their members. Vitality operates as a risk bearer and insurer in South Africa and the UK, partnering with insurers in 38 other markets and serving 35 million members. Tanya highlights the challenges in the healthcare system, such as lack of collaboration and rising costs, and discusses innovations like GLP-1s and AI, emphasizing the importance of engagement in healthcare to drive quality, close care gaps, and build relationships with members. She also advocates for a village-like approach to establish principles and expectations for payers, urging the audience to consider their own behavioral biases and engage more meaningfully in their health. Tune in and learn about the power of engagement in transforming healthcare outcomes and reducing costs! Resources: Watch the entire interview here. Connect and follow Tanya Little on LinkedIn. Learn more about Vitality Group on their LinkedIn and website. Listen to Stephen Mitchley’s, CSO of Vitality Group, interview on our podcast here.

Expanding dental practices with a focus on specialty care can create high-quality patient experiences and scalable business models. In this episode, Dr. Jason Auerbach, Founder of Riverside Oral Surgery, and founder and Co-CEO of MAX-SSM, discusses expanding his business to 22 locations with a focus on high-level specialty care and a hospitality-based approach, emphasizing comprehensive oral health care, patient education, and reducing future care needs. He underscores integrating technology and expertise to improve dental care equality alongside the importance of a brilliant team, care coordination, and setting a compelling vision, purpose, and values to attract and retain talented individuals. Tune in and learn about the transformative strategies shaping the future of oral health care! Resources: Connect with and follow Dr. Jason Auerbach on LinkedIn and Instagram. Follow Riverside Oral Surgery on LinkedIn and Instagram and discover their website! Learn more about MAX Surgical Specialty Management on their LinkedIn and website. Check out the Glo Good Foundation on their Instagram and website! Watch the entire episode on YouTube and get more details at Think Oral Health.

The future of IVF will focus on making clinics more patient-friendly and accessible, especially for those who can't afford it or live far away. In this episode, Dr. Eduardo Hariton discusses how his dual training in medicine and business has shaped his innovative approach to enhancing patient engagement, efficiency, and cost reduction in fertility care through technology like AI. He also addresses challenges in IVF accessibility, patient education, task automation, and outcome measurement for improved patient-centric care. Tune in and learn how innovative approaches and technology can transform healthcare delivery, particularly in fertility care! Resources: Connect and follow Dr. Eduardo Hariton on LinkedIn. Follow US Fertility on LinkedIn. Discover US Fertility’s Website! About Memora Health: Memora Health, the leading intelligent care enablement platform, helps clinicians focus on top-of-license practice while proactively engaging patients along complex care journeys. Memora partners with leading health systems, health plans, and digital health companies to transform the care delivery process for care teams and patients. The company’s platform digitizes and automates high-touch clinical workflows, supercharging care teams by intelligently triaging patient-reported concerns and data to appropriate care team members and providing patients with proactive, two-way communication and support.

Educating oneself about behavioral health and connecting mind, body, and spirit are essential for overall well-being. In this episode of the AHIP 2024 series, Kye Gardner, Executive Director of Corporate Operations and Development at Alera Health, talks about the importance of integrating behavioral health into primary care. They explain how Alera Health focuses on population health management, specifically targeting behavioral health to prevent future issues and improve patient outcomes and discuss the role of clinically integrated networks in streamlining care and supporting both patients and providers. Kye touches on the significance of value-based reimbursement models in the behavioral health space, emphasizing the need for early diagnosis and appropriate care. They also note the growing importance of behavioral health in healthcare discussions, highlighting the need for kindness and understanding in addressing these challenges. Tune in and learn how behavioral health is being integrated into primary care, the impact of value-based reimbursement, and the importance of kindness in healthcare! Resources: Watch the entire interview here. Connect and follow Kye Gardner on LinkedIn. Learn more about Alera Health on their LinkedIn and website. Discover more about Alera Health’s partner, OPEN MINDS, on their website.

Clinician burnout is a significant issue, with 25% of nurses and physicians expected to leave the profession due to stress and lack of appreciation. In this episode of the AHIP 2024 series, Deryk Van Brunt, a therapist, CEO, and co-founder of CredibleMind, discusses the national mental health crisis and how technology can improve population health. He introduces CredibleMind's digital mental health platform, which offers evidence-based self-care, screening tools, and a new approach to mental health by partnering with payers, providers, universities, and organizations to enhance well-being, with a strong focus on happiness and resilience. Addressing the mental health industry's challenges, Deryk highlights the importance of reducing stigma, increasing engagement, and leveraging AI to make targeted mental health recommendations while advocating for evidence-based self-care for the entire population. He also notes the critical issue of clinician burnout and the shortage of behavioral health therapists, calling for a shift from reactive to proactive mental health care using technology to create positive impacts. Tune in and learn how CredibleMind is reshaping mental health care! Resources: Watch the entire interview here. Connect and follow Deryk Van Brunt on LinkedIn. Learn more about CredibleMind on their LinkedIn and website.

Specialty medications are costly and complex to obtain and make up over 50% of the drug spend in the US. In this episode, Julia Regan, co-founder and CEO of RxLightning, explains why she created a digital platform that helps patients access high-cost, complex drugs faster and more efficiently. RxLightning's platform supports over 1600 medications, working seamlessly with provider platforms and EHR systems to reduce prescription wait times from weeks to days, ensuring top-quality patient care through a more cohesive experience. Throughout this interview with Saul Marquez, Julia underscores how the company has grown to include 1200 organizations that use its services, leveraging white-labeling to increase adoption. She also emphasizes how, despite financial constraints and the need to balance revenue with value, RxLightning has made significant strides in digitizing prescription processes, ensuring data protection, and improving patient outcomes. Tune in and learn how RxLightning is transforming the specialty medication landscape and making prescriptions at lightning speed! Resources: Watch the entire interview here. Connect and follow Julia Regan on LinkedIn. Learn more about RxLighting on their LinkedIn and website.

The American Cancer Society excels by smoothly combining research, patient support, and advocacy worldwide, focusing on the needs of people at risk or diagnosed with cancer, as well as their caregivers and families. In this episode, Dr. Bonny Morris, Senior Director for Patient Navigation at the American Cancer Society (ACS), shares her personal journey from a rural background to her role in healthcare innovation. Bonny emphasizes the disparities in cancer care in underserved areas and explains how ACS is addressing those disparities by combining research, patient support, and advocacy on a national and global scale. The focus shifts to the ACS CARES app, a groundbreaking initiative aiming to personalize cancer care support by providing users with a digital platform to navigate cancer information and connect with trained specialists 24/7. Dr. Morris extends an invitation for collaboration, stressing the importance of conversations to optimize cancer care delivery. Tune in, learn, and become a part of the movement to shape a brighter and more compassionate future in cancer care! Resources: Connect with and follow Bonny Morris on LinkedIn. Follow the American Cancer Society on LinkedIn and visit their website. Learn more about the ACS CARES App here. Download the ACS CARES App on the App Store here or on the Google Play Store here.

Psychedelics can help individuals navigate significant life challenges and gain new perspectives. In this episode, Niko Skievaski, co-founder and CEO of Althea, discusses the transformative potential of psychedelics in mental health. Niko explains the growing evidence that psychedelics can offer better outcomes than traditional psychiatric treatments for conditions like PTSD, depression, and addiction. Throughout this interview with Saul Marquez, he talks about the resurgence of research at top institutions, the development of new software to support regulatory compliance and practice management, and the bipartisan support for psychedelic programs. Niko also shares personal stories on psychedelics and societal issues like AI, climate change, and political unrest, while highlighting an entrepreneur's journey in health tech and the need for a more inclusive and effective approach to mental health. Tune in and learn about the future of psychedelics in healthcare and the innovative efforts to integrate these treatments into mainstream medicine! Resources: Watch the entire interview here. Connect and follow Niko Skievaski on LinkedIn. Learn more about Althea on their LinkedIn and website. Listen to Niko’s previous interview on our podcast here.

Breakthroughs in healthcare technology over the past ten years are painting a promising picture for the future of medicine. In this episode, Stanley Bergman, Chairman and CEO of Henry Schein, shares his leadership journey and highlights the transformative power of healthcare technology, particularly in dentistry. He emphasizes collaboration, trust, and patient access, advocating for a future where dentistry and medicine work together to improve overall health through prevention and education. Tune in and learn about the evolving landscape of healthcare and dentistry, the role of technology, and the importance of collaborative efforts to improve health outcomes. Resources: Connect with and follow Stanley Bergman on LinkedIn. Follow the Henry Schein company on LinkedIn and discover their website! Watch the entire episode on YouTube and get more details at Think Oral Health.

Being told 'no' can motivate one to think differently and discover new paths In this episode, Brittany Strelow offers a unique perspective on PAs' evolving roles and their vital contribution to filling healthcare gaps, particularly in primary care and rural settings. She discusses the exciting potential of emerging trends such as telehealth, artificial intelligence, and hospital-at-home models to revolutionize patient care and shares invaluable insights from her extensive academic work and advocacy efforts in legislation into the future of healthcare and the endless possibilities for PAs to make a significant impact. Stay tuned and learn how PAs are addressing health disparities, pioneering new care models, and driving innovation in healthcare. Resources: Connect with and follow Brittany Strelow on LinkedIn. Learn more about the Minnesota Academy of Physician Assistants (MAPA) on LinkedIn and the website. Check out the Journal of the American Academy of PAs (JAAPA) website!

One in three U.S. adults are pre-diabetic, yet 80% remain unaware of their condition. In this episode, Laurence Girard, the CEO and founder of Fruit Street Health, shares his journey as a healthcare entrepreneur, raising over $33 million in equity financing and delivering the CDC's Diabetes Prevention Program via telehealth. Initially offering telemedicine software for dietitians, Fruit Street pivoted to diabetes prevention based on advice from a Fitbit executive, resulting in a program that reduces the risk of type 2 diabetes by over 58% and is more effective than metformin. Despite facing a setback from a competing distributor, Fruit Street’s program, which includes live group video chats with dietitians, food tracking, and partnerships with LabCorp and Modified Health, has received Medicare funding and a grant from the American Diabetes Association. Laurence emphasizes the importance of good science, patient experience, and prevention in healthcare and encourages providers and payers to support CDC-recognized diabetes prevention programs to reverse prediabetes. Tune in and learn how Fruit Street is making strides in diabetes prevention and public health! Resources: Watch the entire interview here. Connect and follow Laurence Girard on LinkedIn. Learn more about Fruit Street on their LinkedIn and website.

Emotional sobriety means recognizing and transforming negative thought patterns, requiring a willingness to sit with and understand your emotions. In this insightful episode, Dr. Andrew Seefeld, Addiction Specialist, & Medical Director, Emergency Department at Speare Memorial Hospital, shares his personal journey of overcoming emotional and physical struggles through emotional sobriety, a concept focused on transforming negative thought patterns that lead to destructive behaviors. Dr. Seefeld explains that while emotions are automatic, feelings are conscious reflections that can be managed, and by addressing negative thought patterns, he has transformed his life and helped others through his work and the free app, myLifeLink. He emphasizes choosing healthy behaviors and his mission to help others achieve emotional sobriety, sharing his shift from emergency medicine to addiction medicine to educate and support those struggling with addiction and mental health issues. Tune in and learn how emotional sobriety can transform your life and help you break free from negative thought patterns and behaviors! Resources: Watch the entire interview here. Connect and follow Andrew Seefeld on LinkedIn and X. Learn more about myLifeLink on their LinkedIn and website. Download the myLifeLink app on the App Store and Google Play.