PopHealth Podcast
203 episodes - English - Latest episode: 11 days ago - ★★★★★ - 93 ratingsPopHealth Podcast is here to provide various thought leaders of population health the opportunity and platform to discuss the different dynamics of population health, care transitions, and readmission prevention
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Episodes
California Medical Association Partner Heath Tech 4 Medicaid's Adimika Arthur on Medicaid IT Impact
April 09, 2024 16:08 - 26 minutes - 36.1 MBThe California Medical Association has partnered with Health Tech 4 Medicaid (HT4M) at its upcoming 2nd annual CMA HIT Summit, "Health IT In the Safety Net." HT4M's founder Adimika Arthur, whose career has been instrumental in ensuring access to care, joins the show to share the importance of Health IT on health equity and ensuring a safety net for those that may otherwise struggle to get the care they need.
CalAIM Leaders' 2023 Highlights & Future Outlook: DHCS' Michel Huizar & HC² Strategies Dora Barilla
March 25, 2024 17:58 - 39 minutes - 54.3 MBFrom the highlights and challenges in 2023 to what to expect in 2024 and beyond, Gavin discusses CalAIM with guests Michel Huizar, Branch Chief, DHCS Managed Care Quality and Monitoring Division, and Dora Barilla, Co-Founder, HC² Strategies.
Michael Costa- Executive Director of California Association of Area Agencies on Aging (C4A)
February 27, 2024 18:21 - 33 minutes - 46 MBMichael's history with health plans and advocacy played a key role in his recruitment to lead C4A, an organization established to advocate and collaborate on behalf of California's "Triple As." Michael shares how his organization supports older adults throughout the state and what their focus is in 2024 and ahead.
California's Office of Healthcare Affordability with Director Elizabeth Landsberg
January 30, 2024 15:55 - 36 minutes - 49.4 MBUnder the California Department of Health Care Access and Information, Elizabeth shares how the newly created Officer of Healthcare Affordability is helping the most populous state to manage healthcare costs through growth targets and other efforts for 40M Californians.
Medi-Cal Eligibility with Lisa Ramsey, Founder of Medi-Cal Consulting Services
December 22, 2023 22:25 - 29 minutes - 39.9 MBOver 15M Californians are Medi-Cal beneficiaries, yet there are so many misceptions about Medi-Cal and very few Californians truly understand Medi-Cal eligibility. Lisa shares how she went from an entry level Medi-Cal worker to an expert, where she now leads a team that helps families navigate Medi-Cal, including asset and income limits, or lack thereof.
Anthem Regional Vice President Beau Hennemann: California's Long Term Supports and Services, CalAIM
November 27, 2023 17:01 - 35 minutes - 48.1 MBBeau shares how an initial stint as a temporary worker landed him a role with California's In-Home Supportive Sevices that became a springboard into his career as he ultimately become well versed in California's long term supports (LTSS) and services as well as home and community based services (HCBS). That foundation has helpd Beau become one of Anthem and California's leaders for the California Advancing and Innovating Medi-Cal (CalAIM).
L.A. CARE Chief Medical Officer Dr. Sameer Amin on His First Year and What's To Come in 2024
October 30, 2023 22:36 - 43 minutes - 59.5 MBL.A. CARE is one of the largest health plans in CA, serving millions in L.A. County, primarily Medi-Cal beneficiaries. L.A. CARE CMO Dr. Sameer Amin joins host Gavin Ward to share some of the highlights of his first year and what we can expect in 2024 with the state's largest Medi-Cal managed care organization.
California Association of Health Plans President/CEO Charles Bacchi- Initiative & Annual Conference
September 25, 2023 16:32 - 19 minutes - 26.6 MBCharles joins the show and shares about the latest CAHP initiatives and what to expect at the annual 2023 conference where over 1,000 leaders from DHCS, Health Plans, and providers gather in the desert.
WellSpace Health's Greater Sacramento Impact with Leaders Christie Gonzalez and Cordia Losh
August 28, 2023 22:23 - 36 minutes - 50.1 MBWellSpace Health has been serving the Greater Sacramento area for many decades, and the CalAIM initiative is only going to increase its impact. Wellspace leaders Christie Gonzales and Cordia Losh join the show to share about the impact WellSpace has had in the community and what's to come through the CalAIM initaitive, enhanced care management, and more.
CA Department of Health Care Services' Susan Phillip Updates Us on 2024 Manged Care Plan Contracts
July 24, 2023 16:58 - 31 minutes - 43.7 MBSusan Phillip joins the show to discuss the process and results of DHCS' procurement and results for the 2024 managed care plan contracts. Susan, who serves as DHCS' Deputy Director, Health Care Delivery Systems, shares how she came into the role and what we can expect heading into 2024 and beyond.
California Commission on Aging Legislative Director Leza Coleman Explains CCOA and Its Initiatives
June 26, 2023 18:01 - 31 minutes - 43.4 MBLeza joined the show and shares how her passion for older adults has led to her work wtih CCOAin the Golden State. CCOA's latest initiatives include efforts to ensure the aging population has access to legislative meetings as well as a recognized voice and influence into lawmaking.
Health Net VP Darrel Ng and Medi-Cal Redetermination or "Renewal"
May 24, 2023 16:41 - 27 minutes - 37.6 MBHealth Net's VP of Communications and Marketing joined the show to share how the end of the pandemic and Public Health Emergency (PHE) is making the annual Medi-Cal redetermination of eligibility unlike recent years before as Californians were automatically renewed during the PHE. The state, Health Net, and other Medi-Cal plans are making significant outreach attempts to ensure Medi-Cal beneficiaries know how to renew their eligibility, but 2-3 million Californians are still expected to lose...
Kern Family Health Care's Dan Diaz: How CalAIM and ECM are Impacting Thousands of Lives
April 27, 2023 15:04 - 31 minutes - 43 MBDan discusses his journey as the son of immigrant parents that inspired Dan to make a difference in Kern County where he's spent his entire life. From ICU nurse to leading enhanced care management efforts of the 20th largest county in the US, Dan's shares how he's played a role in saving lives both literally and figuratively as he now helps lead enhanced care management efforts in Bakersfield and Kern County.
California's Caregiver Resource Centers (CRC) with Valley CRC Exec. Director Michelle Dibuduo
March 24, 2023 21:09 - 21 minutes - 29.4 MBSo many Californians provide care to their loved ones and often don't know where to turn for help and support. Michelle shares how her own journey as a caregiver led to her receiving support from Valley CRC. Now as the Executive Director, Michelle shed lights on how caregiver resource centers throughout the state like hers in the Central Valley region can be a great resource for caregivers.
Inland Empire Health Plan (IEHP) Chief Medical Officer Dr. Takashi Wada on Year 1 of CalAIM
February 27, 2023 19:24 - 37 minutes - 51.2 MBDr. Wada returns to PopHealth Podcast to share some of the initial results of IEHP's California Advancing and Innovating Medi-Cal (CalAIM) efforts as well as what's to come next for IEHP, including how the end of the Covid-19 related Public Health Emergency (PHE) may have a significant impact on eligibility for the Medi-Cal population.
Americal College of Healthcare Executives (ACHE)- Southern California Leader Jonathan Westall
January 25, 2023 16:00 - 27 minutes - 38.1 MBJon joins the show to give some insight into what the American College of Healthcare Executives is all about and how it has helped shape him into the leader he is today as VP, Ancillary Services, at MLK Community Healthcare. We also learn how Jon just welcome his 4th child and his unexpected connection with party buses.
American College of Healthcare Executives (ACHE)- Southern California Leader Jonathan Westall
January 25, 2023 16:00 - 27 minutes - 38.1 MBJon joins the show to give some insight into what the American College of Healthcare Executives is all about and how it has helped shape him into the leader he is today as VP, Ancillary Services, at MLK Community Healthcare. We also learn how Jon just welcomed his 4th child and his unexpected connection with party buses.
America's Physician Groups' President and CEO Susan Dentzer: The First 9 Months and 2023 Outlook
December 19, 2022 16:55 - 36 minutes - 50 MBAmerica's Physican Groups' New President and CEO Susan Dentzer joins the podcast to share about her first 9 months in the role as well as what's to come in 2023, including ACO Reach and direct contracting, for the organization that is "taking responsibiity for America's health."
California Medi-Cal Policy Expert Lisa Chan-Sawin, Founder of Transform Health
November 28, 2022 19:27 - 39 minutes - 53.6 MBLisa joins the show and shares how she's grown into a policy expert during the 2000s and how Transform Health got its start in Sacramento. Lisa typically is the facilitator of meetings and discussions, but it's great to have her "on the other side" to hear her story as well as she and Transform Health are literally transofrming healthcare in California and througout the country, including a focus on Medicaid waivers.
Contra Costa Health Plan's CMO Dr. Dennis Hsieh on CalAIM
October 17, 2022 00:45 - 28 minutes - 38.9 MBCCHP Chief Medical Officer Dr. Dennis Hsieh discusses the inspiration behind his passion for his leadership role at Contra Costa Health Plan, the county operated health system serving the East Bay. We learn of his shared passion for soccer with host Gavin Ward, but more importantly how his time as a young man serving in Chinatown was an inspiration for him to be a leader that seeks quality care delivery for his members in Northern California.
California Association of Health Plans' President and CEO Charles Bacchi
September 26, 2022 21:46 - 21 minutes - 30.1 MBCalifornia Association of Health Plans' (CAHP) Charles Bacchi joins the show to give some background on the work of CAHP, including some of its memorable moments in his nearly 2 decades with CAHP. Charles also shares about his cowboy background and CAHP's upcoming annual conference in October with some of California's biggest names in healthcare.
DHCS Chief, Benefits Division on California's New Community Health Worker Benefit
September 12, 2022 23:04 - 30 minutes - 41.9 MBCalifornia Department of Health Care Services' Chief of the Benefits Division Lisa Murawski joined host Gavin Ward to provide details on the new Community Health Worker (CHW) benefit that has been years in the making. The new benefit delivery doesn't require someone with a clinical background to make a big impact in the healthcare community, and will likely be a new career pathway for individuals seeking to serve their local healthcare community members that may have previously been underse...
CalAIM Facilitator Dora Barilla and HC² Strategies
August 29, 2022 21:01 - 36 minutes - 49.5 MBDora joins the show and shares how a combination of blessings, hard work as a healthcare leader (and mom), as well as a miracle have paved the way to today, where Dora and HC2 Strategies are leading large scale CalAIM collaborations between health plans, providers, and the community.
Dr. James Schultz, CMO of Neighborhood Healthcare, on Federally Qualified Health Centers (FQHCs)
August 15, 2022 17:47 - 32 minutes - 44.2 MBDr. Schultz shares how his work serving individuals goes beyond just the Inland Empire and San Diego, but also to the Himalayas. He also shares how Federally Qualified Health Centers like Neighborhood Healthcare provide services for individuals that may otherwise struggle to access primary and other medical care.
Medi-Medi/Dual Eligibles: California DHCS' Anastasia Dodson (Medicare Innovation & Integration)
August 02, 2022 15:50 - 28 minutes - 39.5 MBCalifornia Department of Health Care Services' Anastasia Dodson helps give an overview of the "dual eligible" population in California and how upcoming changes will impact the delivery of care for Californians who have both Medicare and Medi-Cal (Mediciad in California), now called Medicare Medi-Cal Plans (MMPs or Medi-Medi plans), for Exclusively Aligned Enrollment Dual Eligible Special Needs Plans (EAE D-SNPs).
Health Net Medi-Cal President Martha Santana-Chin
July 15, 2022 22:40 - 39 minutes - 53.6 MBMartha, a Medi-Cal beneficiary as a child in Ventura County, shares how her journey in the managed Medi-Cal world has ultimately led her to help lead a team that manages the care of millions of lives in California, including many that receive care in rural areas.
Yingjia Huang from CA DHCS and Medi-Cal Eligibility: Changes After The Public Health Emergency
July 05, 2022 14:46 - 19 minutes - 26.8 MBYingjia, who serves in the role of Assistant Deputy Director, Health Care Benefits and Eligibility for California's Department of Health Care Services, joins the show to share how the significant eligibility adjustments shown during the pandemic (ie public health emergency) will be unwound and what that means to some of the millions of Californians on Medi-Cal.
Paige Brogan- CalAIM Principal, Blue Shield of California Promise Health Plan, on CalAIM
June 20, 2022 23:23 - 36 minutes - 50.4 MBHealth plan and CalAIM expert Paige Brogan joins the show to share how the opportunity to make a big impact inspired her to join BSC Promise Health Plan. Paige gives some insight into the early days of CalAIM and while she is enthiusiastic about CalAIM, she shares why other medical leaders may be more in a sit and wait approach before celebrating the initiative.
Children's Behavioral Health Visionary Alex Briscoe, Principal of California Children's Trust
June 06, 2022 17:11Alex Briscoe has gone from school counselor in Oakland to one of California most respected visionary's for kids' behavioral health. Alex joins co-hosts April Stewart and Gavin Ward to share how California Children's Trust is reshaping how we think about children's mental health and why a diagnosis is not required for our kids to get the support they need.
California DHCS Chief Quality Officer Palav Babaria & 2023 Population Health Management Launch
May 23, 2022 23:53 - 25 minutes - 34.4 MBPalav joins host Gavin Ward to discuss the new Popation Health Management efforts that DHCS is launching in 2023 in California. Before getting into the details, Palav reveals her competiveness in board games and where her passion for serving the safety net was inspired.
Partnership Health Plan of California's Rebecca Boyd Anderson and Population Health
May 09, 2022 15:33 - 29 minutes - 39.9 MBRebecca shares how her journey to become a nurse and experience with worker's compensation set a foundation that allowed her to build a population health department at Partnership Health Plan of California.
Partnership HealthPlan of California's Rebecca Boyd Anderson and Population Health
May 09, 2022 15:33 - 29 minutes - 39.9 MBRebecca shares how her journey to become a nurse and experience with worker's compensation set a foundation that allowed her to build a population health department at Partnership Health Plan of California.
CalOptima CEO Michael Hunn, a Former Priest, Discusses Medi-Cal and CalAIM
April 26, 2022 15:24 - 43 minutes - 59.3 MBMichael joins the show ande breaks down new opportunities for care and support that are available through California's new CalAIM initiative. CalOptima is the largest insurer in Orange County, caring for over 25% of the Orange County population, which may be a surprise vs. what the general public may think of when it comes to the OC demographics.
L.A. Care's Cynthia Carmona Shares How CalAIM Commmunity Supports Benefit Medi-Cal Members
April 11, 2022 23:40 - 29 minutes - 40.7 MBL.A. Care's Senior Director of Safety Net Initiatives' background in policy and community service helped prepare her to serve beneficiaries for California's largest managed Medi-Cal provider. Cynthia breaks down how the new CalAIM community supports are helping equip L.A Care to better serve its 2+ million membership.
New SCAN Health Plan Initiatives: CalAIM and PACE (myPlace Health)
March 25, 2022 19:37 - 30 minutes - 41.2 MBSCAN's Sr. VP of Healthcare Services Eve Gelb joins SCAN backed myPlace Health Founder and CEO Robbie Pottharst in a 2-part episode that explores how SCAN is leveraging innovative models of care (ie CalAIM, PACE) that bring together both health and social services that historically were either unavailable and/or unable to be managed well with traditional models of care.
Inland Empire Health Plan's (IEHP's) Dr. Takashi Wada and an Overview of CalAIM
March 14, 2022 21:03 - 34 minutes - 47.8 MBDr. Wada shares how both his parents and UCLA were inspirtation in his choice to become a public servant, but not until after a stint as a bartender in London. Dr. Wada gives an overview of IEHP and how CalAIM is bringing enhanced care management and community supports to managed medi-cal beneficiaries across the Inand Empire and throughout California.
Society for Social Work Leadership in Health Care's Chris McLaughlin
March 01, 2022 00:59 - 25 minutes - 35 MBSocial workers, whether we know it or not, are in our lives direclty or indirectly on a daily basis, caring for us, our loves ones, and our community. Chris joins the show to share how the Society for Social Work Leadership in Health Care brings together up and coming social work leaders alongside veterans to advocate, collaborate, and cultivate an envionrment that ultimately benefits all served by social workers in healthcare. Chris also shares about their upcoming annual conference in Oc...
Providence St. John's Health Center Director of Case Management Debbie Pacheco
February 14, 2022 19:00 - 36 minutes - 50.3 MBCase Management leaders help ensure hospitals are running smoothly and efficiently, while at the same time leading a team that equips patients for success once they discharge from a hospital, or what Providence may call a "ministry." Debbie joins the show and will touch on her journey and how she leads a team serving patient populations of all types in Santa Monica, CA.
Chris Johnson, CEO, Landmark Health
January 31, 2022 18:37When recording this episode, Chris was actually the head of corporate development for Landmark, one of the innovators of truly having skin in the game for serving the sickest of the sick in the home. Chris shares how Landmark doesn't take a penny unless it saves its partners through deployment of healthcare providers in the home.
Josh Luke- Ten Years of the Hospital Readmission Penalty: Lesson Learned & Best Practice Providers
January 17, 2022 17:38 - 24 minutes - 33.9 MBHospital Readmissions Guru and Healthcare Futurist Dr. Josh Luke takes a look back over the past 10 years to share what strategies have worked with readmission prevention. Josh also shares about how he became known as a expert in the readmission and care transitions space through his development of the National Readmission Prevention Collaborative, which took off in the early days of the readmission penalties.
The Center for Medicare and Medicaid Innovation's Dr. Liz Fowler
January 03, 2022 23:22 - 29 minutes - 40.7 MBLiz shares how the Center for Medicare and Medicaid's (CMMI's) "Innovation Center" tests care and reimbursement models that often become the norm, including accountable care models and much of what we've have seen in the value movement.
Kaiser Permanente's Angel Vargas, Vice President, Care at Home, Southern CA & Hawaii
December 20, 2021 21:54 - 28 minutes - 38.7 MBAngel shares his story of going from "unemployed dad" to becoming an executive leader that oversees the delivery of care in the home for one of Kaiesr Permanente's largest regions. In our episode, Angel reveals how earlier chapters in his life, including time in the military and owning a computer business, helped him become the leader he is today.
Home Health Leaders Paul VerHoeve (Mission Healthcare), Josh Proffitt (LHC Group), and Bob Holly (Home Health Care News)
December 17, 2021 06:07 - 52 minutes - 72.6 MBJosh, Paul, and Bob joined us at our first all-star event to touch on the latest in home health and post-acute care, including the Choose Home Act and workforce shortage.
Providence's System CNO Sylvain Trepanier and Keck Medicine of USC's CEO of Care and Ambulatory Services Smitha Ravipudi
December 16, 2021 15:58 - 39 minutes - 54.5 MBSyl and Smitha joined our first live All-Star event, where they discussed their expertise on ambulatory care, nursing, and the workforce shortage.
Uber Health's Caitlin Donovan with Dispatch Health's Kevin Riddleberger (All-Star Event)
December 16, 2021 15:38 - 34 minutes - 47.2 MBCaitlin and Kevin joined us at our first ever live All-Star event to share how mobility and speed are changing the way healthcare is accessed and delivered.
SCAN CEO Sachin Jain on Expansion, Action, & the Homeless (All-Star Event)
December 16, 2021 15:35 - 27 minutes - 37.7 MBKicking off our first ever All-Star Event, Sachin shares about SCAN's growth into other states, it's new initiative to sustainably seve the homeless population, and how action speakers louder than words.
Humana's Dr. Amal Agarwal- VP Home Solutions
December 06, 2021 22:33 - 25 minutes - 35.1 MBDr. Agarwal joins the show and shares about his journey from frontline emergency department physician (he still does 2 shifts per month) to a leader focused on robust care in the home at one of the nation's largest health plans.
Dr. Jamie Sharp, VP/CMO for Medicare at Aetna, a CVS Health Company
November 29, 2021 17:33 - 31 minutes - 42.8 MBAs part of our Open Enrollment Series, Dr. Sharp shares how at an early age she developed a passion for serving others, which served as a catalyst into some of the work she is leading today at Aetna. Dr. Sharp mentions Aetna's focus on social determinants of health to promote aging in place to nearly 10 million older adults.
SCAN Group: SCAN's 2022 Outlook wtih SCAN Health Plan's Jill Selby and SCAN's New Homeless Initiative CEO Dr. Michael Hochman
November 09, 2021 18:31 - 41 minutes - 56.8 MBSCAN Group, mostly known for SCAN Health Plan, is expanding not just on the Medicare Advantage side in 2022, but also through it's Healthcare in Action medical group, addressing care for the homeless population. Our episode checks out what's new with executives Jill Selby (SCAN Health Plan) and "street medicine" expert and SCAN Group's Healthcare in Action CEO Dr. Michael Hochman.
HLTH Conference Part 2: Google Health's Care Studio VP, Sutter Health's Chief Design & Innovation Officer, Ernst and Young's Global Health Sector Leader, Paytient's Chief Commercial Officer
November 02, 2021 14:35 - 56 minutes - 77.5 MBWith over 7,000 leaders from around the world coming together in Boston, I had the privilege of sitting down with leaders from a variety of impactful organizations. Part 1 includes: • Paul Muret- Google Health's VP and General Manager for Care Studio • Chris Waugh- Sutter Health's Chief Design and Innovation Officer • Aloha McBride- Ernst and Young's Global Health Sector Leader • Darius Chehrzad- Chief Commercial Officer of Payient