7 episodes

Podcast by Lumeris Podcast

Tuning Healthcare, Powered by Lumeris Lumeris Podcast

    • Health & Fitness
    • 4.9, 14 Ratings

Podcast by Lumeris Podcast

    Episode 7 Tuning Healthcare - Joe Ruth - Reevaluating Care Delivery Approaches Post-COVID-19

    Episode 7 Tuning Healthcare - Joe Ruth - Reevaluating Care Delivery Approaches Post-COVID-19

    In this latest episode of Tuning Healthcare, Joe Ruth, the Executive Vice President and Chief Operating Officer of Sparrow Health System in Michigan discusses the impact of COVID-19 and recovery approaches in a post-pandemic world. He also talks about the importance of advancing value-based care strategies, moving from fee-for-service toward managing the entire premium dollar, and investing in the right care that drives happier physicians, happier patients, and better outcomes.

    “I think fee-for-service has been a challenge for a long time. When you get paid for what you do, and again, most of that payment is on the back end of very high, very expensive procedures and towards the end of life. If we can reposition the spend towards more preventative medicine, being more connected, providing greater access to our patients, the care will be better at a lower cost. There'll be a happier physician involved, there'll be a happier patient involved. … I think as healthcare providers we have an opportunity to really reset what we think is important in how best to care for patients.”
    – Joe Ruth, the Executive Vice President and Chief Operating Officer of Sparrow Health System

    In this episode, Joe and Lumeris SVP Nigel Ohrenstein discuss:
    • The impact of COVID-19 in Lansing, Michigan (Note: this episode was recorded on Tuesday, April 14, 2020)
    • How the course of the pandemic across the country illustrates how healthcare is local
    • A patient-centered, phased recovery approach for coming out of COVID-19
    • How owning and operating a provider-sponsored Medicare Advantage plan can drive broader population health efforts
    • The importance of managing the entire premium dollar that allows investment in the right care, allowing for higher provider and patient satisfaction

    Recorded April 14, 2020

    To tune in, subscribe below:
    Soundcloud: https://soundcloud.com/lumerishealthcare
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    Stitcher: https://www.stitcher.com/podcast/lumeris/tuning-healthcare-powered-by-lumeris

    • 38 min
    Episode 6 Tuning Healthcare - Aneesh Chopra - Interoperability and VBC in a COVID-19 World

    Episode 6 Tuning Healthcare - Aneesh Chopra - Interoperability and VBC in a COVID-19 World

    In this episode of Tuning Healthcare, Aneesh Chopra discusses how the lack of data transparency and interoperability has crippled the ability for the U.S. to respond to the COVID-19 public health crisis. Aneesh is the President and Cofounder of CareJourney, a data and analytics company focused on the move to value-based care, and was also the former first Chief Technology Officer of the United States, serving under President Obama from 2009 to 2012. He also discusses how the move to value-based care may accelerate as a result of this crisis, and how revitalizing our nation’s healthcare IT infrastructure could speed up improvements for providers, payers and consumers.

    “We may emerge with a different cost structure in the healthcare delivery system, that's more asset light. That may be disruptive to organizations that generate the big institutional revenue, but we're going to work our way through that change. That would have come anyway through value-based care, but this will just accelerate. And then you'd ask the question, "If I can treat this group of patients at home, in a much lower cost setting, with this remote monitoring, with physicians checking in at this time period and we get similar or better outcomes, remind me again why we're not doing that today?"
    – Aneesh Chopra, President of CareJourney and former Chief Technology Officer of the United States

    In this episode, Aneesh and Lumeris Senior Vice President Nigel Ohrenstein discuss:
    • The lack of data transparency and interoperability in healthcare and its impact during the COVID-19 crisis
    • How the move to value-based care may accelerate in the post-pandemic era
    • What the new normal of healthcare could look like from a care delivery and infrastructure standpoint
    • What a fully informed provider and patient experience could look like
    • How data transparency and consumer apps can help speed up interoperability

    Cited works:
    • Text Message Alert 1 Sound. Available at http://soundbible.com/2154-Text-Message-Alert-1.html.
    • ECG Sound. Available at http://soundbible.com/1730-ECG.html.
    • AM Radio Tuning Sound. Available at http://soundbible.com/2099-AM-Radio-Tuning.html.
    • Intro music. Gordon Household. August 2019. WAV File.

    • 39 min
    Episode 5 Tuning Healthcare - Dr. Tom Hastings - The Accountable Primary Care Physician

    Episode 5 Tuning Healthcare - Dr. Tom Hastings - The Accountable Primary Care Physician

    In this episode of Tuning Healthcare, step into a doctor’s office and listen to Dr. Tom Hastings, a high-performing accountable primary care physician at Esse Health, discuss his practice with Lumeris Senior Vice President Nigel Ohrenstein and discuss:
    • A day in the life of an accountable primary care physician
    • Team-based care and workflows that enable patient and care team satisfaction
    • The importance of finding what is of value for patients
    • Advice for physicians new to value-based models
    • How a Collaborative Payer can be a value-driven companion for physicians
    • How ongoing learning, transparency and continuous improvement help drive better care
    • What to change in today’s healthcare system
    Cited works:
    • Text Message Alert 1 Sound. Available at http://soundbible.com/2154-Text-Message-Alert-1.html.
    • ECG Sound. Available at http://soundbible.com/1730-ECG.html.
    • AM Radio Tuning Sound. Available at http://soundbible.com/2099-AM-Radio-Tuning.html.
    • Intro music. Gordon Household. August 2019. WAV File.

    • 35 min
    Episode 4 Tuning Healthcare - Jordanna Davis - Embracing Risk and Enhancing the Patient Experience

    Episode 4 Tuning Healthcare - Jordanna Davis - Embracing Risk and Enhancing the Patient Experience

    In this episode, Jordanna and Lumeris’ Senior Vice President Nigel Ohrenstein discuss:

    • Insights from working in Capitol Hill and on the Affordable Care Act (ACA)
    • Benefits and unintended consequences of the passage of the ACA
    • Why transparency plays a critical role in transforming healthcare
    • Why consumerism in healthcare is a huge challenge
    • The newly proposed Direct Contracting model from CMMI
    • How provider appetite for risk-bearing models is changing
    • How to create virtually integrated delivery networks

    Subscribe, listen, share—and leave reviews as we continue to release new episodes

    Cited works:
    • Text Message Alert 1 Sound. Available at http://soundbible.com/2154-Text-Message-Alert-1.html.
    • ECG Sound. Available at http://soundbible.com/1730-ECG.html.
    • AM Radio Tuning Sound. Available at http://soundbible.com/2099-AM-Radio-Tuning.html.
    • Intro music. Gordon Household. August 2019. WAV File.

    • 34 min
    Episode 3 Tuning Healthcare - Paul Keckley - What's Next for Primary Care?

    Episode 3 Tuning Healthcare - Paul Keckley - What's Next for Primary Care?

    As a widely renowned industry expert, Paul Keckley has a first-hand view of the changing forces in healthcare today. In addition to being Managing Editor of The Keckley Report, Paul is a distinguished writer and researcher, who also worked extensively with industry trade groups on the development of the Affordable Care Act.

    In this episode of Tuning Healthcare, Paul shares insights around key factors that are impacting payers, providers and consumers during the industry’s constant state of change.

    “There are winners and losers in every sector, and the winners in those sectors have the technology, have the scale, have access to capital. They've got leaders that see a future where they're paid for a result instead of volume. They are looking at individuals, they're not looking at patients, and they're looking at ways of treating that go beyond a pill or a test.”– Paul Keckley

    In this episode, Paul talks to Lumeris Senior Vice President Nigel Ohrenstein and discusses:
    • The pace of industry change from volume to value,
    • Insights from working on healthcare reform and the Affordable Care Act,
    • The evolution of primary care and where health systems need to prioritize,
    • Changing dynamics between payers and providers—and who will win and lose in the future,
    • Private equity interest in primary care models and holistic care,
    • The importance of leadership, technology, scale and access to capital in enabling the move to risk.

    Cited works:
    • Text Message Alert 1 Sound. Available at http://soundbible.com/2154-Text-Message-Alert-1.html.
    • ECG Sound. Available at http://soundbible.com/1730-ECG.html.
    • AM Radio Tuning Sound. Available at http://soundbible.com/2099-AM-Radio-Tuning.html.
    • Intro music. Gordon Household. August 2019. WAV File.

    • 35 min
    Episode 2 Tuning Healthcare - Niyum Gandhi

    Episode 2 Tuning Healthcare - Niyum Gandhi

    As a population health expert tasked with helping New York’s Mount Sinai Health System transition to value-based arrangements, Executive Vice President and Chief Population Health Officer Niyum Gandhi is well-versed in the many cultural and organizational challenges that occur when a system shifts its focus from filling beds to managing the health of patient populations.

    In this episode of Tuning Healthcare, Niyum, who is also an Assistant Professor of Health System Design at the Icahn School of Medicine, shares insights around organizational transformation and effective execution of population health initiatives.

    [On overcoming the resistance to moving to value]: “It all starts at the top. [It] can't possibly be overstated how important that is. The vision for what we want to do came directly from the board and the CEO. Without that, there's no chance of the type of transformative change that we want to have. ...Without that commitment from the top, I think it's pretty much impossible.” – Niyum Gandhi

    In this episode, Niyum talks to Lumeris Senior Vice President Nigel Ohrenstein and discusses:
    • Why transformative change starts at the top from the board and CEO,
    • How to find the right risk-based contracts to start a value-based journey,
    • Why organizations will likely find it quicker to scale if they partner with a collaborative payer instead of trying to start their own Medicare Advantage plan,
    • What health systems need to do to engage physicians, and
    • Why health systems must focus on building a highly effective primary care model that is purposely built for scale to transition to risk models.

    Cited works:
    • Text Message Alert 1 Sound. Available at http://soundbible.com/2154-Text-Message-Alert-1.html.
    • ECG Sound. Available at http://soundbible.com/1730-ECG.html.
    • AM Radio Tuning Sound. Available at http://soundbible.com/2099-AM-Radio-Tuning.html.
    • Intro music. Gordon Household. August 2019. WAV File.

    • 37 min

Customer Reviews

4.9 out of 5
14 Ratings

14 Ratings

SwimAround ,

Excellent Insights

Really enjoyed listening to the conversation. Great guests on an important topic / movement in US healthcare.

Healthcare Marketing Expert ,

Superb discussion

Ryan is a rockstar healthcare expert and VC. Nigel really moved the conversation well, and finally, we get a thoughtful, provoking Podcast in healthcare. We need change and this is it!

Chuck.feerick ,

Great show

Really enjoyed the dynamic take on healthcare and innovation. Looking forward to more great episodes!

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