Latest Health plans Podcast Episodes
Transitioning to Value-Based Payment: Five Best Practices for Success
DST RADIO - September 17, 2018 22:00 - 14 minutesValue-based Payment (VBP) seeks to tie healthcare payment compensation to measurable improvements in the quality of care in an effort to achieve the Triple Aim: an improved care experience, and better health, at an affordable price. Here, DST Health Solutions’ Adele Allison discusses VBP, explain...
Does Your Strategy for Quality Outcomes Maximize Potential of MTM CMR?
DST RADIO - July 06, 2018 18:00 - 10 minutesCMS added the MTM CMR completion rate measure to Star Ratings for Medicare plans in 2016. Since then, plans have struggled to reach the cut point to achieve 5 stars. Further changes to the measure create new challenges, but they may also open new doors. By transitioning the MTM CMR measure from p...
Readmissions-- What Health Plans Need to Know
DST RADIO - December 06, 2017 21:30 - 13 minutesA Readmission or re-hospitilization is when a patient returns to inpatient hospital care shortly after discharge, typically within 30 days of discharge. There are many reasons why readmissions are important; one of which is that they are exspensive. Preventing avoidable hospital readmissions is c...
Achieving Value in the Management of Chronic HCV Infection
DST RADIO - May 04, 2017 16:00 - 15 minutesAchieving value in the management of chronic HCV infection is one of the most complex challenges facing health plans today. Listen as AJ Ally, R.Ph, MBA, Vice President of Clinical Programs at DST’s Argus Health, talks about the balancing act between treating to cure and cost-effective management...
Integrating Risk and Quality Management to Improve Outcomes and Optimize Revenue
DST RADIO - February 16, 2017 15:00 - 9 minutesMCOL, an industry leading publisher of healthcare news, interviewed DST’s risk adjustment expert Michael Nemeth about the challenges health plans face managing risk adjustment and quality performance and how integrating these two complex processes using an analytics platform can provide opportuni...
Insights from Marc Palmer: New Pharmacy Models for Value-Based Care
DST RADIO - January 13, 2017 18:00 - 17 minutesAs value-based care gains prominence, payers are developing new models that better align cost effective, consumer-focused, and value-based strategies for paying for medical services. Listen as DST’s Argus Health President Marc Palmer shares insights for integrating value into pharmacy benefit man...
Complexities of the EpiPen® Price Increase
DST RADIO - January 12, 2017 21:00 - 19 minutesListen as Dr. Rayvelle Stallings, Vice President of Government Programs at DST's Argus Health offers her unique perspective on patient impact, particularly children, from the point of view of a family physician, government programs expert and mother of a son required to carry an EpiPen®.
Managing the Complexities of Prescription Opioid Misuse and Overuse
DST RADIO - August 25, 2016 21:00 - 16 minutesPreventing prescription drug abuse remains a top health priority for state and federal policy makers, and one that requires a comprehensive approach. In early 2016, the Centers for Disease Control and Prevention (CDC) announced several new opioid abuse prevention and treatment initiatives and as ...
2016 Health Insurance Marketplace Updates – What you need to know
DST RADIO - June 08, 2016 19:00 - 18 minutesEarlier this year HHS released guidance on new regulations related to the Health Insurance Marketplace. Listen as Stephanie Leftwich, Director of Health Insurance Marketplace Strategy at DST Health Solutions helps you understand these regulations in order to gain a strategic business advantage. ...
Leveraging Care Density: A New Way to Measure and Enhance Care Coordination
DST RADIO - November 23, 2015 05:30 - 19 minutesIn an increasingly fragmented health care system, there is a need to understand the coordination of physicians involved in patients’ care to optimize quality of care and patient safety. Listen as Dr. Karen Kinder, Executive Director, Johns Hopkins ACG® System, explains the importance of care coor...
Use of ACG System in the UK to Support Case Finding & Similarities to the US
DST RADIO - September 15, 2015 23:00 - 19 minutesWhat are the challenges facing healthcare in the UK? Are these similar or different to the challenges faced by the healthcare organizations in the US? Listen as Alan Thompson, (MSc), Senior Consultant and UK Team Leader at John Hopkins University, explains the tools and techniques they are using ...
Top Three Things A Health Plan Should Do to Engage and Serve Consumers
DST RADIO - January 31, 2015 05:00 - 11 minutesCustomer experience is the sum total of all experiences that a person has with a company. The healthcare market is becoming more and more a consumer retail market. Learn the three things every health plan should be doing right now to engage and serve consumers.
Medication Management: Why It Makes A Difference
DST RADIO - January 15, 2015 05:00 - 10 minutesWe spend more than 10% of our healthcare expenditures on medications. The need for medications has gone up as life expectancy has gone up over the years. In many cases, a patient is seeing several physicians who are prescribing medications without being aware of all the medicines the patient may ...
Accountable Care: Adele Allison
DST RADIO - December 31, 2014 05:00 - 23 minutesThe Accountable Care Organization (ACO) model is about orchestrating care delivery in kinship with fellow providers for success as an organization – a community – instead of care delivery in a vacuum, only focused on an individual component piece of the delivery system. Today, there are an estim...
Network Optimization: Utilizing Big Data to Optimize Your Provider Network
DST RADIO - November 30, 2014 05:00 - 10 minutesNetwork Optimization seems to be a challenge faced by many health plans right now. For health plans to successfully compete in today’s market, they must quickly move to faster and more powerful tools fully capable of executing complex multivariate analysis based on actual operating models and tha...
Health Plan Alliance: Cathy Eddy
DST RADIO - November 14, 2014 13:00 - 8 minutesGet educated on Health Plan Alliance, learn about the goals of this integrated healthcare system and what benefits are being received. What challenges are members facing in this innovative and fast growing time in healthcare?
Care Management Strategies: Marilyn Sliepka
DST RADIO - October 31, 2014 12:00 - 11 minutesWhats driving reducing hospital readmissions? Why is this the most importantant opportunity for reducing waste? Find out what CMS is offering hospitals for reducing readmissions rates as well as penalties that could be received.
Top Exec Shares Business Impact of HIM: Stephanie Leftwich
DST RADIO - October 14, 2014 12:00 - 18 minutesReceive some important information about the Affordable Care Act, Healthcare.gov and what to expect for 2015.
Risk Management, The Three R's: Amy Salls
DST RADIO - September 30, 2014 12:00 - 25 minutesAmy Salls serves as Director of Population Health Strategy for DST Health Solutions. In this episode, Amy draws on more than 20 years of experience in data analysis and healthcare informatics to unpack the three R's of risk - Reinsurance, Risk Corridors, and Risk Adjustment.
Dual Eligibles: Richard Popper
DST RADIO - August 29, 2014 12:00 - 21 minutesDST Health Solutions has a broad experience in providing enrollment, administrative and care management services for dual eligibles in compliance with CMS and state requirements. Learn what areas health plans need to focus on to effectively serve dual eligibles.
Amy Salls: Participating in Marketplaces?
DST RADIO - August 01, 2014 13:00 - 10 minutesThe Affordable Care Act establishes quality-related requirements for Qualified Health Plan (QHP) issuers and Marketplaces including a system to rate QHP's on the basis of quality and price and an enrollee satisfaction survey system to assess enrollee experience with each QHP. To provide our list...
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