24 episodes

The Other 80 podcast brings you real, honest dialogue about the things that help keep people healthy beyond traditional medical care – like housing, social connections and food – and the cutting edge policies and programs supporting whole person health. Join former White House advisor, entrepreneur and host Claudia Williams for deep conversations with the innovators, implementers and policymakers bringing these new models to life. We’ll talk about what’s working, what’s not and how to move towards whole person health rapidly and equitably across the US.

The Other 80 Claudia Williams

    • Health & Fitness
    • 5.0 • 9 Ratings

The Other 80 podcast brings you real, honest dialogue about the things that help keep people healthy beyond traditional medical care – like housing, social connections and food – and the cutting edge policies and programs supporting whole person health. Join former White House advisor, entrepreneur and host Claudia Williams for deep conversations with the innovators, implementers and policymakers bringing these new models to life. We’ll talk about what’s working, what’s not and how to move towards whole person health rapidly and equitably across the US.

    A Just Cause with Karen Dale

    A Just Cause with Karen Dale

    What is your just cause? Karen Dale is DC Market President for Amerihealth Caritas. She is a bold and fearless leader whose “Why” is to be a catalyst for change to promote equity and deeply support people encountering difficulties. In this episode she shares the leadership practices that support this work from sharing power, to community co-design and embracing disagreement on teams. 
    We discuss:
    A powerful partnership with the Children’s Law CenterThe path to value-based payment for community organizationsThe future of public health education: providing the system, structure and culture that encourages every student to be a catalyst for positive changeHow DC is starting to address decades of under-investment in Wards 7 and 8 through its equity budget review
    Karen discusses the just cause for a school of public health in today’s world: 
    “It would be to create … a system, structure and culture that infuses what every student needs to be a catalyst for positive change for human beings … [A] school that creates that culture, gives people the tools, gives them the encouragement, gives them the freedom to try and fail, but learn and apply – that would be amazing. Because … we need a whole generation of people who are in the fight.”
    Relevant Links
    Karen’s commencement address to George Mason grads
    NPR piece on partnership with Children’s Law Center
    New payment approaches for EPSDT
    Guidance for Health Care Entities Partnering with Community-Based Organizations: Addressing Health-Related Social Needs in Alternative Payment Models. [hcp-lan.org]

    About Our Guest
    Karen M. Dale is Market President for AmeriHealth Caritas District of Columbia, a mission-based Medicaid Managed Care Organization in Washington, D.C., and the Chief Diversity, Equity, and Inclusion Officer for the AmeriHealth Caritas Family of Companies. Her focus includes applying a health equity lens to impact all levels of policies, processes, decisions, laws, and outcomes for the communities AmeriHealth Caritas serves.
    She also leads a decidedly metric-driven business approach to mobilize leaders and accelerate strategies to advance diversity, equity, and inclusion inside and outside the walls of AmeriHealth Caritas. As a result, opportunities for people to experience health, wholeness, and belonging are enhanced by addressing the social, economic, and environmental conditions that are drivers of poor health.
    Her hobbies include gardening, creating healthy Caribbean recipes, traveling, and watching her son’s soccer games.
    Connect With Us
    For more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter...

    • 42 min
    People-Centered Policy Design with Natalie Davis

    People-Centered Policy Design with Natalie Davis

    We may be politically divided, but when it comes to healthcare there is actually a lot we agree on as a nation. We want healthcare that is affordable. We want a healthcare system that is easy to understand and navigate. We want to know we will receive good care when we need it most. These insights are something our guest Natalie Davis takes to heart in her work at United States of Care. She and her team are fighting hard to help create a more dependable healthcare system for diverse and underserved Americans.
    We discuss:
    Why we should never use the term “value-based care” ever again.Braidwood vs. Becerra: The court case that may eliminate free preventive services for half of all Americans.The double whammy of US healthcare: system failures and personal shame.How to nurture listening and belonging on a team.
    Natalie says before you start listening, you need to consider who is being failed by the healthcare system and prioritize hearing their stories:
    “If we look at something like maternal health – which is a work that we're doing right now – if you look at the data, it is women of color, especially Black women who are left behind and facing a real failure of our system, which is causing morbidity and mortality. And so, for our organization, we are listening loudly to Black women and we are talking to people in communit[ies], we are talking in focus groups to really make sure we understand those issues. Because, if the people who are not served by this healthcare system are listened to and then served it will make the healthcare system function better for all of us.”
    Relevant Links
    United States of Care's website
    United Solutions for Care
    Patient-First Care (a.k.a. Value-Based Care) Messaging Findings
    United States of Care Preventive Services Resource Hub
    Insight Report from November 2023
    The amicus brief United States of Care submitted on Braidwood vs. Becerra

    About Our Guest
    Natalie Davis has worked for nearly two decades shaping and implementing American health care policies to improve the lives of all people. In 2018, she and fellow national health care leader Andy Slavitt launched United States of Care to ensure that everyone in the country has access to quality, affordable health care regardless of health status, social need, or income. She is relentless in her person-centered approach to building health care solutions and has a history of building partnerships – with organizations, patient advocacy groups and everyday people – that work to create positive change in our country’s health care system. From 2010-2016, Natalie served at the Centers for Medicare and Medicaid Services, with the final two years as Senior Advisor to former CMS Administrator, Andy Slavitt. In 2017, Natalie served as the Director of Strategic Engagement at the Bipartisan Policy Center. A social entrepreneur, Natalie also helped found Town Hall Ventures and The Medicaid Transformation Project, both of which focus on bringing the best of innovation and care

    • 42 min
    Not Designed for Health with Steve Downs

    Not Designed for Health with Steve Downs

    The modern world, and the products we use everyday, are making us sick. But what if we could shift this trend and start to build health into everyday life? That’s exactly what Steve Downs and Thomas Goetz, co-founders of Building H, are working on. Steve, the former CTO of the Robert Wood Johnson Foundation, joins us to discuss how Building H is helping companies and designers re-engineer products and “product environments” so they improve rather than harm health.  
    We discuss:
    Shocking trends in American health: 48% of Americans are lonely, 35% dont get six hours a night of sleep and 60% of adult calories come from ultra-processed food.The mistake of thinking of our daily choices as “individual” decisions, when these decisions are profoundly shaped by our environments and the products we use.The Building H Index, which evaluates everyday products against five metrics of health: eating, physical activity, sleep, social connection, and spending time outdoors.Culdesac - A real-estate developer that is building “cities for people without cars”.
    Steve asks how we could broaden consumer product regulation to focus on broad health impacts, not just safety:
    "McDonald's is not responsible for all the food related chronic illnesses in America. But you might argue that they are, I don't know, 1.7%, responsible or 3.8% responsible …  I think we ultimately need to get to a place where if your product is leading to unhealthy behaviors, which is leading to illness and disease and cost, there may need to be some accountability for that." 
    Relevant Links
    Building H website
    Building H Index
    AJHP paper on the product environment
    Daniel Lieberman’s book on the history of the human body (no affiliate fee taken)
    Culdesac website
    HBS Impact-weighted accounts
    International Foundation for Valuing Impact
    ANNOUNCEMENT: Building H is seeking volunteers with a background in public health, healthcare or health policy to help build the Building H Index by rating products and services on their health impacts. If you’re interested in participating in a short scoring exercise, please go to this site for details and sign up https://www.buildingh.org/index/volunteer-signup 

    About Our Guest
    Steve Downs works at Building H as a co-founder. Prior to his role at Building H, Steve was the chief technology and strategy officer at Robert Wood Johnson Foundation (RWJF) where he led a transformation of the Foundation’s practice of program strategy, putting in place an approach that is highly flexible and adaptive. Over his career at RWJF, Steve held a variety of management roles — including chief...

    • 40 min
    Caring for Rural America with Dr. Jennifer Schneider

    Caring for Rural America with Dr. Jennifer Schneider

    Rural America is facing a healthcare crisis. Home to 60 million people, rural areas face a 23% higher mortality rate compared to urban locations due to lack of infrastructure, lower socio-economic status and provider shortages. Indeed, rural areas have half as many primary care providers and an eighth as many specialists as urban locales.
    In this episode, Homeward’s CEO, Jennifer Schneider discusses how her company uses remote monitoring, telehealth and a novel staffing model to re-architect care delivery in rural America with the goals of improving access and health outcomes.
    We discuss:
    Why Jennifer and her co-founder decided to make Homeward a B Corp.How Homeward uses technology and non-physician providers to expand access to care in rural America.Lessons from Homeward’s early rollout in Minnesota.
    Jennifer says we often underestimate how large the  rural healthcare market is:
    “I jokingly say [to] people when we started Livongo... we initially started in diabetes care. And people said, “That's amazing, it's going to be a huge business. There's 30 million people living with diabetes, so great that you did this nice little niche company for your next company”. And so well, how many people do you think live in a rural health care markets? [I] kind of get a blank stare. And the answer is – double the size [of] the population of people with diabetes… 60 million people live in… [a] rural market.“
    Relevant Links
    Homeward website
    Lack Of Access To Specialists Associated With Mortality And Preventable Hospitalizations Of Rural Medicare Beneficiaries [Article]
    U.S. Government Accountability Office: “ACCESSING HEALTH CARE IN RURAL AMERICA” [PDF]
    Forbes: “Healthcare In Rural America Isn’t A Little Broken, It’s A Lot Broken: A Conversation With Dr. Jennifer Schneider, Founder And CEO, Homeward Health”
    About Our Guest
    Dr. Jennifer Schneider is the co-founder and chief executive officer of Homeward, a company focused on rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Previously, Dr. Schneider served as the chief medical officer and president of Livongo. She also served as chief medical officer of Castlight Health. Dr. Schneider has been honored by Modern Healthcare as one of the “100 Most Influential People in Healthcare” and by Fierce Healthcare as a “Woman of Influence” for her work empowering women and modeling diversity and inclusion in the workplace. Dr. Schneider is also on the boards of Maven and Jasper. Dr. Schneider completed her bachelor's degree in biology at the College of the Holy Cross. She went on to get her MD at The Johns Hopkins University School of Medicine and her master’s degree in Health Services Research at Stanford University.
    Connect With Us
    For more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams anda...

    • 26 min
    The Best Kept Secret with Dr. Kyu Rhee

    The Best Kept Secret with Dr. Kyu Rhee

    Before the phrase “social drivers of health” was commonly used, Community Health Centers had already developed a model of care that was holistic, grounded in social change and embedded in the community. At this year’s HLTH Conference in Las Vegas, I sat down with Dr. Kyu Rhee, the new CEO of the National Association of Community Health Centers. Dr. Rhee brings a fresh perspective to NACHC as a clinician and an immigrant with broad experience in policy, clinical practice and technology.
    We discuss:
    What medicine would look like if every doctor was trained in a community health center, not just in fancy hospitals.How CHCs knock quality metrics out of the park while improving equity.One secret to community embeddedness: Every CHC must name patients to at least half of the governing board seats.The new prescriptions to improve health: food and iPads.
    Kyu reminds us that changing an entire system can’t happen overnight, we need patience and passion:
    “Earlier in my career as a medical director, I was like, “We got to fix this!” And I think I had to learn that there's so many angles on how you see a problem … so that passion of advocating for health equity and the injustices, you have to be thoughtful about allowing that passion to be part of your purpose, but also being patient in the process.”
    Relevant Links
    Website for the National Association of Community Health Centers
    Economic Impact of Community Health Centre in the United States [PDF]
    America’s Health Centers by the Numbers [PDF]
    "How the Civil Rights Movement Gave Rise to Community Health Centers" [BLOG]
    About Our Guest
    Dr. Kyu (“Q”) Rhee, MD, MPP, joined the National Association of Community Health Centers as CEO in 2023. He leads efforts to advance health equity and support the mission of community health centers, which provide high-quality, affordable, transdisciplinary primary care services to more than 31.5 million people at over 14,000 sites across the nation. He has held leadership roles as the Senior Vice President and Aetna Chief Medical Officer at CVS Health, as the Chief Health Officer at IBM, and as Chief Public Health Officer at the Health Resources and Services Administration. Dr. Rhee has a medical degree from the University of Southern California and a masters degree from Harvard University’s John F. Kennedy School of Government.
    Connect With Us
    For more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn 

    • 23 min
    In Pursuit of Scale with Dr. Shantanu Agrawal

    In Pursuit of Scale with Dr. Shantanu Agrawal

    Is whole health here to stay, or is it a shiny new object? Our guest today is Dr. Shantanu Agrawal, Chief Health Officer at Elevance Health. He falls soundly on the “here to stay” side of the ledger. He shares that whole health is not a side business for Elevance Health and its 47.5 million members. It is the core strategy for how the company will achieve value and affordability. And it’s also what patients want.
    We dive into:
    Whether the US could get better outcomes at the same cost by redirecting resources from medical to social care.Why and how Elevance developed its Whole Health Index.The Elevance foundation’s three-part focus: maternal health, food as medicine and substance use disorders.The need for a new quality paradigm that measures whole health, not clinical care for individual body parts.
    Shantanu calls for a deeper look at US health spending and outcomes compared to other countries:
    “People often make this comparison, ‘well, our health outcomes are generally worse, we spend a lot of money in health care’. However, when you actually look at the total expense on health and social care across all these countries, it actually looks pretty similar. We are more on par with our peers, or they're more on par with us from a cost standpoint. But it is true - our health outcomes are worse. Well, why is that? Well, maybe it's because we've emphasized health care, and not care of a person's health, which means being inclusive of social and being upstream and working earlier in their life. Perhaps if we do this, we will right size the equation for our country.”
    Relevant Links
    More information on Elevance’s Whole Health Index [PDF]
    Health Affairs article on “A Whole Health Population-Based Payment Approach”
    Committing to Whole Health: A Conversation with Felicia Norwood & Dr. Shantanu Agrawal [VIDEO]
    Distinguishing Health Equity and Health Care Equity: A Framework for Measurement 

    About Our Guest
    Shantanu Agrawal, MD, MPhil is chief health officer at Elevance Health, where he oversees the enterprise whole health strategy, including medical policy and clinical quality, as well as the company’s industry-leading work to address health-related social needs and health equity. Passionate about improving health outcomes and reducing disparities, Agrawal draws on his clinical and business expertise to push for a more equitable health space for the people Elevance Health serves. He also leads Elevance Health’s community health strategy and the Elevance Health Foundation. Previously, Dr. Agrawal served as president and CEO of the National Quality Forum, deputy administrator for the Centers for Medicare and Medicaid Services, and director of one of its largest centers, the Center for Program Integrity.
    Connect With Us
    For more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twittera...

    • 35 min

Customer Reviews

5.0 out of 5
9 Ratings

9 Ratings

Emily Frances ,

Refreshing, smart and kind conversations about health

Claudia Williams is uniquely talented at bringing the most innovative healthcare leaders to the table and leading a dialogue that changes how you think of our health in the future. The Other 80 is a must-listen for anyone involved in building healthcare systems that truly deliver on better lives. I especially loved the conversation with Dr. Sachin Jain - which quickly turned into a master class on medical ethics and a frank discussion of the leadership crisis in our sector.

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