Analyzing Healthcare

Roy Bejarano and Jason Schifman: SCALE Community and SCALE Healthcare
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What’s next in healthcare? Analyzing Healthcare delivers expert insights, real-world case studies, and bold ideas shaping the future of U.S. & global health systems. Hosted by Roy Bejarano and Jason Schifman of SCALE Healthcare & SCALE Community, each episode explores medical innovation, healthcare leadership, value-based care, provider operations, health policy, artificial intelligence, & emerging health trends. Whether you're a provider, investor, operator, or simply healthcare curious—this podcast helps you stay informed, inspired, & ahead of the curve. More info at www.scale-community.com

  1. HÁ 5 DIAS

    Inside India’s Healthcare Transformation: Digital IDs, Telemedicine & More with Dr. Rajendra Pratap Gupta, Public Policy Expert

    India’s digital health transformation is one of the most ambitious anywhere in the world. National health IDs, population-scale telemedicine, redesigned primary care, and AI-enabled care delivery are reshaping how healthcare is accessed and delivered across 36 states and union territories. In this episode of Analyzing Healthcare, host Jason Schifman sits down with Dr. Rajendra Pratap Gupta, one of India’s foremost health policy architects and a global digital health leader, to unpack how India is building a next-generation model of healthcare at national scale. Dr. Gupta explains how 825 million digital health IDs, telemedicine platforms providing 300,000+ consults per day, and insurance-driven private sector growth are accelerating India’s transformation. He also explores global lessons from Sri Lanka, Saudi Arabia, and why emerging markets under resource pressure may leapfrog legacy systems with AI-enabled care. Title- Inside India’s Healthcare Transformation: Digital IDs, Telemedicine & More with Dr. Rajendra Pratap Gupta, Public Policy Expert What You’ll Learn ✅ How India is building one of the largest digital health infrastructures on the planet✅ Why national health IDs and telemedicine platforms are redefining care access✅ How public and private systems interact across India’s 36 states✅ Why private investment and consolidation are accelerating — and the risks ahead✅ What global markets can learn from India, Sri Lanka, and Saudi Arabia✅ Why AI-driven disruption may outpace traditional healthcare modernization Subscribe Subscribe to Analyzing Healthcare for in-depth conversations with leaders transforming healthcare through strategy, technology, policy, and global innovation. Visit SCALE Community to access exclusive leadership insights and full member-only recordings. Timestamps (00:00) Introduction to Dr. Gupta's Expertise(01:05) Overview of India's Healthcare Market(04:14) Traditional Medicine and Its Role(06:14) Public vs. Private Healthcare Dynamics(09:48) Consolidation and Private Equity in Healthcare(11:34) Government Initiatives and Digital Health(18:57) Global Perspectives on Healthcare Systems(26:29) Future of Healthcare: Innovation and Disruption Key Takeaways 💎 India is creating the world’s largest digital health identity system💎 Telemedicine platforms like eSanjeevani deliver 300k+ consults/day💎 Private sector growth remains strong despite public expansion💎 Consolidation introduces both opportunity and systemic risk💎 Sri Lanka’s hospital-based model and Saudi Arabia’s virtual hospital offer global prototypes💎 AI will disrupt healthcare faster than legacy systems can adapt💎 Future winners will be countries with limited resources and high innovation pressure Guest: Dr. Rajendra Pratap Gupta – linkedin.com/in/rajendraguptaHost: Jason Schifman – https://linkedin.com/in/jason-schifman-536bb8106Organization: https://www.scale-community.comPodcast Hub: Analyzing Healthcare by SCALE Community Guest Bio Dr. Rajendra Pratap Gupta, PhD, is a globally recognized health policy leader, former advisor to the Government of India, and Chair of the Dynamic Coalition on Digital Health for the United Nations Internet Governance Forum. He has shaped major national reforms including the National Health Policy and the National Digital Health Mission, and advises global governments and multilateral institutions including the WHO. He is also a leading thinker on AI-enabled health system redesign, virtual care models, and scalable digital health infrastructure for emerging and developed markets. Keywords India healthcare, digital health, public health, private equity, insurance, telemedicine, healthcare consolidation, national health policy, healthcare technology, global health systems, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Roy Bejarano, Scale Community, Jason Schifman

    35min

  2. 8 DE DEZ.

    How is Oscar Health Reinventing Insurance? Mark Bertolini, CEO of Oscar Health & Former CEO of Aetna

    SummaryOscar Health’s CEO — and former Aetna Chairman & CEO — Mark Bertolini breaks down how incentives, technology, and market design are reshaping the future of U.S. healthcare. From reengineering Oscar’s operating model to exposing structural flaws across payer economics, Bertolini unpacks why consumers lack meaningful choice, how ACA marketplaces actually function, and why AI-native platforms are redefining what an insurer can be.In this episode of Analyzing Healthcare, host Roy Bejarano sits down with Mark Bertolini, CEO of Oscar Health, to explore the transformation of payer strategy, the economics behind insurance competition, and how Oscar’s platform leverages AI and unified data to reduce operating costs and build personalized member experiences.The conversation spans payer incentives, ACA dynamics, organizational redesign, network strategy, consumer choice, and why AI-driven infrastructure will define the next decade of healthcare modernization. TitleCan Oscar Health Redefine the Future of U.S. Insurance? — Mark Bertolini, CEO Oscar Health x SCALE Community What You’ll Learn✅ Why legacy healthcare incentives block true competition and cost control✅ How Oscar rebuilt its cost structure through AI and unified data architecture✅ Why individualized plans outperform employer-designed insurance✅ How ACA marketplaces create real consumer choice — and what still needs fixing✅ Why value-based care often fails to change clinician behavior✅ What the future of payers looks like in an AI-driven environment SubscribeSubscribe to Analyzing Healthcare for in-depth conversations with leaders transforming healthcare through strategy, investment, operations, and technology innovation.Visit SCALE Community to access exclusive leadership insights and full member-only recordings. Timestamps (00:00) Introduction to Mark Bertolini & Oscar Health (01:40) Mark’s engineering mindset & leadership approach (03:20) Why healthcare hasn’t improved in 30+ years (06:00) Culture lessons from Aetna, Cigna & Oscar (07:20) Trust, leadership, and organizational change (12:20) How payer competition really works (16:00) Why U.S. healthcare incentives collide (18:20) Why Mark joined Oscar & the turnaround thesis (21:50) Rebuilding Oscar’s operations & cost structure (23:30) Why personalized networks outperform broad networks (27:40) ACA trend reality vs. public perception (31:30) Consumer choice & individual plan selection (36:00) AI, LLMs & the future of payer infrastructure (39:50) Why value-based care rarely changes behavior (41:15) The future: account-based insurance for all Key Takeaways 💎 The ACA’s per-capita trend is stable — contrary to public perception 💎 Consumers make better insurance decisions when choosing for themselves 💎 Oscar’s AI-native infrastructure reduces admin costs and improves accuracy 💎 Narrow networks work best when built around individual preferences 💎 The U.S. system struggles because economic incentives collide 💎 Value-based care only works when excellence exists before contracting 💎 The future is account-based coverage where every American selects their own plan Resource LinksGuest: Mark Bertolini – linkedin.com/in/markbertoliniHost: Roy Bejarano – linkedin.com/in/roy-bejarano-a5669ba8Organization: www.scale-community.comPodcast Hub: Analyzing Healthcare by SCALE Community Guest BioMark T. Bertolini, CEO of Oscar Health and former Chairman & CEO of Aetna, is widely regarded as one of the most influential leaders in U.S. healthcare. He is known for redesigning payer models, elevating consumer choice, and steering Aetna’s transformation into a technology-enabled, integrated care organization. A former Co-CEO of Bridgewater Associates, he brings deep operational and strategic expertise. At Oscar, he is leading a focused turnaround centered on AI-native systems, personalized networks, and modern operating infrastructure. SEO KeywordsMark Bertolini, Oscar Health, Aetna, ACA marketplace

    44min

  3. 3 DE DEZ.

    Did the ACA Create a Market Where Insurers No Longer Need to Compete on Price? – Anthony LoSasso, Wall Street Journal Health Economist & ACA Expert x SCALE Community

    Summary ACA premiums, Obamacare subsidies, U.S. health insurance incentives, and healthcare cost inflation—WSJ economist Anthony LoSasso explains the real structural flaws. Massive subsidy expansion, weak pricing discipline, and a structurally misaligned insurance market are driving rapid cost escalation across the Affordable Care Act marketplace. Wall Street Journal author and economist Dr. Anthony LoSasso breaks down why premiums are rising, why insurers face almost no pressure to compete on price, and how the ACA’s “defined benefit” subsidy structure created a distorted market. In this episode of Analyzing Healthcare, host Roy Bejarano sits down with Dr. LoSasso to explore what the ACA got right, what it unintentionally broke, and how shifting to a “defined contribution” model could introduce real competition, lower premiums, and restore market discipline. Title- What You’ll Learn ✅ Why ACA premiums continue rising despite stagnant utilization✅ How the subsidy design shields consumers and removes insurer price pressure✅ Why 98% of marketplace enrollees being subsidized distorts competition✅ How defined-contribution subsidies could slow premium growth✅ What policymakers misunderstood when designing the ACA✅ Why ACA marketplaces became “happy times” for insurers Subscribe Subscribe to Analyzing Healthcare for in-depth conversations with leaders transforming healthcare through strategy, investment, operations, and policy reform. Visit SCALE Community to access exclusive leadership insights and full member-only recordings. Timestamps (00:00) Introduction to Dr. Anthony LoSasso & the WSJ article(02:20) The original ACA design and how incentives went wrong(05:00) Gross vs. net premiums: who actually feels the cost?(08:00) Why insurers face little pressure to keep premiums down(11:00) Defined benefit vs. defined contribution subsidies(14:00) Political narratives vs. economic realities(18:00) What the ACA solved — and what it unintentionally distorted(22:00) U.S. healthcare as multiple systems operating at once(27:00) Closing thoughts: creating a more competitive insurance marketplace Key Takeaways 💎 The ACA’s subsidy structure unintentionally removed consumer price sensitivity💎 Insurers face almost zero competitive pressure to lower premiums💎 Defined-contribution subsidies could reintroduce market discipline💎 Structural design—not utilization—is driving premium inflation💎 The ACA succeeded in coverage expansion but failed on cost containment Resource Links Guest: Anthony LoSasso, PhD – https://www.anthonylosasso.com/ Host: Roy Bejarano – linkedin.com/in/roy-bejarano-a5669ba8 Organization: www.scale-community.com Podcast Hub: Analyzing Healthcare by SCALE Community Guest Bio Dr. Anthony LoSasso is a nationally recognized health economist, former Professor at DePaul University, and incoming faculty member at the University of Wisconsin–Madison’s La Follette School of Public Affairs. He is the author of the Wall Street Journal analysis “The Real Fix for Obamacare,” and his research focuses on health insurance design, incentives, premium growth, and labor-market dynamics. His expertise spans ACA marketplace behavior, public-sector program design, and the interplay between health policy and economic outcomes. SEO Keywords Obamacare, Affordable Care Act, ACA premiums, ACA subsidies, health insurance incentives, Anthony LoSasso, Wall Street Journal healthcare, healthcare inflation, U.S. healthcare reform, defined contribution, insurance marketplace, Roy Bejarano, SCALE Community, SCALE Healthcare, healthcare podcast, health economics, policy design, premium tax credits, managed competition

    29min

  4. 26 DE NOV.

    Can AI Fix Clinical Workflows? Ali Parsa, Founder & CEO, Quadrivia AI x SCALE Community

    SummaryHealthcare’s biggest challenge isn’t technology—it’s the fundamental imbalance between elastic demand for care and a fixed global supply of clinicians. In this episode of Analyzing Healthcare, host Jason Schifman sits down with Ali Parsa, Founder & CEO of Quadrivia AI and previously the founder of both Circle Health and Babylon Health, to examine how AI can finally shift this equation.Parsa describes how Quadrivia is building real-time, autonomous clinical agents capable of handling 20–30% of repetitive clinical tasks—from pre-op readiness calls to post-op follow-ups, symptom discussions, lab result explanations, and wide-ranging clinical conversations. These agents operate under strict guardrails, oversight layers, and configurable clinical boundaries—supporting clinicians rather than replacing them.The discussion also explores global deployment across the U.S., UK, Europe, and Asia, why thoughtful scientific iteration matters more than Silicon Valley hyper-growth, and how lessons from Babylon’s rapid scale and SPAC collapse shaped Quadrivia’s disciplined approach. Parsa closes by articulating his belief that AI will finally make essential healthcare accessible and affordable for every person on earth by expanding the supply of clinical labor. What You’ll Learn✅ How AI can automate 20–30% of routine clinical tasks✅ Why “elastic clinical supply” may redefine global healthcare✅ Where AI safely supports clinicians—and where it must stop✅ How autonomous agents manage real-time clinical conversations✅ Why Quadrivia rejects hype-driven growth in favor of scientific rigor✅ How global pilots across continents accelerate model reliability✅ Lessons from scaling Circle and Babylon into billion-dollar businesses SubscribeSubscribe to Analyzing Healthcare for in-depth conversations with leaders transforming healthcare through AI, technology, data, and operational strategy. Visit SCALE Community to access exclusive leadership insights and full member-only recordings. Timestamps (00:00) – Intro | Meet Ali Parsa, Founder & CEO, Quadrivia AI (01:04) – The Global Supply–Demand Crisis in Healthcare (05:33) – Quadrivia’s AI: Automating Key Clinical Processes (07:46) – Handling Structured Workflows & Free-Form Clinical Conversations (09:35) – Clinical Boundaries: What AI Can & Cannot Do (11:53) – Telehealth vs. AI: Access vs. Affordability (14:25) – Will AI Move Closer to Diagnosis? (18:09) – Global Footprint: U.S., UK, Europe & Asia (19:32) – Accuracy, Guardrails & Real-Time Oversight (25:44) – Rejecting the Silicon Valley Growth Playbook (29:13) – Why Global Pilots Accelerate Learning (33:25) – Deploying Across Countries: What Translates & What Doesn’t (35:57) – Go-to-Market: Choosing the Right Partners (37:45) – Live Demo: AI Handling a Real-Time Patient Call (46:50) – Human Error vs. AI Error: The Risk Conversation (51:35) – Lessons from Circle & Babylon (55:20) – Closing Vision: Universal Healthcare Access Through AI Key Takeaways 💎 AI can safely automate a meaningful slice of clinical workloads 💎 Elastic clinical supply is the real unlock for global access & affordability 💎 Guardrails, oversight agents & real-time monitoring are essential for safety 💎 Telehealth expands access; AI finally addresses cost and scalability 💎 Global deployments expand the learning dataset dramatically 💎 Thoughtful, slow, scientific iteration outperforms hype-driven growth Resource LinksGuest: Ali Parsa – linkedin.com/in/ali-parsa-quHost: Jason Schifman – linkedin.com/in/jasonschifmanOrganization: www.scale-healthcare.comPodcast Hub: Analyzing Healthcare by SCALE Community Guest BioAli Parsa is the Founder & CEO of Quadrivia AI, pioneering autonomous clinical process automation to expand global healthcare capacity. He previously founded Circle Health & Babylon Health, and has focused his career on solving healthcare’s supply–demand imbalance by using AI to automate routine clinical tasks and greatly expand clinician reach.

    48min

  5. 19 DE NOV.

    Can Saudi Arabia Lead the Next Wave of Healthcare Transformation? — Youssef Haidar, CEO of Nexus Gulf x SCALE Community

    Summary Massive investment, national reform, and a rapidly expanding private sector are reshaping how healthcare is delivered across the Middle East. Nexus Gulf’s Youssef Haidar breaks down why Saudi Arabia is becoming one of the most compelling healthcare transformation stories in the world — and what global operators, MSOs, and investors should understand about the region’s extraordinary momentum. In this episode of Analyzing Healthcare, host Roy Bejarano sits down with Youssef Haidar, Founder of Nexus Gulf, to explore how Saudi Arabia and the UAE are building a next-generation healthcare services ecosystem. Haidar discusses the investment thesis behind the region’s growth, Nexus Gulf’s role in enabling service-line expansion, and how the group’s partnership with the global Cephanad Group is powering new models of care. The conversation spans private-sector enablement, system redesign, infrastructure gaps, and why the Gulf is increasingly seen as a global case study for healthcare modernization. Title Can Saudi Arabia Lead the Next Wave of Healthcare Transformation?- Youssef Haider, Nexus Gulf x SCALE Community What You’ll Learn ✅ Why Saudi Arabia is undergoing one of the world’s most ambitious healthcare transformations✅ How Nexus Gulf is driving private-sector healthcare expansion in the region✅ How investment, reform, and national strategy are reshaping care delivery✅ Why global MSOs, operators, and investors should watch the Gulf closely Subscribe Subscribe to Analyzing Healthcare for in-depth conversations with leaders transforming healthcare through strategy, investment, operations, and global expansion. Visit SCALE Community to access exclusive leadership insights and full member-only recordings. Timestamps (00:00) Introduction to Youssef Haidar and Nexus Gulf(01:45) The Transformation of Healthcare in Saudi Arabia(05:15) Public-Private Partnerships and Market Dynamics(11:03) Global Perspectives on Healthcare Models(16:34) The Future of Healthcare Globalization(19:28) Partnerships and Collaborations in Healthcare(20:39) Transforming Healthcare in Saudi Arabia(24:05) Innovative Partnerships and Localized Solutions(26:57) Navigating the Outpatient Healthcare Landscape(29:47) The Ideal Healthcare Partner(33:38) Building Sustainable Healthcare Models(37:02) Future of Global Healthcare Collaboration Key Takeaways 💎 Saudi Arabia is rapidly building a modern, scalable healthcare services ecosystem💎 Investment and national reform are enabling service-line development at unprecedented speed💎 The Gulf’s transformation offers lessons for global MSOs and health-system operators💎 Private-sector participation is central to the region’s long-term healthcare strategy Resource Links Guest: Youssef Haidar – linkedin.com/in/youssefhaidar Host: Roy Bejarano – linkedin.com/in/roy-bejarano-a5669ba8 Organization: www.scale-community.com Podcast Hub: Analyzing Healthcare by SCALE Community Guest Bio Youssef Haidar has 25+ years in private equity, principal investing, and advisory, with 22 years in the MENA region. He led investments and regional growth for eight international healthcare companies, achieving multiple high-profile exits in healthcare and education. Founder of StonePine Capital Partners and Nexus Gulf Healthcare, he also chairs ACE&Company’s Investment Committee and has held board roles at Taaleem/NUB, Nexus Gulf, Orpea AlGihaz, Nerhadou Pharmaceuticals, Cerba Nexus, ProVita, Cambridge Medical, Manzil Healthcare, Bourn Hall, and Ameco Medical. SEO Keywords Saudi Arabia, Healthcare, Middle East Healthcare, Nexus Gulf, Youssef Haidar, Healthcare Investment, Saudi Vision 2030, Gulf Healthcare Transformation, MSO Growth, Healthcare Strategy, Healthcare Modernization, Private-Sector Healthcare, Global Health Systems, Roy Bejarano, SCALE Community, SCALE Healthcare, Healthcare Podcast, UAE Healthcare, Cephanad Group, Healthcare Infrastructure, International Healthcare Expansion, Healthcare Podcast

    40min

  6. 12 DE NOV.

    How Is Healthcare Data Driving Smarter Decisions Across Canada? — Anne Forsyth, Executive Director at Women College Hospital x SCALE Community

    Summary Canada’s healthcare system operates through 14 independent health plans—with no single national digital health strategy. Yet, that very fragmentation may be what’s driving some of the most innovative thinking in healthcare data and digital transformation. In this episode of Analyzing Healthcare, host Jason Schifman sits down with Anne Forsyth, Director of Clinical Applications at Women’s College Hospital and former Manager of Data Standards at the Canadian Institute for Health Information (CIHI). Together, they explore how Canada’s decentralized model shapes digital health strategy, the critical role of CIHI in national data collection, and the growing movement toward interoperability and standardization. Forsyth also shares case studies from her work at Women’s College Hospital, including how workflow redesign and patient engagement tools are reducing no-show rates and improving data quality. She closes by emphasizing the need for digital literacy and collaboration across government, providers, and technology partners to achieve better healthcare outcomes. What You’ll Learn ✅ Why Canada operates 14 separate healthcare systems—and how that impacts digital innovation ✅ How CIHI collects and analyzes healthcare data to inform national policy decisions ✅ Why real-time data and interoperability are the next frontiers for Canadian healthcare ✅ How Women’s College Hospital is driving digital transformation in ambulatory care ✅ Why data literacy and standardization are essential to improving care delivery Subscribe Subscribe to Analyzing Healthcare for in-depth conversations with leaders transforming healthcare through data, technology, and strategy. Visit SCALE Community to access exclusive leadership insights and full member-only recordings. Timestamps (00:00) – Intro | Meet Anne Forsyth, Director of Clinical Applications, Women’s College Hospital(01:21) – Why Canada Has No National Digital Health Strategy(04:56) – Inside the Canadian Institute for Health Information (CIHI)(09:21) – Data Collection, Usage & Policy Applications(11:46) – Case Study: Real-Time Data & the Opioid Crisis(16:33) – How Canada Compares Globally in Healthcare Outcomes(19:14) – Women’s College Hospital: Digital Innovation in Ambulatory Care(22:00) – Standardizing Workflows & Reducing No-Show Rates(27:13) – Bridging Gaps Between Government, Providers & Tech(29:25) – The Urgent Need for Digital & Data Literacy in Healthcare(31:09) – Closing Thoughts on Canada’s Digital Health Future Key Takeaways 💎 Canada’s decentralized system creates challenges—but also sparks regional innovation.💎 CIHI is one of Canada’s greatest assets, centralizing healthcare data for national use.💎 Workflow standardization and patient engagement can drive measurable outcomes.💎 Real-time, interoperable data is the next leap for healthcare improvement.💎 Digital literacy across clinicians and administrators is essential for progress. Resource Links Guest: Anne Forsyth –linkedin.com/in/akankshaforsyth Host: Jason Schifman – linkedin.com/in/jasonschifman Organization: www.scale-healthcare.com Podcast Hub: Analyzing Healthcare by SCALE Community Guest Bio Anne Forsyth serves as Director of Clinical Applications at Women’s College Hospital, leading digital transformation and data standardization initiatives. Previously, she spent nearly a decade at the Canadian Institute for Health Information (CIHI), where she helped define data standards across Canada’s healthcare system. Her work bridges government, providers, and technology to create a more connected and data-driven future for Canadian healthcare. SEO Keywords Canadian Healthcare System, Digital Health Strategy, CIHI, Healthcare Data, Interoperability, Women’s College Hospital, Healthcare Innovation, Value-Based Care, Data Standardization, Roy Bejarano, SCALE Community, Digital Transformation, Public Health Policy, Health Information Systems, Data-Driven Healthcare, Canada Health

    33min

  7. 5 DE NOV.

    Will Oracle’s AI Strategy Accelerate Tech Adoption in Healthcare? — Seema Verma, SVP & General Manager at Oracle Health x SCALE Community

    Summary AI, cloud technology, and open data ecosystems are redefining how healthcare operates. Oracle Health’s Seema Verma shares how innovation and interoperability can finally deliver the transformation policymakers have long promised. In this episode of Analyzing Healthcare, host Roy Bejarano sits down with Seema Verma, Executive Vice President & General Manager of Oracle Health and Life Sciences and former CMS Administrator, to explore how Oracle is building the next generation of AI-enabled healthcare platforms. From Cerner’s acquisition to Oracle’s open-data vision, Verma details how the company is designing an EHR system built for AI, not one with AI “bolted on.” The discussion spans the future of ambient listening, automation in care delivery, interoperability mandates, and how AI can reduce administrative burden for both providers and patients. Verma also reflects on her time at CMS—why initiatives like Patients Over Paperwork were just the beginning—and how her current work at Oracle continues that mission through private-sector innovation. Title: Will Oracle’s AI Approach be the Catalyst for Technology Adoption in Healthcare? Seema Verma, Oracle x SCALE Community What You’ll Learn ✅ How Oracle is building an AI-native EHR that transforms care delivery ✅ Why interoperability is central to unlocking AI’s full potential ✅ How Verma’s CMS experience informs her work at Oracle Health ✅ Why open ecosystems and global AI adoption are critical for innovation Subscribe Subscribe to Analyzing Healthcare for in-depth conversations with leaders transforming healthcare through technology, data, and strategy. Visit SCALE Community to access exclusive leadership insights and full member-only recordings. Timestamps (00:00) – Intro | Meet Seema Verma, EVP & GM, Oracle Health & Life Sciences (01:50) – The Vision Behind Oracle’s AI Transformation of Healthcare (04:49) – How Oracle’s EHR Differs from Epic, Athena & Others (09:51) – Cloud Platforms, AI Agents & Open Ecosystem Innovation (13:50) – From CMS to Oracle: Fixing Burnout with Technology (21:38) – The Fight for Interoperability & Patient Data Ownership (27:58) – Why Blocking Data Means Blocking Innovation (32:25) – Global Demand for AI-Driven Health Solutions (35:05) – How States and Systems Differ in AI Adoption (39:29) – Price Transparency, Private Equity & Health Policy Reform (43:03) – Future of Clinical Labor, Policy & Compliance (43:31) – Closing Reflections on Healthcare’s Future Key Takeaways 💎 Oracle is reimagining EHRs as AI-native platforms, not retrofits. 💎 Interoperability is both a moral and technical imperative for healthcare. 💎 Verma believes open ecosystems are vital to accelerating innovation. 💎 The next wave of AI will serve patients and providers through automation and insight. Resource Links Guest: Seema Verma – LinkedIn Host: Roy Bejarano – LinkedIn Organization: www.scale-community.com Podcast Hub: Analyzing Healthcare by SCALE Community Oracle Health: https://www.oracle.com/health Guest Bio Seema Verma serves as Executive Vice President and General Manager of Oracle Health and Life Sciences, where she leads the company’s mission to transform healthcare through data, AI, and technology integration. As the former Administrator of CMS, she oversaw one of the largest healthcare programs in the world, launching key initiatives like Patients Over Paperwork and Interoperability and Patient Access. At Oracle, she continues that mission—rebuilding healthcare’s digital infrastructure with innovation at the core. SEO Keywords Oracle Health, Seema Verma, Oracle Life Sciences, AI in Healthcare, Healthcare Interoperability, EHR Innovation, Healthcare Transformation, Digital Health Strategy, CMS Administrator, Value-Based Care, Healthcare Technology, Cloud Computing in Healthcare, Healthcare Policy Reform, Healthcare Podcast, Roy Bejarano, SCALE Community, SCALE Healthcare, Healthcare AI, Healthcare Innovation, Oracle Cerner

    44min

  8. 29 DE OUT.

    Can AI and Telehealth Fix What Healthcare Policy Hasn’t? — Ann Mond Johnson, CEO of the American Telemedicine Association x SCALE Community

    Summary Telehealth, AI, and digital therapeutics are redefining American healthcare. The ATA leaders share insights on regulation, innovation, and the road ahead. In this episode of Analyzing Healthcare, host Roy Bejarano sits down with Ann Mond Johnson, CEO of the American Telemedicine Association (ATA), and Kyle Zebley, ATA’s Senior VP of Public Policy, to discuss how digital health is reshaping care delivery across the U.S. They explore the evolution of telehealth from early remote care to today’s AI-driven, data-enhanced platforms. The conversation dives deep into barriers to adoption—from outdated state regulations and the 1997 Medicare law to CMS reimbursement models—and what it will take to achieve true parity for digital care. From state-by-state advocacy to the global future of telemedicine, this episode offers an unfiltered look at the policies, players, and promise of healthcare’s digital revolution. Title-Can AI and Telehealth Fix What Healthcare Policy Hasn’t? American Telemedicine Association x SCALE Community What You’ll Learn ✅ The ATA’s mission and its role as the voice of U.S. digital health ✅ The policy and regulatory challenges limiting telehealth adoption ✅ How COVID-era flexibilities changed the trajectory of virtual care ✅ Why global collaboration may define the next phase of healthcare innovation Subscribe to Analyzing Healthcare for more in-depth conversations with leaders transforming care delivery. Visit SCALE Community to join SCALE Community and access exclusive leadership insights. Timestamps • (00:00) – Intro | Meet Ann Mond Johnson & Kyle Zebley, ATA • (01:20) – Inside the ATA: Mission, Members & Market Influence • (03:30) – Evolution of Digital Health: From Telephones to AI • (06:50) – Advocacy & ATA Action: Policy Work Across 50 States • (09:20) – The Economics: Membership, Funding & Growth • (17:00) – Digital Care vs. In-Person Care: Why Adoption Lags • (21:00) – COVID’s Impact on Telehealth Expansion • (30:00) – The 1997 Law That Still Restrains Telemedicine • (34:00) – What Happens if the Waivers Expire? • (37:00) – State Licensing Barriers & Push for Uniformity • (42:00) – Global Digital Health: Opportunities & Challenges • (44:00) – Signs of Optimism for the Future of Care Key Takeaways • 💎 The ATA leads U.S. advocacy for telehealth and digital therapeutics. • 💎 Regulatory barriers—not technology—remain the greatest constraint. • 💎 COVID accelerated digital adoption but left policy gaps unresolved. • 💎 The next era of healthcare will merge local practice with global connectivity. Resource Links Guest: LinkedIn –  Ann Mond Johnson | LinkedIn-  Kyle Zebley Host: LinkedIn – Roy Bejarano Organization: www.scale-healthcare.com Podcast Hub: Analyzing Healthcare by Scale Community American Telemedicine Association – https://www.americantelemed.org | https://www.americantelemed.org/ata-action/ Guest Bio Ann Mond Johnson is CEO of the American Telemedicine Association, leading efforts to integrate digital health into the core of U.S. healthcare delivery. With decades of experience in innovation, policy, and healthcare transformation, Ann is recognized as one of the most influential advocates for accessible, technology-driven care. Kyle Zebley is SVP of Public Policy and Executive Director of ATA Action, where he drives the organization’s advocacy across all 50 states and on Capitol Hill. His work has helped modernize telehealth laws, protect digital access, and shape national debates on healthcare modernization. SEO Keywords Telehealth policy, digital health innovation, ATA, Ann Mond Johnson, Kyle Zebley, telemedicine regulation, healthcare technology, virtual care adoption, CMS reimbursement, healthcare policy reform, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman

    48min
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What’s next in healthcare? Analyzing Healthcare delivers expert insights, real-world case studies, and bold ideas shaping the future of U.S. & global health systems. Hosted by Roy Bejarano and Jason Schifman of SCALE Healthcare & SCALE Community, each episode explores medical innovation, healthcare leadership, value-based care, provider operations, health policy, artificial intelligence, & emerging health trends. Whether you're a provider, investor, operator, or simply healthcare curious—this podcast helps you stay informed, inspired, & ahead of the curve. More info at www.scale-community.com

Informações

  • Criado por
    Roy Bejarano and Jason Schifman: SCALE Community and SCALE Healthcare
  • Anos de atividade
    2024 - 2025
  • Episódios
    92
  • Classificação
    Livre
  • Copyright
    © Roy Bejarano and Jason Schifman: SCALE Community and SCALE Healthcare
  • Site do podcast
    Analyzing Healthcare