Inside Angle

Inside Angle

Conversations at the heart of moving health care forward

Episodes

May 4, 2021 30 min

Our nation's health care delivery system falls short when it comes to disease prevention and health promotion. Can we embrace the idea of health "holism" -- treating the whole person, not just the physical symptoms of a disease -- into our modern care delivery and payment systems? In this episode, Wayne Jonas, MD, describes how to bring primary care back to the forefront of the U.S. health care model.

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How do we provide physicians with the right resources to meet the needs of the people they serve? What will it take to ensure the best possible care when social factors hinder successful outcomes? In this episode, Dr. Bob Phillips, Executive Director of The Center for Professionalism & Value in Health Care with the American Board of Family Medicine, discusses the value of using community vital signs to identify at-risk populati...

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Among the many lessons learned from the COVID-19 pandemic, one thing is clear: Whether it's gaps in our public health system or obstacles to adoption of telemedicine, the way we finance health care in the U.S. doesn't always match what we want from health care. Rebecca Etz, Ph.D., a cultural anthropologist with Virginia Commonwealth University and a leading expert on integrating mental and behavioral health into primary car...

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What might a better value-based payment model look like and what tools do we need in order to create that model? Dr. Gordon Moore discusses a vision for the future of value-based care with Kenton Johnston, PhD, MPH, dissecting the topics of risk adjustment, quality measures, accountable care organizations and more.

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How can small physician practices be supported in their work? In what ways can practices grow their voice to get the attention of payers and ultimately realize the goals of value-based care? In this episode, Dr. Jen Brull discusses taking her practice in Plainville Kansas on a journey of continual improvement that led her to a national role as vice president of clinical engagement for Aledade, a company that helps geographically di...

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Better patient outcomes depend on high quality primary care, but primary care providers often don't get the data they need to fully understand the unique needs of their patients. In this episode, Beth Bortz, president and CEO of the Virginia Center for Health Innovation, explores how the right data in the hands of PCPs can move the needle on payment and delivery system reform.

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Founded in 1963 as a health and beauty store, CVS has evolved over its 50-year history, but always maintained a focus on making health care local and accessible. In this episode, Dr. Dan Knecht of CVS Health discusses how the company's 2018 acquisition of Aetna is driving innovative, new programs where CVS clinical pharmacists are applying health plan data to identify gaps in care, improve medication adherence, and help patient...

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Health care procedures can be risky for certain cohorts of patients. How can we identify these patients are and weigh the benefits and risks of performing certain procedures? In this episode, Dr. Victoria Sharp explores the idea of a frailty index, which scores patients based on key frailty factors to determine good candidates for surgery or other procedures. Could a frailty index provide a more well rounded view of a patient's...

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One silver lining of these COVID-19 times? The willingness to be inventive, try new approaches and invest resources in improving care outcomes. In this episode, Samantha Olds Frey, CEO of the Illinois Association of Medicaid Health Plans, describes what happened when health plans came together with Illinois Medicaid to support members facing unprecedented challenges arising from the pandemic.

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Nationwide, emergency departments struggle with super utilizers, those patients who come into the ED as often as once a day. How can hospitals reduce utilization to bring down costs and still improve outcomes? Jason Greenspan, MD, associate chief medical officer with Emergent Medical Associates describes a breakthrough approach to care management.

 

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What problems can be solved when health plans collaborate with each other rather than compete? In this episode, we explore Project Link, a new forum that brings health plans together to understand the impact of social determinants of health (SDOH) on their members. In this episode, Michelle Jester, Executive Director of Social Determinants of Health for America’s Health Insurance Plans (AHIP), describes innovative approaches to sol...

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Telemedicine has been around for a long time, but many health care organizations made the first moves into telehealth with the COVID-19 public health emergency. Even before the pandemic, Washington DC-based Unity Health Care devised a telemedicine strategy that targeted underserved populations. How has the pandemic impacted Unity's program and will its current initiative become the new norm? Drs. Angela Diop and Andrew Robie di...

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As health care organizations face unprecedented challenges brought on by the pandemic, how can they plan for a post-COVID-19 world? In this episode, Matt Eyles, President and CEO of America's Health Insurance Plans (AHIP), discusses new approaches AHIP members are taking to ensure continued coverage and address surprise billing, while focusing on the big picture issues of social determinants of health and systemic racism -- all...

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In his New York Times best-selling book "The Price We Pay," Dr. Marty Makary discusses the worsening crisis of high health care costs and the impact on quality of care. Is price transparency the answer? Listen to the latest podcast episode for Dr. Makary's perspective and hear about his work as a Johns Hopkins surgeon and professor of public health, where he is researching ways to bridge the divide between cost and qual...

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Electronic health records give providers an enormous amount of information, but finding relevant patient information can be like finding a needle in a haystack. The result: cognitive overload for providers, leading to wasted time and physician burnout. In this episode, 3M User Experience (UX) Design Team Lead Anna Abovyan explores ways to reduce the cognitive load on physicians by designing technology that is intuitive, easy to use...

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The COVID-19 pandemic has put extraordinary stress on state Medicaid budgets. Enrollment is increasing, along with direct and indirect costs, at a time of declining state revenues. What can be done to mitigate these issues? CareMore Health, an integrated health plan and care delivery system for Medicare and Medicaid patients, is moving away from fee-for-service incentives to provide comprehensive care to its high needs/high cost pa...

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During this time of COVID-19, we've seen a striking increase in the use of telemedicine services. The Inside Angle podcast revisits an episode featuring telemedicine pioneer Barb Johnston, co-founder and CEO of HealthLinkNow, a network of clinicians providing mental health services to patients online. With nearly two decades of experience in implementing telemedicine programs, including the creation of the California Telemedici...

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There are thousands of wellness apps, devices, wearables and telehealth tools that can be used for chronic disease management and patient health monitoring at home. Although new technologies can lead to early identification of health concerns, they may also lead to unnecessary interventions that result in unintended complications and worse outcomes. In this episode, we reconnect with Juggy Jagannathan, PhD, AI evangelist for 3M, to...

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May 13, 2020 33 min

Immigrant communities and underserved populations experience disparities in care due to high poverty, limited access, cultural or linguistic differences, and other concerns. In this episode, Dr. Gordon Moore talks with Iliana Gilman, the former chief executive officer of El Buen Samaritano, an organization serving the Latino immigrant community in Austin, Tex. With a team dedicated to breaking down barriers to care, El Buen Samarit...

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As a palliative care physician, Dr. Beth Wolf experienced the complexity of communication. As she helped patients and families navigate issues related to pain or end-of-life care, she saw that the way clinicians communicate with each other was rich with opportunity for misunderstanding. So, how do we help physicians accurately document a patient’s true burden of illness without disrupting the delivery of efficient and compassionate...

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