Each 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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Socialdeterminants Podcasts
Stronger communities begin with good health — for everyone. The "Good Health, Better World" podcast series from UPMC Health Plan brings experts together to discuss some of health care’s most important (and often challenging) topics.
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How Sutter Health Is Scaling AI Across the Enterprise (episode 2 of 2)
41:53
41:53
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41:53Scaling AI across a healthcare system takes more than just good technology—it requires effective governance, operational focus, and the right data foundation. In Part 2 of our conversation with Kiran Mysore, Chief Data & Analytics Officer at Sutter Health, he explores how Sutter is operationalizing AI across its 24 hospitals and hundreds of care si…
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How Sutter Health Is Scaling AI Across the Enterprise (episode 1 of 2)
28:59
28:59
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28:59How can health systems move from AI experimentation to AI execution at scale, without losing sight of what matters most: patients and providers? In this two-part episode of Bright Spots in Healthcare, Kiran Mysore, Chief Data and Analytics Officer at Sutter Health, joins host Eric Glazer to explore how Sutter is turning the promise of AI into measu…
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How MetroPlusHealth is Enhancing Access and Experience for NYC's Most Vulnerable Populations
28:21
28:21
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28:21Brindha Sridhar, Vice President, Customer Experience Strategy, MetroPlusHealth, discusses how one of New York City’s largest public health plans is transforming the healthcare experience for its diverse and underserved populations. Brindha shares how her team is working to improve member and provider engagement across a city where 90% of members ar…
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Inside Select Health’s Winning Strategy to Improve Rural Access, Provider Engagement & Health Equity
33:11
33:11
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33:11In this insightful episode, Kim Barrus, AVP of Quality and Accreditation at Select Health, shares three compelling case studies showcasing how her team is improving care access, streamlining provider engagement, and addressing health disparities across four states. Kim walks us through: A groundbreaking hybrid clinic model in rural Nevada, created …
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Advancing Specialty Care in Medicare Advantage: Physician led, AI-Enabled
59:01
59:01
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59:01In this episode of Bright Spots in Healthcare, host Eric Glazer explores how leading healthcare organizations are transforming specialty care in Medicare Advantage through physician leadership and AI innovation. Hear from Julia McDowell (Highmark Health), Chuck Palermo (HAP), Dr. Mary O’Connor (Vori Health), and Dr. Krystal Revai (Health Alliance) …
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Banner Health, HealthTeam Advantage & MedWatchers Share Medicare Part D Strategies
1:00:08
1:00:08
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1:00:08In this standout episode, three healthcare leaders unpack how they're transforming regulatory pressure into real-world impact. Melissa Skelton Duke (Banner Health), Dina Homer (HealthTeam Advantage), and Bita Farrokhroo (MedWatchers) share practical strategies for driving medication adherence, optimizing Part D performance, and bridging digital and…
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How Network Health Transforms Provider Relationships and Member Experience
29:21
29:21
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29:21In this engaging session, Eric Glazer sits down with Jessica Vander Zanden, VP of Operations at Network Health, a Wisconsin-based plan known for its top-tier CMS ratings and commitment to exceptional provider and member experiences. Jessica shares two standout strategies driving the organization’s success: a unique approach to treating providers as…
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A Masterclass in Storytelling with Craig Wortmann, CEO, Sales Engine
56:19
56:19
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56:19The most powerful person in the world is the storyteller. Steve Jobs believed this, and it's never been more accurate, especially in healthcare. Renowned storytelling expert Craig Wortmann—Professor at Northwestern’s Kellogg School of Management and CEO of Sales Engine joins Eric Glazer to discuss one of the most underutilized leadership tools in h…
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Bright Spots in Healthcare: The New Physician Playbook – AI Workflows & Value-Based Care in Action
1:00:49
1:00:49
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1:00:49Visionary healthcare leaders from The Permanente Medical Group, UC Davis Health, UNC Health, Summit Medical Group and Navina joined Eric Glazer to explore how artificial intelligence transforms clinical workflows and enables better value-based care. Discover how AI-driven chart prep, ambient scribe technology, and risk models streamline provider wo…
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Engaging Complex & Hard-to-Reach Medicare Members Amidst CMS Uncertainty
1:00:36
1:00:36
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1:00:36As CMS regulations shift, how can you continue to impact complex members? Join us as we explore innovative approaches to member engagement that drive better health outcomes and reduce costs. In this episode, we will hear how plans are leveraging social support, in-home care, and tailored services to reach vulnerable members. Don’t miss this timely …
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Executive Brief: Stealing the Playbook from Michael Lewis
10:59
10:59
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10:59Welcome to the debut episode of Executive Briefs—a new short-form series from Bright Spots in Healthcare designed to deliver fast, actionable insights for healthcare leaders. In under 10 minutes, host Eric Glazer shares 10 powerful storytelling takeaways from bestselling author Michael Lewis (Moneyball, The Big Short, The Blind Side) from his keyno…
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Unexpected Strategies That Are Closing Gaps in Medicare & Medicaid
1:00:44
1:00:44
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1:00:44Traditional approaches to closing care gaps in Medicare Advantage often fail to reach the members who need it most. This episode goes beyond conventional strategies to explore how innovative, remote, and community-driven solutions are transforming chronic care management—particularly for cardiometabolic conditions like diabetes, hypertension, and h…
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How Alphabet is Applying AI in Healthcare with Verily’s Dr. Erich Huang
21:26
21:26
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21:26What if AI could guide every patient through their healthcare journey—nudging them toward better choices, anticipating their needs, and adapting in real time? We talk a lot about engagement in healthcare, but too often, the digital tools we use fail to improve outcomes. AI and data-driven personalization hold incredible promise, yet many health pla…
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Transforming Medicaid: How Chorus Community Health Plans is Tackling SDOH
58:23
58:23
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58:23What if your health plan’s biggest opportunity to improve outcomes wasn’t in a hospital or clinic—but in a home, a grocery store, or a child’s support system? Mark Rakowski, President of Chorus Community Health Plans (CCHP) and Senior Vice President of Children's Wisconsin, joins Eric to explore the plan’s innovative approach to social determinants…
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Navigating Healthcare Interoperability with CommonWell’s Paul Wilder
19:49
19:49
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19:49What if I told you that in 2025, the way we access and exchange healthcare data will be fundamentally different? For years, we've talked about interoperability—but now, we’re seeing it take shape. Nearly 40% of the CommonWell network and most Q-HINs are responding to patient access requests, opening the door to a new era of seamless, secure, and pa…
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Innovating Product Design for Growth and Member Engagement
1:00:00
1:00:00
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1:00:00Highmark Health, Mass General Brigham Health Plan, SCAN, and TytoCare leaders discuss strategies for creating innovative, high-impact healthcare products. Tune in to learn: How traditional health plans are rethinking product design in the face of growing competition from direct-to-consumer models Strategies for creating more personalized, flexible,…
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How Plans Can Evolve from Segmentation to Personalization in Population Health
59:58
59:58
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59:58Health plan leaders from Cambia Health Solutions, Highmark Health and League share strategies for driving consumer engagement, improving health outcomes, and optimizing payer-provider relationships. Learn how health plans can shift from broad segmentation strategies to truly personalized, member-centric healthcare by harnessing data, AI, and digita…
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Predictive Analytics & Proactive Healthcare Leveraging AI to Transform Risk Management and Care Management
1:00:04
1:00:04
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1:00:04Top healthcare leaders from HAP, Independent Health, Johns Hopkins Health Plans and Prealize Health explore how predictive analytics and artificial intelligence (AI) revolutionize risk management and care delivery. The discussion delves into real-world applications of AI-driven predictive analytics to enhance patient engagement, improve outcomes, a…
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Revolutionizing Member Engagement: How Icario is Powering Personalized Healthcare Outreach
39:58
39:58
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39:58Marc Willard, CEO, Icario, joins Eric to discuss Icario’s new, innovative platform and how it improves member engagement and health outcomes. The conversation also touches on the challenges health plans face in adapting to changing member needs, the importance of data integration and organization, and the potential impact of AI-driven solutions on …
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A Successful Lifestyle Modification Program with former Philadelphia Eagles’ VP of Player Performance
58:38
58:38
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58:38Ted Rath, former VP of Player Performance for the Philadelphia Eagles and two-time “NFL Strength and Conditioning Coach of the Year,” joins Eric to share the most effective approaches to creating a Super Bowl contender in the NFL and provide insights on goal setting, mindset shifts, and building sustainable habits. These lessons can be applied dire…
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Innovations in Senior Care & Value-Based Models with InnovAge’s Richard Feifer, MD
54:16
54:16
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54:16Richard Feifer, MD, Chief Medical Officer of InnovAge, joins Eric to explore the transformative potential of the PACE (Program of All-Inclusive Care for the Elderly) model. Richard shares compelling stories and strategies showcasing how PACE integrates medical, physical, social, and emotional care to improve outcomes for seniors and individuals wit…
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Where AI is Currently Saving Healthcare – the Clinic
35:28
35:28
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35:28Kenneth Harper, VP & GM of Dragon at Microsoft, joins Eric to discuss how health systems are deploying AI to help busy clinicians. He explains how Microsoft’s AI tool, DAX Copilot, improves access to care by streamlining administrative tasks and lightening clinicians' documentation workloads. Ken shares several examples of health systems successful…
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Michael Serbinis, CEO and Founder of League, sits down with Eric to for a compelling discussion on how digital innovation is reshaping healthcare. Discover how League’s platform empowers health plans like Highmark to deliver personalized, data-driven experiences that simplify navigation, improve engagement, and enhance member satisfaction. Mike sha…
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Exploring Psychedelic-Assisted Therapies with the VA's Dr. Shereef Elnahal
45:35
45:35
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45:35Shereef Elnahal, MD, MBA Under Secretary for Health at the Department of Veterans Affairs, joins Eric to discuss the transformative potential of psychedelic-assisted therapies for veterans. The conversation explores the VA's groundbreaking initiatives, including their funding of studies on MDMA and psilocybin, and how these therapies address condit…
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How AI is Reshaping Healthcare - An Interview with NVIDIA’s Vega Shah
20:38
20:38
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20:38Vega Shah, PhD, Product Marketing Manager Lead for Healthcare & Life Sciences, NVIDIA, joins Eric to explore the evolution of generative AI in healthcare and how harnessing the technology will transform the future of patient care. Vega delves into the cutting-edge ways NVIDIA’s AI tools are enhancing clinician-patient relationships and optimizing t…
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A Conversation with Highmark Leaders - Innovations in Digital and Hybrid Care
55:28
55:28
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55:28Doug Henry, PhD, Vice President and Medical Director of Enterprise Behavioral Health at Highmark Health, and Mari Vandenburgh, Vice President of Health Programs and Solutions at Highmark Health, join Eric to share Highmark’s innovative approaches to transforming care delivery through digital and hybrid solutions. Topics include: Post-Acute Care Inn…
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Responsible GLP-1 Strategies: Structuring Benefits for Economic Viability and Proven Member Results
1:01:18
1:01:18
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1:01:18Leaders from Arkansas Blue Cross and Blue Shield, CVS Caremark, Independent Health and Vori Health explore how healthcare leaders tackle members’ weight management challenges by creating comprehensive programs that responsibly integrate GLP-1 medications while controlling costs. Key Discussion Topics: Benefit Design and Prior Authorization Programs…
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Megan Antonelli, Founder & CEO of HealthIMPACT and HealthIMPACT Chairperson Shahid Shah, Publisher & CEO, Medigy, join Eric to give Bright Spots in Healthcare listeners a sneak preview of the HealthIMPACT Forum 25, taking place on January 22-23, 2025, in New York City. Megan and Shahid share what makes their event different from other healthcare co…
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Many aspects of society and culture can lead us to negative feelings about aging—but there’s a lot to celebrate. In this episode, we connect with Lisa Sharfstein, director of the Osher Lifelong Learning Institute at the University of Pittsburgh, to discuss many of the wonderful aspects of getting older, and the opportunities that arise as we reach …
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One-on-One with Natalie Davis CEO, United States of Care
26:39
26:39
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26:39This episode was recorded on Monday, October 21, 2024, at HLTH 2024 in Las Vegas Natalie Davis, co-founder and CEO of United States of Care, joins Eric to share her thoughts on the current healthcare system and how her organization is advocating for a more affordable, dependable, personalized and understandable healthcare system. In addition, Natal…
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Health care's role in the “Aging Our Way, PA” plan
23:52
23:52
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23:52In this episode, we learn about the "Aging our Way, PA" plan for healthy aging in Pennsylvania, and discuss how organizations like UPMC Health Plan are putting policy into practice when it comes to supporting the health and independence of members as they age. Find show notes and additional information at upmchp.us/ghbw-s4ep9…
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How Providers Are Maximizing Hybrid Care and Home-Based Interventions
1:01:02
1:01:02
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1:01:02OSF HealthCare, Providence, UMass Memorial Medical Center, and TytoCare share actionable strategies and best practices to transform hybrid care and offer patients personalized, flexible and accessible care. Our expert panel also explores how virtual care reduces costs and addresses healthcare challenges like staff shortages. Key topics include: Max…
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Ways to support bone and joint health as we age
36:52
36:52
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36:52Discover the ways wellness is connected to bone and joint health in this episode of “Good Health, Better World.” Experts discuss strategies for preventing bone and joint problems, important action steps for recovery when an injury or surgery does occur, and new programs for supporting people in their overall health as they age. Find show notes and …
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How to Create More Bright Spots in Post-Acute and Home Care
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58:53
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58:53Healthfirst, myPlace Health and Wellsky share their successful strategies for reducing readmissions, improving health outcomes and reducing costs through post-acute and home care. Topics covered include: Building your provider partnerships beyond the traditional transition of care program Reducing readmissions among higher-risk Medicare Advantage m…
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In this episode, we discover the meaning of whole-person wellness, and how to prioritize wellness at every age and stage of life. Plus, we discover some of the more unexpected habits for happiness and health. Find show notes and additional information at upmchp.us/ghbw-s4ep7
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A New Era for Consumer Engagement and HEDIS: Combining the Human Touch with AI
58:38
58:38
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58:38AmeriHealth Caritas, Health Alliance Plan, Highmark Health and Icario discuss how AI transforms healthcare by creating personalized experiences that drive performance improvements and enhance member engagement. Learn how high-ranking health plans reinvent their approach to member experience to elevate your HEDIS scores, improve health outcomes and …
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Innovations in Lifestyle Change & the Role of Primary Care
1:00:15
1:00:15
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1:00:15Banner|Aetna, Blue Shield of California, Healthfirst and TytoCare explore innovative strategies that health plans can leverage to drive meaningful lifestyle modifications among members, improve health outcomes and reduce the rising costs of chronic disease. Our expert panel also discusses the role of primary care in empowering members to adopt heal…
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Striving for dignity and peace in end-of-life care
26:09
26:09
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26:09Join us in this episode as we explore the topic of end-of-life care—the differences between palliative care and hospice care, the work of death doulas in supporting people at end of life, ways to offer support through grief, and some of the challenges and opportunities that exist in caring for our aging population. Find show notes and additional in…
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This episode of “Good Health, Better World” is all about polypharmacy, or more than one medication at the same time. Tune in to understand some of the considerations for chronic medications as we age, and hear about how insurance plans and pharmacies work together to help members and patients manage their medications as prescribed. Find show notes…
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How Medicare Advantage plans support our seniors
28:38
28:38
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28:38Tune in to this episode of “Good Health, Better World” to learn more about the origins of Medicare, the types of benefits and services available through Medicare Advantage plans, and what is on the horizon for these plans in 2025. Hear perspectives from UPMC Health Plan and the Alliance of Community Health Plans (ACHP). Find show notes and addition…
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What it means to age in place—for the individual and for caregivers
24:39
24:39
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24:39In this episode, we’re joined by Dr. Pamela Toto and Dr. Beth Fields to explore the experience of both caregivers and those who are aging in place. We discuss what it means to age in place, the impact on aging adults and their caregivers, and new resources and technology that can offer support. Find show notes and additional information at upmchp.u…
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Unlocking Success Through Specialty Value Based Models
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1:00:34Value-based care leaders from Kaiser Permanente, Premera, UnitedHealthcare and TailorCare discuss the evolving landscape of specialty value-based care. They explain how their plans drive success with innovative approaches designed to optimize care and improve outcomes—even with their most complex, high-cost members. Our expert panelists share pract…
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How biology and lifestyle affect our brains and bodies as we age
29:23
29:23
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29:23In this episode, Dr. Aditi Gurkar and Dr. Howard Aizenstein join us to discuss the biological indicators of aging, and the changes that can take place in cognitive function as we age. Listen to learn more about factors related to Alzheimer’s disease and dementia, along with practical steps each of us can take to support our cognitive health. Find s…
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Navigating change as we age: Implications for population health
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14:39
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14:39Season 4 of “Good Health, Better World” will focus on a topic that’s important to all of us: healthy aging. Hear from UPMC Health Plan CEO Diane Holder in the first episode of the season to understand aging from a population health perspective, and how we can all navigate change as we age. Visit upmchp.us/ghbw-s4ep1 for show notes and additional in…
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Innovations in Medicare Advantage and Beyond: How Devoted Health is Transforming Care
56:31
56:31
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56:31Alec Peterson, MD, Chief Medical Officer of Acute and Specialty Care at Devoted Health, joins Eric to explore the innovative care delivery model that sets Devoted Health apart from other Medicare Advantage plans. Devoted Health uniquely integrates healthcare coverage with its in-house, virtual, and in-home care provider, Devoted Medical, in partner…
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The Blueprint for Speciality Value-Based Care
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53:32
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53:32Rachel Winokur, CEO, TailorCare and Alex Bateman, CEO, United Musculoskeletal Partners (UMP) join Eric to discuss the evolution and adoption of specialty value-based care, highlighting the significant improvements in patient care, customer satisfaction scores, cost reduction and value creation. Hear how their two organizations partner with a commer…
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Revolutionizing Health Plans: The Connected Member Experience
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1:00:36
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1:00:36BlueCross BlueShield of Tennessee, Cambia Health Solutions, Health Plan of San Joaquin/Mountain Valley Health Plan and Pager Health discuss how technology and innovation transform the member experience, improving clinical outcomes and consumer engagement. Segments: Strategy & Culture Data & Decision-Making Personalization Right Care, Right Time Pan…
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From the Sidelines to the Boardroom: Leadership lessons with Michael Lombardi
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49:16Former 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 heal…
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Convergence of Pharmacy & the Health Equity Index in 2024 and Beyond
1:03:29
1:03:29
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1:03:29CareSource, 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 soc…
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Everything You Thought about Value-Based Care Is Wrong: A Plan CEO Tells You Why
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34:52Fred 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 fir…
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