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Bright Spots in Healthcare

Bright Spots in Healthcare

Find a bright spot ... and clone it!

Latest From Series

Redetermination Strategies to Maximize Continuous Medicaid Coverage

The impending need for state Medicaid agencies and plans to administer redeterminations for Medicaid beneficiaries poses a risk of lost coverage for nearly 15 million individuals, especially for the vulnerable D-SNP population. Our expert panel provides insights into the groundwork needed to educate members about the requirements.   Panelists: Marty Janssen, Senior Program Director, Colorado Access; Errol Pierre, Vice President, State Programs, Healthfirst; Andrey Ostrovsky, MD, FAAP, Former US Medicaid Chief Medical Officer, Managing Partner, Social Innovation Ventures; Aanchal Falken, Vice President, Strategy & Business Development, Icario   Bios: https://www.sharedpurposeconnect.com/events/redetermination-strategies-to-maximize-continuous-medicaid-coverage/   This Bright Spots in Healthcare episode is sponsored by Icario Icario is a health action platform that unites pioneering technology, data science, and behavioral insights to connect everyone to better health. Icario develops personalized healthcare experiences that move people to better health with every action while reducing member abrasion through extrinsic and intrinsic motivations. Learn more at icariohealth.com.
September 23, 2022

How One Value-Based Care Company Became Profitable!

Landmark Health CEO Chris Johnson joins Eric to share his vision for the aging health system of tomorrow and his organization’s mission to help seniors age in place by extending primary and urgent care into the homes of patients with challenging illnesses. Finally, Chris talks about the shift to value-based care and how providers can navigate the new landscape by leveraging technology to create and execute the most effective care plan for each individual.   Launched in 2014, Landmark currently is in 25 states with around 300,000 patients. By the end of next year, the integrated health provider will be in about 40 states with just over half a million patients. A fully mobile medical group, Landmark brings medical care into the homes of seniors and chronically ill patients. These home-based visits are conducted by doctors, advanced practitioners, and care team members to supplement the care patients receive from their primary care providers and specialists – at no additional cost.    Chris joined Landmark in 2017 as Vice President and General Manager, responsible for launching the New England market. Most recently, Chris has served as Landmark’s Head of Corporate Development, responsible for the company’s growth strategy, strategic partnerships, mergers and acquisitions, and public policy. In this position, Chris was integral in spearheading Landmark’s merger with Optum and leading the company’s integration into Optum’s Home and Community platform. He was named one of Aging Media Network’s 2022 Vision Series Leaders.   Before Landmark, Chris was a Principal at Innosight, a healthcare-focused growth strategy consultancy and Co-founder of Predilytics, a healthcare analytics business. Chris holds a Bachelor of Arts in economics from Harvard College. He also received his M.B.A. from Harvard Business School.  
September 16, 2022

Payer and Provider Strategies for Last Mile Care

Healthcare leaders from Avera, Blue Shield of California, Renown Health and the Partners in Care Foundation discuss solving the last mile In healthcare, the link between the consumer and where care is delivered. When consumers can’t pass through the last mile connection to the healthcare delivery system, they never even get an opportunity to engage with healthcare up close. Our panel will share success stories and best practices for improving access, creating a new business model and engaging consumers in their care.   Panelists:  Mitchell Fong, Vice President of Virtual Care, Renown Health Daniel Rivas, Senior Manager, Community Health, Blue Shield of California Rhonda Weiring, Vice President, Clinical Innovation, Avera @Home Dianne Davis, Vice President, Community Wellness, Partners in Care Foundation   Bios: https://www.sharedpurposeconnect.com/events/novel-approaches-to-last-mile-care/   This episode of Bright Spots in Healthcare is sponsored by Partners in Care Foundation. The Partners in Care Foundation aligns social care and health care to address the “Social Determinants of Health” that routinely affect diverse, under-served, and vulnerable populations.   PICF serves as a bridge between medical care and what individuals can accomplish on their own at home, achieving greater equity of conditions and effectiveness of care.   Partners’ evidence-based programs and services have been demonstrated to improve quality of life, help participants avoid suffering, and reduce costly hospital readmissions, Emergency Department visits, and nursing home placements.   For over two decades, the Partners in Care Foundation has been innovating and improving SDOH solutions and driving life-changing, life-saving alignment between social care and health care for those we serve. Please visit https://www.picf.org for more information.  
September 9, 2022

How to Conquer the Transition of Care Journey

  Dina CEO Ashish V. Shah joins Eric to discuss the advantages and challenges in transitioning care from the hospital to the home. He shares what it takes to replicate the facility-based experience outside of the hospital and deliver measurable quality improvements cost-effectively. Ashish provides a step-by-step blueprint for creating an exceptional transition-to-home care model you can replicate at your own organization.    Our GuestAshish V. Shah is CEO of Dina  Ashish leads the Dina (Dena) team on its mission to power the healthcare industry’s transition to virtual and in-home care. He founded the company in 2015 and remains passionate about empowering care teams with the tools they need to help people age. A recognized thought leader, Shah previously served as CTO at Medicity, the market leader for vendor-neutral Health Information Exchange solutions (acquired by Aetna in 2011).    This episode is sponsored by Dina Dina powers the future of home-based care with its care-at-home platform and network that can activate and coordinate multiple home-based service providers, engage patients directly, and unlock timely home-based insights that increase healthy days at home. Dina works with many leading health systems, ACOs and health plans to extend their reach into the home to help people live their best lives.   The platform creates a virtual experience for the entire healthcare team so they can communicate with each other--and help patients and families stay connected--even though they may not physically be under the same roof. Dina helps professional, and family caregivers capture rich data from the home, using artificial intelligence to recommend evidence-based, non-medical interventions. 
August 31, 2022

Why You Shouldn’t Settle for Partial Duals

Josh Weisbrod from Network Health and Keslie Crichton and Sean Libby from BeneLynk join Eric to discuss opportunities and challenges in identifying and converting members to full dual status, including specific examples and an outlined roadmap into this additional revenue stream.   After listening to this episode, you will understand: Why identifying members as “full or partial” matters How much revenue you may be leaving on the table What components need to be in place to convert members   Our Guests Josh Weisbrod, Vice President, Risk Adjustment, Network Health Over 20 years of healthcare, health insurance, healthcare analytic and human service experience working with local and national companies, and state and federal agencies. Specializing in health plan operations and data analytics.   Sean Libby, President and Co-founder, Benelynk Sean has worked at the intersection of managed care and government benefit programs for the past 19 years. Prior to BeneLynk, Sean served as the President of Freedom Disability and Alpha Disability, one of the nation’s largest Social Security Disability and Veterans Advocacy companies. Before that, Sean served as Vice President, Sales for SSC Disability, providing government program benefit services for Managed Care Organizations.   Keslie Crichton, Chief Revenue Officer, Benelynk Keslie has over 25 years of comprehensive managed care and healthcare technology experience.Prior to Benelynk She spent 13 years as Vice President of Sales at Change Healthcare and its predecessor companies Altegra Health and Social Service Coordinators, helping plans improve risk-adjusted revenue and quality performance scores through dual enrollment and retention, as well as health education campaigns.   Acronym Glossary MSP - Medicare Savings Programs ABD- Age Blind and Disabled MAPP - Medicaid Purchase Plan SSI - Supplemental Security Income QMB - Qualified Medicare Beneficiary SLMB - Specified Low-Income Medicare Beneficiary QI-1 - Qualifying Individual SNAP - Supplemental Nutrition Assistance Program LIS - Low-Income Subsidy SSA - Social Security Administration CMS - Center for Medicare and Medicaid Services MAO - Medicaid Add On MA - Medicare Advantage HCC - Hierarchical Condition Category FPL - Federal Poverty Level MAGI - Modified Adjusted Gross Income PMPM - Per Member Per Month HRA - Health Risk Assessment D-SNPs - Dual Eligible Special Needs Plans   This Episode of Bright Spots in Healthcare is sponsored by BeneLynk BeneLynk is arguably the most innovative Dual Advocacy organization in the country. Benelynk’s mission is to improve people’s lives and positively impact social determinants of health barriers by granting their healthcare partners the necessary information while providing healthcare consumers with the advocacy they deserve. They use innovative technology that enables their people to have a dynamic conversation that flows organically to meet social determinants of health challenges and, as such, can build stronger human connections. This carefully planned combination generates exceptional results. Visit their website at www.benelynk.com
August 25, 2022

Reducing Chronic Condition Readmissions

Preventable hospital readmissions cost the healthcare system approximately $25 billion annually, and it is estimated that one of every five Medicare patients is readmitted to the hospital within 30 days of discharge. Our panel of experts shares insights and best practices on lowering readmission rates for patients with chronic health conditions through proven prevention and discharge programs and follow-up plans. Panelists: Troy Garland, MBA, RN, Vice President, Clinical and Quality Operations, Equality Health Sarah Keenan, RN, BSN, MSIHM, Chief Clinical Officer/President, Integrated Care, Bluestone Physician Services Michelle Nelson, Director, Health Improvement, United Regional Health Center ​Ashish V. Shah, CEO, Dina​   This episode is sponsored by Dina Dina powers the future of home-based care with its care-at-home platform and network that can activate and coordinate multiple home-based service providers, engage patients directly, and unlock timely home-based insights that increase healthy days at home. Dina works with many leading health systems, ACOs and health plans to extend their reach into the home to help people live their best lives.   The platform creates a virtual experience for the entire healthcare team so they can communicate with each other--and help patients and families stay connected--even though they may not physically be under the same roof. Dina helps professional and family caregivers capture rich data from home, using artificial intelligence to recommend evidence-based, non-medical interventions. Visit their website at dinacare.com
July 22, 2022

Bright Spots in Healthcare

Each week, we feature innovators in the healthcare industry to extract the strategies, tactics, and tools they utilize to generate extraordinary, positive outcomes. We highlight and breakdown these positive deviants, or "bright spots", so you can implement them in your organization.
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Host

Eric Glazer

Eric Glazer

Executive Producer & Host

Eric Glazer is the founder and CEO of Shared Purpose Connect, the company that hosts and produces the Bright Spots in Healthcare podcast. He has over two decades of experience producing leading healthcare events and collaborative projects, launching new telehealth services, and running executive councils for the industry (i.e. Chief Medical Officer Council). Eric also leads Product Innovation and Client Experience for Teladoc Health (SPC is not affiliated or funded by Teladoc Health). Eric holds a BS and MBA in Health Care from Union College in Schenectady, New York.

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