Healthcare Strategies

GLP-1 (glucagon-like peptide 1) medications are revolutionizing weight loss and diabetes care, but behind the hype lies a growing web of regulatory gaps, telehealth expansion and online pharmacy risks. This episode unpacks the opportunities -- and dangers -- shaping the future of these life-changing drugs.   Featuring: Scott Roth , Chief Executive Officer, LegitScript Gerard Olsen , Director of Re...

Staffing shortages and rising operational costs are daunting challenges for community health centers, which are vital for serving underserved populations. How can the right technology investments help community health centers overcome these obstacles? Featuring: Abby Sears , president and CEO of OCHIN Jeff Lowrance , CEO of OSIS In today’s episode, we’ll cover… The top operational challenges commu...

As many patients decide whether to take glucagon-like peptide 1 agonists (or GLP-1s), providers face various new patient engagement challenges. What patient engagement strategies can providers pursue to achieve shared decision-making, even when their patients decide to take GLP-1 compounds? In this episode, we hear one local dietitian share her experience guiding patients through the decision to t...

GLP-1 drugs, like Ozempic, Wegovy, and Zepbound, have gained attention for their significant health impacts and anti-obesity effects. However, there continues to be a lot of unknowns surrounding these medications, their long-term impacts, and access. Featuring: Dr. Lydia Alexander , an obesity medicine specialist, lifestyle specialist, president of the Obesity Medicine Association (OMA), Chief Med...

General hospitals in New York State are subject to new cybersecurity regulations. What do these regulations entail, and what inspired them? How can hospitals in other states prepare for similar cybersecurity requirements? Featuring: Jill McKeon , associate editor, Healthtech Security, Xtelligent Healthcare Kelsey Waddill , managing editor & multimedia manager at Xtelligent Healthcare In this e...

Note: we're taking a quick break next week (10/28) but will be back 11/4 with more conversations. A good population health strategy requires a breadth of health data to make it work. Across social determinants of health data, patient data and data from non-traditional sources, healthcare organizations and professionals can design interventions tailored to better support chronic disease management...

Generative AI adoption is of increasing interest within the healthcare industry. How can healthcare leaders ensure that their workforce has the appropriate AI literacy needed to support successful AI integration in clinical settings? Featuring: Melissa Knuth , vice president of planning at OSF HealthCare In today's episode, we'll cover… How generative AI use can improve patient experience and empo...

Note: Healthcare Strategies will be taking a quick break next week, but will return 10/14 with more great conversations! Connected healthcare models are proliferating, with technologies like telehealth, remote patient monitoring and AI transforming care delivery; however, health inequities stand in the way of progress in this arena. How can healthcare providers advance connected healthcare efforts...

Good cyber hygiene is critical to successfully mitigating cyber threats in healthcare. What strategies can healthcare organizations employ to train employees on the tenets of cyber hygiene and prevent data breaches in an increasingly digitally connected healthcare environment? Featuring: Kyle Murphy , vice president, editorial, Xtelligent Healthcare Jill McKeon , associate editor, Healthtech Secur...

There are many eye-catching artificial intelligence use cases out there, but in today's episode we focus on one AI opportunity that impacts a large swath of the healthcare system: prior authorizations. What can AI do to alleviate provider burden related to prior auth?   Featuring: Amber Nigam , CEO and co-founder of basys.ai   In today’s episode, we’ll cover… The challenges of the prior authorizat...

Chronic disease management and prevention strategies are of increasing importance as chronic conditions increase in prevalence.   Guests: Sara Heath , executive editor at Xtelligent Healthcare Alivia Kaylor , senior editor, Pharma Life Sciences at Xtelligent Healthcare Anuja Vaidya , senior editor, Virtual Healthcare, and special events lead at Xtelligent Healthcare   In the first episode of Seaso...

Leaders in some healthcare organizations, like today's guest, are trying to bridge the gap between stakeholders to achieve a common goal: lowering drug costs for patients. Why do drug costs have such a high impact on overall healthcare spending and what can healthcare organizations do about it? Guest: Cynthia Meiners , senior vice president and strategic program development officer at GoodRx In to...

Since the coronavirus pandemic, mental and behavioral health awareness has improved and innovation in this area has exploded. What is the industry up to now? Guest: Solome Tibebu, Founder and CEO of Behavioral Health Tech In today's episode, we'll cover Behavioral healthcare technologies Challenges and progress in behavioral health since the coronavirus pandemic started One key message to payers a...

The next big thing in interoperability may involve scaling data exchange efforts. Guest: Terry Douglas, Product Marketing and Sales Enablement Director at Surescripts In today's episode, we'll cover The role of QHINs in interoperability's progress Areas for improvement in payers' data exchange efforts Opportunities for innovation in payers' interoperability strategies To learn more about interoper...

Quality measures play an important role in the Medicare Advantage program. SCAN Health Plan's recent lawsuit against CMS revealed just how important. Guest: Sachin Jain, MD, CEO of SCAN Health Plan In today's episode, we'll cover SCAN Health Plan's lawsuit against CMS Improving the Medicare Advantage program and Medicare Advantage quality measures Getting over toxic positivity in the health insura...

Employer sponsored health plans cover six in ten non-elderly Americans , making successful collaboration between payers and employers crucial to many Americans' wellness. Todd Woodruff, Chief People Officer at Salt & Straw, and Todd Burton, President of the Commercial Market at Providence Health Plan, shared about trends in mental health, pharmacy spend, and health equity in the employer-spons...

Providers are expected to equip payers with information so that health plan members can find in-network care. But what if those demands from payers were consolidated from 20 separate requests into one? What if providers could enter their information one time in such a way that all of their payer partners could access it? Tyler Ford, Vice President, Strategy and Partnerships, CAQH, shares how that...

The generative AI revolution is here. How should payers respond and how can they learn from past technological revolutions in healthcare to inform their next steps? Charles DeShazer, MD, Chief Quality and Health Advocacy Officer at Cigna Healthcare, offers his recommendations in this episode of Industry Perspectives.

In this last episode of season 5 of Healthcare Strategies... The United States has a health equity problem, but a lack of comprehensive data standards has limited efforts to mitigate health disparities. In this episode, Keysha Brooks-Coley, vice president of advocacy at Blue Cross Blue Shield Association (BCBSA), discusses the importance of standardized SDOH data in pursuing health equity. Don't w...

In value-based care, providers rely on accurate, timely data. But their needs also evolve as their participation in value-based contracts progresses. Kathryn Eshelman, MD, VP of Clinical Informatics at Inovalon, dives into what providers need at different stages of the value-based care continuum and how healthcare technology vendors can help.

Chronic disease management, preventive care, and mental wellbeing all have at least one thing in common in the healthcare field: a need for strong patient education practices in order to be successful. Cathy Moffitt, MD, explains how patient education is not just a provider task. Rather, payers have a role to play in ensuring members understand their conditions, their options, and their benefits.

Member retention is challenging in the current health insurance landscape, but it is advantageous for achieving high-quality care and member satisfaction. Nicholas Kraft, SVP and chief growth officer at CDPHP, identifies strategies for building member loyalty.

The telehealth industry has leveled out since reaching unprecedented heights of adoption and use during the COVID-19 pandemic, leaving behind a markedly different landscape for stakeholders to navigate. In a new Healthcare Strategies podcast, Dr. Sanjula Jain, senior vice president of market strategy and chief research officer at Trilliant Health, tracks telehealth's trajectory, detailing the fact...

How can healthcare leaders tweak value-based care models to better suit the needs of specialty care providers? Jeremy Wigginton, chief medical officer at Capitol Blue Cross, shares strategies for promoting the quality over quantity mindset in specialty care spaces in today’s conversation from AHIP 2024.

Leaders in medical education have been laser-focused on addressing health equity and discrimination in healthcare settings. In this episode, Kenya Beard, EDD, one of the commissioners for the National Commission to Address Racism in Nursing, outlines the progress made in promoting anti-racism in nursing schools, pitfalls to avoid and strategies for moving forward.