Bright Spots in Healthcare

Vega Shah, PhD, Product Marketing Manager Lead for Healthcare & Life Sciences, NVIDIA, joins Eric to explore the evolution of generative AI in healthcare and how harnessing the technology will transform the future of patient care. Vega delves into the cutting-edge ways NVIDIA's AI tools are enhancing clinician-patient relationships and optimizing the healthcare experience for everyone. Get real-wo...

Doug Henry, PhD, Vice President and Medical Director of Enterprise Behavioral Health at Highmark Health, and Mari Vandenburgh, Vice President of Health Programs and Solutions at Highmark Health, join Eric to share Highmark's innovative approaches to transforming care delivery through digital and hybrid solutions. Topics include: Post-Acute Care Innovations: AHN At-Home Care program's multidiscipli...

Leaders from Arkansas Blue Cross and Blue Shield, CVS Caremark, Independent Health and Vori Health explore how healthcare leaders tackle members' weight management challenges by creating comprehensive programs that responsibly integrate GLP-1 medications while controlling costs.  Key Discussion Topics: Benefit Design and Prior Authorization Programs: Crafting strategies to balance access and affor...

Megan Antonelli, Founder & CEO of HealthIMPACT and HealthIMPACT Chairperson Shahid Shah, Publisher & CEO, Medigy, join Eric to give Bright Spots in Healthcare listeners a sneak preview of the HealthIMPACT Forum 25, taking place on January 22-23, 2025, in New York City.    Megan and Shahid share what makes their event different from other healthcare conferences – purposeful content that creates con...

This episode was recorded on Monday, October 21, 2024, at HLTH 2024  in Las Vegas   Natalie Davis, co-founder and CEO of United States of Care, joins Eric to share her thoughts on the current healthcare system and how her organization is advocating for a more affordable, dependable, personalized and understandable healthcare system.   In addition, Natalie shares insights from the USofCare's recent...

OSF HealthCare, Providence, UMass Memorial Medical Center, and TytoCare share actionable strategies and best practices to transform hybrid care and offer patients personalized, flexible and accessible care.  Our expert panel also explores how virtual care reduces costs and addresses healthcare challenges like staff shortages.   Key topics include:  Maximizing Hybrid Care Models: Panelists explore...

Healthfirst, myPlace Health and Wellsky share their successful strategies for reducing readmissions, improving health outcomes and reducing costs through post-acute and home care.   Topics covered include: Building your provider partnerships beyond the traditional transition of care program Reducing readmissions among higher-risk Medicare Advantage members?  Ensuring members receive high-quality h...

  AmeriHealth Caritas, Health Alliance Plan, Highmark Health and Icario discuss how AI transforms healthcare by creating personalized experiences that drive performance improvements and enhance member engagement. Learn how high-ranking health plans reinvent their approach to member experience to elevate your HEDIS scores, improve health outcomes and streamline data processes.   Guests: Vandna Bhra...

Banner|Aetna, Blue Shield of California, Healthfirst and TytoCare explore innovative strategies that health plans can leverage to drive meaningful lifestyle modifications among members, improve health outcomes and reduce the rising costs of chronic disease.    Our expert panel also discusses the role of primary care in empowering members to adopt healthier behaviors.   Topics include: Building a c...

Value-based care leaders from Kaiser Permanente, Premera, UnitedHealthcare and TailorCare discuss the evolving landscape of specialty value-based care. They explain how their plans drive success with innovative approaches designed to optimize care and improve outcomes—even with their most complex, high-cost members.   Our expert panelists share practical strategies for navigating the most effectiv...

  Alec Peterson, MD, Chief Medical Officer of Acute and Specialty Care at Devoted Health, joins Eric to explore the innovative care delivery model that sets Devoted Health apart from other Medicare Advantage plans. Devoted Health uniquely integrates healthcare coverage with its in-house, virtual, and in-home care provider, Devoted Medical, in partnership with leading healthcare providers to offer...

Rachel Winokur, CEO, TailorCare and Alex Bateman, CEO, United Musculoskeletal Partners (UMP) join Eric to discuss the evolution and adoption of specialty value-based care, highlighting the significant improvements in patient care, customer satisfaction scores, cost reduction and value creation.   Hear how their two organizations partner with a commercial payer to manage musculoskeletal cases, ensu...

BlueCross BlueShield of Tennessee, Cambia Health Solutions, Health Plan of San Joaquin/Mountain Valley Health Plan and Pager Health discuss how technology and innovation transform the member experience, improving clinical outcomes and consumer engagement.   Segments:  Strategy & Culture Data & Decision-Making Personalization  Right Care, Right Time Panelists: Laurent Rotival, EVP & CIO, Cambia Hea...

Former NFL general manager and three-time Super Bowl winner Mike Lombardi joins Eric to share what he learned working with coaching legends Bill Walsh of the 49ers, Al Davis of the Raiders, and Bill Belichick of the Patriots, among others, during his three decades in football and how those core leadership lessons directly translate to managing health plans and hospital systems.   He discusses buil...

CareSource, Independent Health, and AdhereHealth outline strategies for the upcoming Medicare Advantage Star Rating changes, focusing on medication adherence and the Health Equity Index (HEI) starting in measurement years 2024-2025 for the 2027 Medicare Advantage Star Rating Period.    Under HEI, plans must identify disparities in populations with social risks and create intervention strategies to...

Fred Turner, co-founder and chief executive officer of Curative, joins Eric to discuss how Curative is reinventing health insurance by adopting a more preventative approach to drive better results and lead to a more affordable delivery of plans.   Fred shares Curative's journey from a pandemic testing company to a health insurance provider with a first-of-its-kind plan that eliminates copays and d...

  Leading healthcare investors and strategists discuss how to rethink capital in healthcare and share unique ways to grow and scale companies to improve health outcomes, cost savings, and operational efficiencies.   Topics include: Components investors look for in 2024 Healthcare sectors with the highest growth projections Human capital strategies Growth strategies to scale your company Bright spo...

  Katherine Gergen Barnett, MD, Vice Chair of Primary Care Innovation and Transformation in the Department of Family Medicine at Boston Medical Center (BMC) and Cheryl Harding, patient and community advocate, join Eric to share how Boston Medical Center is utilizing storytelling to build trust and connection between the hospital and its community partners. Katherine and Cheryl discuss the impact m...

Elevance Health, Blue Cross Blue Shield of South Carolina, and the Business Group on Health and Socially Determined discuss how plans can provide a more holistic and effective healthcare journey for members by gaining insight into all barriers to caring for your members, including social risks such as food insecurities, housing instabilities, financial strain, health literacy challenges, and lack...

Allison Bryant, MD, MPH, Associate Chief Health Equity Officer, Mass General Brigham (MGB), joins Eric to discuss how the health system ensures its innovations are accessible to everyone, particularly those from marginalized communities. Allison elaborates on MGB's unique approach, viewing its mission as providing healthcare and as a catalyst for improving equity of outcomes for patients and the c...

Esteemed leaders from CVS Health, Florida Blue, Highmark, and Vori Health delved into the impact of health equity on chronic care. They not only shared strategies and solutions to enhance healthcare accessibility but also shed light on specific programs they have successfully implemented to bridge the health equity gap in chronic disease prevention and treatment.    Guests: Joneigh S. Khaldun, MD,...

Dan Fishbein, President of Sun Life U.S., joins Eric to discuss Sun Life's commitment to supporting holistic care for mental health and how it leverages digital technology to enhance the overall delivery of mental health and caregiver support to all clients.    The conversation also touches on how Sun Life is helping patients navigate a challenging healthcare system. It's using data and analytics...

  Leaders from Ballad Health, Baystate Health, Stony Brook Medicine and Purple Lab share how health systems can take a more sophisticated and consumer-focused approach to attracting new patients.    Our expert panel leads a thought-provoking discussion on the importance of seeing patients as healthcare consumers and understanding how they make decisions, what motivates them, and how, where, and wh...

Leaders from Independence Blue Cross, Oscar Health and TytoCare explore how health plans can leverage various solutions effectively to optimize pricing structures; exploring technology adoption, cost-effectiveness, and market competitiveness. Our panel of industry experts will share successful strategies and real-world examples you can implement in your organization.   Topics covered include: Matc...

Kody Kinsley, Secretary of North Carolina's Department of Health and Human Services, joins Eric to discuss how his state is improving the lives of families and children by expanding Medicaid and improving the mental health system.    Secretary Kinsley shares strategies for improving behavioral healthcare access and benefit design for North Carolina's Medicaid and Medicare members, including peer s...