Dec 10
Hospitals are under mounting financial pressure while also navigating a complex shift toward value-based care. In this episode, Dr. Rob Bessler, CEO of Honest Health, and Rick Pollack, CEO of the American Hospital Association, examine the critical decisions health systems face today and the long-term strategies needed for success tomorrow. Tune in for a timely discussion on: Strategic considerations for internal development vs. external partnerships What "success" in value-based care could look like a decade from now Practical guidance for CEOs planning for long-term transformation
Nov 5
The transition from hospital to home is one of the most critical—and complex—points in a patient's care journey. As demand for home-based and post-acute services grows, healthcare organizations face mounting pressure to coordinate across settings, reduce readmissions and deliver better outcomes at lower cost. In this episode of Healthcare Insider, Kirk Allen, CEO of OneHome, shares strategies for advancing value-based care models in the post-acute space. He discusses what's needed to align financial incentives, improve data integration and strengthen partnerships between payers and providers to drive sustainable change. Listeners will gain insights on how healthcare leaders can: Break down care silos and strengthen continuity across post-acute settings Align incentives around quality and outcomes rather than volume Use data and technology to identify high-risk patients and intervene earlier
Oct 22
Healthcare facilities are under growing pressure to balance safety, sustainability, patient experience and budgets —all while meeting rising expectations for smarter, more flexible care environments. In this episode, Jennifer Michalski, Business Development Manager at Construction Specialties, shares how healthcare design priorities are evolving as organizations look to: Strengthen infection control through durable, easy-to-clean materials that maintain long-term performance Create holistic spaces that support patient comfort, staff workflow and intuitive wayfinding Adapt construction strategies for fast-growing care settings such as behavioral health, senior living and children's hospitals Align cost efficiency with long-term value without compromising safety or design goals Tune in to learn how hospitals, health systems and senior living providers are rethinking construction and design to support the next generation of care delivery.
Oct 15
Operating rooms drive both patient care and hospital finances, but they're also a major source of clinical and financial waste. Each day, U.S. ORs generate up to 2,000 tons of waste, with variations in surgical practice adding unnecessary costs. In this episode, Dr. William Payne, orthopedic spine surgeon and the president of the medical staff at Franciscan Health - Olympia Fields, and Courtney Kleeb, senior director at HealthTrust Performance Group, share strategies to reduce surgical waste, including: Defining the biggest drivers of waste in surgery Leveraging physician leadership to improve consistency and outcomes Using data and analytics to capture savings without compromising care Tune in to learn how organizations can cut waste in the OR while strengthening outcomes and financial performance.
Sep 24
The No Surprises Act and Good Faith Estimates were designed to protect patients, but they've also created new operational challenges for providers, particularly around patient credits and managing refunds. In this episode of Healthcare Insider, Jessica Lemoine, AVP and Healthcare Success Manager at Fifth Third Bank, shares her insights on how health systems can navigate these complexities and modernize the patient financial experience. Listeners will learn: How financial transparency rules are increasing patient credits and what that means for providers The biggest operational and patient experience challenges in refund management Innovative tools and workflows that streamline refunds and improve consumer trust Tune in to hear how health systems can embrace automation, flexible payment solutions and financial partnerships to create a more seamless and consumer-centric patient payment journey.
Sep 10
Is your organization thinking about revenue cycle management (RCM) the right way? In this episode of Healthcare Insider, Garett Kreitz, co-president of Med-Metrix, explains how to elevate RCM from a transactional function into a true strategic asset. Listeners will learn: What end-to-end RCM really means in practice How providers can uncover hidden EBITDA and strengthen their bottom line Real-world strategies Med-Metrix uses to help health systems maximize reimbursement and reduce revenue leakage Tune in to hear how aligning leadership, technology and execution can transform the revenue cycle into a powerful driver of financial health.
Aug 13
In this episode of Healthcare Insider, Modern Healthcare's Maria Castellucci speaks with August Boehnlein, associate marketing manager at Midmark Corporation. Boehnlein unpacks the 2024 standards, explains the significance of the newly established 17-inch low seat height requirement and shares how thoughtful equipment design can drive better outcomes for both patients and providers.
Jul 16
At the intersection of medical innovation and compassionate, community-centered care, Driscoll Children's Hospital has emerged as a national leader in pediatric heart care and health equity. In this episode of Healthcare Insider, Dr. Stephen M. Langley, medical director and chief of pediatric cardiac surgery at Driscoll Children's Hospital, shares powerful insights into how the hospital is elevating care for complex and underserved pediatric populations across south Texas. From groundbreaking outcomes in congenital heart surgeries to culturally informed, family-centered care models, Dr. Langley outlines how Driscoll is redefining "best care" for children and what other healthcare leaders can learn from their approach.
Jul 9
Surprise bills and opaque healthcare costs continue to frustrate consumers. Health plans must do more to address these concerns or risk losing members. In this episode of Healthcare Insider, Jay Deady, president of price optimization at Zelis, joins Modern Healthcare to explore how payers can evolve beyond call centers and generic outreach to offer personalized, transparent billing support. Learn how new tools and approaches are helping health plans build trust, improve member satisfaction and reduce financial stress—one interaction at a time.
Jun 11
The payment process in healthcare is often slow, fragmented and paper-based, creating frustration for providers and patients, inefficiencies for payers and rising costs across the system. In this episode of Healthcare Insider, Yusuf Qasim, president of payments optimization at Zelis, shares how digital innovation can meaningfully change the healthcare payment ecosystem. From reducing friction to improving cash flow, Qasim outlines what it takes to transform outdated systems into streamlined, digital-first operations.
Jun 4
Managing specialty drug inventory is exceedingly complex as pharmacy leaders contend with rising costs, unpredictable demand and labor shortages. In this episode of Healthcare Insider, Cardinal Health's James Roof, director of strategic distribution services, and Diana Castillo, national consignment executive, share how modern consignment models, combined with innovative RFID technology, can dramatically reduce waste, improve medication accessibility and relieve workflow burdens on pharmacy staff. The episode also breaks down best practices for evaluating inventory carrying costs, reducing human error and scaling innovative solutions in facilities with space constraints. Listen now to discover how your organization can adopt a flexible, tech-enabled consignment strategy.
May 14
No one is better equipped to support patients than providers. But do health systems have the power required to improve the healthcare system? In this episode of Healthcare Insider, Premier Inc. President and CEO Mike Alkire explains why a provider-led model—not one led by payers or legacy tech vendors—is the only viable path forward. He outlines how hospitals can take back control and lead transformation by focusing on high-value partnerships, smarter use of data and AI-driven solutions. Listen to learn how health systems can: Shift power from payers to providers through strategic partnerships Leverage data and AI to reduce costs and improve outcomes Incentivize innovation to build a more sustainable system
May 1
Hospitals today face rising drug costs, workforce shortages, supply chain disruptions and tightening reimbursement, making financial sustainability increasingly difficult to achieve. In this episode of Healthcare Insider, Cardinal Health's Mike Brown, R.Ph, vice president of managed services, and Michelle Dalton, PharmD, regional director of account management and operations, discuss how a strategic approach to pharmacy management can help hospitals of all sizes reduce costs, optimize operations and unlock new revenue streams. They also share how one Southeastern health system kept $3 million in clinical savings in one year by transforming pharmacy operations. Listen to learn how your organization can tap into the pharmacy's full potential to drive financial resilience and growth across your system.
Apr 23
Health plans are under mounting pressure to comply with federal price transparency regulations. But compliance isn't easy due to vast and complex data sets. In this episode of Healthcare Insider, Heather Cox, president of Insights and Empowerment at Zelis, breaks down the top challenges health plans are facing and offers insightful strategies for achieving compliance. Cox also explores how transparency requirements can be more than a regulatory requirement, but a catalyst to improve member engagement and experience.
Apr 17
As hospitals prepare for CMS's upcoming Transforming Episode Accountability Model (TEAM), embracing data and analytics will be crucial for success under the mandatory bundled payment program. In this episode of Healthcare Insider, we sat down with Scott Driskell, Clinical Director of Medical Device Management, and Kim Wright, Assistant Vice President of Clinical Services—both of HealthTrust Performance Group—to explore how health systems are using data analytics to: Prepare for TEAM and future value-based care models Drive physician engagement through transparency Reduce variation and cost in surgical procedures Identify and implement strategies that boost care value Looking for more insights on navigating value-based care? Register now for the upcoming webinar : Controlling Medical Device Spend in a TEAM, Tariffs and Value-Based Care Environment.
Apr 9
Specialty medication spending is projected to rise sharply through 2026, intensifying pressure on health systems to control costs while improving patient outcomes. In this episode of Healthcare Insider, Cardinal Health's Mike Brown, vice president of managed services, and Naveen Mansukhani, director of specialty and ambulatory pharmacy solutions, break down the critical role specialty pharmacies play in managing spend, capturing revenue and retaining patients within the care continuum. They share real-world examples of how hospitals large and small are benefiting from tailored pharmacy models and discuss how to overcome common challenges such as labor shortages, compliance and ongoing accreditation requirements. Listen to learn how your organization can build a scalable, compliant specialty pharmacy strategy that supports value-based care and long-term success.
Apr 7
As healthcare regulations continue to evolve, organizations must stay ahead of complex compliance requirements to remain competitive and protect patients. In this episode of Healthcare Insider, Ann Phillips, Senior Director of Regulatory and Standards at PurpleLab, unpacks the current landscape of price transparency rules –including updates to the No Surprises Act and the Transparency in Coverage rule – and what they mean for providers, payers and patients alike. She dives into the latest regulatory guidance, enforcement challenges and how technology and industry collaboration can bridge data gaps and support compliance. Listen to learn how your organization can navigate shifting regulations and leverage data to support compliance, inform strategy and improve decision-making.
Feb 26
As healthcare organizations face mounting financial and operational pressures, investing in the right technology is critical to staying competitive. In this episode of Healthcare Insider, Wes Cronkite, Chief Technology and Innovation Officer at TruBridge, breaks down the "triple threat" of automation in revenue cycle management—reducing costs, accelerating revenue velocity and improving employee satisfaction. He explores how AI and automation are transforming RCM, and how a strategic approach to innovation can drive faster claim payments and stronger financial health. Listen to learn how your health system can harness automation to optimize revenue cycle performance without adding complexity.
Feb 19
Robotics and navigation systems have the potential to drastically change how surgical procedures are conducted across the country, offering greater precision, faster recovery times and new possibilities for complex procedures. As this technology evolves, providers face critical decisions such as how to invest wisely, train staff and integrate robotics into existing surgical workflows. In this episode, Brent Ford, senior clinical director of medical device management at HealthTrust Performance Group, and Dr. Michael Gallizzi, a leading spine surgeon at the Steadman Clinic, discuss the impact of robotics and navigation systems on healthcare organizations and patient care. Our featured experts discuss the costs, benefits and challenges hospitals should consider, share success stories from the field, and look ahead to where surgical robotics may go in the future.
Feb 5
When identifying and prioritizing investment opportunities, today's healthcare leaders must balance immediate needs with long-term growth. In this episode of Healthcare Insider, Mary Jo Williamson, chief administrative officer of Mayo Clinic Laboratories , shares her approach to ensuring teams are equipped to meet future demands while managing risks associated with uncertainty. She discusses the challenges of predicting investment outcomes amid an increasingly rapid pace of change in healthcare. Listen to learn how your health system can make more strategic investment decisions.
Jan 22
There's plenty of buzz around AI's potential to reshape healthcare, but how are provider organizations actually integrating the technology into operations? In this episode, David Higginson, executive vice president and chief innovation officer at Phoenix Children's, breaks down the system's AI strategy. From the importance of gathering clinician feedback to embracing the build-versus-buy outlook when appropriate, Higginson offers a look inside how Phoenix Children's is using AI to enhance pediatric care and drive meaningful change.
Oct 30, 2024
Phoenix Children's is making a concerted effort to empower its clinical leaders to provide exceptional care by creating a culture that encourages collaboration, transparency and innovation. In this new podcast, Dr. Jared Muenzer, chief physician executive at Phoenix Children's, shares the strategy behind building strong clinical teams and the positive impact it's having on patients.
Oct 16, 2024
Environmental regulations and energy requirements in healthcare are continuously evolving. Trane's Christy Fetsch, Healthcare Vertical Market Strategy Leader in North America, joins the podcast to discuss how healthcare organizations can stay compliant and invest in future-ready technology while minimizing costs.
Sep 30, 2024
Fifth Third Bank is addressing critical challenges in revenue cycle management following its acquisition of Big Data Healthcare, a technology solutions provider for healthcare payments and remittance. In this episode of Healthcare Insider, Dee Harding, Chief Product Officer of Fifth Third and Big Data Healthcare, and Connor Craven, Business Analyst, describe how automation is advancing healthcare finance visibility and accuracy. Listen to the full episode below.
Sep 25, 2024
Robert Meyer joined Phoenix Children's in 2003 and is credited for the rapid turnaround of the hospital's finances and its successful growth under his leadership. This year, Phoenix Children's opened a second hospital and plans to open a third next year. In this new podcast, Meyer shares the strategy for Phoenix Children's including: Unique aspects to expansion in the booming Phoenix area How the health system is leveraging partnerships Big risks that paid off during his career
Jul 31, 2024
Healthcare leaders often see utilities as a cost center. But what if they can be a source of savings? Trane's Christy Fetsch, Healthcare Vertical Market Strategy Leader in North America, joins the podcast to discuss how building upgrades such as automation can help hospitals reduce utility expenses while enhancing patient safety. Fetch explains that HVAC, which represents about 65% of the utility spend in a hospital, is one area with massive potential for cost savings. Additionally, she shares how one hospital network realized $4.7 million in energy savings by committing to vital infrastructure updates, ultimately freeing up resources to invest in patient care.
Jul 24, 2024
AdventHealth is redesigning its systems to be more longitudinal, holistic and effective at cultivating patient engagement early in the care journey. This entails rethinking front-end primary care, as well as care delivered in the home. David Banks, group CEO of AdventHealth's primary health division and chief strategy officer, goes in-depth about this approach to advancing care delivery through a comprehensive, whole-person lens. Banks also explains how AdventHealth has engaged its primary care physicians in the transformation.
Jul 2, 2024
Limited resources shouldn't stop healthcare organizations from investing in facilities as care demands shift, infrastructure ages and environmental sustainability takes hold. In this episode of Healthcare Insider, we explore how to balance facility investments with other pressing demands facing healthcare leaders. Join industry experts Mark Kenneday, director of market strategy and development for healthcare at Gordian, and Charles Clay, director of support and ancillary services at Sutter Health, as they discuss: Why prioritizing facility investment is crucial, even with budget constraints Strategies to communicate the risk of inaction to financial stakeholders Practical advice for balancing ROI and mitigating risk
May 22, 2024
Many hospitals and health systems have aging infrastructure, which presents challenges as the industry invests in environmental sustainability initiatives. In order to effectively establish a sustainability program, it's essential for healthcare leaders to critically evaluate their facilities portfolio. Mark Kenneday, director of market strategy and development for healthcare at Gordian, lays out how to successfully build a sustainability program at healthcare organizations, including key considerations to make when considering facilities investments.
May 15, 2024
Many health systems are optimizing specialty pharmacy operations as a strategy to improve patient care and drive margin growth. In this episode of Healthcare Insider, Cardinal Health's Laura McIntire-Hansel, director of revenue cycle development, and Michael D. Brown, vice president of managed services, explore strategies for navigating complexities in the specialty pharmacy arena, such as getting authorization from insurers or connecting patients with treatment affordability programs. They discuss a solution, remote claims adjudication, to free up pharmacists' time and improve patient care. Listen to learn how health systems can better support their specialty pharmacies.
May 1, 2024
Workforce shortages remain a top concern for healthcare organizations. In order to meet patient demand, providers need to focus on new and innovative approaches. Leora Westbrook, president of workforce strategy and optimization at AMN Healthcare, explains the key tenets of a successful and effective workforce management strategy, including the important role of data and predictive modeling. Westbrook also shares examples from healthcare organizations seeing lower turnover and cost savings with their workforce optimization initiatives.
Apr 17, 2024
Amid growing pressure for healthcare organizations to embrace environmental sustainability, addressing emissions directly from facilities is key, with data showing it makes up about 17% of the industry's carbon footprint. In this new podcast episode, Mark Kenneday, director of market strategy and development for healthcare at Gordian, explains how healthcare organizations can begin their environmental sustainability journey today. Tune into the podcast where he shares: Common misconceptions and barriers to reducing your organization's carbon footprint How to assess the feasibility and determine the ROI of starting sustainability projects Real-word examples from hospitals and health systems practicing sustainability
Mar 27, 2024
Amid fierce competition, healthcare organizations must embrace new methods for sourcing and engaging top candidates. The latest episode of Healthcare Insider features David Ellis, head of healthcare sales, North America, at LinkedIn, joining us to discuss hiring in the face of clinical talent shortages and the ways in which LinkedIn supports healthcare professionals and talent leaders. Ellis shares insights on job search and engagement activity among the nearly 8 million U.S. healthcare professionals using LinkedIn, closing out with a real-world success story from Christus Health. For more information, please visit LinkedIn.com/modernhealth.
Feb 28, 2024
Most technology innovation in healthcare has so far focused on clinical decision-making, overlooking operational functions. As a result, hospitals and health systems still face inefficiencies and waste, leading to financial constraints, poor patient health outcomes and high staff turnover. In this podcast, featuring Rom Eizenberg, the chief revenue officer of Kontakt.io, we discuss how healthcare providers can leverage technology to unlock the patient journey — and everything else — to achieve operational efficiency. Eizenberg will share why understanding how patients navigate the health system is fundamental to true transformation and the role of technology in realizing this goal.
Dec 13, 2023
Direct sourcing has emerged as an effective staffing solution for hospitals and health systems as they continue to face labor shortages, competition for talent, and financial pressures. In this podcast, Richey Brownfield, vice president of enterprise solutions at AMN Healthcare, describes: The key tenants to successful implementation of direct sourcing How to integrate direct sourcing into your organization's current workforce management strategy Common challenges providers face when building out their direct sourcing solution and how to overcome them.
Nov 15, 2023
In the year ahead, the value-based care landscape is expected to be more challenging for healthcare providers as new regulations from the federal government take effect. A key strategy to manage and thrive in this increasingly complex environment is leveraging technology. In this episode, Dr. Matt Lambert, chief medical officer of Curation Health, will detail best practices for healthcare leaders to implement technology that will help ease the transition to value-based care, describing how automation and other applications can significantly help with risk management, care coordination and data. In addition, Lambert discusses the overall value-based care landscape and his predications for 2024.
Nov 8, 2023
Attracting and retaining quality clinical talent will remain a top focus for healthcare leaders in 2024. In this episode of Healthcare Insider, Robert Crowe, founder of Matchwell and executive vice president of per diem and local workforce strategies at Medical Solutions, outlines strategies to better utilize the existing workforce while appealing to new local professionals. He delves into considerations for leveraging AI in the hiring process, meeting candidates' needs and creating a positive workplace culture, starting with recruitment. Listen to the full episode below.
Nov 1, 2023
Value-based care programs are not immune to the challenges the healthcare industry experiences with data, as providers overwhelmingly struggle to leverage the right data, at the right time to realize better patient outcomes at a lower cost. To solve this issue, healthcare providers should take a data minimalist approach, which focuses on seamlessly presenting frontline caregivers with only the relevant, actionable data they need at the point of care. In this episode, Kevin Coloton, founder and chief executive officer of Curation Health, shares how providers can achieve data minimalism, describing the needed technology investments and collaboration with frontline workers. He also explains success stories from providers working towards data minimalism.
Oct 25, 2023
Today's healthcare consumers expect a seamless experience free of confusion, frustration and delays -- barriers that affect not only the patient, but payer and provider employees as well. In this episode of Healthcare Insider, Robert Connely III, healthcare market leader at Pegasystems, and Jennifer Zellinger, vice president of product development at enGen, share how they proactively engage patients and members across all channels of communication. They also discuss the potential for adaptive AI to help create customer-centric experiences with fewer operational silos, better care outcomes and lower costs.
Oct 18, 2023
Automation and artificial intelligence can help healthcare organizations navigate staffing shortages while maximizing financial outcomes – if personnel are trained and skilled appropriately. In this episode of Healthcare Insider, Susan Gurzynski-Wells, director of product management at HealthStream, discusses opportunities for AI to be leveraged in revenue cycle management, along with strategies for ensuring the workforce is prepared to use these technologies most effectively. She also shares critical insights about operationalizing AI in revenue cycle management, ensuring the smooth integration of new tools, and helping the next generation of professionals achieve their career aspirations.
Oct 16, 2023
Innovations in technology have enabled the creation of point-of-care ultrasound, which allows clinicians to gather images at the first patient assessment, improving care quality by reducing wait times for diagnosis. Despite the benefits of point-of-care ultrasound, wide-scale adoption hasn't been achieved, with many providers still using traditional standards of care — for example, the chest x-ray for lung assessment. In this episode, Dr. Davinder Ramsingh, vice president of clinical research and product development at Butterfly Network, shares: The main barriers to widespread adoption of point-of-care ultrasound. Clinical specialties that would benefit the most from point-of-care ultrasound including improvements to quality scores and patient experience. Strategies to successfully adopt point-of-care ultrasound at your organization. This podcast includes forward-looking statements regarding Butterfly Network's standalone educational app, ScanLab, that is not yet available but will be coming soon to Butterfly users in the United States.
Oct 11, 2023
There is an ongoing war for talent in healthcare. Employees are reassessing how, where and how they work. In order to withstand the changing nature and uncertainty of today's workforce, healthcare leaders must be agile. In this podcast episode, John Rothwell, senior vice president of enterprise and strategic solutions at AMN Healthcare, describes how healthcare organizations can create a workforce management strategy that responds to evolving demands. He also shares the important role of technology and partners to establish a workforce strategy.
Sep 13, 2023
The healthcare supply chain continues to face repercussions from the COVID-19 pandemic, with shortages of vital raw materials leading to disruptions in pharmaceuticals and other essential products. In this episode, Jon Pruitt, senior vice president of CHC Supply Trust, joins the podcast to explain innovative practices community hospitals should implement to respond to supply chain concerns, emphasizing the importance of partnerships with distributors, group purchasing organizations and internal stakeholders. Pruitt is responsible for overseeing a comprehensive supply chain management strategy for Community Hospital Corporation, which partners with hospitals to help them remain community-operated and governed.
Jul 12, 2023
Nationwide, hospitals and health systems continue to face serious staffing shortages, severely impacting patient care and the bottom line. In this installment of Healthcare Insider, Dr. James Swift, chief executive officer of Pediatrix Medical Group, shares the key considerations for providers as they work to rebuild the physician workforce including how to leverage partnerships with medical groups and non-physician staff. The episode also uncovers strategies to improve the continuum of care.
May 10, 2023
Despite the healthcare industry implementing value-based payment models for well over a decade, healthcare providers and payers still face challenges in the execution and expansion of pay-for-performance programs. In this episode of Healthcare Insider, Kevin Coloton, Founder and Chief Executive Officer of Curation Health, and Dr. Matt Lambert, Chief Medical Officer of Curation Health, share practical tips for providers and payers to be successful in value-based care wherever they are in their journey – whether that be starting a value-based care program from the ground up or how to expand current efforts. Coloton and Lambert also describe the common pitfalls to avoid as healthcare organizations continue on their value-based care path such as investing in a myriad of technology solutions in an effort to maximize insights from data.
Apr 26, 2023
Over the last year, leading health systems are reporting negative financial results, largely due to rising expenses, shifting market dynamics and deteriorating payer mix. To respond, health systems must create opportunities for sustainable financial growth. In this episode, Richard Bajner, partner and payer and provider leader of Guidehouse, explains the framework healthcare leaders should be applying to improve financial resilience. He also shares how leaders can balance short-term budget constraints while at the same time addressing larger macro trends.
Apr 19, 2023
As community hospitals across the country face inflation, rising costs and labor shortages, now is the time to implement innovative delivery models for long-term sustainability. Jim Kendrick, president and CEO of Community Hospital Corporation, shares how partnerships, enhanced staff training, and the Hospital at Home care model can improve the outlook for community hospitals. Kendrick also explains how the Rural Emergency Hospital designation impacts community hospitals and the trade-offs to consider.
Jan 25, 2023
Too often, hospital leaders view IT simply as a business function. But IT can meaningfully help organizations meet strategic business goals if leveraged appropriately, argues Brian Doerr, senior vice president of information technology and security and privacy officer at Community Hospital Corporation. In this podcast episode, Doerr explains why community hospitals and other providers should take an enterprise approach to IT, laying out a proven roadmap hospitals can adopt to begin their journey. Doerr also provides real-world examples from community hospitals that have transformed their IT and seen meaningful improvements.
Dec 19, 2022
In this episode, Dr. Friedland discusses a recent surge of RSV, respiratory syncytial virus, how it affects the older population and what this means for healthcare providers across the U.S.
Dec 14, 2022
In this conversation, Leah Quartano Bowling, vice president for insurance and healthcare at Hitachi Solutions, offers strategies for harnessing the data necessary to deliver on value-based care contracts and shares how these insights can help shape provider incentives.
Dec 7, 2022
As medicine continues advancing and patient expectations evolve, the home is increasingly viewed as an optimal care setting. The many benefits of care in the home include that it increases convenience, minimizes access barriers, strengthens patient relationships, enables greater visibility into social determinants of health, and reduces the cost of care. In this episode, Dr. Andrew Agwunobi, President of Humana's Home Solutions Business, discusses strategies for integrating home care into more seamless care delivery for patients. Dr. Agwunobi covers how the nursing shortage has impacted staffing for these services as well as what he envisions for the future of home health.
Nov 30, 2022
Healthcare today is data driven with the proliferation of electronic medical records and digital tools. Leveraging the cloud is an effective approach for healthcare organizations to unlock the power of data. In this podcast episode, Logan Song, enterprise cloud director and chief cloud architect of Dito, explains the key functions of the cloud and how it can aid healthcare providers with better data collection, analysis and security. He also shares examples from a healthcare system currently benefiting from using the cloud.
Nov 16, 2022
The impacts of the COVID-19 pandemic reverberated across our nation's healthcare system, overwhelming providers and taking a toll on their financial sustainability. Add to that skyrocketing inflation, rising interest rates and the high cost of labor, it's no surprise healthcare leaders are burning the midnight oil to find ways to improve margins and rebuild their organizations' financial stability. In this episode, Roger Weems, vice president and national market leader for advisory services at Premier, Inc., discusses how the company is helping providers solve their complex challenges and drive business forward through a holistic approach to margin improvement. Utilizing PINC AI™ technology and PINC AI™ clinical, financial, operational and supply chain data, healthcare organizations can tackle expense reduction and tap new sources of revenue to improve margins while continuing to deliver high-quality care.
Oct 26, 2022
The healthcare sector is a major contributor to the climate crisis, with studies showing the industry accounts for about 8.5% of total U.S. carbon emissions. Efforts to address climate change fall into the ESG framework, which stands for environment, social and governance. Over the last several months, Randy Oostra, CEO of ProMedica, a health and well-being company based in Toldeo, Ohio, has participated in the Healthcare Insider podcast to call for a new care delivery model. In this episode, Oostra shares why addressing climate change is a critical component to creating a new healthcare delivery model, explaining the business case for healthcare leaders as well as the impacts extreme weather events are having on vulnerable communities. Oostra also dives into how ProMedica's ESG strategy is guiding their work in this area. *Editor's note: This episode was recorded before Modern Healthcare Custom Media's ESG Summit: The New Imperative event.
Oct 19, 2022
Most hospitals and ambulatory surgery centers spend a significant amount of time and resources on securing contracts with anesthesia providers to help them provide essential patient care. Shortages of anesthesia providers and higher healthcare costs overall make hiring internally, contracting, or re-contracting with an anesthesia group a costly endeavor. Despite these challenges, there is due diligence both facilities and anesthesia providers can conduct in advance of negotiations to save money and create long-lasting partnerships. In this episode of Healthcare Insider, Dr. Josh Miller, physician managing director for Surgical Directions, shares thoughtful hiring tactics a hospital or ASC should deploy to make sure the anesthesiology group meets their unique needs and expectations. Miller also discusses the common challenges that come up when solidifying a contract and how to address them for long term success.
Oct 12, 2022
The No Surprises Act is intended to protect patients from surprise medical bills. But North American Partners in Anesthesia (NAPA) is raising alarm bells, worried it will worsen the nation's critical clinician shortage and harm access to care. In this episode of Healthcare Insider, Dr. John Di Capua, NAPA CEO, and Victor Zamora, NAPA Senior Vice President of Revenue Cycle Management, explain how the Independent Dispute Resolution (IDR) process in the No Surprises Act slows down — or even reduces payments — for providers, incentivizing early retirements and adding excessive administrative burdens to already complex billing systems. Di Capua and Zamora explain why healthcare facilities across the country should be concerned by this policy. They also share thoughts on how to address these challenges through training programs, greater efficiency and culture.
Aug 31, 2022
Randy Oostra, CEO of ProMedica, a health and well-being company based in Toldeo, Ohio, joined the Healthcare Insider podcast a few months ago calling for a new model of care delivery and what it will take to get there. Now, we are continuing the conversation. In this latest episode, Randy Oostra highlights the first and most important pillar of this new delivery model: universal access to care. Specifically, Oostra explains key policy changes that can be made to significantly increase access to primary and behavioral health services for rural and low-income populations. He also dives into the importance of addressing social determinants of health and how the work in this area needs to evolve. Stay tuned for the third episode with Randy Oostra in a few months where he will share the importance of addressing the climate crisis and investing in ESG.
Aug 17, 2022
There is a global shift to decentralize healthcare — meeting patients where they are to receive the care they need. In this new episode of Healthcare Insider, Ron Emerson, Global Healthcare Lead at Zoom, and Ron Strachan, the Principal of Optimize Health IT and CIO Advisor for Zoom, explain the benefits to decentralizing healthcare, diving into the most recent research showing its ability to lower costs and improve overall health outcomes. Emerson and Strachan also explore key considerations to keep in mind as the industry shifts to decentralized healthcare including how it will impact clinical teams and cybersecurity.
Jul 20, 2022
Excellent patient experience is a goal for every healthcare organization, but too often leadership fails to recognize the missing piece to achieving that is a happy workforce. In this installment of Healthcare Insider, Paulette Anest, head of clinical and education solutions at AMN Healthcare, uncovers how the patient experience is improved through strategic talent planning, proactive scheduling and staff management, and deployment of scheduling tools.
Jun 29, 2022
Historically, virtual care has been used to offer episodic, urgent care to patients through video or over the phone. But as Teladoc Health has found, it is possible to achieve true whole person care by leveraging an innovative care model powered by data and an integrated experience. In this episode with Dan Trencher, senior vice president of corporate strategy at Teladoc Health, he shares how virtual care can play a vital role in achieving longitudinal, personalized care for consumers that ultimately creates better outcomes.
Jun 27, 2022
Building an integrated technology system that streamlines workflow and processes is an important strategy for healthcare organizations to improve overall operations, cut down on waste and decrease clinician burden. In this episode of Healthcare Insider, Dr. John Di Capua, the CEO of North American Partners in Anesthesia, commonly known as NAPA, and Jason Grant, the senior vice president and chief information officer, describe how the company recently successfully implemented and scaled a new integrated technology system that went beyond just IT, an effort leadership describes as Intelligent Transformation. Di Capua and Grant also explore how clinical staff have been impacted and the change management required.
Jun 15, 2022
The operating room is an essential, revenue-generating service line for hospital and health systems. But too often, perioperative leaders don't have the information necessary to understand performance and make informed decisions, leading to waste and higher costs. During this episode of Healthcare Insider, Michael Besedick, engagement director at Surgical Directions, lays out how providers can expertly navigate the complexities of managing OR departments by leveraging advanced analytics.
Jun 8, 2022
The pandemic exposed the flaws of the U.S. healthcare system as providers cope with crisis-level staff shortages and rising costs. In this episode of Healthcare Insider, Randy Oostra, CEO of ProMedica, a health and well-being company based in Toledo, Ohio, shares why now is the time for a new model of care delivery. He'll explain what this model of care looks like and how leaders can begin today.
Jun 8, 2022
The promise of virtual care is that it can help improve access to healthcare for low-income, vulnerable and rural populations. But patients still face accessibility challenges, such as technology roadblocks and communication difficulties. Stephany Verstraete, chief marketing and engagement officer of Teladoc Health, explains in this latest episode of Healthcare Insider how the company is transforming the healthcare experience to empower people everywhere to live their healthiest lives and to accelerate a future where all people are seen, heard and understood relative to their healthcare needs.
May 25, 2022
Patients face cognitive overload as they bounce between providers, specialists, labs and apps. As a result, they need their care teams and data to be centralized and accessible. Jason Gorevic, CEO of Teladoc Health, believes the future of healthcare is virtual-first, with the right technology and clinical expertise coming together for a seamless patient experience. Today, four out of five adults do not have a strong relationship with a primary care physician. In addition, the number of those living with multiple chronic conditions is rising at an unprecedented rate. In this latest episode of Healthcare Insider, Gorevic explains why a unified, connected virtual-first healthcare experience, informed by data science, is the best path forward to drive better outcomes.
May 18, 2022
During the pandemic, many health systems piloted hospital at home and remote patient monitoring programs. As more and more providers and patients have experienced the benefits of receiving advanced care in the comfort of their homes, adoption has continued to grow. And with additional studies demonstrating lower cost and improved outcomes, more healthcare executives are accelerating their efforts to deliver care into the home. Leaders at academic medical centers are using their experience to evolve and improve their respective care at home programs. In this new episode of Healthcare Insider, Dr. Tahir Haque, medical director at Biofourmis, and Khurram Mir, senior manager at the University of California Irving Health, discuss how their organizations are leveraging virtual care innovations and share their thoughts on the future of delivering advanced care in the home.
Apr 28, 2022
The pandemic and other challenges have left many healthcare organizations struggling to recruit and retain frontline healthcare workers. In this episode of Healthcare Insider, Dr. John F. Di Capua, CEO of North American Partners in Anesthesia (NAPA), discusses the impact of these staffing challenges on providers and consumer access to care, describes how to foster a work environment that encourages clinicians to stay and grow at your organization, and explains why leaders must establish cultures that are inclusive for all.
Mar 30, 2022
There is a national shortage of anesthesia providers across the U.S., with many organizations struggling to fill open positions. At the same time, there is a growing trend away from physician-owned anesthesia groups to employment directly by a hospital or health system. In the newest episode of Healthcare Insider, Jeff Peters, founder and chairman of Surgical Directions, and Dr. Jason Klopotowski, a practicing anesthesiologist and physician consultant with Surgical Directions, share what's behind the shortage of anesthesia providers and how to recruit and retain them. They'll also explain the advantages and risks of transitioning to an employed anesthesia model.
Jan 19, 2022
Technology is now so advanced, physicians hundreds of miles away from a patient can provide a thorough examination and even give a diagnosis through a video call. This has the potential to drastically enhance access to care for patients, particularly those who live far from healthcare services. In the newest episode of Healthcare Insider, Ram Fish, founder and CEO of telehealth technology company 19Labs, discusses how the advancements in remote technologies are enabling interactive, high-quality healthcare experiences for patients in rural areas, and even increasing their involvement in clinical trials.
Dec 21, 2021
The COVID-19 pandemic has accelerated the adoption of decentralized clinical trials, which involves offering services and technologies to improve convenience for patients participating in research. Decentralized clinical trials have the potential to enhance patient participation in research overall but there are considerations health systems and pharmaceutical companies should keep in mind as they look to adopt these clinical trials. In the newest episode of Healthcare Insider, Bryce Davis, senior director of Veeva Engage at Veeva Systems, discusses these topics and more.
Dec 8, 2021
Provider burnout and staffing shortages, especially among nurses, are serious challenges for healthcare leaders right now. What are the downstream impacts of provider burnout on staffing? How does burnout impact patient care and operations? What are short and long-term tactics to address burnout and staffing shortages across the health system? In this episode of Healthcare Insider, Kathryn Burg Plaza, principal in PwC's Healthcare Provider Transformation Practice, offered her insights to these questions, focusing specifically on the nursing workforce.
Dec 1, 2021
The pandemic has forced healthcare teams to work together differently, spurring the widespread use of virtual communication tools including video calls, instant messaging and virtual whiteboards. But biotechnology and pharmaceutical companies have been slower to adopt virtual collaboration despite the potential to connect and innovate better and faster. In this episode of Healthcare Insider, we discussed the promise of virtual collaboration in biotech and pharma and how hybrid work is presenting new opportunities for innovation with Amelia Eudailey, healthcare industry lead at Zoom.
Oct 27, 2021
Data is critical for providers to improve patient outcomes and perform successfully in value-based payment models. And yet, it still remains a challenge to get access to the right data, at the right time and in an ideal format because it's not well integrated into healthcare operations. Moreover, the emergence of interoperability, new technologies and a greater focus on social determinants of health presents opportunities for new data sources to be leveraged in the industry. In this episode of Healthcare Insider, we spoke with David Freeman, general manager of healthcare analytics solutions at Quest Diagnostics, and Hayes Abrams, executive director of provider analytics, reporting and connectivity at BlueCross and BlueShield of Illinois, about the role of data in healthcare, how to better integrate it across an enterprise and the latest shifts that can disrupt the current data landscape.
Sep 29, 2021
Healthcare leaders have long been aware that doing good in their communities is good for business. However, not all healthcare organizations are impacting their communities in an organized and measurable way. In this episode of Healthcare Insider, we're discussing how healthcare organizations are formalizing and publicizing initiatives around ESG: Environmental, Social and Governance, and how those efforts are impacting the communities they serve. We're joined by Trine Tsouderos, who leads PwC's Health Research Institute, as well as Igor Belokrinitsky, a Principal at Strategy&, PwC's strategy consulting business. Click here for more ESG best practices and strategies from PwC.
Sep 22, 2021
The Quadruple Aim is a widely accepted approach by industry leaders to improve health system performance and quality of care, but it has become more difficult to achieve throughout the COVID-19 pandemic as providers deal with unprecedented new stressors. Even so, following the four principles of the Quadruple Aim — enhancing patient experience, improving population health, reducing costs and improving the work-life of healthcare providers and staff — is more vital than ever for healthcare leaders to successfully navigate current and future challenges. In this episode of Healthcare Insider, we're talking with Trisha Coady, the Senior Vice President and General Manager of Workforce Development Solutions at HealthStream, about how healthcare leaders can continue to live the Quadruple Aim and sustain it moving forward.
Sep 1, 2021
It's no secret that COVID-19 greatly accelerated the adoption and scaling of telehealth and virtual care. Yet some of the most important conversations on the future of health are not about the move to digital systems – they are about people. Looking ahead, optimized experiences will be a key differentiator in terms of long-term value for the health industry. But knowledge of what constitutes good health care experiences, and how to achieve them, is not widely shared or clearly understood. And yet, it is one of the most important strategy questions facing health systems today. In this episode of Healthcare Insider, we're talking with Rachel Hall, EY US Consulting Digital Health Leader, and Kevan Mabbutt, Senior Vice President and Chief Consumer Officer of Intermountain Healthcare, about the three shifts that will be required as the health industry reorients itself around a smarter health experience.
Aug 18, 2021
The "digital front door" isn't just a buzzword—it is a critical tool for health systems looking to succeed in this new normal. Even before the pandemic, a strong digital presence was key to patient growth, but it is now a necessity given the rise in virtual visits. In this episode, we're talking to Scott Brindamour, Senior Director of Edge R&D and Platform Enablement at Lumen Technologies, about the digital front door and its significance to health system success in 2021.
Aug 11, 2021
While shifts in consumer behavior and provider operating models are expected to drive healthcare spending down, a "COVID-19 hangover" will still lead to increased utilization. In this episode, we are talking to Trine Tsouderos, who leads PwC's Health Research Institute as well as PwC's Business Insights, Sectors team. Trine shares insights from PwC's "Behind the Numbers" report for medical cost trend in 2022, and discusses how healthcare spending is expected to be impacted by a number of factors driving cost in both directions.
Aug 4, 2021
Anesthesiology is the backbone of operating procedures globally—it is a highly specialized field with no margin for error. Anesthesiology clinicians play a critical role in not only the safety of surgical procedures but also the satisfaction of patients, whose experience can be impacted by the surgical experience, pain levels and recovery time. In this episode, we are talking to John Di Capua MD, CEO of North American Partners in Anesthesia (NAPA), as well as Rafael Cartagena MD, NAPA's Executive Vice President and COO, about anesthesiology and the role it plays in the operating room.
Jun 30, 2021
Pulse oximetry is a widely used monitoring method for measuring blood oxygen levels and pulse rate. In newborn babies, pulse oximetry can help clinicians conduct screening tests for lung or heart problems, such as critical congenital heart disease, and it can also be used to monitor during resuscitation. We're talking with Dr. Mitchell Goldstein, Professor of Pediatrics and Director of Neonatal ECMO at Loma Linda University Children's Hospital. He is also Emeritus Medical Director of the Neonatal Intensive Care Unit at Citrus Valley in West Covina, California. Dr. Goldstein will be discussing the role of pulse oximetry in neonatology and the importance of using advanced pulse oximetry equipment.
May 26, 2021
Automation is being implemented at health systems across the country. As hospitals automate certain tasks, they free up clinicians — giving them more time to provide optimal patient care at a lower cost. As providers continue to be challenged by clinician shortages, hospital automation is bound to impact the delivery of care, interoperability, connectivity, and patient outcomes. In this episode, we're talking to Jennifer Jackson, Director of Interoperability and Strategic Initiatives at Masimo, about the changes that hospital automation can bring to healthcare administration and patient care.
May 19, 2021
The COVID-19 pandemic changed a lot in the healthcare world, including how patients access care and connect with their health system. Instead of office visits, telehealth and other virtual care options are increasingly popular — and more of the patient experience is taking place on the web. More than a year after the onset of the pandemic, experts believe this digital transformation is here to stay. In this episode, we're talking to Scott Brindamour, Senior Director of Edge R&D and Platform Enablement at Lumen Technologies, about healthcare's digital transformation and what it means for health systems.
May 12, 2021
Patient portals are an integral way for health systems to communicate and build engagement with patients. During the COVID-19 pandemic, they became even more critical and widely used. However, some patients have concerns about privacy and security — especially as data breaches have been on the rise since the pandemic. In this episode, we're talking to Karly Rowe from Experian Health on how providers can improve their patient portals to make them safe, efficient, and beneficial to both provider and patient.
May 5, 2021
The telephone is the most preferred form of communication in the healthcare industry. Unfortunately, due to robocalls and spam, calls go unanswered every day. In order to improve patient outreach, healthcare organizations must put a brand to the voice on the telephone — and this starts with Branded Call Display. In this episode, we're speaking with James Garvert, Senior Vice President and General Manager, Communications Solutions at Neustar, a leading information services and technology company, about how Branded Call Display can increase efficiency and trust by getting patients to pick up the phone.
Apr 28, 2021
Pulse oximetry can detect low levels of oxygen in the blood, or hypoxemia, in patients with severe COVID-19. However, a recent study shows that readings may be inaccurate in patients with darker skin, further adding to racial discrepancies in COVID-19 outcomes. Fortunately, not all pulse oximeters have this problem. There are devices that took an equitable approach during development and show accuracy regardless of skin tone. In this episode, we talk to Masimo's Anand Sampath, Executive Vice President of Operations and Clinical Research, and Rick Gannotta, Chief Healthcare Administrative Officer, about racial bias in pulse oximetry.
Mar 17, 2021
The telephone is a long-standing, reliable form of communication for health systems — especially during the COVID-19 pandemic. From security to widespread access to ease of use, the telephone provides a variety of advantages when reaching out to patients. In this episode, we're talking to James Garvert, Senior Vice President and General Manager, Communications Solutions at Neustar, a leading information services and technology company, about how the telephone can connect health systems with consumers in order to provide important information and resources as well as rebuild trust and confidence.
Mar 1, 2021
Healthcare consultancies are playing a significant role in supporting health systems' shift to value-based care. Data has become an important differentiator in their ability to effect change. In this episode, we are talking to Roger Weems, Vice President of Advisory Services at Premier, about why he and other consultants are leaving major consulting firms to join the healthcare improvement company.
Feb 17, 2021
Telehealth adoption continues to boom across the nation due to the COVID-19 pandemic — and experts predict it will remain a popular way to connect providers and patients indefinitely. In response, healthcare organizations are recognizing the need to brand the virtual patient experience in a way that patients understand and trust. In this episode, we're talking to James Garvert, Senior Vice President and General Manager, Communications Solutions at Neustar, a leading information services and technology company, about how to leverage branding to promote use, accessibility, and security within the virtual experience.
Oct 13, 2020
Making it to the C-suite and becoming a successful leader in a healthcare organization can be challenging for women. Depending on the organization, it takes women 3 to 5 years longer than men to reach the C-Suite. It's even more unlikely to see female leaders when it comes to the healthcare technology space. In fact, in 2017, only 4 women held executive roles in healthcare technology. In this episode, we're talking to Ann Barnes, CEO at the IT company Intelligent Medical Objects, about the opportunities and challenges that women face in their journey toward leadership roles in healthcare technology. This episode was created in collaboration with Intelligent Medical Objects, which provides medical terminology solutions to healthcare organizations so that hospitals and clinicians can improve the healthcare experience and ensure value-based care delivery. For more information, visit IMOHealth.com.
Oct 13, 2020
Modern Healthcare's Healthcare Insider Podcast is a sponsored series from Modern Healthcare Custom Media. Here, we'll interview healthcare's most accomplished leaders to learn how they're addressing the industry's most pressing challenges. We'll be covering a broad range of topics, including leadership development; patient care and consumerism; operations and workflow best practices; healthcare technology; and much more. Learn more and listen to our other podcasts at https://www.modernhealthcare.com/podcasts.