CATEGORY
If you've been reading the headlines, and maybe even experimenting with Chat GPT yourself, but don't quite grasp what's going on, then this episode is for you. On this episode, we talk with Matt…
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Medicaid Transformation. 1115 waivers. Delivery System Reform Incentive Payment (DSRIP) programs. Expansion. Contraction. We’ve been at this for a long time. Why isn’t Medicaid transformed already? …
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Cleveland Clinic recently announced that they would begin charging for certain patient-initiated messages . This flies in the face of everything the industry is talking about when it comes to patient…
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Don and Shahid discuss NCQA's Health Innovation Summit (November 2022) and FHIR Dev Days (June 2022). They explore these events as examples of how to interpret what you hear at conferences, in industry media,…
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On this episode, we talk with Ray Dogum, MS, MBA about the state of blockchain and web3 technology in healthcare. Ray is the producer and host of the Health Unchained podcast where he discusses blockchain…
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Some people tell doctors that anything more than a cup of coffee is a conflict of interest. What about executives? Is it ok to take them out to lunch? What about a trip to the Super Bowl? Is there a line?…
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There's no business case for doing the right thing in healthcare. Fortunately, being patient-first is the right thing to do and can be good for business too. Today we talk with Brian Sanderson ,…
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It's easy to experiment with new tech and produce products that look and sound innovative. It's much harder to tie your innovation efforts to strategic objectives with measurable outcomes and then scale the…
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On this episode, Don Lee and Shahid Shah celebrate 200 episodes of The #HCBiz Show! We discuss what we've done over the past 6 years and tell you where we're headed next. In a nutshell, we're…
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There’s no shortage of development when it comes to AI and ML in healthcare. The technology is already powerful and continues to advance. The challenge, as always, is getting things into the clinical workflow.…
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It is now widely accepted that socioeconomic issues like food, housing, transportation, and more, directly drive health outcomes in the U.S. These issues hinder access to quality healthcare, and create…
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There are many areas where customer service is lacking in healthcare, but few are more egregious than the medical records request process. It’s frustratingly slow, needlessly opaque, and contributes to patient…
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Last year we learned how Nayya was using data to help employees pick the best health plan . Founder and CTO, Akash Magoon told us that they were “restacking the financial odds in favor of American Families.”…
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It's natural to reach for advanced analytics, machine learning, and other potentially transformational technologies in healthcare. That’s especially true in oncology where speed to diagnosis and speed to care…
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MedTech and Life Sciences commercialization expert, John Giantsidis of CyberActa , assesses the current regulatory environment around Medical Devices, the Internet of Medical Things (IoMT), and wearables.…
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There is a lot of attention being paid to the patient experience, and rightly so. However, we haven’t paid enough attention to our clinicians and caregivers and what they need to guide our patients thru that…
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Digitization means taking paper charts and putting them into EHRs. Digital transformation means leveraging the digital asset to do something we never could before. Applying AI/ML in healthcare will be one of…
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Most health systems don’t understand their own referral networks or patient flows. From an overall fiscal standpoint, they may know who their best and worst physicians are but there’s little clarity on what’s…
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We've been training medical personnel in the same way for decades, Virtual Reality (VR) and Augmented Reality (AR) are poised to change that. We talk with Dr. Ryan Ribeira, founder and CEO of SimX,…
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The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is unclear. That couldn't be further from the truth. …
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Healthcare orgs share large amounts of PHI with 3rd party vendors. They share it for analytics, rev cycle management, call center services, and more. It's a necessary part of the business. But you know what…
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It's difficult for Digital Health startups to find alignment between their innovations and the complex business realities of healthcare. That is why this show exists. We discuss it in nearly every episode. …
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Virtual-First thinking and telehealth adoption exploded during the pandemic. Since necessity was the driver, there is some expectation that demand and use will scale back as the pandemic wanes. Yet today's…
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There's a difference between being "just another vendo r" , and being a true partner to your customers. Ed Marx has thrived on both sides of this equation, first as a health system executive and now as the…
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AvoMD is a no-code platform that allows users to create clinical decision support apps that integrate directly into their workflows. We caught up with Dr. Yair Saperstein , co-founder, and CEO to…
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Our population is aging. According to the Urban Institute : “The number of Americans ages 65 and older will more than double over the next 40 years, reaching 80 million in 2040. The number of adults…
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Whether you’re an administrator, clinician, or healthcare leader, if you’ve built a career in the healthcare industry then you have skills, knowledge, and connections that most digital health startups lack. …
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We tend to talk mostly with software startups about commercialization and sales. What do things look like for a startup selling a physical product? And a physical product that’s very relevant during the…
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Have you ever had an idea that you just had to make real? No matter what it took… no matter what obstacles were in your way… no matter how many times people told you no… you just couldn’t stop until it…
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We talk about ML and AI quite a bit on this show. Our angle is always to avoid the hype and help you find the practical applications that you can put to work right now. Today’s episode is a great extension of…
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The No Surprises Act intends to prevent patients from getting burned with huge, unexpected bills for medical services. It is a needed law – medical bills are the #1 cause of bankruptcy in the U.S. And it’s…
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The Centers for Medicare & Medicaid Services (CMS) released the 2022 Medicare Physician Fee Schedule and Quality Payment Program final rule on Nov. 2 and there are big changes to physician payments. In…
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We planned to discuss quality measures but shifted to address a very important piece of listener feedback after the preview and Episode 1 . The comments came from a doctor in the audience and I know there…
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There’s a lot of unknowns as we head into 2022, but one thing is certain: Health Equity will be a major focus for CMS and CMMI. Gail Zahtz, CEO of PropHealth , tells us that “value-based payment models have…
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What is going on with Value-based payment models in healthcare? We’ve been talking about it for years and despite all the chatter and investment, uptake has been slow. Now, the CMS Innovation Center (CMMI) has…
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We're less rational, less logical, and less deliberate than we like to believe. We have biases and regularly use heuristics, or mental shortcuts, to make our decisions. Most of the time we aren't even aware…
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There are many ways to innovate within an existing organization. However, it can be difficult to move as fast as you'd like within the constructs of an established business model and culture. For one, it's…
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On this edition of #HCBiz Office Hours, Don and Shahid talk with Yuma Nambu, Chief Strategy Officer (CSO) at CROSS SYNC. CROSS SYNC is a Japanese startup whose medical data analytics software, “iBSEN”,…
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We spend a lot of time talking about how to align your startup’s vision with the realities of the business of healthcare. You can have the best idea in the world, but if you don’t properly validate your…
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Just about every health system has an innovation program, but how do they know if it’s making a difference? That’s the question we set out to explore with the team from Houston Methodist Center for Innovation.…
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Early in the pandemic, Amazon Web Services (AWS) launched the Diagnostic Development Initiative (DDI) to help organizations around the world accelerate diagnostics research and development. In the first…
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A major driver of health disparities is that the system does not typically account for the differences in the culture, language, and experience of the patients it is charged to serve. Today we talk with Abner…
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Price transparency and healthcare consumerism are top of mind for many operators and observers of the healthcare industry. On the surface these topics sound great. Of course, we want to enable patients to be…
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Poor oral health has a direct link to high risk of chronic diseases like diabetes and heart disease. It contributes to depression, poor maternal health outcomes, and death. Research shows that it increased the…
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When it comes to billing codes there are many processes and solutions that focus on the backend. They support the coders and help ensure the codes are "bill ready". However, as today's guest points out, there…
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95% of innovations that are brought to market fail to reach an adequate level of customer adoption or financial ROI. It sounds scary, but it doesn’t have to be this way. Today we’re talking with healthcare…
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IBM Watson Health came on the scene with swagger and promises. They were going to revolutionize healthcare! And now the unit may be for sale . We don't yet know what's really going on there, but the…
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Picking a health plan can be the biggest crapshoot of anyone’s year. It’s confusing and tedious to compare the plan benefits, the provider directories are unreliable, and even if you can figure it out,…
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What is the role of a doctor at a digital health startup? Why are they needed? What jobs will they do? How do you find one? And how can you tell if they will be a fit for your team? If you’re a doctor…
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Machine Learning in healthcare (and Artificial Intelligence in the broader sense) is real and is being used today. The problem is, it’s difficult to sort out what’s real and what’s hype. Opinions on the matter…
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Direct Contracting is a new model from the Center for Medicare & Medicaid Innovation (CMMI, or the CMS Innovation Center) aimed at reducing expenditures and preserving or enhancing quality of care for…
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As of 2015 the Office of the National Coordinator for Health IT had awarded $548 million in grants to states to establish health information exchanges (HIE) . I have no doubt hundreds of millions of dollars…
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CMS Direct Contracting is coming fast, is very nuanced, and full of grey. In a nutshell, 50% of Medicare patients are in Medicare Advantage (i.e., value-based care) and 50% are still Medicare…
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The pandemic has exposed many weaknesses in our healthcare and public health systems, and our disjointed public health data infrastructure is certainly one of them. Like much of our healthcare data, public…
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The pandemic has had a tremendous impact on the business of healthcare. With states canceling elective procedures and people deferring care for fear of being exposed to the virus, hospital and medical…
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The CMS Patient Access Rules are coming. And they’re easy to cheer for. We’re giving patients their data and that's a huge win! We all love that! But what we don’t love is when…
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This podcast features the Selling to Health Plans panel discussion at the Digital Health Growth Summit , moderated by our very own Shahid Shah, with panelists Vijay Bhatt, Deputy CTO, Harvard Pilgrim Health…
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The business of healthcare is consensus-driven and permissions-based. As we've seen time and again on this show, this culture slows innovation , stretches sales cycles , and inspires institution-first…
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Many digital health startups rely on sales prospecting to generate new leads. That works to a point but doesn't scale because each deal takes a long time, and good healthcare salespeople are hard to find.…
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Get ready for a cold dose of reality. On this episode, we're talking with Neil Carpenter , VP of Strategic Planning at Array Advisors and former health system Chief Strategy Officer, about how health…
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