Relentless Health Value

Relentless Health Value

American Healthcare Entrepreneurs and Execs you might want to know. Talking. Relentless Health Value is a weekly interview podcast hosted by Stacey Richter, a healthcare entrepreneur celebrating fifteen years in the business side of healthcare. This show is for leaders in pharma, devices, payers, providers, patient advocacy and healthcare business. It's for health industry innovators, entrepreneurs or wantrepreneurs or intrapreneurs. Relentless Healthcare Value is the show for you if you want to connect with others trying to manage the triple play: to provide healthcare value while being personally and professionally fulfilled.... Show More

Episodes

There’s a great video of Steve Jobs responding to an audience question that is, at a minimum, let’s just say strident. Jobs kind of ignores the aggressive nature of the query and offers a thoughtful response which is super relevant to health care. He says, “One of the things I’ve always found is that you’ve got to start with the customer experience and work backwards to the technology. You can’t start with the technology and try to... Read more

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If you don’t know the nuts and bolts of the current Health and Human Services (HHS) proposal to nix Pharma’s ability to pay pharmacy benefit manager (PBM) rebates, then it’s possible you might want to listen to EP216 with Chris Sloan first. In this episode, we don’t talk much about the impact of the HHS proposal on patient premiums or drug costs. That’s EP216. What we do talk about today is the impact on pharmaceutical companies. W... Read more

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Surprise billing … it sounds like so much fun. Who doesn’t love a surprise? Except receiving a surprise bill is zero fun. In case you’ve been out of the loop on this, surprise billing is when the patient, unbeknownst to them, racks up out-of-network charges, usually at a hospital. The patient may have done absolutely everything right—selected an in-network hospital, got all their tests preapproved—and then, wham! A month or a year ... Read more

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It turns out, patient-centric care that produces outcomes patients care about is usually less expensive than care that is not. The Patient-Centered Outcomes Research Institute (PCORI), an independent nonprofit, nongovernmental organization in Washington, DC, was authorized by Congress in 2010. PCORI was established to fund research that can help patients make better-informed decisions, guided by clinicians, payers, and others. In o... Read more

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“Those who say it cannot be done are usually interrupted by others doing it.” That’s a James Baldwin quote to keep in mind while considering employers ginning up real change in the health care industry. Generally speaking, employers who still don’t believe they could have an impact helping their employees get better health care at lower prices, don’t listen to this podcast. But if they did, I’d suggest this James Baldwin quote is a... Read more

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Last time I looked this up online, there were more than 5000 companies offering digital medicine tools. Which ones worked? Which ones are less good than others? Which ones have not been tested? How were they tested: apples to apples or a whole fruit basket of standards? If you’re a clinician or the head of population health or an insurance carrier and you’re trying to figure out whether a digital tool could help solve a problem you... Read more

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Say you’re a provider, an insurance carrier, a pharma company … and you’ve realized that you need to innovate to reduce costs and deliver better care. Or hedge against an upstart showing up on the scene and disrupting your good thing. Or ensure that your risk-based contracts go well. It’s one thing to cerebrally decide to be innovative and another thing to get your organization to actually do innovation and, arguably just as import... Read more

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“Dr. Google” has a bad rap in some health care circles. If you doubt my words, go on Instagram and do a search for “Doing battle with Dr. Google.” But let me give you a tip: Pretending Dr. Google doesn’t exist or telling patients to quit it with the internet—these are tactics that are always followed by #doomed. The best way to help your health care brand, organization, and clinicians and patients is to ensure that patients can fin... Read more

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Today we’re talking episodes of care payment models, otherwise known as bundled payments. Just to catch you up if you’re unfamiliar, this type of payment model means that a health care provider packaging together all the services needed during an episode and charges a guaranteed price for guaranteed quality of care. If we’re talking about government payments, about 50% of, for example, knee surgeries are paid for right now in an ep... Read more

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Arshad Rahim, MD, MBA, FACP, is a practicing physician and a health economist at his core. He enjoys a track record of building innovative health care businesses, including Mount Sinai Health Partners, Healthgrades, and Sg2. As the senior medical director for population health at Mount Sinai Health System, Dr. Rahim is responsible for driving physician performance for 3000 physicians within the Mount Sinai Clinically Integrated Net... Read more

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Ram Raju, MD, brings vast executive leadership experience and a keen understanding of New York’s health care delivery system to Northwell Health. As senior vice president and community health investment officer, he evaluates the needs of Northwell’s most vulnerable communities and provides solutions for them by collaborating with community-based organizations. He’s responsible for promoting, sustaining, and advancing an environment... Read more

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Steve Watson, CPA, SHRM-SCPAs a CFO/CHRO, Steve was frustrated each year with rising health care costs for his employer and employees. In 2012, he decided to make a change. First, he decided to fix the misaligned incentive that he had with his broker. Then he and his broker moved on to fixing the way his insurance was purchased from the insurance carriers. Now Steve is sharing this process with other employers through his consultin... Read more

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Chris Sloan is an associate principal at Avalere Health, a Washington, DC–based nonpartisan consulting firm. He advises a number of clients—including pharmaceutical manufacturers, health plans, providers, and patient groups—on key policy issues facing the health care industry. His particular areas of expertise include drug pricing, the Affordable Care Act, generics, and biosimilars. Additionally, Chris is a recognized expert in the... Read more

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Tom Kottler is co-founder and chief executive officer of HealthPrize Technologies, the leading cloud-based patient experience and adherence platform for life science companies. In collaboration with CEEK Enterprises, HealthPrize recently released a new report, “The Pharmaceutical Triple Aim,” showing how 21 of the world’s top pharmaceutical companies can increase revenue and boost earnings per share with improved adherence. Tom has... Read more

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Caroline Znaniec, MBA, MS-HCA, is the founder and principal of Luna Healthcare Advisors LLC. Her boutique consulting group provides revenue integrity advisory services to other consultancies and large advisory firms, software companies and developers, and health system and physician providers. Caroline writes and speaks regularly on topics of revenue integrity for many nationally recognized professional associations, including the ... Read more

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February 12, 2019 9 min

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Katie D. McMillan, MPH, has dedicated her career to imagining and building technology to improve health care for patients and providers. Her experience spans multinational global health organizations, lean software start-up companies, and large academic medical centers. Katie’s latest venture is the creation of the Mobile App Gateway (MAG) at Duke University Health System. The MAG serves as the hub for digital health at Duke and pr... Read more

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Louis Morrow is regional director of sales for Intelligent Retinal Imaging Systems (IRIS), the leading comprehensive solution provider of diagnostic telemedicine services committed to ending preventable blindness due to diabetic eye disease. Louis was one of the earliest builders at IRIS and has played a major role in saving the eyesight of over 55,000 patients (so far) through the partnerships built with major health systems and ... Read more

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Kathy Lokay is general manager, as well as chief cheerleader and idea generator, for Via Oncology. Kathy joined UPMC in 2008 to launch the Via Oncology product that UPMC CancerCenter started in 2004. Her background as a CPA combined with her 20 years of experience in oncology have been a great foundation to help her lead Via’s overall strategy and execution. She is passionate about driving the volume to value transition in oncolog... Read more

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If I was going to sum up the summaries, I might put it this way, liberally co-opting the words and sentiments of my articulate guests: The intent here is to help doctors care for patients, patients care for themselves, and all of us care for each other (thanks for that concise statement, Jim Barr). If we want to do this well, we want to and need to standardize the way that digital medicine suppliers express their value so that prov... Read more

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