Episode Transcript
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SPEAKER_00 (00:04):
This episode of AHLA
Speaking of Health Law is
brought to you by AHLA membersand donors like you.
For more information, visitamericanhealthlaw.org.
SPEAKER_01 (00:17):
Welcome and thanks
for joining us today.
I'm Lisa Vandekabe, and I'm herewith my uh dear friend and
colleague Priya.
About three months ago, uh werecorded our first HLA podcast
together called Icing on theCake.
And so as we approach the end of2025 and plan for 2026, this is
(00:39):
the time for goal setting andthinking forward to what is
happening as we move forward in2026.
Let's talk a little bit aboutwhat's going on in the
environment.
Uh studies show that 70 to 80percent of Americans tend or
intend to set goals, but thesuccess rate in achieving those
(01:00):
goals is only 8 to 10 percent,which is because the goals are
not written down or they have alack of clear plans for how to
implement.
This means a staggering failurerate of 90 to 92 percent.
And lawyers do not like to talkabout failure rates.
(01:20):
So let's talk about how you canbe successful in 2026.
As we shared in the firstpodcast, um, I referred uh to
the TJC, the Joint CommissionLegal Team, as our dream team.
Um it was 10 years in thedevelopment, and we learned a
lot from each other.
One of the paralegals was thebest professional at setting
(01:43):
goals.
She was absolutely amazing.
She had professional andpersonal goals that were written
down and had clear plans toattain those goals.
She was our role model and alsoour inspiration as we worked on
our goals, both as a team andindividually.
Setting goals are hard work, butthey're critical to your
(02:06):
success.
As you know, healthcare andhealthcare law is in a time of
unprecedented change.
So goals must be flexible andmust be reviewed on a periodic
basis.
You cannot control the change,but you can be prepared to
aggressively manage the changesuccessfully.
(02:27):
During our first podcast, uh, wetalked a little bit little bit
about our backgrounds, but someof you may have missed that.
So um, Priya, can you tell us alittle bit about yourself and
your healthcare career path?
SPEAKER_02 (02:39):
Yeah, absolutely.
And Lisa, thanks so much for youknow starting us off.
And I'm excited to be part ofthis conversation with you
again.
Um I never imagined that so manypeople would have listened to
our first podcast.
So hope we'll have a goodaudience for this one as well.
Um, so I started my health lawcareer at a law firm working
(03:01):
mostly on healthcare transitiontransactions and representing
large physician practices andsmall hospitals.
I did do a bunch of regulatorywork too.
Um, it was a really great placeto start my career and sort of
understanding everything thatgoes into healthcare from a
regulatory and a businessperspective.
(03:22):
I then went in-house at twodifferent health systems.
I was at ProMedica Health Systemand Med Star Health System and
worked my way up through thosestructures within the legal
department.
Um, and then at around the nineand a half year mark, I decided
to make a transition in mycareer and switch to the policy
side, which is really just thelaw before it becomes the law.
(03:46):
I joined the policy team at theAmerican Hospital Association
and spent many years working oninpatient payment policy and
rural hospital issues, and thenwas able to get the opportunity
to start a think tank within theAHA to look at healthcare costs
and affordability.
It was called the ValueInitiative.
(04:06):
Um and that work really justkept expanding to different
areas where the associationneeded support.
So by the time I left the AHAthree and a half years ago, I
was leading strategicinitiatives and covering issues
like maternal health, healthequity, price transparency.
Our team was charged withfinding PPE during the pandemic
(04:28):
for healthcare workers.
So a large variety of differentissues that affected and
impacted hospitals and healthsystems around the country.
And from there, I started my owncompany and what I call now a
portfolio career.
So I do some work in the healthequity space for large trade
associations.
(04:50):
I teach at two different lawschools, Loyola School of Law in
Chicago and the Ohio StateUniversity in Columbus, Ohio.
And my baby really is NewHealth, which is a company
focused on providing strategicadvice to healthcare
organizations, includinghospitals and health systems,
that want to expand, reimagine,change the way they deliver care
(05:14):
to women.
So that was a mouthful, Lisa,and I know my path was very
different than yours, but I'llturn it to you now.
Can you tell us a little bitabout yourself and your
healthcare path?
SPEAKER_01 (05:28):
Thank you so much,
Priya.
I just love hearing your storybecause it is so diverse, but so
incredibly wonderful and sorewarding.
Um my path uh was verytraditional.
Uh I have had the wonderfulopportunity of serving many
health systems in the Michiganarea.
And that's why I laugh when yourefer to the Ohio State.
Uh both my husband and daughterare graduates of the University
(05:52):
of Michigan, but um, that's foranother conversation on another
day.
So um uh yes, it's been aterrific 40 years uh in health
care, healthcare law.
Uh 25 of those years uh I've hadthe opportunity to serve as a
general counsel.
As we discussed in our firstpodcast, the icing on the cake
(06:13):
for me was the 10 years as theexecutive vice president and
chief legal officer for thejoint commission.
It was just a wonderfulopportunity uh to work with so
many healthcare organizations,both domestic and international.
Uh I am now uh retired, uh, butworking of counsel at Epstein
Backer and Green, just awonderful law firm uh working
(06:37):
with general counsels,navigating the challenges of
governance and uh trying to besuccessful in a quickly changing
environment.
So it's uh a continuing career,uh, but uh I enjoy so much
healthcare and healthcare law.
Uh, it's fun to still beinvolved.
As we move uh forward uh and uhas we wrap up 2025, uh Priya, uh
(07:04):
what are you focused on as youwrap up 2025?
SPEAKER_02 (07:07):
Yeah, so there were
a lot of issues related to
healthcare that made the news in2025.
And many of the stories are notgood for the healthcare clients
that we collectively representas the American Health Law
Association.
So we've seen uncertainty andhealth reform with access to
points of health care, includingcoverage, either discontinued or
(07:31):
threatened.
We've seen funding for clinicalresearch and things that keep us
healthy, like access to food,have been cut.
We've seen challenges to sciencethat have taken hold.
We have seen intensifiedenforcement of the HIPAA
security rule and regulationsstrengthening cybersecurity.
(07:51):
Payments for healthcare serviceshaven't really kept pace with
the rising costs.
And it seems, to be honest, thateverything has gotten more
expensive in our lives.
I read a post this morning thatsaid this year has felt like
being awake during surgery, butalso it's unsuccessful surgery.
(08:12):
And also, also, now you have aninfection.
And also, also, also, none ofthat is covered by your
insurance anymore.
And I really felt that because Ithink it does a good job of
describing how the year playedout and how many of us in the
healthcare field feel as weleave 2025, um, which is why I
(08:36):
think it's so important.
And I've been doing thisthroughout the year.
Um, I've been finding good newsand sharing it.
Um, it's helped me so much.
Um, it helps me feel morepositive.
It helps me see the good that ishappening in the world.
And so I started sharing thoseon Fridays on LinkedIn.
And I found that over the lastyear of doing that consistently,
(08:59):
it's also helped other people atthe end of the week and gives
them a little boost of happinessand energy.
Um, so a lot of times those arerelated to the work I'm doing in
the women's health space.
Um, and it's nice to see thatwe're seeing some momentum,
we're seeing momentum aroundadvocacy, research.
We see bipartisan support onwomen's health issues.
(09:21):
So even when it feels in theday-to-day that we're climbing
uphill, there is progress totake note of.
Um, so I just like to do that.
And so as I close out 2025, I'mkind of doing the same thing.
I'm just making lists of thingsthat happened that went really
well in the year that I'm reallythankful for.
(09:42):
So that includes my workaccomplishments, um, events and
things that have happened in myfamily and my community.
And I just hope that by makingthose lists, I'll remember how
much there is to be thankful forand the progress that happened
in 2025, and that will set agood tone for the upcoming year.
(10:02):
Um, and I know 2025 was a doozy.
Um, and I don't think we need tospend more time diving into it.
But Lisa, if we shift to 2026,how are you setting your
intentions for the year?
SPEAKER_01 (10:17):
Well, thanks for
asking that question, Priya,
because uh it's something Ispend a little bit of time on.
Um, but I also want to take amoment and thank you for your
good news Fridays.
Um, it is the highlight of myLinkedIn review on Fridays, uh,
because it's always good to getgood news.
And I think sometimes we justdon't get enough of that.
So thank you for doing that.
It's it really is a terrificaddition to the week.
SPEAKER_02 (10:39):
Yeah, thank you for
sharing that.
SPEAKER_01 (10:41):
Yeah, yeah, it
really is fun.
So um, as we look forward to2026, uh, that's that's a good
question.
Uh, like you, I'm spending sometime reviewing my calendar,
looking over my notes that I'vemade over the year, reflecting
on 2025.
And as I plan and do myhomework, I also think about,
(11:02):
you know, what are thefoundational soft skills that I
want to work on?
Um and in one year, one of thoseskills uh was listening.
You know, listening more inmeetings as opposed to talking
and also talking a littleslower.
Uh, I do have a tendency to talkfast.
Uh and for 2026, uh uh my wordis grace.
(11:26):
Um for some reason I I reallylove that word right now.
Um recently a friend said to meas I was talking about an issue,
um, give yourself some grace.
And I thought to myself, well,what does that mean?
Does that mean give yourself abreak?
Uh what does that mean?
But I like the word, so I alsolike acronyms, as as you know.
(11:48):
Um, and as we move towards 2026and I'm working on my personal
and professional goals, um, I'mum using grace as kind of a
foundation.
And uh, what does that mean tome?
Um uh the first is G is forgrace, it's for give.
Uh give mindfully to others, uhgive in meetings, airplanes,
(12:12):
elevators.
It's amazing how a littlekindness means so much.
And you really never know whatsomeone else is struggling with.
You may look at their face andthey may look a little angry,
but it might be somethingcompletely unrelated to you, and
it usually is.
But it it's an opportunity togive to that person.
(12:34):
And sometimes it might be acolleague or a client um who has
a question, and in your mind youmay say, Oh boy, here we go
again.
Um, but give them five moreminutes or give them a smile.
Uh and it's amazing how that maygo a long way.
So G is for give.
Uh R is for receive.
(12:57):
It's interesting.
I've seen some articles recentlyabout how hard it is for people
to take compliments.
And many compliments that we gettruly are heartfelt.
So it's important to graciouslythank others for their kindness,
uh, for the time they may taketo give you a compliment.
One of the things I've donerecently uh is I've written a
(13:18):
lot of uh hardwritten notes uhand send them in the mail, which
seems very archaic.
But it's amazing how whensomeone reads a heart a
heartfelt note that it resonateswith them.
Um and there's been severalarticles on LinkedIn that talk
about the value of a handwrittennote and what it's meant to
(13:40):
someone who uh might nototherwise think about the fact
that they did a kindness foryou.
So for me, R means receive.
A means ask.
Ask for help.
Many times uh when we're dealingwith a difficult client issue,
uh, you think uh I just don'tknow how to fix this.
(14:01):
I just don't know where to gowith this.
This is a tough issue.
And we are dealing with a lot oftough issues.
So getting another opinion froma colleague, uh calling a
trusted resource, uh, one ofyour colleagues at the American
Uh Health Law Association, andjust say, hey, what do you
think?
Uh I I have this question.
(14:22):
Um you know, and very often wethink asking for help is a
weakness.
I think it's really a strength.
Um, and it's an opportunity toget another point of view on
some very difficult issues thatlawyers are dealing with.
C is for community.
Recently I I read an articleabout the CEO of Peloton, in
(14:45):
which he took uh the company andturned it around by establishing
communities that members of thePeloton app can identify with.
And that struck me as really,really important.
And sometimes when we are indifficult situations, we forget
that we belong to many differentcommunities.
(15:07):
Sometimes it's our family, or weknow it's our family.
We have a work team that wehave, we have colleagues.
Some of those colleagues may beyour colleagues at the American
Health Law Association, you havefriends from college.
One of my best communities is myyoga class.
And it's people that you mayjust exchange a few words with,
(15:30):
but it's that interchange umthat you can rely on many days.
So think about who is yourcommunity, who are your
communities, and how do theyenhance or add value to your
life?
How do they help you make betterpersonal and professional goals
and to also be successful atthose goals?
(15:52):
And E is for explore.
I love to explore.
Think about it when you enter anew city and you want to go out
and explore that new city, whatnew experiences are there?
What can you learn?
What are the new opportunitiesin health law for you to
explore?
So one thing for certain is youbetter be uh looking at
(16:15):
opportunities to explore andenhance your AI skills because
it is amazing how manyopportunities are out there, but
it is a skill.
So at a minimum, think about howto explore and enhance your AI
skills as you move into 2026.
You know, some of these are justfoundational soft skills.
(16:37):
Um, but as you work through yourpersonal and professional goals,
which I do, think about what'sgoing to be your foundation for
next year.
And it's kind of an unusualapproach, uh, but it's how I
like to do my planning.
So, Priya, I know that you alsoare very intentional about your
future.
(16:58):
Um, and um, how are you settingyour intentions for 2026?
SPEAKER_02 (17:02):
Yeah, well, before I
I get offer my thoughts, I
really love that acronym, GreatUm Grace.
And I know you came up with itin advance of your goal setting
and this podcast.
And it's it really hits in a lotof areas.
I think, you know, your pointthat we need to give, we need to
help others, that's so importantto our own mental and physical
(17:26):
health.
Um, receiving, I am so bad attaking compliments, but I try to
do that a bit better these daysthan I did in years before.
Um, again, I saw on social mediaa post where someone said they
gave someone a compliment andthe person just shied away, made
(17:49):
excuses for their achievement,and the woman who gave the
compliment said, Well, I'm gonnagive you your flowers.
If you choose to water them ornot is your decision.
And that has always stuck withme.
And I try to sort of take thoseflowers when people give them,
and rather than discarding someof them or acting like I don't
(18:12):
deserve it, just stoppingmyself.
Thank you.
I really appreciate thatcompliment.
And then just being quiet.
And it I it has made, it hasgone a long way for me.
Um, and so your point ofreceiving is so important.
And then I could go on and on, Ithink ask for help, community,
and explore are also soimportant, but um just wanted to
(18:35):
share those thoughts on youracronym.
Um, I'm looking at this year abit unconventionally, um, I
think, compared to others.
Um, but I'm really starting, andI'm I learned about this at a
conference and then have lookedinto it more, um, to believe in
operating inside nature's cycle.
(18:59):
Okay, so in nature, spring is atime for planting seeds and
emerging growth.
Um, summer is when steady growthoccurs with care and attention.
Um it's time to harvest thebounty of all of our labor.
And then winter is when naturerests and gears up to begin
(19:22):
again.
So if we look at that in thecontext of our lives, spring is
a time for planting seeds bynetworking, launching new work,
saying yes to opportunities,even those ones you may not feel
quite ready for.
Um, summer is a time to tend toyour work relationships,
nurture, care for them, sharewhat you're doing with the
(19:46):
support of others, and enjoythat process of steady work and
steady growth.
Um, autumn then is when yourecap and reflect on what
worked, what worked, what didn'twork.
You gather Feedback and youbegin the process of planning
for the future.
And then in winter is when weshould slow down and take time
(20:09):
for a much needed physical andmental break and say yes to
fewer things.
And as you can see from walkingthrough that, basically nature's
cycle sinks us to the sun.
We are going, going, going whenthe days are longer, and we are
resting when the days areshorter.
And it's really counterintuitiveto how most of us live in
(20:32):
society.
So just let's use this season asan example.
It's the holidays, we're busy,we're saying yes to everything
socially while still trying towrap up everything
professionally.
And then after the new year, weramp up with resolutions and big
goals.
All while nature intends ourbodies to be resting.
(20:55):
It's the period we should becalm, relaxing, hibernating like
a bear.
But I'm trying to stay mindfulof these cycles in nature and
try to sync myself to them asmuch as I can.
And it's not always possible,right?
We have deadlines set byclients, courts, the government.
(21:18):
We have deadlines set byemployers to set our goals for
the year.
But where I can, I am trying tolean into that.
Because once I heard it, it kindof all made sense.
Our bodies are made of the sameelements as everything in
nature.
So we should be operating onthese cycles whenever we can.
(21:40):
So again, a little bitunconventional in thinking
through the calendar of my year.
But I'm looking forward toresting for the next few months
and then really hitting thosegoals hard as the days get
longer and spring sets sets in.
So Lisa, this is all hard to dogiven the pace of change we've
(22:05):
seen in healthcare.
And as we think to 2026, whattips do you have for health law
attorneys to manage that pace ofchange we've seen?
SPEAKER_01 (22:17):
Priya, that's a
that's a really good question.
And I wish I had a crystal ball.
And uh but I I think your yourconcept is so important uh for
attorneys to think about theseasons and how things change.
And I think there's cycles toour work also.
(22:38):
And that's why I think veryoften uh winter time is a good
time to get ready for spring.
And I know that when you and Ichatted uh before this podcast,
you mentioned that uh one ofyour previous employers did
their goal setting in April.
And I thought that was a reallygood point.
You know, just because January1st rings in a new year doesn't
(23:01):
mean that's the cycle that youneed to follow for your goals.
Um, and so I think you have todo what works well for you,
works well for your clients.
So I I love that idea of theseasons, um and things do tend
to cycle, uh, and it's importantto look at those cycles.
(23:22):
But you know, with the pace ofchange, uh it's very
interesting.
I I like to use the analogy to aroller coaster.
Put your seatbelt on, it's thewild ride is going to continue.
Um, I happen to love rollercoasters, uh, I think they're a
lot of fun uh and they'reexhilarating, uh, but you can
(23:44):
get tired.
So, like you said, with yourseasons, you do have to rest.
But keep in mind uh for thehealthcare lawyers, you may not
be able to control the pace ofchange, but you can manage your
response to it.
And I think that's what we'retalking about today setting
goals, focusing on somefoundational principles, and
(24:08):
acknowledging that things areare going to be a wild ride.
And it's been that way as longas I've been in healthcare.
Certainly the pace has been alittle bit quicker in the last
few years.
Um, but that's also thechallenge that we have to
manage, and setting goals,career, and personal help us do
(24:30):
that.
So what would you add, Priya?
You've always got such greatinsights, and I'm anxious to
hear what your thoughts are.
SPEAKER_02 (24:37):
Yeah, I mean, I
think the the good news about
this pace is that the health lawsector continues to experience
unprecedented growth, right?
So job numbers are projected torise 5% annually throughout
2033, which is a lot higher thanthe average for other
occupations.
(24:57):
So we do have job security inthis space as health law
attorneys.
But that growth means that wehave to stay on top of what's
happening in the world aroundus.
So I think some opportunitiesfor health law attorneys to
learn more, to study more, tobecome more well-versed, include
(25:21):
areas that you already mentionedAI.
Um, I think understanding thetechnical aspects of AI tools,
so how algorithms are makingclinical or administrative
decisions, um, pursuing CLEs orcertifications in AI liability,
intellectual property, inmachine learning, um, and bias
(25:42):
that exists in automated systemsare really crucial as health law
attorneys are advising clientsnot just around compliance, but
the implementation of highgrowth and fast growth
technologies.
I think it's also important tounderstand the financial and
policy landscapes.
(26:02):
There has been tremendousfinancial strain on healthcare
systems and particularhealthcare providers.
We've seen a lot of debatearound the future of health
reform and understanding sort ofthe finances, the operations of
organizations will help youdeliver better legal counsel to
(26:24):
your clients as they navigatethese roller coaster that they
have been on.
And then another area of focuscould be cybersecurity and
incident response as thatbecomes more prevalent in our
healthcare environment.
Um, outside of sort of learningskills, and we talked about this
(26:45):
in the first podcast, continuingto engage in mentorship and
sponsorship relationships, beingable to find people that can
actively serve as your sponsorand advocate for your
advancement, or finding mentorswho you can go to for career
guidance.
I think that remains reallyimportant as you move beyond
(27:09):
just goal setting into actuallyimplementing those goals.
And then the third thing I justwant to mention is making time
to take care of yourself.
And I am not always the best atthis, and I have my own goals
related to this for 2026.
But take the time, like tofigure out what that looks like
(27:30):
for you.
It could be many differentthings.
It could be making sure youschedule time to exercise,
making sure that you're findinghealthier recipes that you can
have as your go-to food items sothat you're eating healthier,
not grabbing the junk food.
Um, finding ways to relievestress.
Maybe it's yoga, like youmentioned, Lisa.
(27:52):
Maybe it's a long walk outside,maybe it's reading a good book.
Um, and then of course, therapy.
I am a big, big fan of having atherapist that you trust that
can help you navigate throughlife and talk through things.
There's no other person that'sgonna sit and listen to you talk
for an hour and help you figureout the things you need to
(28:13):
figure out in your life.
And so I'm a firm believer thateveryone needs therapy and that
um we should be in therapy sothat when the big things happen
in life, we have thatrelationship to rely on and that
we already trust.
Um, so I think those three areasare some of the places I think
health law attorneys should befocused on in 2026.
SPEAKER_01 (28:35):
Always very
positive.
SPEAKER_02 (28:38):
I try, I try.
Um, you know, Lisa, in our lastpodcast, we talked about pivotal
career positions, um, which wecalled the icing on the cake.
Um, when you think of 2026, whatis that icing or frosting that
you are looking forward to?
SPEAKER_01 (28:57):
Well, from a career
perspective, uh, you know,
helping more general counselsmake 2026 their icing on the
cake year.
Uh, I am really focused onhelping others uh be successful
and using my past experiencesand knowledge.
And uh it would make me uh verypleased as I look forward
(29:19):
helping other GCs.
How about you, Priya?
What are you hoping for for nextyear?
SPEAKER_02 (29:24):
Yeah, well, I'm I'm
hoping for something for myself,
for something for the audience,and something for all of us.
Um from a personal perspective,I really hope to be able to
continue educating and helpinghealthcare leaders, including
health law attorneys and lawstudents, understand health
policy, health equity, and allthat is shaping this world of
(29:47):
women's health.
Um, for the audience, I'm hopingthat those that are listening to
this podcast will take some timeto be intentional about 2026, to
ask what they want in the newyear, how they want to feel at
the end of the year in December2026, and then map out some
steps that it's gonna take toachieve that and feel that by
(30:10):
the end of the year.
And then for all of us, I'm justhoping that we get more good
news and that we have theopportunity to use our skills in
health law and policy to makechange that will make life
better for everyone and creategood news for the world.
SPEAKER_01 (30:30):
I think you've made
a really good point, and that is
to is to intentionally make ithappen in 2026.
And um, as we look forward to2026, uh, I want to wish
everyone a wonderful 2026 and anicing on the cake year.
So uh Priya, thank you so muchuh for taking the time to do
(30:55):
this podcast.
Uh it's been my pleasure uh asalways to work with you.
And um, what parting comments doyou have?
SPEAKER_02 (31:03):
Yeah, no, Lisa,
thank you for this conversation.
I always learn so much fromtalking with you, and I think
our back and forth conversationsnot only teach me things, but
can teach other people thingstoo, because we've had really
interesting career paths thatwe've navigated.
And while we can have a greatconversation and agree on
(31:25):
things, I know we look at lifefrom different vantage points,
and then bringing them togetherin this community of the
American Health Law Associationis so rewarding and it means a
lot to me.
So thank you for that.
And I hope everyone who'slistening has a healthy and
happy holiday season and isexcited to look forward to 2026
(31:47):
and all that it brings.
SPEAKER_01 (31:49):
Thanks, Priya.
Thank you to all for listeningto our podcast.
SPEAKER_00 (31:58):
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