Latest Sharedpurposeconnect Podcast Episodes
AI is Advancing The Member Journey and Improving Lives TODAY
Bright Spots in Healthcare - July 28, 2023 10:00 - 1 hour ★★★★ - 5 ratingsHealthcare 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 healthcar...
The Disenrollment Tsunami: How to Enhance Your Medicaid Redetermination
Bright Spots in Healthcare - July 21, 2023 13:08 - 59 minutes ★★★★ - 5 ratingsThis 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 coverag...
How Blue Cross Blue Shield of Arizona is Reinventing the Member Journey
Bright Spots in Healthcare - July 13, 2023 13:47 - 42 minutes ★★★★ - 5 ratingsPhylicia 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 memb...
How Psychedelics Can Bend the Mental Health Cost Curve
Bright Spots in Healthcare - June 28, 2023 21:14 - 37 minutes ★★★★ - 5 ratingsPsychedelic 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. ...
Equity, Engagement & Nutrition: Innovations Empowering the Underserved
Bright Spots in Healthcare - June 27, 2023 00:56 - 1 hour ★★★★ - 5 ratingsLeaders 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 healt...
How Digital Mental Health is Making an Impact
Bright Spots in Healthcare - June 10, 2023 01:25 - 1 hour ★★★★ - 5 ratingsHealthcare 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 y...
How Healthfirst is Partnering with a Health System to Make Providers’ Jobs Easier
Bright Spots in Healthcare - May 25, 2023 14:33 - 43 minutes ★★★★ - 5 ratingsG.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 a...
The Next Wave of Benefits Navigation for Government Programs
Bright Spots in Healthcare - May 21, 2023 16:15 - 38 minutes ★★★★ - 5 ratingsJohn 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...
The Next Wave of Benefits Navigation for Government Programs
Bright Spots in Healthcare - May 21, 2023 16:15 - 38 minutes ★★★★ - 5 ratingsJohn 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 ove...
Reduce Total Cost of Care: Innovative Whole Person Models for High-Cost Conditions
Bright Spots in Healthcare - May 12, 2023 14:56 - 1 hour ★★★★ - 5 ratingsHealthcare 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...
Boosting Plan Performance: Improving Provider-Centric Risk Adjustment & Staying Compliant
Bright Spots in Healthcare - April 21, 2023 19:47 - 1 hour ★★★★ - 5 ratingsCDPHP, 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 ...
Unique Approaches to Building Trust with Dual Eligible Members
Bright Spots in Healthcare - April 14, 2023 15:46 - 1 hour ★★★★ - 5 ratingsAmeriHealth 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 memb...
How Banner|Aetna is Rethinking Whole Person Care
Bright Spots in Healthcare - March 30, 2023 16:00 - 55 minutes ★★★★ - 5 ratingsJoanne 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 compan...
Improve CAHPS through Enhanced Benefits Navigation
Bright Spots in Healthcare - March 24, 2023 02:32 - 1 hour ★★★★ - 5 ratingsHealthcare 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 succ...
Success Stories in Virtual Care Enrollment & Engagement
Bright Spots in Healthcare - March 17, 2023 04:22 - 1 hour ★★★★ - 5 ratingsHealthcare 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 learn...
Mitigating Social Risk to Achieve Higher Star Ratings
Bright Spots in Healthcare - March 03, 2023 05:18 - 1 hour ★★★★ - 5 ratingsIn 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...
Sell with a Story in Healthcare with Paul Smith
Bright Spots in Healthcare - February 24, 2023 02:32 - 56 minutes ★★★★ - 5 ratingsPaul 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 disc...
Equity & Timely Access as a Stars Strategy
Bright Spots in Healthcare - February 18, 2023 03:46 - 1 hour ★★★★ - 5 ratingsIndustry 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...
Novel Approaches to Care Coordination: The Key to Profitable Risk Models
Bright Spots in Healthcare - January 20, 2023 12:02 - 1 hour ★★★★ - 5 ratingsCarle Health, Cedars-Sinai, Cleveland Clinic, and CarePort, powered by WellSky, discuss innovative and novel approaches to care coordination. Topics include: real-time transparency, streamlining and improving communication, and Interoperability between partner organizations. Panelists: Cynthia...
ACO REACH: Advancing Equity and Optimizing Performance
Bright Spots in Healthcare - January 13, 2023 15:05 - 1 hour ★★★★ - 5 ratingsCMS is replacing the Global and Professional Direct Contracting (GPDC) Model with the redesigned ACO Realizing Equity, Access, and Community Health (REACH) Model in 2023. ACO REACH is the first accountable care model to directly address health equity and access to care, with a specific directive...
The Key to Your Health Equity Strategy
Bright Spots in Healthcare - December 21, 2022 19:14 - 32 minutes ★★★★ - 5 ratingsDr. Errol L. Pierre, Senior Vice President, State Programs at Healthfirst, joins Eric to discuss how health plans, providers and other organizations can create a culture of health equity. He notes the challenges of obtaining the data necessary to understand where to start. Errol advises organiza...
2023 Strategy Session: Member Redetermination, CAHPS, and Social Needs
Bright Spots in Healthcare - December 16, 2022 05:00 - 1 hour ★★★★ - 5 ratingsLeaders from Blue Cross Blue Shield Association; Horizon Blue Cross Blue Shield of New Jersey, and Icario, offer insights on the priorities to focus on as we enter 2023. As we turn the page from 2022, health plans are facing new challenges impacting member experience, retention, and, most import...
How to Add Innovation to Whole-Person Care
Bright Spots in Healthcare - December 09, 2022 13:29 - 1 hour ★★★★ - 5 ratingsHealthcare leaders from Blue Cross NC, KC Blue, Blue Cross MN and MOBE explore how leading health plans can leverage innovations in clinical, wellness and medication management to build and expand a whole-person care framework. Topics include: building digital care models for Whole-Person Care, ...
Proactively Managing Risk via Innovations in Last Mile Care
Bright Spots in Healthcare - December 02, 2022 10:04 - 1 hour ★★★★ - 5 ratingsHealth leaders from Network Health, Health Net, Priority Health, and Healthy.io discuss how top health plans improve risk assessment and quality measures through innovations and at-home testing. Topics include: Strategies for deploying novel solutions to drive member engagement and reduc...
Peer Support to Improve Medicare Advantage Outcomes
Bright Spots in Healthcare - November 18, 2022 13:29 - 59 minutes ★★★★ - 5 ratingsOur panel of experts from Humana, Regence, SCAN Health Plan and Wisdo discuss how incorporating peer support programs in your MA plans can improve clinical outcomes, lower costs, and boost engagement for members with chronic diseases, behavioral health issues and other social determinants of hea...
Staying Ahead of Star Ratings: Planning & Execution Strategies
Bright Spots in Healthcare - November 11, 2022 11:00 - 58 minutes ★★★★ - 5 ratingsJulianne Eckert, Senior Director of Clinical Quality, Clover Health, Andre Bliss, Director of Medicare STARs, UPMC Health Plan and Marisa Howard, Senior Director, MA Operations, Evolent Health, share practical strategies and best practices to help Medicare Advantage plans to execute a successf...
Health Equity: Place-Based Interventions
Bright Spots in Healthcare - November 03, 2022 16:00 - 36 minutes ★★★★ - 5 ratingsOmolara Thomas Uwemedimo, MD, MPH joins Eric to discuss place-based interventions and how they are used to address health inequities. The place-based model focuses on improving health that aligns with community members, businesses, schools, churches and other institutions in a specific geographi...
How Hybrid Models Transform Value-Based Care
Bright Spots in Healthcare - October 28, 2022 10:00 - 59 minutes ★★★★ - 5 ratingsExperts from Centene, Humana, UnitedHealthcare and TytoCare discuss leveraging hybrid-care models to improve access to care, close gaps in care and improve outcomes. Learn successful strategies and best practices you can implement in your organization. Hybrid care models provide a more persona...
Co-Designing Social Care: Payers and Providers
Bright Spots in Healthcare - October 21, 2022 15:47 - 1 hour ★★★★ - 5 ratingsSocial conditions significantly affect health and well being at the individual and population levels, contributing to health inequity in the US. Research shows organizations that connect people to community resources–childcare, jobs, housing, nutrition, and transportation–measurably improve the ...
Activating Today’s Medicare Member: Effective Engagement Strategies
Bright Spots in Healthcare - October 14, 2022 04:33 - 1 hour ★★★★ - 5 ratingsMotivating Medicare members to take action to improve their health is a high priority for health plans. Empowering behavior change improves health outcomes among members, builds trust and loyalty, and expands earning potential for plans. Just because you’re communicating with your members doesn’...
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