Healthcare NOW Radio Podcast Network - Discussions on healthcare including technology, innovation, policy, data security, tel Healthcare NOW Radio and Podcast Network - Radio and Podcasts for the Healthcare Industry

How Blue Shield of California Ripped Up the PBM Playbook

Jared welcomes Paul Markovich, President & CEO of Blue Shield of California. It's been close to six months since BS of CA made a big splash by announcing that it was tapping Amazon and Mark Cuban Cost Plus Drugs for its pharmacy network. Paul chats about what’s happened since then, what it means for members receiving care, and how you can't just incrementally improve the current system; you have to reinvent and reimagine it. 

All that, plus the Flava of the Week about Diedra Kramer’s presentation on consumer strategy at Healthcare Marketing 360. How do we champion the need for better consumer experiences so we can set better standards for meeting their expectations? 

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Host Dr. Joni Watson speaks with Johnna Smith, the Chief Nurse Executive at Southern Illinois Healthcare St. Joseph Memorial Hospital. With a deep commitment to patient-centered care and operational excellence, Johnna has been a transformative leader in the healthcare sector. The discussion delves into how her organization fosters a culture of innovation, particularly through the lens of nursing and healthcare workforce stabilization. Johnna shares her strategies for engaging and developing the workforce through creative and inclusive idea generation and multidisciplinary teamwork. This episode provides a comprehensive look at practical approaches to workforce challenges, leadership in nursing, and fostering a collaborative and supportive work environment.

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Medicare just announced that it will pay for weight loss drugs if patients using them also have heart disease and need to reduce the risk of future heart attacks and strokes. “It really is important that we try to get upstream of diseases…we know that obesity is a disease and it’s a bigger driver to the increasing number of people developing diabetes…it’s important that people have access to treatments that are effective. Medicare isn’t covering that [obesity] treatment and that’s something we’ve been advocating for,” says Dr. Robert Gabbay, chief scientific and medical officer for the American Diabetes Association. Dr. Gabbay also tells Mark and Margaret that anybody with diabetes on insulin should have access to a continuous glucose monitor and the ADA is proud that it helped secured Medicare coverage for such monitors.

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Hosts Gil Bashe and Gregg Masters welcome digital health pioneer, author and physician executive Ronald Razmi, MD, Managing Director of ZOI Capital. They discuss his journey from cardiology to digital health innovation, the birth of meaningful uses cases and the challenges of uptake by health systems in a predominantly fee-for-services powered sick care eco-system.

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Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Host Matt Fisher is joined by Marge Ciancetta, Product Manager at Cotiviti. They discuss the background of Medicare Advantage Star Rating system; impact of Star Ratings on plan operations; evolution of Star Ratings based on experience; challenges for different types of plans to succeed with Star Ratings.

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Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Host Dr. Anders chats with attendees at this year's ViVE and HIMSS shows, including:
- Colin Banas, Chief Medical Officer at Dr. First
- John Blair, CEO of MedAllies
- Bob Katter is president of FDB (First DataBank)
- Kat McDaviit, President and Founder of Innsena
- Joy Rios, Founder of HIT Like a Girl Podcast

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