The #HCBiz Show!

The #HCBiz Show!

A practical podcast on the business of healthcare w/ hosts Don Lee and Shahid Shah. The premise behind #HCBiz is that we can't "just innovate". Sure, you may have a great idea, an all-star team and execute flawlessly, but if you don't understand the complex dynamics of the healthcare business you'll never get traction. We'll identify the issues that impede change, explain why they exist and find ways to work with them, through them, or around them. In short, we'll help you create space for innovation in healthcare through technology (HealthIT | HIT | Digital Health) and workflow. We'll also explore health policy, administration and the psychology behind it all. Finally, we help you align your ideas to business incentives, market them to healthcare leaders and get the sale. Check out all of our podcasts, videos and blog posts here: http://thehcbiz.com/ Produced by Glide Health IT LLC in partnership with Netspective Media.... Show More

Episodes

October 16, 2020 55 min

It may seem cliché to say payers need to be more like Amazon, but the analogy provides fundamental, and surprisingly actionable insights for the health insurance industry.

Think about your experience with Amazon (or Google or Zappos, or any other organization that provides a phenomenal customer experience). Whether they're helping you find the right product, or streamlining the purchase, or dealing with a delivery problem, or a...

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On this episode, we discuss the HealthIMPACT Fall Forum coming up September 30th – October 2nd, 2020. Shahid Shah, our co-host and the HealthIMPACT Forum Chair, tells us it’s a “No BS and No PowerPoint” event that’s intended to be more of a conversation than a series of presentations. The goal is to get healthcare leaders together and facilitate a conversation amongst peers about the work they’re doing in the real world.

We also ta...

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On 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, clini...

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Patient Centricity is a buzzword that’s easy to throw around, but difficult to realize. The notion itself is straightforward… build your product or service around the patient who it is intended to help. Talk with them. Incorporate their input. Understand their needs, desires, and goals. It’s so straight-forward that today’s guest tells us this is no “ah-ha” moment for healthcare, but more of an “ah-duh”.

Why do other industries do ...

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Payers already face a formidable challenge when it comes to internal data management. After years of consolidation in the industry, many payers have a collection of legacy systems cobbled together to run their operations. This makes data management difficult for things like claims, provider directories, and member demographics. And those are just “the basics”.

Now, as quality measurement evolves and payers experiment in value-based...

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In a growing crowd of national health information networks, eHealth Exchange is one of the oldest and most connected in the U.S.. Notably, they are the primary way healthcare organizations connect with federal agencies such as the Social Security Administration (SSA), Department of Defense (DOD), and the Department of Veterans Affairs (VA). In addition, they're connected with 75% of all U.S. hospitals, more than 60 regional and...

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Everything you’re trying to accomplish comes down to one thing… getting people to do stuff. Behavioral economics, in its simplest terms, is the study of how and why people decide to do what they do (or don’t do). Whether you’re trying to sell, get users to adopt a new system or workflow, or make your staff feel comfortable coming back to work during a pandemic, understanding behavioral economics will greatly increase your chances o...

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Public health vs. the economy is a dangerously false dichotomy. We can protect our people AND get back to work if we accept reality and embrace science. You already know you should wear a mask, wash your hands, and practice social distancing. As we begin to go back to work and spend time with our extended families and friends, Remote Patient Monitoring (RPM) tools present an additional layer of protection that could allow us to do ...

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Michael Ackerman, director of the Master in Healthcare Innovation Program at The Ohio State University, believes that every innovation program must do three things in tandem:

 

  • Innovation – filling gaps where no solution currently exists, in a way that adds value
  • Renovation – quality improvement and process improvement
  • Exnovation – removing functions that no longer add value; also known as de-implementation
  •  

    When practiced together,...

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    The COVID-19 crisis has presented marketers with quite a challenge. Customers don't want to be sold to and no one wants to spend money. In fact, traditional marketing has been paused for fear of coming off as insensitive and out of touch. But that doesn't mean you stop. You just do it differently. The pandemic is driving marketers back to the fundamentals of relationship building and value creation. This is how you stay rel...

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    The COVID-19 crisis and the resulting lock-downs across the world forced many organizations to go virtual in an instant. Some of them had sound Business Continuity (BC) and Disaster Recovery (DR) plans in place. And while they were still interrupted, they were able to move quickly and keep their people working. Others were caught off-guard and are now scrambling to make it all work.

     

    In an industry like healthcare with reams of se...

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    We’ve talked a lot about the importance of addressing social determinants of health (SDOH) in healthcare, and why it may be the most critical factor when it comes to lowering costs and improving outcomes… especially for vulnerable communities. For me, there is zero doubt that this is what needs to happen. However, we’ve seen very few programs that have been successful, sustainable, and scalable. That’s a big problem, and when this ...

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    Health Systems are being asked to make changes in 2 months that would have otherwise taken years. As some business lines come screeching to a halt, others have sped to a breakneck pace. Prioritizing problems to solve and finding novel solutions have never been more essential. Here today to teach us how innovation is done at Geisinger Health is Karen Murphy. Enjoy!

    Highlights from the Episode

    We define innovation at Geisinger ...

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    In our ongoing series around the COVID-19 crisis, we plan each episode with the specific aim of delivering you, the listener, actionable items you can do right now. To ensure that during this crisis you can solidify and strengthen your business while continuing to serve your patients at the highest level, we're bringing you two of our favorite people in healthcare. Joining us today is David Goldhill, CEO of Sesame and Dr. Alli...

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    Many doctor’s offices have been closed for weeks and those that haven’t have seen massive cancellations. This episode is for healthcare providers and people working inside health offices. Today we’re going to share what we're seeing across the country in terms of closures, cancellations, and plans going forward. Joining us to help you formulate a plan, is Tashfeen Ekram, MD co-founder and chief medical officer of Luma Health.

    ...

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    Surescripts is at the center of almost all prescriptions for medications in the US. In this era, when almost no other kind of prescriptions are being allowed, how is Surescripts thinking about digital prescriptions? How has Surescripts adapted to the new needs of patients and providers at the point of care with their real-time prescription benefit? Dr. Andrew Mellin, Chief Medical Information Officer at Surescripts joins us today ...

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    A year after Draft 2 of TEFCA, what has happened and where are we now? The ONC awarded a cooperative agreement to The Sequoia Project to serve as the Recognized Coordinating Entity (RCE) to develop, update, implement, and maintain the Common Agreement and the QTF. On today's episode, Shahid Shah joins your host, Don Lee to talk with the CEO of The Sequoia Project, Mariann Yeager. If you are an HIE and you want to become a QHIN...

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    There is an urgency to utilize social determinants in healthcare decision making, especially to meet the needs of underserved populations. Jvion launched its new COVID-19 Community Vulnerability Map, a free, publicly available tool that identifies populations — down to the census block level — that are likely to experience severe outcomes requiring hospitalization when they contract the virus. The map integrates the findings of th...

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    An #HCBiz Brief: Given the shortage of Personal Protective Equipment (PPE) in our hospitals due to COVID-19 and the elevated risks our medical professionals are facing every day, I wanted to share a tool I came across at an infection control conference last year that might help. This is a short PSA about an engineered control that prevents infective aerosols, sprays, and splash-back generated by suctioning. I hope you find it helpf...

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    The Opportunity Zones incentive is a new community investment tool to encourage long-term investments in low-income urban and rural communities nationwide. Nightingale is accelerating the health care industry’s ability to deploy underfunded SDOH benefits by leveraging the innovative financing mechanisms of Opportunity Zones, to catalyze a new marketplace of social service providers. Joining us today is the Founder of Nightingale P...

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