Each episode, I interview innovators in the healthcare industry to extract the strategies, tactics, tools, and/or routines they utilize to generate extraordinary, positive outcomes. We highlight and breakdown these bright spots so you can apply them at your organization. "See a bright spot .... and clone it!"
How to Add Innovation to Whole-Person Care
Healthcare is moving to a whole-person approach, and rapid innovation connects the dots. Healthcare leaders from Blue Cross NC, KC Blue, Blue Cross MN and MOBE explore how leading health plans can leverage innovations in clinical, wellness and medication management to build and expand a whole-person care framework. Topics include: building digital care models for Whole-Person Care, developing an integrated whole-person solution; Leveraging pharmacy and medical claims data; and coordinating physical, behavioral and SDOH care
Panelists: Angela Lynn, Director of Care Management, NC Blue Cross; Laurie Gehrt, MSN, MBA, RN, CSMC, FACHE, Department Vice President, Care Management, KC Blue; Amy Bloomquist, Director of Population Health Design, Blue Cross MN; and Leslie Helou, PharmD, Vice President, Medication Strategies, MOBE
This episode is sponsored by MOBE
MOBE is a health outcomes company. They improve health by providing a high-touch one-to-one coaching program focused on lifestyle, emotional well-being, and comprehensive medication management. Using advanced analytics, MOBE identifies populations where they can make a real difference in both individual health status and expense reduction for large employers and health plans.
For more information, visit www.mobeforlife.com.
Proactively Managing Risk via Innovations in Last Mile Care
Health leaders from Network Health, Health Net, Priority Health, and Health.io discuss how top health plans improve risk assessment and quality measures through innovations and at-home testing.
Strategies for deploying novel solutions to drive member engagement and reduce costs for members, especially among traditionally unengaged populations Why removing barriers to testing with at-home solutions is a boon to health equity How accurate staging improves health outcomes for members with chronic conditions Working with provider networks for better management of members’ health
Panelists: Pooja Mittal, MD, Vice President, Chief Health Equity Officer, Health Net, Inc.; Megan Schmidt, Sr. Vice President, Employer Solutions, Priority Health; Mushir Hassan, MD, Chief Medical Officer, Network Health; Jonah Mink, MD, Medical Director, Healthy.io
This episode is sponsored by Healthy.io
Healthy.io is the global leader in turning the smartphone camera into a clinical-grade medical device for an at-home urinalysis and digital wound management.
Their at-home kidney test, Minuteful Kidney, aids in the early detection of chronic kidney disease and helps close gaps in access and care for over 500,000 patients worldwide. It is the first and only smartphone-powered home kidney test to receive FDA clearance and the first digital health test to obtain FDA clearance across all smartphone devices.
Healthy IO is partnered with some of the nation's leading health plans and the National Health Service in the United Kingdom b/c of the test’s ease of use, high completion rates, and huge potential savings.
They are the first company to convert your smartphone into a clinical-grade medical device to allow patients to take the test – and receive results – in the comfort of their homes.
Peer Support to Improve Medicare Advantage Outcomes
Motivating Medicare Advantage members to take the clinical actions needed to promote and support their care is a high priority for health plans. Data shows that talking to peers with whom they can relate and share common health issues benefits members and engages them more in their health
Our panel of experts from Humana, Regence, SCAN Health Plan and Wisdo discuss how incorporating peer support programs in your MA plans can improve clinical outcomes, lower costs and boost engagement for members with chronic diseases, behavioral health issues and other social determinants of health. Hear "bright spots" and practical strategies you can implement in your health plan.
Panelists: Mike Franz, MD, Senior Medical Director of Behavioral Health, Regence; Lisbeth Briones-Roberts, Chief Togetherness Officer, SCAN Health Plan; Jennifer Spear, Associate Director, Population Health, Humana; Boaz Goan, Founder & CEO, Wisdo Health.
This episode is sponsored by Wisdo
Wisdo is a peer support and clinical referral platform designed to address the harmful consequences of loneliness, social isolation, and lack of engagement on health and medical costs.
Founded in 2018, over 500,000 adults ages 18-80 have joined Wisdo, making it one of the market's largest and most diverse peer support platforms. Wisdo clients include health plans, gov’t agencies, behavioral health providers, and SDOH services. https://www.wisdo.com/
Staying Ahead of Star Ratings: Planning & Execution Strategies
Julianne Eckert, Senior Director of Clinical Quality, Clover Health, Andre Bliss, Director of Medicare STARs, UPMC Health Plan and Marisa Howard, Senior Director, MA Operations, Evolent Health,
share practical strategies and best practices to help Medicare Advantage plans to execute a successful star rating strategy. Learn significant trends and gain critical insights to help your plan earn and sustain a 4+ star rating in an era of rapid change!
This episode is sponsored by Evolent Health Services
Evolent Health Services is disrupting healthcare administration, generating exceptional clinical efficacy and better risk adjustment for health organizations while simplifying the overall administration process. Similar to what Tesla did with automobiles and Amazon did with retail, Evolent Health Services is helping to transform our healthcare industry from antiquated to innovative. The uniqueness of Evolent is
TECH: they have the industry’s only trustworthy end-to-end integrated platform, along with TOUCH: some of the most innovative people in the business know how to operate the solution for and with every type of health plan.or risk-bearing provider org
Health Equity: Place-Based Interventions
Omolara Thomas Uwemedimo, MD, MPH joins Eric to discuss place-based interventions and how they are used to address health inequities. The place-based model focuses on improving health that aligns with community members, businesses, schools, churches and other institutions in a specific geographic location (a specific community or zip code).
Omolara is a healthcare social entrepreneur, board-certified pediatrician, community health equity consultant, career transition & business coach, public health researcher & health justice advocate. She is CEO & co-founder of Strong Children Wellness, a multi-award-winning healthcare practice network in NYC, providing integrated physical, mental, and social health services for low-income communities of color.
This Episode of the Bright Spots in Healthcare is sponsored by Socially Determined
Socially Determined is leading the transformation of healthcare delivery and payment through social risk analytics and solutions. Their social risk analytics platform, SocialScape, social risk data and industry-leading expertise empower health plans, providers, and other risk-bearing organizations to manage risk, improve outcomes, and advance equity at scale. To learn more, visit sociallydetermined.com
How Hybrid Models Transform Value-Based Care
Hybrid care models provide a more personalized, flexible, and seamless patient journey, improving the in-person experience and giving patients more autonomy over their own care.
Our expert panel discusses leveraging hybrid-care models to improve access to care, close gaps in care and improve outcomes. Learn successful strategies and best practices you can implement in your organization.
Tracy Rico, Director, Virtual Care Services, Superior HealthPlan (Centene Corporation); Erika Pabo, MD, MBA, Vice President Transformation & Central Operations, Centerwell/Humana; Donna O’Shea, Chief Medical Officer of Population Health Management, UnitedHealthcare;; Elizabeth Hyatt, Director of Payer Solutions,TytoCare
This episode is sponsored by TytoCare
TytoCare is one of the world leaders in enabling providers to practice healthcare virtually. Imagine remote physician exams from your home. TytoCare has a consumer friendly, remote exam system to deliver on the full promise of telehealth. https://www.tytocare.com/
Fantastic podcast reflecting current topics in healthcare that give both actions and insights.
Great healthcare podcast
Really love the panels and all the bright spots that Eric showcase on his show.
Great Webinar / Podcast
Great flow and relevant information for anyone in Healthcare