Turn on the Lights Podcast

Welcome back to a special encore presentation of Turn on the Lights! As we continue our transition series, our new host, Dr. Philip, has hand-selected one of our most-listened-to and impactful conversations from the archives to highlight once again. Dr. Philip brings back to attention this conversation with Dr. Ben Sommers on how Medicaid work requirements and reduced ACA subsidies are driving cov...

Welcome back to a special encore presentation of Turn on the Lights! As we continue our transition series, our new host, Dr. Philip, has hand-selected one of our most-listened-to and impactful conversations from the archives to highlight once again. Dr. Philip introduces this essential dialogue with Professor Charles Vincent, reflecting on why its core message, moving past basic compliance toward...

Welcome back to a special encore presentation of Turn on the Lights! As we continue our transition series, our new host, Dr. Philip, has hand-selected one of our most-listened-to and impactful conversations from the archives to highlight once again. Dr. Philip introduces this essential dialogue with Dr. Vivek Garg, reflecting on why its core message, moving past basic compliance toward true, real-...

Healthcare improvement is never just about systems, measures, policies, or processes; it is fundamentally about people. In this special transition episode, Dr. Philip McAdoo introduces himself as the new host of Turn on the Lights, a podcast by the Institute for Healthcare Improvement (IHI). He honors the foundational work of previous hosts Don and Kate while laying out an expansive vision for the...

What happens after 150 conversations about the future of health care? In this episode, co-hosts Dr. Don Berwick, Former Administrator and CMS President Emeritus at IHI, and Dr. Kedar Mate, Founder & CMO of Qualified Health-genAI for Healthcare and Former CEO of IHI, look back on more than 150 conversations exploring health care reform, patient advocacy, medical debt, AI, and global health systems....

Health care should not be designed around fragments of a person’s life. It should be built around the whole person, with data, intelligence, and ownership working together. In this episode, Nasim Afsar, author of Intelligent Health and former Chief Health Officer at Oracle Health, joins Don Berwick and Kedar Mate to discuss how technology can transform healthcare from reactive and fragmented to pe...

Health insurance policy is complicated, but the consequences are deeply human. In this episode of Turn on the Lights, Professor Jonathan Gruber, Ford Professor of Economics and Chair of the Economics Department at MIT, joins Don Berwick and Kedar Mate to explore the history, structure, and future of health reform in the United States. Drawing on his work shaping Massachusetts health reform and the...

AI may be the breakthrough that finally helps a deeply strained health care system do what clinicians and patients have needed all along. In this episode, Dr. Bob Wachter, Professor and Chair of the Department of Medicine at UCSF, examines why artificial intelligence marks a pivotal shift in health care and what it means for clinicians, patients, and care delivery. He draws on past transformations...

Public health is easiest to overlook when it is doing its job well, and hardest to defend when uncertainty is unavoidable. In this episode, Dr. Rochelle Walensky, former CDC Director and infectious disease physician, reflects on the leadership challenges, pressure, and public scrutiny she faced during the height of the COVID-19 pandemic. She discusses the difficulty of communicating evolving scien...

Why does public health so often get neglected until a crisis makes its value impossible to ignore? In this episode, Dr. Tom Frieden, President and CEO of Resolve to Save Lives, former CDC Director, and former New York City Health Commissioner, reflects on a career spent trying to close the gap between what we know saves lives and what we actually do. He shares how his father’s example shaped his c...

What if one of the biggest barriers in health care is not access to treatment, but access to your own data? In this episode, Hugo Campos, patient advocate, creative strategist, and participant ambassador, shares how his diagnosis with hypertrophic cardiomyopathy led him to advocate for patient agency and access to personal health data. After receiving an implantable cardioverter defibrillator, he...

What happens when a practicing surgeon, health economist, and federal policymaker brings all those perspectives into one leadership role? In this episode, Dr. Meena Seshamani, Secretary of Health for Maryland, discusses how her journey across clinical care, health system leadership, and public service has shaped her approach to health care transformation. She reflects on leading Medicare during a...

If public health is the foundation for individual health, why is it still treated like a “nice to have” until a crisis hits? In this episode, Michelle Williams, an epidemiologist and public health leader, and Linda Marsa, a health care journalist, discuss what public health actually is, why it matters for human thriving, and how it differs from medical care that treats one patient at a time. They...

Blame rarely makes care safer, but understanding the system usually does. In this episode, Professor Charles Vincent, a clinical psychologist and leading patient safety researcher, explains how harm often emerges from a chain of small breakdowns, not from a single “bad” decision, and why the better question is “what in the system allowed this to happen?” He unpacks how the fixation on individual e...

Stories can help people understand why health care keeps failing both patients and clinicians.  In this episode, Shantanu Rai, a primary care physician and novelist, discusses how his medical thriller, A Dangerous Diagnosis, became a way to explore moral injury, physician burnout, concierge medicine, worsening access to specialty care, fragmented treatment, and the financial and administrative pre...

How do we decide what “good care” looks like, and who gets to choose the scorecard? In this episode of Turn on the Lights, Kedar Mate speaks with Dr. Michelle Schreiber of the Centers for Medicare & Medicaid Services and Brenna Rabel of Battelle about how quality measures are developed, adopted, and applied across Medicare and Medicaid programs. They explore why measurement is essential for accoun...

How do health care quality measures get created, and are we measuring too much? In this episode, Jeff Geppert, Senior Research Leader at Battelle Memorial Institute, discusses the lifecycle and future of health care quality measurement in value-based care. He explains how measures move from multi-year development and evidence testing through endorsement and CMS rulemaking before being implemented...

What would it look like if aging in America came with a real plan instead of a quiet free fall? In this episode, Dr. Joanne Lynn, a longtime geriatric and hospice physician and elder-care policy leader, explains how longer lives have outpaced the systems people rely on when disability arrives. She highlights how ageism and invisible, unpaid caregiving strain families, often forcing them to drain s...

Leading a major health system today means juggling patient-first ethics with a financing model that keeps tightening the screws. In this episode, Chris Van Gorder, President and Chief Executive Officer of Scripps Health, explains why health care is becoming structurally unaffordable amid soaring premiums, uncompensated emergency care, and rising input costs. He describes how hospitals have become...

What does it take to reimagine aging services in a complex health and social care system? In this episode, Marta Corvêlo, President & Chief Executive Officer at Somerville-Cambridge Elder Services, talks about her journey into health and human services and her approach to transforming community-based aging support. She shares how her upbringing in Portugal and early work with refugee families shap...

America’s drug crisis isn’t a science problem; it’s a pricing and policy problem that blocks patients from medicines that already exist. In this episode, Dr. Jerry Avorn, a professor of medicine and leading expert in pharmacoepidemiology and medication policy, discusses why many patients still can’t afford essential treatments even as breakthrough drugs for cancer and inflammatory disease prolifer...

Mindfulness isn’t a “nice-to-have”; it’s a low-cost public health lever that changes how people handle pain, emotions, and community life. In this episode, Brother Phap Luu, a monk in the Plum Village tradition founded by Thich Nhat Hanh, discusses how mindfulness can be practiced as “everyday meditation” through breathing, walking, eating, and even cultivating awareness of dreams. He shares his p...

Quality measurement matters only if it helps patients and clinicians deliver better care in real time, not just prove compliance after the fact. In this episode, Vivek Garg, President and CEO of NCQA, reflects on how growing up with an immigrant physician father, living with his mother’s undiagnosed bipolar disorder, and training in internal medicine shaped his commitment to patient-centered impro...

Millions of Americans could lose health coverage in the coming years, and the consequences may be more profound than most people realize. In this episode, Dr. Ben Sommers, the Huntley Quelch Professor of Health Care Economics at the Harvard T.H. Chan School of Public Health, and professor of medicine at Harvard Medical School and Brigham & Women’s Hospital, talks about how new federal policies, in...

Trust in health care AI won’t happen by hype. It will be earned through transparent standards, independent evaluation, and real-world performance monitoring. In this episode, Dr. Brian Anderson, President & CEO and Co-Founder of the Coalition for Health AI (CHAI), discusses why health care needs a technically specific, use-case-by-use-case definition of “good” AI and how CHAI is building voluntary...