The Healthcare STARcast

TopHealth Media
  • 5.0 (6)
  • MEDICINE

The Healthcare STARcast is where healthcare’s true leaders shine. Hosted by Subbu Ramalingam, a seasoned healthcare executive, this podcast goes beyond STAR ratings and risk scores to reveal the strategies, innovations, and mindsets driving real-world healthcare excellence. Every episode delivers clear insights, bold frameworks, and practical ideas designed for healthcare executives, operators, clinicians, and innovators ready to lead at the next level. Whether you're improving quality, scaling value-based care, or reimagining patient outcomes, The Healthcare STARcast gives you the edge to lead with confidence.

Episodes

  1. 12/10/2025

    Medication Adherence: Tackling a $500 BLN Healthcare Challenge with Behavioral Science & Innovation

    Welcome to The Healthcare STARcast! In this episode, host Subbu Ramalingam sits down with Kempton Presley, CEO of Adhere Health, to dive deep into one of healthcare’s most persistent and costly challenges: medication adherence. Affecting half of all Americans with chronic conditions and costing the system over $500 billion annually, medication nonadherence is more than just a public health problem, it’s a personal and global issue that directly shapes Medicare Advantage Star Ratings and the competitive landscape for health plans. Together, Subbu Ramalingam and Kempton Presley explore why adherence remains so elusive, the complex web of stakeholders involved, and the real-world impact on patient outcomes and plan economics. They discuss the evolving regulatory environment, the importance of aligning incentives, and how emerging behavioral science and data-driven solutions are making measurable improvements. If you want to understand what’s at stake, how health plans can bend the cost curve, and what the future of medication adherence could look like, especially as AI and predictive analytics enter the mix, this conversation is for you. Tune in for practical insights, plan success stories, and an honest look at how healthcare leaders can drive momentum and lasting change in medication adherence. Timestamps: 00:00 Medicare, Medicaid & Adhere Leadership 04:23 "Healthcare Innovation and Human Behavior" 08:32 Medication Adherence Impacts Healthcare Ratings 12:27 Patient-Pharmacy Communication Challenges 16:28 Medication Management Impacts Over Time 17:57 Bending Industry Cost Curve 21:41 "Behavioral Science & Medication Adherence" 25:22 "Personalized Member Connection Strategies" 30:27 "Connecting and Engaging with Members" 32:45 Improving Healthcare Outcomes Together 37:05 "AI, Teamwork, and Human Connection" 41:14 "Adapting to Market Shifts" 42:01 "Future of Care and Technology" 45:20 RISE Conference & Networking Plans Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    46 min

  2. 12/05/2025

    Predictive Analytics and Cardiovascular Disease: Improving Global Health in the Age of AI

    Welcome to Episode 7 of The Healthcare STARcast! In this insightful conversation, host Subbu Ramalingam is joined by Dr. Pierantonio Russo, Chief Medical Officer at Eversana, a renowned cardiac surgeon, and global pioneer in predictive analytics for cardiovascular health. Together, they dive into the critical intersections of cardiovascular disease prevention, machine learning, and the quest to bend the cost curve while improving patient outcomes both in the US and globally. You’ll hear firsthand how Dr. Pierantonio Russo transitioned from leading heart surgery programs in Italy and the United States to advancing value-based care through data science and AI-driven risk stratification at major health plans. Discover why obesity and visceral fat are at the heart of the cardio-kidney-metabolic syndrome, how modern predictive models are helping identify high-risk patients before costly complications hit, and why multidisciplinary care teams, supported by clinical and social determinants of health, are essential for effective interventions. This episode also explores how machine learning is bridging the gap between accuracy and clinical trust, the real-world impact of remote patient monitoring, and lessons learned from healthcare innovation in India’s private hospital sector. Plus, Dr. Russo shares personal stories from his work in pediatric heart surgery and offers practical advice for maintaining health and longevity. Whether you’re a physician, health plan leader, or just passionate about healthcare’s future, this episode is packed with fresh perspectives, actionable insights, and a glimpse into the hospital of the future. Tune in and get inspired by the possibilities at the intersection of technology, data, and compassionate care! Timestamps: 00:00 Managing Rising Heart Failure Costs 05:55 "Advancing Predictive Analytics in Healthcare" 07:38 "Improving Care with Predictive Analytics" 13:13 Cardiac-Kidney-Metabolic Syndrome Advances 16:27 Managing Heart Failure Costs Efficiently 18:32 "Heart Failure Cost Drivers Analysis" 24:07 AI in Healthcare Collaboration 27:29 AI-Assisted Learning for Physicians 29:45 Predictive Model Impact on Healthcare 33:03 Reducing Costs and Improving Outcomes 36:34 Precision Medicine for Heart Failure 40:04 Hospital Operations: Three Core Areas 43:56 Healthcare Costs and Low Value Care 47:55 "Life-Saving Aid for Children" 50:32 "Parking Guard's Unexpected Connection" 53:35 Innovation, AI, and Mediterranean Diet 56:11 Grateful for the Invitation Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    56 min

  3. 11/21/2025

    The Impact of American Healthcare on Global Industry and What Needs to Change

    Welcome to Episode 6 of The Healthcare STARcast! This episode, hosted by Subbu Ramalingam, dives deep into the fundamentals of the US healthcare system - the world’s largest and most influential healthcare market, with an annual spend of nearly $4 trillion. Subbu Ramalingam explores why the American system, despite its staggering costs, still struggles to deliver the best health outcomes, and how its evolution through a series of policy decisions has led to an incredibly complex landscape. Whether you’re a healthcare professional, a policy enthusiast, or just curious about why US healthcare matters far beyond its borders, this episode offers a clear breakdown of managed care frameworks, the realities of healthcare inflation, and the trade-offs faced in balancing affordability, quality, and sustainability. With insights drawn from decades of hands-on experience across risk adjustment, quality programs, and value-based care, Subbu Ramalingam makes the intricate US healthcare ecosystem accessible for listeners around the globe. Tune in to get an insider’s perspective on why changes in US healthcare ripple worldwide, and learn what’s being done, and what still needs to happen - to improve outcomes for millions of people both in America and beyond. Timestamps: 00:00 "US Healthcare's Global Impact" 03:31 "Healthcare Challenges and Solutions" 07:25 "Medicare Shift and Cost Crisis" 10:59 Global Healthcare Payment Models 15:01 "Understanding U.S. Healthcare Complexity" 18:58 "Managed Care and My Journey" 24:14 Healthcare Coordination and Quality Metrics 26:49 "Shift to Value-Based Care" 31:14 "Addressing America's Healthcare Challenges" 33:41 "Healthcare Insights & Frameworks" Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    34 min

  4. 11/06/2025

    Medicare Advantage Star Ratings: Embracing Health Equity and Digital Quality for 2027 and Beyond

    Welcome back to The Healthcare STARcast! In today’s episode, host Subbu Ramalingam is joined by Dwight Pattison, founder and principal advisor of QP Advantage, for a deep dive into the evolving world of Medicare Advantage star ratings and healthcare quality. With the recent release of Star Ratings and a rapidly shifting landscape - including the sunsetting of bonus points, membership shifts, and the rise of “Excellent Health Outcomes for All” - there’s never been a more important time to understand what’s changing and how health plans can adapt. Subbu Ramalingam and Dwight Pattison break down the new focus on social risk factors, demystifying the intricacies of the Health Equity Index and what it means for plans serving dual-eligible and low-income populations. They also tackle the move toward digital quality - what it really means, why it matters, and how both health plans and providers can prepare for a future where data flows seamlessly across the healthcare ecosystem. Whether you’re an executive scrambling after star rating surprises, a frontline team adapting to new measurement strategies, or just curious about the data-driven future of healthcare, this episode is packed with practical insights, best practices, and strategies for thriving in 2027 and beyond. Tune in as we move “beyond ratings toward excellence,” and discover what’s next for healthcare quality, equity, and digital transformation. Timestamps: 00:00 "Healthcare Shifts: What's Next?" 06:03 Health Plans Face Ongoing Challenges 08:32 "Healthcare Plan Rating Adjustments" 11:49 "Health Equity Metrics Overview" 16:05 "Unequal Rewards in Member Plans" 18:49 Performance-Based Rewards for D SNP Plans 21:32 Performance Tracking and Intervention Plans 24:22 "LIS Factor Importance in Measures" 29:53 "Streamlined Digital Health Data Sharing" 31:05 "Uneven Data Flow Challenges" 36:45 "Data Roadmap for Better Outcomes" 37:49 Prioritize Clinical Data Collection 44:13 Simplifying Healthcare Data Exchange 45:10 "New Playbook for Future Success" Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    46 min

  5. 09/20/2025

    Navigating Stars in Healthcare: Data, AI, and Success Strategies for Health Plans

    Welcome to another insightful episode of The Healthcare STARcast! In today’s discussion, our host Subbu Ramalingam sits down with industry veterans Mark S. Ryan and Neetu Rajpal to dive deep into the current state and future of Medicare Advantage STARS, data-driven success, and the evolving external forces shaping the healthcare landscape. Coming fresh off recent developments, including the Plan Preview 2 cut point release, our guests examine the mounting pressures facing health plans, from inflation and utilization spikes to regulatory changes and technological innovation. Mark shares his extensive experience in both government and private health plans, while Neetu offers a tech-forward perspective on breaking down data silos and leveraging real-time analytics for improved member care. Whether you’re a health plan leader, a provider, or simply intrigued by the changing dynamics of healthcare quality ratings, this episode is packed with practical strategies, thoughtful perspectives on AI adoption, and a candid look at how plans can use technology to close care gaps and stay ahead in the STARS game. Tune in for a conversation that’s as optimistic as it is realistic, delivering actionable takeaways for the months ahead! Timrstamps: 00:00 Healthcare STARcast: Stars & Medicaid Insights 04:12 Building a Unified Health Data System 08:28 Health Plans' Strategic Missteps 11:09 Improving Patient Care with Timely Data 15:37 "Assessing Progress and Future Uncertainty" 16:29 Maximizing Performance in Final Quarter 21:40 Comprehensive Analytics Platform Launch 22:45 Rapid Insights & AI in Healthcare 26:54 Drug Measures Impact Performance Score 29:36 Addressing Drug Measure Performance 34:01 Redefining Health Equity Strategy 38:35 Optimizing Care with Voice Agents 40:08 Cautious AI in Clinical Decisions 45:00 Flexible AI Governance Principles 46:37 "Heartfelt Gratitude" Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    47 min

  6. 08/29/2025

    Medicare Shake-Up: Surviving the Big Beautiful Bill and RADV Audits in 2026

    Welcome back to another episode of The Healthcare STARcast! In this powerful conversation, Subbu Ramalingam is joined by industry thought leader and serial entrepreneur John Gorman for an unfiltered deep dive into the seismic policy changes shaking up Medicare Advantage and the healthcare landscape at large. Recorded on August 19th, this episode tackles head-on the fallout from recent legislation, what John refers to as the “biggest change in 35 years”, and explores its sweeping impact on health plans, providers, and, most importantly, vulnerable seniors and dual eligibles. From discussions about the devastating effects of Medicaid cuts and looming Medicare sequestration to urgent warnings about the future of social services, John offers a frank, expert perspective on the “war on the poor” and why health plan leaders need to rethink benefit design, focusing on the real needs of members, like food, housing, and transportation. Subbu and John also dig into the operational pressures facing plans, the inefficiencies of prior authorization, the coming storm of risk adjustment audits, and what leaders at every level should be doing now to prepare. If you’re a health plan executive or boots-on-the-ground operator, this is essential listening for navigating one of the most challenging periods in American healthcare. Get ready for actionable insights, candid advice, and a rallying call for courageous leadership and member-centric innovation as we step into uncharted territory together. Timestamps: 00:00 "Health Bill's Impact on Medicare" 05:30 Severe Cuts Impact Seniors and Disabled 08:28 Doge Effect Alters Social Security 12:17 PPO Retreat Signals Industry Worries 14:53 Reimagining Administrative Benefits for 2026 20:01 Improving Provider Network Accuracy 22:48 Risk Adjustment Data Accuracy Focus 27:20 Impact of Costs on Mid-Tier Plans 28:58 "Challenges in Health Equity Measures" 31:29 Audit of Supplemental Benefits Use 35:18 Prioritizing Member Outreach Roles 40:22 "Enhancing Member Experience Returns" 42:42 Connect on LinkedIn: John Gorman Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    44 min

  7. 07/03/2025

    Connecting Quality, Compliance, and Population Health in Managed Care with Charles Baker

    Welcome to The HEALTHCARE STARcast, the show that breaks down the complex world of healthcare to reveal the real strategies and mindsets driving excellence. In this episode, host Subbu Ramalingam sits down with Charles Baker, Vice President at ATTAC Consulting Group and an expert who has worn many hats in the industry, from clinical social work to executive compliance roles. Charles shares his unique journey from the hospital floor to the executive suite, offering fresh perspectives on population health, risk management, and how healthcare organizations can break out of silos to tackle today's biggest challenges. Together, Subbu and Charles dig into the realities of compliance, quality improvement, Medicare Advantage pressures, and the evolving landscape of risk adjustment and RADV audits. You'll hear actionable insights for health plan leaders and providers, a no-nonsense approach to regulatory changes, and practical ideas for bridging the gaps between compliance, operations, and patient care.  Whether you’re leading a health plan, driving quality initiatives, or reimagining care delivery, this conversation is packed with timely advice and big-picture thinking to help you navigate change and deliver real value for patients and communities. Timestamps: 00:00 Rethinking Community-Focused Mental Health 05:53 "Insurance's Role in Community Health" 10:05 Breaking Silos in Compliance Strategies 11:18 Proactive Data Management for Medicare Advantage 16:17 Regulatory Compliance Cadence Analysis 19:32 "Medicare Advantage and RADV Focus" 21:24 HMO Cost Control Evolution 27:50 Healthcare Consulting & RADV Support 30:54 Ensuring Audit-Ready Clinical Documentation 35:10 Policy Presentation: Key Opportunity 36:49 Holistic Teamwork for Data-Driven Decisions Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    39 min

  8. 06/25/2025

    From Data to Purpose: Unveiling Subbu’s Journey to Healthcare Leadership and Clarity

    Welcome to the inaugural episode of The HEALTHCARE STARcast, where your host Subbu Ramalingam invites you to go beyond the usual healthcare metrics to uncover the heart - and the purpose - behind the people leading change in the industry. In this episode, we get to know Subbu, a seasoned leader in star ratings and risk adjustment, whose journey spans continents and roles, from fintech innovations in India to driving population health initiatives and nonprofit work in the US and abroad. Subbu shares his personal stories of how diverse backgrounds, challenges, and values have shaped his passion for healthcare. You’ll hear about the profound impact of combining data, technology, and mission-driven leadership to improve both the business and human side of medicine. Subbu opens up about the principles that guide his work, the importance of clarity and prioritization, and why true transformation in healthcare requires collaboration across silos. Whether you’re a healthcare operator, an executive, or just fascinated by the stories of those making a real difference, this episode sets the stage for thoughtful conversations on leadership, clarity, and the ongoing evolution of healthcare. Timestamps: 00:00 From Finance to Healthcare Transition 04:15 Medicare Advantage Evolution & Skills 08:28 "Journey from Veterans to Tech Healthcare" 12:26 Balancing Local and Global Healthcare 17:28 Pioneering Yoga's Western Influence 19:14 "Mastering Time Management & Clarity" 22:20 Star Ratings and Population Health Management 26:09 Culture and Strategy in Health Systems 31:32 Medicare Star Ratings Timeline 32:49 CMS Risk Adjustment Audits Intensify 37:31 Streamlining Healthcare for Better Outcomes 41:34 Preparing for Audits and Budgeting 44:30 "Medicare Audits and AI Insights" 48:25 "Healthcare Star Cast Launch" Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    41 min

  9. 04/13/2025

    The Healthcare STARcast - Show Promo

    The Healthcare STARcast is where healthcare’s true leaders shine. Hosted by Subbu Ramalingam, a seasoned healthcare executive, this podcast goes beyond STAR ratings and risk scores to reveal the strategies, innovations, and mindsets driving real-world healthcare excellence. Every episode delivers clear insights, bold frameworks, and practical ideas designed for healthcare executives, operators, clinicians, and innovators ready to lead at the next level. Whether you're improving quality, scaling value-based care, or reimagining patient outcomes, The Healthcare STARcast gives you the edge to lead with confidence.  Stay tuned! Show Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ ATTAC Consulting Group - https://www.attacconsulting.com/ Media Partner - TopHealth - https://tophealth.care/ “Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

    1 min
  • 9 Episodes

Ratings & Reviews

5
out of 5
6 Ratings

About

The Healthcare STARcast is where healthcare’s true leaders shine. Hosted by Subbu Ramalingam, a seasoned healthcare executive, this podcast goes beyond STAR ratings and risk scores to reveal the strategies, innovations, and mindsets driving real-world healthcare excellence. Every episode delivers clear insights, bold frameworks, and practical ideas designed for healthcare executives, operators, clinicians, and innovators ready to lead at the next level. Whether you're improving quality, scaling value-based care, or reimagining patient outcomes, The Healthcare STARcast gives you the edge to lead with confidence.

Information

  • Creator
    TopHealth Media
  • Years Active
    2K
  • Episodes
    9
  • Rating
    Clean
  • Copyright
    © 2025 The Healthcare STARcast
  • Show Website
    The Healthcare STARcast