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Podcast: The #HCBiz Show! (LS 34 · TOP 3% what is this?)Episode: How Health Systems Think with Neil CarpenterPub date: 2020-11-24Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationGet ready for a cold dose of reality. On this episode, we're talking with Neil Carpenter, VP of Strategic Planning at Array Advisors and former health system Chief Strategy Officer, about how health systems think. This behind the scenes look at health system strategy, decision-making, and purchasing tells you much of what you need to know as a startup/vendor trying to sell into this market. You won't like everything you learn, but it'll give you a much more productive way to look at your product or service and how you fit into the cold-hard reality of health systems. You'll learn: Health systems are permission oriented and consensus driven. What does that mean and how does it affect your sales strategy? The difference between the big-name systems and their scrappy competitors down the road. What is the role of a Chief Strategy Officer at a health system and how can you work with them to get your foot in the door? Why health systems are so focused on what's happening right now and struggle to look to the future. That most decisions are driven by personal, and not organizational interests, and how that impacts your ability to make deals How to avoid the common pitfall of focusing on your solution, and not taking the time to truly understand your buyer Why it's easier for health systems to buy from established players than small shops NOTE: We touched on this in Episode 148: Partnering with Payers too Why health system executive compensation and performance expectations make innovation difficult Why the "local monopoly" strategy is so common for health systems and why telemedicine is so threatening to that model How to get to know health systems you're trying to sell to What are the two primary power centers within the health system and how to work with each of them? Which solution spaces are overcrowded and should be avoided? Which solution spaces are wide-open and ready for new solutions? Why a good spreadsheet may be your most potent sales tool This one is densely packed and full of fire. You may want to listen twice. Neil Carpenter Neil Carpenter is a health care strategy and innovation consultant– he advises clients from health systems (e.g., on the future of precision medicine, ambulatory planning) to the State of Maryland (e.g., COVID-19 planning). Neil's thought leadership, where he is the VP of Strategic Planning at Array Advisors modeling the impact of COVID-19 on the US health care sector has been cited by the Wall Street Journal, the Washington Post and several industry publications (e.g., Health Leaders). In his career, Neil has been a system leader and senior advisor to health system leaders and boards. Neil was the Chief Strategy Officer for LifeBridge Health, a $2billion+ integrated health care delivery system in Maryland with over 400 employed providers and assets across the entire continuum of care. In that role, Neil had wide-ranging responsivities, including helping lead the clinically integrated physician network which had one of the highest ACO savings in the country for several years, launched the first in the nation, offshore command center, the first bioincubator inside a community hospital in the country and new patient engagement technologies aimed at some of the most socio-economically patient populations in the country. Neil also spent a decade at leading consulting firms. Neil's clients included Kaiser Permanente, Sisters of Mercy Health System, Steward, UnityPoint, Trinity, Dana Farber, the Military Health System, Montefiore, and the University of Virginia among many others. Prior to entering consulting after business school, Neil focused on global reengineering, financial analysis and process improvement at GE and American Express. Neil has a Master's Degree in business from Georgetown University and a Bachelor's in Business from the University of Massachusetts at Amherst. Neil has served on various state task forces related to Health System planning, taught at John's Hopkins Carey School of Business and has been published papers on technology transformation in forums such as Digital Biomarkers and AMA Journal of Ethics. LinkedIn: https://www.linkedin.com/in/neil-carpenter-924a40/ Array Advisors We understand that asking the right questions positively affects your Health System's goals. Our purpose is to ask the questions that turn your goals into tangible realities. Array Advisors has the expertise to help position your organization for success in tomorrow's uncertain market. As your trusted partners in Strategy Development, Organizational Transformation, and Building Informatics, we can help you solve strategic business problems and develop methods to improve efficiency and utilization. We approach each problem from a unique angle, providing a plan tailored to help you overcome your toughest challenges. Having dedicated our careers to healthcare innovation, our objective viewpoint and industry-wide knowledge provide you the decision support you need. Website: https://array-advisors.com/ COVID-19 Resource Hub: https://info.array-architects.com/en-us/covid-19 Market Disruption Study: https://array-architects.com/press-release/array-models-healthcare-disruption-top-111-markets/ Links and Resources Episode 103: Selling to Health Systems: Advice for Digital Health Startups (Part 1) Episode 105: Selling to Health Systems: Advice for Digital Health Startups (Part 2) Episode 85: Lessons on Selling in Healthcare w/ Dom Cappuccilli The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media.The podcast and artwork embedded on this page are from Don Lee and Shahid Shah, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: The #HCBiz Show! (LS 34 · TOP 3% what is this?)Episode: Partnering with Payers - Andrew Adrian-KarlinPub date: 2020-11-17Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationFor many healthcare startups and established vendors, partnering with payers is a crucial part of their business plan. And as we know, selling in healthcare is hard. It's even harder when you don't understand how these large corporations work. What do they want? How do they set priorities? How do they make purchasing decisions? How long does that process take? The list goes on, and if you're strategizing without this knowledge you're going to struggle. That's where this episode comes in. Today we're talking with Andrew Adrian-Karlin, Director of Business Platform Product at Highmark Health. Andrew sheds some light on how payers decide what to do and who they decide to do it with. This episode will help you build an effective framework for preparing, approaching, and successfully partnering with payers. You'll Learn What are "products" from a health insurance point of view? What is the purpose of health insurance? Note: This is the same question we went deep on with Steve Krupa from HealthEdge on Episode 145. Steve's answer is also worth a listen. What are some things that payers are interested in from a "business processing" perspective? How do payers set priorities? What's the typical timeline for bringing on a new vendor and what factors contribute to it? What are the challenges, both internally and externally, that need to be managed when bringing on a new vendor? What can/should vendors do to minimize these challenges and shorten the timeline? How do external factors like the CMS Interoperability Rule or the COVID-19 pandemic impact your priorities? And a little bonus here: Why no one – not payer, not vendor, not lawmaker, and not even the regulator – fully understands new regulations and how that creates an early mover advantage. What are the best ways to keep a pulse on what a health plan is trying to do so that you can partner with them? NOTE: For more tactics on this one, Jeff Byers gave us the journalists take on Episode 62. Andrew Adrian-Karlin Andrew Adrian-Karlin helps companies do new things by better applying technology. I'm proud to be transforming healthcare at Highmark Health. As the Director of Business Platform- Product at Highmark Health, Andrew focuses on building cross-functional teams and leading Product Managers. He is accelerating speed to market for new products, reducing the cost to market, and delivering improved experiences to Highmark's members. Andrew has more than 10 years of experience in Information Technology. Prior work has included diverse areas like data analytics, cybersecurity, post-merger integration, and system development. He holds a BS in Accounting from Case Western Reserve University, an MBA from Carnegie Mellon University, and a number of professional certificates and certifications. LinkedIn: https://www.linkedin.com/in/andrewadriankarlin/ Highmark Health One of America's leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association, Highmark Inc. (the Health Plan) and its affiliated health plans (collectively, the Health Plans) work passionately to create a remarkable health experience for customers. Highmark Inc. and its Blue-branded affiliates proudly cover the insurance needs of 5.6 million members in Pennsylvania, Delaware, and West Virginia. As an industry, health care poses new challenges every day that require deep insights, constant innovation, and new solutions. The Health Plan business has boldly forged ahead with doing things differently, piloting new approaches, and breaking from the pack. Web: https://www.highmarkhealth.org/ Links and Resources Episode 145: How Payers Can Master Core Administrative Transactions and Deliver a World-class Experience to their Members and Providers w/ Steve Krupa Episode 141: The State of Payer Data with Jordan Bazinsky Episode 103: Selling to Health Systems: Advice for Digital Health Startups (Part 1) Episode 105: Selling to Health Systems: Advice for Digital Health Startups (Part 2) Episode 96: The CMS NPRM: Opportunities from the Payer Perspective Episode 85: Lessons on Selling in Healthcare w/ Dom Cappuccilli The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media. Music by StudioEtarThe podcast and artwork embedded on this page are from Don Lee and Shahid Shah, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: The #HCBiz Show! (LS 34 · TOP 3% what is this?)Episode: The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone w/ Dr. Vivian LeePub date: 2020-09-11Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationOn this episode we talk with Dr. Vivian Lee about her new book, The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone. Dr. Lee offers a fresh perspective that will strengthen your understanding of the issues facing America's healthcare system. And while she acknowledges that our government must play a substantial role in driving systemic change, she points out how each of us as individuals, clinicians, payers, and employers all have a role to play. The book's title suggests that we're in for a long haul, and I agree. However, Dr. Lee offers concrete examples of driving change in the real world that can have an immediate impact on the work you're doing today. In particular: What it's like to lead a multi-billion dollar health system into value-based care for the first time? Why intrinsic motivators like purpose, autonomy, and mastery are more important than extrinsic motivators like compensation, and how to tap into them to motivate clinicians and drive change. How to co-design change with clinicians (and patients). How to implement patient satisfaction surveys that actually work. How to develop measures that matter, and the surprising things that happen when you do. How to track performance to the clinician-level, and the best way to share the data with them. Creative ways to reinvest your savings. I took a ton away from this conversation, and I'm sure you will too! Dr. Vivian Lee Vivian S. Lee, M.D., Ph.D., M.B.A, is President of Health Platforms at Verily Life Sciences, an Alphabet company whose mission is to apply digital solutions that enable people enjoy healthier lives. A passionate champion of improving health in the U.S. and worldwide, she works closely with Verily's clinical and engineering teams to develop products and platforms that support the successful transformation of health systems to value and advance the co-production of health with patients, their caregivers, and communities. She also serves as a Senior Lecturer at Harvard Medical School and Massachusetts General Hospital, and a Senior Fellow at the Institute for Healthcare Improvement. In 2019, she was ranked #11 among the Most Influential People in Healthcare (Modern Healthcare). She is the author of the acclaimed book, The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone (Norton, 2020). Dr. Lee is the former Dean, SVP and CEO University of Utah Health. As a leading healthcare executive, she is committed to the advancement of value-driven transformation in health care (NYT Corner Office, STAT). As CEO, Lee led University of Utah Health to recognition for its health care delivery system innovations (Algorithmsforinnovation.org) that enable higher quality at lower costs (JAMA & editorial, NYT) and with higher patient satisfaction (NYT, HBR, NEJM), as well as successful strategies of faculty development and mentorship. In 2016, University of Utah was ranked first among the nation's university hospitals in quality and safety (Vizient). Dr. Lee also commercialized the University of Utah's health plan as Chair of its Board, during which it grew five-fold and was successful in the individual exchange. As Dean, she led the significant expansion of the School of Medicine class size with increased state funding, and helped raise large philanthropic gifts. Lee is an MR radiologist who developed novel methods for measuring kidney function and vascular disease with MRI. Funded by the NIH for 20 years, Dr. Lee was elected to National Academy of Medicine (formerly, the Institute of Medicine) in 2015, and in 2019, she received the International Society for Magnetic Resonance in Medicine's highest award for scientific contributions and leadership, the Gold Medal. She served on the NIH Council of Councils advisory to the NIH Director and has authored over 200 peer-reviewed research publications. Presently she serves on the Defense Health Board, advisory to the Department of Defense for military medicine, the Board of Directors of the Commonwealth Fund and the Association of American Rhodes Scholars, the Membership Committee of the National Academy of Medicine, and on the Scientific Advisory Board of the Massachusetts General Hospital. She is also a director on the board of Zions Bancorporation, a publicly traded company. Dr. Lee is a magna cum laude graduate of Harvard-Radcliffe Colleges, received a doctorate in medical engineering from Oxford University as a Rhodes Scholar, earned her M.D. with honors from Harvard Medical School, and was valedictorian of her Executive MBA program at NYU's Stern School of Business. https://vivianleemd.com/ Dr. Vivian Lee on Twitter Dr. Vivian Lee on LinkedIn The Long Fix It may not be a quick fix, but this concrete action plan for reform can create a less costly and healthier system for all. Beyond the outrageous expense, the quality of care varies wildly, and millions of Americans can't get care when they need it. This is bad for patients, bad for doctors, and bad for business. In The Long Fix, physician and health care CEO Vivian S. Lee, MD, cuts to the heart of the health care crisis. The problem with the way medicine is practiced, she explains, is not so much who's paying, it's what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better—and that is both backward and dangerous. Dr. Lee proposes turning the way we receive care completely inside out. When doctors, hospitals, and pharmaceutical companies are paid to keep people healthy, care improves and costs decrease. Lee shares inspiring examples of how this has been done, from physicians' practices that prioritize preventative care, to hospitals that adapt lessons from manufacturing plants to make them safer, to health care organizations that share online how much care costs and how well each physician is caring for patients. Using clear and compelling language, Dr. Lee paints a picture that is both realistic and optimistic. It may not be a quick fix, but her concrete action plan for reform—for employers and other payers, patients, clinicians, and...

Podcast: The #HCBiz Show! (LS 34 · TOP 3% what is this?)Episode: A Practical Look at Machine Learning in Healthcare with Josh MiramantPub date: 2021-03-19Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationMachine Learning in healthcare (and Artificial Intelligence in the broader sense) is real and is being used today. The problem is, it's difficult to sort out what's real and what's hype. Opinions on the matter range from "it's all hype and BS" to "AI is revolutionizing healthcare and replacing doctors". The truth, of course, lies somewhere in between. Today we talk with Josh Miramant, CEO and Founder of Blue Orange Digital, to help you sort this out. After listening you'll have clarity on what Machine Learning is, an understanding of what's possible in healthcare today, and a practical expectation of what's coming next. In this conversation we'll: Help you understand the terminology. What is Machine Learning? What is Artificial Intelligence? What is everyone talking about!? Take the "magic" out of Machine Learning and help you understand at a basic level what's happening here. Layout the need for data quality and data fidelity (i.e., the usefulness of data for a purpose). Along with data acquisition, this is the first thing you'll need to address. Discuss practical applications of Machine Learning that are being used productively in healthcare right now. This is "Applied Machine Learning" and there are many solved problems that add value in healthcare administration, patient acquisition, costs, pricing models, etc. Dig into the research and operational applications of machine learning. These include things like image detection, diagnosis, etc. like we discussed with Eric Topol (Episode 91). These applications are real and they're improving, but they aren't replacing doctors anytime soon. Then we touch a bit on the theoretical. Things that are happening in the lab that are incredibly exciting but have a way to go before they have real-world applications. About Josh Miramant Josh Miramant is the CEO and founder of Blue Orange Digital, a top-ranked data science and machine learning agency with offices in New York City and Washington DC. Miramant is a popular speaker, futurist, and a strategic business & technology advisor to enterprise companies and startups. As an example of thought leadership, Miramant has been featured in IBM ThinkLeaders, Dell Technologies, Global Banking & Finance Review, the IoT Council of Europe, among others. Connect with Miramant: LinkedIn: @joshmiramant Email: contact@blueorange.digital Twitter: @jmiramant About Blue Orange Digital Blue Orange Digital is recognized as a "Top AI Development and Consultant Agency," by Clutch and YahooFinance, for innovations in predictive analytics, automation, and optimization with machine learning in NYC. They help organizations optimize and automate their businesses, implement data-driven analytic techniques, and understand the implications of new technologies such as artificial intelligence, big data, and the Internet of Things. Whether your goal is to optimize your supply chain, use existing data to decrease operating costs, or customize the patient experience with predictive modeling, Blue Orange Digital can help you meet your challenge. Have a project in mind but need some help implementing it? Contact us, we'd love to discuss how we can work with you to co-develop your AI project. For more on AI and technology trends, see Josh Miramant, CEO of Blue Orange Digital's data-driven solutions for Supply Chain, Healthcare Document Automation, and more case studies at BlueOrange.Digital. Connect with Blue Orange: LinkedIn: @blueorangedigital Email: contact@blueorange.digital Twitter: @BlueOrangeData Medium: @blueorangedigital Links and Resources Smartwatches can help detect COVID-19 days before symptoms appear The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media.The podcast and artwork embedded on this page are from Don Lee and Shahid Shah, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: Cold Call (LS 49 · TOP 0.5% what is this?)Episode: Procter & Gamble’s Lean Innovation TransformationPub date: 2021-06-29Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationWhen Kathy Fish became Procter & Gamble’s Chief Research, Development & Innovation Officer in 2014, she was concerned that the world’s leading consumer packaged goods company had lost its capability to produce a steady stream of disruptive innovations. In addition, intensifying competition from direct-to-consumer companies convinced Fish that P&G needed to renew its value proposition to make all aspects of the consumer experience “irresistibly superior.” But making this change would require wholesale transformation from within. Can Fish bring lean innovation to scale at Procter & Gamble? Harvard Business School assistant professor Emily Truelove discusses the challenges of bringing this established company back to an innovative mindset in her case, “Kathy Fish at Procter & Gamble: Navigating Industry Disruption by Disrupting from Within.“The podcast and artwork embedded on this page are from HBR Presents / Brian Kenny, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: Cold Call (LS 49 · TOP 0.5% what is this?)Episode: Running a Consumer Fintech Startup within Goldman SachsPub date: 2021-06-01Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationMarcus by Goldman Sachs marked a dramatic shift for the 150-year-old financial institution, which historically had served only businesses and the wealthiest people. The fintech startup operated within Goldman Sachs, offering unsecured personal loans for the mass market, high-yield deposits, and a credit card in partnership with Apple. Harvard Business School associate professor Rory McDonald discusses the challenges of launching and operating a startup within an established company in his case, “Marcus by Goldman Sachs.”The podcast and artwork embedded on this page are from HBR Presents / Brian Kenny, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: Cold Call (LS 49 · TOP 0.5% what is this?)Episode: Examining Race and Mass Incarceration in the United StatesPub date: 2021-02-23Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationThe late 20th century saw dramatic growth in incarceration rates in the United States. Of the more than 2.3 million people in U.S. prisons, jails, and detention centers in 2020, 60 percent were Black or Latinx. Harvard Business School assistant professor Reshmaan Hussam probes the assumptions underlying the current prison system, with its huge racial disparities, and considers what could be done to address the crisis of the American criminal justice system in her case, “Race and Mass Incarceration in the United States.”The podcast and artwork embedded on this page are from HBR Presents / Brian Kenny, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: Bright Spots in Healthcare (LS 38 · TOP 2% what is this?)Episode: Healthcare Design & Experience: A Live Interview with Dr. Erika Pabo, Chief Health Officer, Author by HumanaPub date: 2021-05-07Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationTo be successful in a rapidly evolving and crowded healthcare marketplace, health plans must find innovative ways to connect with consumers where they are and on their terms. While rethinking how to engage consumers, Humana created a fundamentally new service experience to deliver better outcomes and meet the whole-health needs of seniors. During the conversation, Dr. Pabo shares details on the insurer’s journey to create the new service experience — from conception to the marketplace. Hear the trials and tribulations the insurer faced as it implemented Author by Humana and find out how consumers are responding to the new experience. Learn the steps your organization can take a similar approach to elevate the consumer experience. This episode is sponsored by Insignia Health Insignia Health empowers healthcare organizations and health professionals around the world to assess patient activation and develop strategies for the efficient application of healthcare resources. As activation increases and individuals become better managers of their health, utilization costs decline and patient satisfaction improves. The Patient Activation Measure® (PAM®) and over 15 years of health activation research form the cornerstone of a complementary suite of solutions that help clinicians, coaches and population health providers improve health outcomes and lower costs. Today, Insignia Health supports the health activation efforts of more than 250 organizations touching the lives of millions of patients in dozens of countries.The podcast and artwork embedded on this page are from Eric Glazer, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: Bright Spots in Healthcare (LS 38 · TOP 2% what is this?)Episode: How CVS Health, Magellan, Medical Mutual, UPMC Health Plan Rethink Value-Based Chronic Disease ManagementPub date: 2021-03-12Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationLeaders representing CVS Health, Magellan, medical Mutual and UPMC Health Plan join Eric to share bright spots in chronic disease management programs. View bios: https://www.sharedpurposeconnect.com/bios-03112021/): Ellen Beckjord, Associate Vice President, Population Health and Clinical Transformation, UPMC Health Plan, Caroline Carney, MD, MSc, FAMP, CPHQ, Chief Medical Officer, Magellan Health; Tere Koenig, MD, Executive Vice President and Chief Medical Officer, Medical Mutual; Jonah Mink, MD, Medical Director, Healthy.io; Kenneth Snow MD, Clinical Portfolio Medical Director, Transformation Team, CVS Health This episode of Bright Spots in Healthcare is sponsored by Healthy.io. Healthy.io is the global leader in turning the smartphone camera into a clinical-grade medical device for at-home urinalysis and digital wound management. Their home urinalysis kit aids in the diagnosis of chronic kidney disease, urinary tract infections, and prenatal testing and is used by leading health-care systems worldwide. The podcast and artwork embedded on this page are from Eric Glazer, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Podcast: Bright Spots in Healthcare (LS 38 · TOP 2% what is this?)Episode: The New Super Determinant of Health: The Digital Divide featuring Brigham & Women’s, Henry J. Austin Hlth Ctr, Medical University of SC, Revel HealthPub date: 2020-10-23Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationOur incredible panel of experts discuss how to effectively identify roadblocks to virtual care for patients in more vulnerable and underserved communities. They share strategies for bridging the “digital divide” and improving health outcomes from leaders “in the trenches” trying to improve quality and access. Panelists include Kemi Alli, MD, CEO of the Henry J. Austin Health Center; Anita Ramsetty, MD, CCMS, Medical Director, Faculty Advisor of the CARES Clinic & Director, Student Service Learning, College of Medicine of the Medical University of South Carolina; Sara Ratner, Senior Vice President, Government Programs and Strategic Initiatives of Revel Health; Jorge Rodriguez, MD, Health Technology Equity Researcher & Hospitalist, Department of General Internal Medicine at Brigham and Women's Hospital. This Bright Spots in Healthcare episode is sponsored by Revel Health, which is innovating how healthcare organizations think about pop health and consumer engagement. In brief, Revel Health focuses on understanding people. They know the populations you struggle with like Medicaid or Medicare Advantage, are NOT about population health — it’s about the individual. And this is the most important point I want to make, they approach healthcare differently, by understanding the values and belief systems of the individual, so they can create a personalized plan to drive positive behavioral change. It's really a very fresh way of thinking about engagement and SDOH. Check them out at www.revel-health.com.The podcast and artwork embedded on this page are from Eric Glazer, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.