Bright Spots in Healthcare
173 episodes - English - Latest episode: 25 days ago - ★★★★ - 5 ratingsEach episode, I interview innovators in the healthcare industry to extract the strategies, tactics, tools, and/or routines they utilize to generate extraordinary, positive outcomes. We highlight and breakdown these bright spots so you can apply them at your organization. "See a bright spot .... and clone it!"
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Episodes
From the Sidelines to the Boardroom: Leadership lessons with Michael Lombardi
June 27, 2024 14:49 - 49 minutes - 113 MBFormer NFL general manager and three-time Super Bowl winner Mike Lombardi joins Eric to share what he learned working with coaching legends Bill Walsh of the 49ers, Al Davis of the Raiders, and Bill Belichick of the Patriots, among others, during his three decades in football and how those core leadership lessons directly translate to managing health plans and hospital systems. He discusses building a winning team, handling high-pressure situations, adapting to change, decision-making ...
From the Sidelines to the Boardroom: Leadership Lessons from the NFL
June 27, 2024 14:49 - 49 minutes - 113 MBFormer NFL general manager and three-time Super Bowl winner Mike Lombardi joins Eric to share what he learned working with coaching legends Bill Walsh of the 49ers, Al Davis of the Raiders, and Bill Belichick of the Patriots, among others, during his three decades in football and how those core leadership lessons directly translate to managing health plans and hospital systems. He discusses building a winning team, handling high-pressure situations, adapting to change, decision-making ...
Convergence of Pharmacy & the Health Equity Index in 2024 and Beyond
June 21, 2024 16:04 - 1 hour - 146 MBCareSource, Independent Health, and AdhereHealth outline strategies for the upcoming Medicare Advantage Star Rating changes, focusing on medication adherence and the Health Equity Index (HEI) starting in measurement years 2024-2025 for the 2027 Medicare Advantage Star Rating Period. Under HEI, plans must identify disparities in populations with social risks and create intervention strategies to address these inequities. Tune in and gain insights on leveraging policy changes, predictiv...
Everything You Thought about Value-Based Care Is Wrong: A Plan CEO Tells You Why
June 12, 2024 16:43 - 34 minutes - 80.2 MBFred Turner, co-founder and chief executive officer of Curative, joins Eric to discuss how Curative is reinventing health insurance by adopting a more preventative approach to drive better results and lead to a more affordable delivery of plans. Fred shares Curative’s journey from a pandemic testing company to a health insurance provider with a first-of-its-kind plan that eliminates copays and deductibles and advocates that the most effective approach to promote early preventive care i...
Investor Insights: Strategies to Drive Transformative Growth in Healthcare
June 07, 2024 14:24 - 1 hour - 140 MBLeading healthcare investors and strategists discuss how to rethink capital in healthcare and share unique ways to grow and scale companies to improve health outcomes, cost savings, and operational efficiencies. Topics include: Components investors look for in 2024 Healthcare sectors with the highest growth projections Human capital strategies Growth strategies to scale your company Bright spots that have been attracting people and capital Anna Haghgooie, Managing Directo...
Storytelling to Build Medical Trust How Boston Medical Center is Crushing Outcomes via Empathy and Trust
May 30, 2024 14:13 - 51 minutes - 118 MBKatherine Gergen Barnett, MD, Vice Chair of Primary Care Innovation and Transformation in the Department of Family Medicine at Boston Medical Center (BMC) and Cheryl Harding, patient and community advocate, join Eric to share how Boston Medical Center is utilizing storytelling to build trust and connection between the hospital and its community partners. Katherine and Cheryl discuss the impact medical mistrusts has on health outcomes and health disparities. They also tell how the "...
Storytelling to Build Medical Trust: How Boston Medical Center is Crushing Outcomes via Empathy and Trust
May 30, 2024 14:13 - 51 minutes - 118 MBKatherine Gergen Barnett, MD, Vice Chair of Primary Care Innovation and Transformation in the Department of Family Medicine at Boston Medical Center (BMC) and Cheryl Harding, patient and community advocate, join Eric to share how Boston Medical Center is utilizing storytelling to build trust and connection between the hospital and its community partners. Katherine and Cheryl discuss the impact medical mistrusts has on health outcomes and health disparities. They also tell how the "...
Innovative Strategies for Health Plans to Mitigate Social Risk
May 24, 2024 12:00 - 1 hour - 143 MBElevance Health, Blue Cross Blue Shield of South Carolina, and the Business Group on Health and Socially Determined discuss how plans can provide a more holistic and effective healthcare journey for members by gaining insight into all barriers to caring for your members, including social risks such as food insecurities, housing instabilities, financial strain, health literacy challenges, and lack of transportation. Our expert panel explores the value of quantifying the impact of social...
How Mass General Brigham is Innovating around Equitable Access
May 16, 2024 16:42 - 51 minutes - 118 MBAllison Bryant, MD, MPH, Associate Chief Health Equity Officer, Mass General Brigham (MGB), joins Eric to discuss how the health system ensures its innovations are accessible to everyone, particularly those from marginalized communities. Allison elaborates on MGB's unique approach, viewing its mission as providing healthcare and as a catalyst for improving equity of outcomes for patients and the communities it serves. Topics covered include: Community health Bridging the digital divi...
Navigating the Intersection of Health Equity and Chronic Care
May 10, 2024 12:00 - 1 hour - 140 MBEsteemed leaders from CVS Health, Florida Blue, Highmark, and Vori Health delved into the impact of health equity on chronic care. They not only shared strategies and solutions to enhance healthcare accessibility but also shed light on specific programs they have successfully implemented to bridge the health equity gap in chronic disease prevention and treatment. Guests: Joneigh S. Khaldun, MD, MPH, FACEP, Vice President and Chief Health Equity Officer, CVS Health Kelli Tice, MD, Vi...
How Sun Life is Rethinking Mental Health
May 02, 2024 12:00 - 59 minutes - 82.1 MBDan Fishbein, President of Sun Life U.S., joins Eric to discuss Sun Life’s commitment to supporting holistic care for mental health and how it leverages digital technology to enhance the overall delivery of mental health and caregiver support to all clients. The conversation also touches on how Sun Life is helping patients navigate a challenging healthcare system. It’s using data and analytics to identify trends and unmet needs and AI to summarize health records quickly to improve hea...
How Top Hospital Systems are Capturing New Patients
April 26, 2024 13:48 - 1 hour - 140 MBLeaders from Ballad Health, Baystate Health, Stony Brook Medicine and Purple Lab share how health systems can take a more sophisticated and consumer-focused approach to attracting new patients. Our expert panel leads a thought-provoking discussion on the importance of seeing patients as healthcare consumers and understanding how they make decisions, what motivates them, and how, where, and why they engage with the broader healthcare system. You will discover innovative pati...
Differentiating Your Product and Benefit Design to Drive Enrollment
April 19, 2024 16:25 - 1 hour - 140 MBLeaders from Independence Blue Cross, Oscar Health and TytoCare explore how health plans can leverage various solutions effectively to optimize pricing structures; exploring technology adoption, cost-effectiveness, and market competitiveness. Our panel of industry experts will share successful strategies and real-world examples you can implement in your organization. Topics covered include: Matching benefits with member personas Evolving virtual care beyond video Various innovatio...
Innovations in Mental Health: A Conversation with Kody Kinsley, North Carolina’s Secretary of Health & Human Services
March 28, 2024 13:00 - 45 minutes - 105 MBKody Kinsley, Secretary of North Carolina’s Department of Health and Human Services, joins Eric to discuss how his state is improving the lives of families and children by expanding Medicaid and improving the mental health system. Secretary Kinsley shares strategies for improving behavioral healthcare access and benefit design for North Carolina’s Medicaid and Medicare members, including peer support programs, mental health crisis lines, and data systems to track the availability of b...
The Evolution of Specialty Value Based Care
March 08, 2024 19:04 - 1 hour - 140 MBLeaders from Humana, Blue Cross, and Blue Shield of Rhode Island delve into the dynamic landscape of specialty value-based care, sharing valuable insights and actionable strategies for navigating its complexities. Show Guests: Alexander Ding, MD, MS, MBA, Associate Vice President for Physician Strategy and Medical Affairs, Humana Nick Lefeber, Senior Vice President, Value-Based Care, Contracting, Data & Analytics, Blue Cross Blue Shield of Rhode Island Rachel Winokur, Chief Exe...
Important and Innovative Approaches to Leveraging the Health Equity Index
February 21, 2024 15:16 - 49 minutes - 114 MBMelissa Newton Smith, Founder of Newton Smith, and Keslie Crichton, Chief Sales Officer of BeneLynk, join Eric to discuss the introduction of the CMS Health Equity Index, which will replace the reward factor within the Medicare Advantage Star Rating program measurement. The Health Equity Index will be a seismic change for Medicare Advantage plans and impact revenue associated with Star Ratings. Melissa and Keslie share success stories from plans preparing for the change. Links "Associati...
Meeting Goals for Chronic Condition Management With Fewer Resources
February 16, 2024 14:54 - 1 hour - 138 MBLeaders from Independence Blue Cross, Banner| Aetna, and Scene Health share exclusive insights on successfully accomplishing chronic condition management success with fewer resources. Our expert panel explores patient-centered and technology-enabled approaches that elevate chronic care management efficiency and effectiveness. Don't miss the opportunity to learn about strategic solutions tailored to the unique challenges of Medicaid and Medicare health plans. Panelists: Rob...
How Innovators Are Addressing GLP-1s, Obesity and MSK
January 26, 2024 14:00 - 1 hour - 141 MBLeaders from Blue Cross and Blue Shield of Illinois, Independent Health, Evry Health and Vori Health discuss GP-1s and their role in addressing the global challenge of obesity. The panel shares innovative, multidisciplinary strategies you can implement to complement lifestyle interventions and other therapeutic approaches in your organization. * Improving outcomes by pairing GLP-1s with evidence-based behavior change * Considering musculoskeletal (MSK) health in obesity treatment * U...
Supporting Innovation and AI in Healthcare
January 17, 2024 11:00 - 31 minutes - 71.5 MBSeema Kumar, CEO of Cure, an innovation campus in New York City, joins Eric to discuss how artificial intelligence can positively impact healthcare and lead to more innovation. She shares how AI has been used in healthcare and the promise it holds for the future. The conversation also highlights the Cure Xchange Challenge: Health AI For Good, an initiative to incubate innovations by healthcare startups and entrepreneurs across disciplines and sectors to use artificial intelligence (A...
Lifestyle Modification Strategies to Support Those Living with Obesity and Diabetes
December 22, 2023 12:56Blue Shield of California, Highmark, Intellihealth and NourishedRX discuss how they are mitigating the high costs of GLP-1s with lifestyle interventions such as behavior change, physical exercise, nutritional counseling, coaching to optimize outcomes for members living with obesity and diabetes. Hear real-life examples and best practices to equip your members with the tools and strategies to achieve lasting success in managing obesity and diabetes beyond the limitations of GLP-1s. ...
Lifestyle Modification Strategies to Support Those Living with Obesity and Diabetes
December 22, 2023 12:56Blue Shield of California, Highmark, Intellihealth and NourishedRX discuss how they are mitigating the high costs of GLP-1s with lifestyle interventions such as behavior change, physical exercise, nutritional counseling, coaching to optimize outcomes for members living with obesity and diabetes. Hear real-life examples and best practices to equip your members with the tools and strategies to achieve lasting success in managing obesity and diabetes beyond the limitations of GLP-1s. ...
Differentiating Your Health Plan: Reimagining Your Provider Network Strategy
December 08, 2023 04:28 - 59 minutes - 138 MBLeaders from Blue Cross and Blue Shield of Michigan, Highmark and Quest Analytics discuss how health plans are examining and reimagining their provider strategies to stay competitive and meet their members' evolving needs. By focusing on areas such as compliance, network adequacy, data integrity, and performance metrics, plans are redefining their own roles and enhancing quality and affordability for their members. Our panel of experts will share their insights and experiences. Possible to...
A Conversation with Blue Cross and Blue Shield of North Carolina’s Chief Strategy Officer
November 21, 2023 12:39 - 31 minutes - 73.1 MBSonny Goyal, Senior Vice President of Diversified Business Group and Chief Strategy Officer of Blue Cross Blue Shield of North Carolina (Blue Cross NC), joins Eric to share some of Blue Cross NC’s successful initiatives to help members live their best lives. Sonny discussed Blue Cross NC’s approach to mitigating social determinants of health, explaining the insurer is utilizing test-and-learn models to build quantifiable evidence, scale up successful models and, eventually, expand those ide...
Talking Bright Spots with Former Congressman Robert Andrews
November 16, 2023 14:04 - 31 minutes - 73.3 MBFormer New Jersey Congressman and Health Transformation Alliance (HTA) CEO, Robert Andrews, joins Eric to discuss how HTA – a cooperative of more than 60 of America’s leading employers –and its members employers are fixing our broken healthcare system by sharing data, challenging the status quo and implementing innovative solutions. Robert shares many bright spots from HTA, including initiatives in medication management and infant mortality. He explains how the cooperative has saved its memb...
Safe Babies Safe Moms: Rethinking Equitable Access and Maternity Care
November 09, 2023 11:00 - 39 minutes - 90.2 MBAngela D. Thomas, DrPH, MPH, MBA, Vice President, Healthcare Delivery Research, MedStar Health Research Institute, joins Eric to discuss D.C. Safe Babies Safe Moms, a community-driven collaborative launched in 2020 to improve the health and well-being of mothers and infants in Washington, D.C., and reduce racial disparities in maternal and infant health outcomes – one of the most urgent challenges facing the District of Columbia. Combining the expertise of MedStar Health, evidence-base...
Beyond Medication Adherence: Unleashing the Power of Member Engagement to Elevate Outcomes
November 03, 2023 12:11 - 1 hour - 139 MBLeaders from CareFirst, CareSource, UPMC Health Plan and Scene Health explore how proper medication adherence ensures a higher quality of life, improves health outcomes and reduces healthcare costs. Many health plans saw their overall Medicare Star Ratings drop this year due to one particular area – medication adherence. Our expert panel from top-rated plans shares innovative and actionable strategies for overcoming barriers to medication adherence. Topics for discussion include: R...
Why the ACA Consumer Experience Sucks and How Select Health Fixed It
October 27, 2023 19:26 - 34 minutes - 79 MBKim Barrus, MSN, RN, PMP, Director, Clinical Outcomes Management of SelectHealth, joins Eric to discuss how her plan reinvented the consumer experience for ACA Marketplace health plans. With almost half of ACA Marketplace customers complaining about making appointments with providers and other process challenges, SelectHealth committed to reversing the trend and implementing a complete, end-to-end consumer experience. Kim shares the results of SelectHealth’s efforts and outlines ...
Medicare Advantage and the Next Generation in Home Health Strategies
October 20, 2023 08:25 - 1 hour - 141 MBLeaders from Humana, Healthfirst, Health Leads and Vesta Healthcare join Eric to discuss the future of home healthcare for Medicare Advantage plans. As care delivery strategies evolve, the home is critical in achieving clinical and customer satisfaction ratings that drive business success. Home health is also vital to providing equitable care to all members. Our expert panel lays a blueprint for implementing a successful home care model that your plan can use. Confirmed Panelists: Su...
Can Your Social Care Strategy Drive You to Five Stars?
September 22, 2023 12:51 - 59 minutes - 137 MBLeaders from Network Health, UPMC Health Plan, Healthmine and Benelynk explore how Medicare Advantage plans can attain 5-Stars and share bright spots on improving outcomes for members with social risk factors. Learn how closing gaps in care and reducing health disparities can help your plan reach 5 Stars! Topics include: CMS Health Equity Index Product Enhancement Member Activation and Engagement Payer/Provider Collaboration Social Care Strategy Blueprint Panelists: Andre B...
The Future of Senior Health: Equitable Access & Open Enrollment
September 15, 2023 03:11 - 59 minutes - 136 MBHealthcare leaders from Humana, myPlace Health, Mom’s Meals, and SCAN explore the latest product and benefit design trends for the aging population. Our expert panel shares strategies and best practices your plan can implement to bridge the social and clinical care gap and empower seniors to create a lifetime of healthy habits. Topics include: Product Segmentation SDOH/Supplemental Benefits Care Models Payer and Provider Collaboration Panelists: Catherine Macpherson, MS, RDN...
Last-Minute Gaps in Care Strategies
September 01, 2023 15:40 - 1 hour - 142 MBIf your plan is struggling to meet performance and quality goals for 2023, there's still plenty of time to turn things around and ensure members get the preventative care they need while raising your plan’s quality scores by closing care gaps across the healthcare ecosystem. Annually, gaps in care cost the U.S. healthcare system a staggering amount of time and money. In the complex world of healthcare management and care coordination, closing gaps in care is critical to improving healt...
Driving Innovation at Nashville General Hospital
August 17, 2023 17:31 - 48 minutes - 111 MBNashville General Hospital CEO Joseph Webb, D.Sc., MSHA, FACHE, joins Eric to discuss how the hospital is using innovation to fulfill its mission and vision to improve the health and wellness of Nashville – one neighbor at a time. During the conversation, Dr. Webb shares details on two innovative initiatives Nashville General implemented to address health equity and transform care delivery. Food Pharmacy: In 2018, Nashville General launched the Food Pharmacy to provide access to...
AI is Advancing The Member Journey and Improving Lives TODAY
July 28, 2023 10:00 - 1 hour - 141 MBHealthcare leaders from Geisinger, Intermountain Health, UNC Health and TytoCare join Eric to discuss how AI and machine learning transform the member journey and empower members to take a more active role in their health. Our experts share successful strategies and best practices your healthcare organization can implement to change the member experience. Hear the following case studies and learn how: Intermountain Health physicians use AI to diagnose pneumonia Geisinger leverages A...
The Disenrollment Tsunami: How to Enhance Your Medicaid Redetermination
July 21, 2023 13:08 - 59 minutes - 137 MBThis year's end of the Public Health Emergency and the Medicaid continuous coverage provision kicked off a 12-month unwinding period, which is expected to bring an unprecedented churn in Medicaid programs across the country. Redetermination could cause 18 million Americans to lose health coverage, creating care gaps for the most vulnerable and widening health disparities. To navigate Medicaid Redetermination, MCOs must use data-driven strategies to identify members proactively. T...
How Blue Cross Blue Shield of Arizona is Reinventing the Member Journey
July 13, 2023 13:47 - 42 minutes - 96.5 MBPhylicia Schroeder, Manager, Provider Engagement and Quality Analytics at Blue Cross Blue Shield of Arizona Medicare Advantage and Janine Wakim, Head of Operations at ReferWell, join Eric to discuss how the plan is transforming the member journey by instituting a cultural shift putting the member’s needs above the plan’s needs, adding that to accomplish this goal, the plan uses data and predictive analytics to learn about what makes its members unique. Topics covered during the episod...
How Psychedelics Can Bend the Mental Health Cost Curve
June 28, 2023 21:14 - 37 minutes - 85.8 MBPsychedelic Researcher and Psychologist Alex Belser, PhD, joins Eric to discuss the efficacy and safety of psychedelics, how they are being applied in practice and the potential pharmacoeconomic and business impact this category of medications can have on patients with severe mental illness. Alex shares information on the latest research and developments in psychedelics and dispels some of the myths around usage. He also discusses how psychedelics may be more cost-effective than conventio...
Equity, Engagement & Nutrition: Innovations Empowering the Underserved
June 27, 2023 00:56 - 1 hour - 140 MBLeaders from Humana, SCAN and NourishedRx discuss the link between food, nutrition security and health and the idea that food and nutrition programs can improve health. Many Americans lack access to nutritious food due to food insecurity, contributing to high rates of chronic disease, poor health outcomes and health disparities, especially among underserved communities. Our expert panel will share solutions and strategies health plans can adopt to improve health equity, reduce healthc...
How Digital Mental Health is Making an Impact
June 10, 2023 01:25 - 1 hour - 141 MBHealthcare leaders from AmeriHealth Caritas, Cigna Healthcare, Highmark, Reliant Medical Group and Corporate Insight share innovations in mental health, including how their organizations are incorporating and maximizing digital mental health tools and platforms. Learn strategies and approaches you can implement in your organization. Panelists Yavar Moghimi, MD, Chief Psychiatric Medical Officer, AmeriHealth Caritas Sam Nordberg, PhD, Chief of Behavioral Health, Reliant Medical Grou...
How Healthfirst is Partnering with a Health System to Make Providers’ Jobs Easier
May 25, 2023 14:33 - 43 minutes - 99.7 MBG.T. Sweeney, Chief Information Officer of Healthfirst and Sami Boshut, Chief Information Officer of MediSys Health Network, Inc., join Eric to discuss how their organizations collaborated with a technology company to create a cloud-based platform that enables seamless sharing of patient data across the care continuum. The platform connects longitudinal data from claims, quality measures and electronic health records (EHRs) to identify gaps in care, making it easier for providers to a...
The Next Wave of Benefits Navigation for Government Programs
May 21, 2023 16:15 - 38 minutes - 88.3 MBJohn Petito, Corporate Vice President, Transformation of SCAN Health and Ashish V. Shah, CEO of Dina, discuss the power of benefits navigation in attracting and retaining members for Medicare Advantage plans and other government programs. The average Medicare beneficiary has access to over 43 Medicare Advantage plans, and offering supplemental benefits such as home-centered care, which enables plans to compete and differentiate in the marketplace. But plans must ensure members understa...
The Next Wave of Benefits Navigation for Government Programs
May 21, 2023 16:15 - 38 minutes - 88.3 MBJohn Petito, Corporate Vice President, Transformation, SCAN Health and Ashish V. Shah, CEO, Dina, discuss the power of benefits navigation in attracting and retaining members for Medicare Advantage plans and other government programs. The average Medicare beneficiary has access to over 43 Medicare Advantage plans, and offering supplemental benefits such as home-centered care enables plans to compete and differentiate in the marketplace. But plans must ensure members understand the...
Reduce Total Cost of Care: Innovative Whole Person Models for High-Cost Conditions
May 12, 2023 14:56 - 1 hour - 139 MBHealthcare leaders from Blue Shield of California, CareSource, UT Health Austin and Vori Health discuss the importance of adopting a whole-person approach across the broader healthcare experience to maximize value, drive healthy behavior change and ensure more equitable care. Learn how to develop an integrated whole-person solution framework and implement strategies to support members with chronic and high-risk conditions. Topics include: Adopting self-service digital tools and appli...
Boosting Plan Performance: Improving Provider-Centric Risk Adjustment & Staying Compliant
April 21, 2023 19:47 - 1 hour - 138 MBCDPHP, Johns Hopkins Medicine, Priority Health, ATRIO Health Plans and Vatica Health share successful strategies and best practices for provider-centric risk adjustment programs, which enable health plans to enjoy higher compliance, enhanced quality of care, improved risk score accuracy, higher Star and quality ratings and better financial performance. Learn how your plan can empower physicians to close care gaps, avoid common pitfalls and maintain compliant record documentation proactively....
Unique Approaches to Building Trust with Dual Eligible Members
April 14, 2023 15:46 - 1 hour - 139 MBAmeriHealth Caritas, Blue Cross Blue Shield, Optum at Home & Reema Health share bright spots and novel tactics for engaging dual eligible beneficiaries. Discussion topics include: building a foundation of trust through a community approach, engaging hard-to-reach or historically unreachable members, and addressing health-related social needs to improve clinical outcomes Panelists Include: Christopher McDade, Vice President, Medicare Integrated Health Plans and Revenue Management, Ame...
How Banner|Aetna is Rethinking Whole Person Care
March 30, 2023 16:00 - 55 minutes - 51 MBJoanne Mizell, Chief Operating Officer, Banner|Aetna – a joint venture between CVS Health’s insurance arm, Aetna, and health system Banner Health – joins Eric to discuss what makes Banner|Aetna unique from other health insurers and its approach to whole person care. She shared how the company uses MultiDisciplinary Care Teams to provide high-risk patients with a localized, high-touch, intensive care management strategy with a unique care approach to meet patients face-to-face. In addit...
Improve CAHPS through Enhanced Benefits Navigation
March 24, 2023 02:32 - 1 hour - 140 MBHealthcare leaders from Alignment Health, SCAN, ATI Advisory and Dina discuss the importance of MA plans to ensure members understand available non-medical benefits. Making the experience painless is essential to attracting and retaining members – and improving CAHPS and Star Ratings. Learn successful strategies and best practices your plan can implement to improve member experience and ensure members receive the care they need. Topics include: Humanizing the navigation process; creating a c...
Success Stories in Virtual Care Enrollment & Engagement
March 17, 2023 04:22 - 1 hour - 140 MBHealthcare leaders from United Health Group, Blue Shield of California, Highmark, Oklahoma Complete Health (Centene) and TytoCare share real-world, virtual care success stories. Gain insight into how virtual care boosts outcomes improves equity and reduces costs. Hear case studies, lessons learned, and best practices you can implement in your organization. Topics include: Engagement, Experience and Equity Plan Design Local as a Strategy and Hybrid Care Industry Experts: Nina Bi...
Mitigating Social Risk to Achieve Higher Star Ratings
March 03, 2023 05:18 - 1 hour - 140 MBIn its Advance Notice, CMS indicates health equity and social needs will be a major focus in Star Ratings shortly, with new measures in these areas expected by 2026. To prepare, plans need to start planning on effectively intervening with members with social needs factors. Our expert panel will share successful strategies for identifying, engaging, and addressing members with elevated social risks to drive gap closure and member retention. Understand the connection between unmet socia...
Sell with a Story in Healthcare with Paul Smith
February 24, 2023 02:32 - 56 minutes - 129 MBPaul Smith is one of the world’s leading experts in business storytelling. He’s one of Inc. Magazine’s Top 100 Leadership Speakers of 2018, a storytelling coach, and the bestselling author of several books on the art and science of storytelling. During the hour-long session, Paul will discuss the following: What is the optimal structure of a story? What different types of stories should we all have at our fingertips for our meetings with health plans and provider organizations? Ho...
Equity & Timely Access as a Stars Strategy
February 18, 2023 03:46 - 1 hour - 143 MBIndustry leaders from MetroPlusHealth, Network Health, Priority Health and ReferWell discuss strategies to advance health equity and improve care access to achieve higher Star Ratings. As health equity initiatives play an increasingly important role in CMS programs, Medicare Advantage plans must commit to addressing social factors hindering access to care and driving members to take action to improve their health, such as scheduling a preventive care visit or completing a missed screening. ...