The Edge of Healthcare
Welcome to The Edge of Healthcare, your premier destination for insightful discussions and actionable insights. In each episode, we dive deep into conversations with industry leaders, exploring the dynamic landscape of healthcare. From overcoming hurdles to embracing breakthroughs, join us as we discover firsthand the strategies and experiences of healthcare trailblazers. Whether it's payer and health system leaders or innovative solutions, we're here to empower you with knowledge that drives real change in the industry. Don't just listen—be part of the transformation.
Episodes
Even with insurance, nearly half of Americans delay care simply because they can’t find a doctor in their network.
In this episode, Eric Demers discusses how inaccurate provider data is causing nearly half of Americans, especially millennials, to delay or avoid medical care despite having insurance. Demers explains that outdated and unsynchronized data between payers and providers leads to major access issues, and Madaket is worki...
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What does it really take to bring groundbreaking medical technology to market and get it paid for?
In this episode, Mark Miller draws on 30 years of experience to explain how early planning around evidence, coding, economics, and advocacy is critical for medtech success. He shares how Lumicell is tackling market access for a novel cancer detection technology. He outlines six essential elements that drive adoption and reimbursement...
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What if we treated AI like a new team member instead of just another tool?
In this episode, Shahid Shah shares takeaways from a recent AI conference in Dubai, contrasting the region’s culture of experimentation with the U.S. healthcare system’s regulatory caution. He urges healthcare leaders to treat AI not as just another tool, but as a team member requiring ethical oversight, cultural alignment, and risk management integrated in...
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Why is healthcare one of the slowest industries to adopt AI, and what can be done about it?
In this episode, Dr. Lisa Schaffner explains how AI can drive healthcare transformation when viewed as augmented intelligence that supports caregivers, not replaces them. She emphasizes that clean, high-quality data and strong leadership buy-in are critical. She shares how her three-phase “Jumpstart” program helps organizations quickly alig...
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Nonprofits must embrace a business mindset to thrive and effectively deliver their mission.
In this episode, Toni Pergolin discusses her journey turning a near-bankrupt nonprofit into a thriving organization serving individuals with autism and intellectual disabilities. She addresses funding challenges, advocating for a more coordinated, lifetime care approach rather than piecemeal funding, and the importance of workforce devel...
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Consumer engagement is key to improving healthcare outcomes and affordability.
In this episode, Tom Policelli discusses how his company is simplifying the complex world of healthcare insurance and patient financing to improve access to care. Tom explains that the company acts as an intermediary, consolidating financial information, reconciling bills, and providing a simple monthly statement for consumers. He also touches upon the...
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What if healthcare went beyond clinics and hospitals to address the root causes of poor health, like housing and food security?
In this episode, Joshua Boynton shares how CareSource, founded over 35 years ago by a social worker, focuses on Medicaid, marketplace, and military healthcare programs while addressing social determinants of health like housing and food security. As a growing national organization, CareSource emphasizes...
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Navigating the complexities of healthcare billing can feel like solving a puzzle with missing pieces. So, how do providers ensure they get paid accurately and on time?
In this episode, Sarah Cevallos explains the three stages of RCM and the importance of each step in ensuring accurate payments to providers. She also discusses the challenges of outsourcing RCM and the need for patient education in the evolving landscape of value-ba...
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Effective change management in healthcare requires tailoring communication, consistent measurement, and strategic alignment with organizational goals.
In this episode, Mike Kramer discusses the evolution of the CMIO role and the importance of emotional intelligence and management skills for physicians in leadership positions. He emphasizes the need to build trust and bidirectional communication with clinicians, addressing their c...
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The key to long-term success in healthcare is consistent, incremental improvements over time.
In this episode, Dr. Farzad Mostashari explains Aledade's mission as a public benefit corporation to improve care and reduce costs, focusing on value-based care models, specifically Accountable Care Organizations (ACOs). Dr. Mostashari also shares how Aledade works with primary care practices, taking on downside risk while sharing in the ...
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Embracing innovation and community needs is paramount for successful healthcare leadership.
In this episode, Mary Sunahara discusses her company’s unique approach to community-based healthcare and the importance of caregiver investment. She emphasizes the necessity of employee engagement, including "rounding" with team members for feedback, especially when transitioning to virtual work environments. Mary also underscores the value...
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Ever wonder what it takes to transform healthcare decision-making in a world of high stakes and endless innovation?
In this episode, Ryan Bengtson discusses the challenges of decision-making as a CEO, emphasizing the need to stay mission-focused and empower teams while addressing inefficiencies in healthcare. Panda Health supports health systems by streamlining decision-making and technology renewals, fostering collaboration, and ...
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How can technology bridge the gap between complex healthcare challenges and innovative solutions while fostering trust and collaboration?
In this episode, Sudipto Srivastava emphasizes the transformative potential of digital health to deliver faster, better, and more cost-effective solutions. He believes that leadership, operational efficiency, and a focus on reducing costs and improving workflows are crucial for driving meaningfu...
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Finding fulfillment in your career path, even if it takes unexpected turns, is crucial for long-term success and well-being.
In this episode, Stanley Nachimson shares his experience working on Medicaid quality control, the pivotal role he played in implementing HIPAA standards, and his insights into the effectiveness of government incentives and penalties in driving change within the healthcare industry. Stanley also touches upon...
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December 26, 2024 • 27 mins
In its inaugural year, The Edge of Healthcare podcast aimed to provide valuable lessons for aspiring and current C-suite executives and tech pioneers in the healthcare industry.
In this special holiday edition of The Edge of Healthcare, host Martin Cody shares top soundbites from nine standout episodes, showcasing insights from 20 diverse healthcare leaders to help listeners thrive in this challenging industry. He thanks guests, li...
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How do you balance the slow-moving complexities of healthcare with the fast-paced innovation of startups to deliver meaningful, patient-centered solutions?
In this episode, John McCluskey discusses the challenges of building and innovating within the healthcare system, focusing on virtual primary care solutions. He emphasizes the importance of access to care, addressing healthcare disparities, and the need for collaboration and ada...
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November 26, 2024 • 18 mins
As dementia rates soar, AI and decentralized data are key to transforming care and early detection.
In this episode, Scott Warner discusses the importance of using AI and decentralized semantics to enable early detection of cognitive impairments. He highlights the growing dementia crisis and emphasizes the need for preventative measures, AI-driven solutions, and robotics in caregiving. He explains how Secours.ai prioritizes data ow...
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November 14, 2024 • 44 mins
An inspiring journey unfolds as a personal experience transforms a heartfelt calling into a career focused on redefining palliative care and improving patient outcomes.
In this episode, Dr. Stacie Pinderhughes reflects on her healthcare journey, inspired by her grandfather's battle with cancer, and highlights her training at Robert Wood Johnson University Hospital and Mount Sinai. After building a successful multi-system palliative...
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Aparna Ananth transforms resistance into an ally in healthcare leadership, empowering professionals to overcome challenges and prioritize patient care.
In this episode, Aparna Ananth discusses her transition from physician to leadership role, emphasizing that qualities like accountability and influence are inherent in the medical profession. She highlights the importance of embracing resistance as a signal for improvement and advoc...
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October 17, 2024 • 28 mins
The healthcare industry faces a significant technology debt that must be addressed to support innovative solutions.
In this episode, Stuart Hanson, CEO of Avaneer Health, focuses on the leadership and strategies of key healthcare leaders in addressing data interoperability challenges. He delves into the industry's technology debt and the need for innovative solutions to update provider data promptly. Stuart emphasizes the importanc...
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