23 episodes

Healthcare Reimagined is the Society For Healthcare Innovation's podcast series. Our goal is to showcase innovation in the private sector as well as within provider organizations and government entities. In the wake of the COVID-19 Pandemic, Healthcare has been reimagined, and what used to be a location-centric delivery model has shifted to one whose focus has moved outside the walls of traditional healthcare. On Healthcare Reimagined, we share strategies from clinicians, entrepreneurs, health system executives, and business and political leaders who have shifted their models to meet the new reality brought on by COVID-19.

Healthcare Reimagined Corey Feldman

    • Health & Fitness
    • 5.0 • 10 Ratings

Healthcare Reimagined is the Society For Healthcare Innovation's podcast series. Our goal is to showcase innovation in the private sector as well as within provider organizations and government entities. In the wake of the COVID-19 Pandemic, Healthcare has been reimagined, and what used to be a location-centric delivery model has shifted to one whose focus has moved outside the walls of traditional healthcare. On Healthcare Reimagined, we share strategies from clinicians, entrepreneurs, health system executives, and business and political leaders who have shifted their models to meet the new reality brought on by COVID-19.

    Josh Hix - CEO and Founder, Season

    Josh Hix - CEO and Founder, Season

    In 2019, we lost more than 14,000 Americans to firearm homicide and more than 36,000 to car accidents. As a point of comparison, every year, diet contributes to approximately 678,000 deaths in the U.S., due to nutrition- and obesity-related diseases, such as heart disease, cancer, and type 2 diabetes. In the last 30 years, obesity rates have doubled in adults, tripled in children, and quadrupled in adolescents. While of course some of these conditions have genetic components, there is no question that the food we eat (and are marketed) has played a role. 
    I spoke with Josh Hix, CEO and founder of Season, to learn more about how he and his team are using food as medicine.  Josh previously started and sold a company called Plated, a meal-kit delivery service that was bought in 2019.  It turned out that while people had signed up for Plated to explore new cuisines, to do something new with their spouses, and a host of other reasons unrelated to diet, they ended up with better health outcomes 6 months later. Most people did not start because they wanted to get healthier, which was an important learning for Josh. 
    When a National payer contacted Josh a few years after he'd started the company to tell him that consumers had told them they'd seen dramatic improvements in their health outcomes as a result of using his service, it planted a seed that Josh has only now had the chance to explore as he's built a company that uses food as medicine. While it has been known for some time that food has a huge impact on health, the status quo of pre-prepared meals doesn't work for everyone.
    While a prepared meal is helpful for a patient who isn't ambulatory and can't cook, it has to be delivered in a consumable way. For some, a generic prepared meal is great. For others, let's say a newly diagnosed diabetic, being told to lower sodium intake when working two jobs and cooking for a family of four of picky eaters is not actionable, nor is being sent home with food that will not meet the needs of the whole family.  What is missing is an emphasis on personalized prescriptions for patients on which the patient is able to take action. This is what Season does remarkably well. So how did we get here?
    The chronic disease burden we have today is not even close to what it was 100 years ago. According to Tufts, 85% of Healthcare spend is related to food, meaning 16% of our GDP. While we have more processed foods in the market today than at any point in history, the only thing that Josh expressed with certainty was that when we use food as medicine, and put more nutritionally dense food into patients diets, we can manage if not reverse chronic disease. And that is exactly what he has set out to do. 
    Season recently announced partnerships with Geisinger, CommonSpirit, and Cricket, and and $8 million round let by LRV Health, Bain Capital, 8VC, HealthyVC, and angels including Max Mullen, founder of Instacart, and Toyin Ajayi, Co-founder and CMO Cityblock health.

    To learn more about Season, you can check out their website. 

    • 28 min
    John Whyte, MD, MHA, Chief Medical Officer of WebMD, Author of "Taking Control of Your Cancer Risk"

    John Whyte, MD, MHA, Chief Medical Officer of WebMD, Author of "Taking Control of Your Cancer Risk"

    It is often stated that the average American fears spiders more than death. We can probably add sharks to that list too (did you know that the risk of being attacked, not dying, is 1 in 5 million?). After Jaws came out many Americans canceled their beach vacations. But what are Americans doing about the fact that 1 in 7 of us ultimately die of cancer? The popular narrative is that it runs in your family, and you get it or you don't. It turns out, however, that 70% of cancers are based on lifestyle choices. Last week I spoke with Dr. John Whyte, the CMO of WebMD and the author of Take Control of Your Cancer, now a bestseller on Amazon.
    Dr. Whyte and I spoke about some of the tangible things you can do to lower your risk of getting cancer, like sleeping more, and eating more fish. We started our discussion with a topic that is the focus of most of Dr. Whyte's day job - misinformation. In an age where opinions dress up like facts, it is comforting to know that every piece of content on WebMD is reviewed by a medical expert, and has a source, a link to the credentials of the reviewer, and a date.

    Dr. Whyte started a daily Coronavirus news show as a means of getting people information, which has changed so rapidly over the past 2 years. We spoke of the importance of staying relevant, and distilling what the public needs to know into manageable clips. John believes that if we give people better information, they will have better health. Fake news is a problem, but fake medical news is quite literally Dr. Whyte's problem, and it is killing people.

    Recently, Dr. Malone was a guest on Joe Rogan's podcast, which created an upheaval in the medical community. I wanted to dive into some of the controversial content with Dr. Whyte, so we touched on natural immunity versus vaccine-induced-immunity, and which the data says is more effective.

    As Dr. Whyte appropriately noted, nobody who is hospitalized with Covid thought they were the one that was going to have a bad outcome, and so it behooves us to do everything we can to protect ourselves. We still need more studies, and better instruments to detect various measures of immunity, until which it is not possible to definitively state if natural immunity is as strong as passive immunity.

    While there has been a lot of buzz about the low mortality rate of Omicron, John was quick to point out that it isn't just like the flu. Particularly for those people with underlying conditions, Omicron can push them over into acute states, and so while it may not be Omicron that kills them, their underlying condition might well.

    We ended with the discussion on cancer I alluded to at the start of the notes. 1 in 7 Americans die of cancer, and many more are diagnosed in their lifetime. Millions of cases are diagnosed each year, and 600K people die each year in this country of cancer. John noted that while we speak to patients often about how to reduce their risk of diabetes, and other chronic diseases, we don't often talk to people about how to prevent cancer.

    We know sleep is one of the most important factors in determining cancer risk, and that shift workers have significantly increased instances in hormone based cancer (i.e. Prostate, and Breast Cancer). Some governments have even started to reimburse those workers who have developed cancer at an earlier age.

    Dr. Whyte noted that what we eat is as powerful as a prescription drug (and my next guess will be Jon Hix, CEO of Season, who has created a platform for food as medicine). Data has increasingly shown that red meat causes an increased risk in rectal cancer. The biggest change folks could make, according to Dr. Whyte, is to consume more fish.  Stay tuned for more on food as medicine next week!

    • 31 min
    David Contorno - CEO and founder of E Powered Benefits

    David Contorno - CEO and founder of E Powered Benefits

    Imagine if your employer gave you the choice between paying 20% out of pocket for your surgery/specialist visit/X-ray at the local name brand hospital, and having the same service done at a different location where care quality was higher for $0 out of pocket. For employees of companies that work with David Contorno and E Powered Benefits, this is a reality.
    50% of Americans get health insurance from their employer, and most employers rely on brokers to give them advice on how to cover healthcare. Unfortunately, their incentivizes are not aligned. The average health insurance broker makes commission, so as the cost of the health plan they sell to an employer goes up, they get paid more. As David Contorno is fond of saying, if you look at our health system today, almost everything that goes wrong is the result of someone or more often everyone involved being better off when care quality goes down, or when price goes up. That's why David decided to change his model.  

    David's firm. E Powered Benefits,  exclusively provides value based health plan management for companies by sharing up front  fees, never taking commissions, and creating provider relationships that incentivize high quality low cost medical providers.  Their business model has produced average 1 year savings of 40%, as well as substantially reduced cost for employees. These two things are basically unheard of in this space. My conversation with David was eye-opening. 
     The stereotype of insurance companies is that they love to deny claims. As I learned in speaking to David, that’s not exactly the case. The MLR, or medical loss ratio, says that every health insurance company must spend 85% on healthcare costs. 15% is then left for overhead and profit. Therefore, the only way for insurance companies to increase  profits is for costs to be higher. What ultimately ends up happening is that high value care (defined as care that is likely to cure you or treat you with the least intervention possible) ends up being harder to get approved. 
    We also discussed the underutilization of Primary Care, and how when health system employ doctors, often the way they pay them incentivizes low quality, high severity/cost care. RVU’s, or relative value units, means doctors are paid on how much value (i.e. revenue) they’re helping to generate within the Health System. If you go to a doctor at that health system with a back problem, writing you an opioid script and sending you to a back surgeon for a consult is far more lucrative than sending you for PT outside of the system. 
    We touched on the new hospital transparency law, which theoretically should make it easier to understand Hospital billing. Unfortunately, the law required that hospitals post a machine readable file online, and many have taken advantage of that verbiage to post files that are machine readable but human unreadable. Even worse, some hospitals have put code on their website that prevents it from showing up on Google, which means you have to go to the hospital website and search for a page made intentionally hard to find which is ultimately unreadable by a human.  
    Finally, we spoke about David's transition from a commissioned broker to an innovator and disruptor. David used to get paid hundreds of thousands of dollars a year from name brand insurance companies for changing employers to their brand away from their competitors, and for resigning existing employers. When he realized this was causing more harm than good, he closed his business, and started a new company with a model where he is paid a flat fee on an exclusive basis with his employer partners, with bonuses for cost savings and better outcomes. 

    • 42 min
    Bettina Hein - 4 languages, 3 companies, 1 vision for the future of chronic disease management

    Bettina Hein - 4 languages, 3 companies, 1 vision for the future of chronic disease management

    Bettina Hein is the co-founder and CEO of Juli (www.juli.co), Pixability and SVOX. She is a serial tech entrepreneur and has built successful tech companies in Europe and the U.S.  She is a global leader at the World Economic Forum and a judge on the Swiss version of Shark Tank.
    Juli is a chronic condition management platform that was developed to help people use their healthcare data to nurse themselves back to health. Juli has a consumer-facing app that ties in data from wearables with user generated data to help patients identify triggers for their conditions, and suggests “levers” to pull that can help them ameliorate their symptoms. Currently the platform is used for asthma, depression, migraines, chronic pain, and bi-polar disorder.
    While most other chronic disease startups have a human component, like a call center, Juli reduces costs by using an AI-generated bot. Though Juli went live only 6 months ago, the app already has 6,000 consumers, and Bettina is launching her first clinical trial with the University College of London for consumers with asthma or depression. 
    Bettina is an optimist, and saw the silver lining of starting a company during a pandemic in the ability to recruit the best and most diverse team to develop her technology. It also allowed her to stay at home and be with her children while running the company.  During COVID, consumers got more and more comfortable using their devices for health, which has helped accelerate Juli’s adoption. 
    We spoke about the challenges of being a female entrepreneur. Bettina fundraised twice while pregnant, and fielded questions about her commitment to her company that most men never have to deal with, even if they have kids. The second time she fundraised while pregnant, Bettina decided to use it to her advantage, and told investors that, “you get the pregnancy discount if you invest before this baby pops!” It worked!
    According to Bettina, there are three things that make a startup founder successful: 
    Naivety – You have to be naïve to embark on the adventure of starting a company, because if you knew what was really ahead, you would never start in the first place. Hutzpah – Having the guts to put yourself out there. Perseverance – Strap yourself in…it’s going to be a long road to success. Bettina has high hopes for the future of chronic disease management. What gets Bettina particularly excited is the ability to get all different types of data about what people are experiencing in real time, which can then be correlated to symptoms to understand what is happening with their health. Bettina believes this is ultimately going to revolutionize the way we treat patients, as we will be able to determine with greater certainty who needs what treatment and when. 
    Finally, what do tinder, advertising, and Juli have in common? Listen to find out! 
    Please make sure to check out Society for HealthCare Innovation - SHCI's website (http://www.SHCI.org).

    • 28 min
    Dr. Nate Link - Chief Medical Officer of Bellevue, and author of "The Ailing Nation: Lessons from the Bedside for America’s Leaders"

    Dr. Nate Link - Chief Medical Officer of Bellevue, and author of "The Ailing Nation: Lessons from the Bedside for America’s Leaders"

    For 37 years, Dr. Nate Link has worked as a doctor, and now as the Chief Medical Officer of Bellevue, the oldest (and one of the largest) hospitals in America. Bellevue can trace its roots back to 1736. 


    In one of my favorite episodes to date, I interviewed Dr. Link about his new book, The Ailing Nation: Lessons from the Bedside for America's Leaders, which can be found here on Amazon. Dr. Link shares personal stories, such as the tragic passing of a head nurse at Bellevue from COVID-19, which devestated the hospital's staff.


    We spoke about the importance of extreme ownership in leadership, and understanding the difference between a bad actor making a mistake for preventable reasons, and a systemic error that is the fault of the system (and thus the leadership that overseas that system). 


    Dr. Link spoke of the importance of agreeing on a goal. Bellevue dropped its mortality rate for severe sepsis to 14%, significantly below the state average of 25%. The same gap analysis that allowed them to do that could be useful in achieving agreed upon political aims. The problem in politics, as Dr. Link and I discussed, is that we don't set common goals as a country. For instance, almost everyone agrees that Americans should have affordable healthcare -politicians just disagree on how to get there.  Many Republicans believe we need to accomplish that through free enterprise while many Democrats believe in a single payer system. The key, according to Dr. Nate, is to agree on a finish line and work towards getting to the ultimate goal - in this case, affordable healthcare for all.


    Dr. Nate believes that just as the healthcare industry learned from fields like aviation, politics has a lot to learn from the reforms that have improved healthcare in the past several decades.  As an example, the "sterile cockpit" rule that dictates that pilot not speak during critical parts of landing and takeoff has since been applied to nurses when distributing medications, and significantly reduced errors in dispensing meds. 

    If you are interested in medicine, politics, or both, I would highly recommend this episode.


    You can find the interview on:
    Apple Podcasts (https://bit.ly/NateLink)
    Spotify (https://bit.ly/DrNateLink).

    Please make sure to check out Society for HealthCare Innovation - SHCI's website (http://www.SHCI.org), and our Linkedin Page (bit.ly/SHCILIP).

    You can learn more about Bellevue and the NYCHHC network  at www.nychealthandhospitals.org 


    You can find Dr. Link's book, The Ailing Nation here: https://bit.ly/TheAilingNation

    • 37 min
    Dr. Sanjay Subramanian - Founder and CEO, Omnicure MD

    Dr. Sanjay Subramanian - Founder and CEO, Omnicure MD

    Dr. Sanjay Subramanian is the founder of OmnicureMD. Omnicure is a mobile first Tele-ICU platform that allows remote specialist to connect to connect with onsite healthcare providers without excessive costs. 

    Dr. Subramanian started the company to address the inefficiencies he observed over his 25 year career as a critical care doctor.  Omnicure makes it easy for specialists to connect with patients by effectively  “Zooming” the specialist in with PCP and nurse practitioners.

    During our conversation, we discussed regulatory Barriers, which Dr. Subramanian described as the biggest issue he has had to confront in trying to grow the company. Every state has its own unique licensing requirements, which further contributes to the lack of accessibility of critical care physicians.   Dr. Subramanian stated that the critical care physician shortage will never go away, and it will only hurt the patients who are in need of critical care. COVID helped
    accelerate tele-health technology, but  according to Dr. Subramani, permanent systems need to be put in place.

    In addition to physician shortages, high costs also prevent hospitals from having sufficient (or even any) critical care doctors on staff.  With Omnicure, with the push of a button, hospitals can access critical care specialists,  which has been shown to lower patient mortality rates and lengths of stay.

    Omnicure can interface with the existing hospital EHR's, and can stream real time vital sign data and bedside-monitor-device data. While Omnicure is deployed and working today, it is also preparing for the future. As we discussed the move away from the hospital, Dr. Subramanian noted that you can provide tele-critical care anywhere. Not just in the hospital or ICU.

    • 23 min

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Wow wow wow

This podcast was spellbinding! Kudos to Dr Nagda and Rezilient for their groundbreaking technological developments in the medical field which will certainly revolutionize the way medicine is practiced in the future. Awesome interview!

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Excellent!

During this time of so much uncertainty, this podcast was very informative. It was great to hear how frontline workers are handling this pandemic.

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Informative and engaging!

It was really interesting to hear from clinicians about their experience on the front lines of the pandemic. Looking forward to more episodes!

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