Newsletter
Bright Spots in Healthcare

Bright Spots in Healthcare

Find a bright spot ... and clone it!

Improve CAHPS through Enhanced Benefits Navigation

Healthcare leaders from Alignment Health, SCAN, ATI Advisory and Dina discuss the importance of MA plans to ensure members understand available non-medical benefits. Making the experience painless is essential to attracting and retaining members – and improving CAHPS and Star Ratings. Learn successful strategies and best practices your plan can implement to improve member experience and ensure members receive the care they need. Topics include: Humanizing the navigation process; creating a culture of customer service; using technology to streamline benefit navigation, and leveraging home-centered care    Panel: Dawn Maroney, CEO of Alignment Health Plan and President, Markets of Alignment Health John Petito, Corporate Vice President of Strategy & Transformation, SCAN Health Plan  Ashish V. Shah, CEO, Dina Anne Tumlinson, CEO, ATI Advisory Bios: https://www.sharedpurposeconnect.com/events/maximizing-the-impact-of-supplemental-benefits-to-increase-star-ratings/   Payer & Provider Executive Roundtable Summit Registration: https://www.eventbrite.com/e/payer-provider-roundtable-summit-engagement-clinical-bright-spots-registration-469644799237   This episode is sponsored by Dina Dina provides benefits and care coordination solutions to support health plans and providers as they extend care management into the home. Customers use our SaaS technology to digitize their network of community and home-centered providers; transform coordination workflows so they spend less time with phone calls and faxes; collect performance data to improve their network continuously; and capture meaningful data directly from home. Last year, Dina was named to the Inc. 5000 list of fastest-growing companies and CB Insights Digital Health 150 list of companies transforming healthcare with digital technology. 
March 24, 2023

Success Stories in Virtual Care Enrollment & Engagement

Healthcare leaders from United Health Group, Blue Shield of California, Highmark, Oklahoma Complete Health (Centene) and TytoCare share real-world, virtual care success stories. Gain insight into how virtual care boosts outcomes improves equity and reduces costs. Hear case studies, lessons learned, and best practices you can implement in your organization.   Topics include: Engagement, Experience and Equity Plan Design Local as a Strategy and Hybrid Care   Industry Experts: Nina Birnbaum, Medical Director, Innovation Acceleration, Blue Shield of California; Barbara Koch, Senior Vice President, Office of Health Equity, UnitedHealth Group;  Timothy Law, DO, Chief Medical Officer, Highmark; Douglas Olivo, Director of Rural Care and Telehealth Services, Oklahoma Complete Health, a subsidiary of Centene; Si Yahav Tirosh, Director of Engagement Labs, TytoCare Bios: https://www.sharedpurposeconnect.com/events/success-stories-in-virtual-care-enrollment-engagement/ This episode is sponsored by TytoCare TytoCare allows users to access quality medical care anytime, anywhere, enabling providers to conduct a comprehensive examination of the ears, lungs, heart, throat, heart rate, temperature, skin, abdomen, and more ..all remotely. TytoCare’s handheld exam kit and app connect users with a clinician or specialist for a medical exam and telehealth visit no matter where they are. Clinicians can access clinical-quality exam data to help ensure patients receive the best remote diagnosis and treatment possible. Health providers, insurers, hospitals, clinics, businesses, and schools worldwide are leveraging TytoCare’s remote exam system to deliver on the full promise of telehealth. And when it comes to product design and the consumer experience, no one has them beat.  Companies who are already leveraging their knowledge and platform include Kaiser, Elevance, Amazon and the NHS to name a few. TytoCare is fully compliant and cleared with regulatory bodies, including FDA, CE, HealthCanada, ISO medical, HIPAA, HITRUST, and GDPR.  Visit: www.tytocare.com  
March 17, 2023

Mitigating Social Risk to Achieve Higher Star Ratings

Senior leaders from Cigna, Independent Health, Regence, and Socially Determined join Eric to discuss how minimizing social risk helps plans garner higher quality and performance scores. Learn successful strategies for identifying, engaging, and addressing members with elevated social risks to drive gap closure and member retention. The session is full of bright spots you can implement in your organization! Panel:  Kathleen Faulk, Senior Vice President &  Dawn Odzywolski, Vice President, Medicare Programs, Independent Health Ashley Perry, MPH, Chief Strategy & Solutions Officer, Socially Determined Angela Kloepfer-Shapiro, MD, MBA, Regional Medical Executive, Northeast and West Regions, Cigna Medicare Advantage   Bios: https://www.sharedpurposeconnect.com/events/mitigating-social-risk-to-achieve-higher-star-ratings/   Summit Registration: https://www.eventbrite.com/e/469644799237   This episode is sponsored by Socially Determined Socially Determined is leading the transformation of healthcare delivery and payment through social risk analytics and solutions. Our SocialScapeⓇ SaaS platform, data and industry-leading expertise empower health systems, plans and other risk-bearing organizations to manage risk better, improve outcomes and advance equity at scale. Recently named by Fierce Healthcare as one of the 15 most promising healthcare companies, Socially Determined is headquartered in Washington, DC. Visit the website at www.sociallydetermined.com.
March 3, 2023

Sell with a Story in Healthcare with Paul Smith

A well-crafted story can pack the emotional punch to turn routine presentations into productive relationships. Organizational storytelling expert and author Paul Smith joins Eric to share his popular and proven formula for telling a story. Paul discusses the following:  What is the optimal structure of a story? What different types of stories should we all have at our fingertips for our meetings with health plans and provider organizations? How do we leverage these stories to make a sales pitch? How do we use storytelling to close a sale?   At the end of the episode, you’ll have a blueprint for a new storytelling strategy for their sales organization!   About Paul Paul Smith is one of the world’s leading experts on organizational storytelling. He’s one of Inc. Magazine’s “Top 100 Leadership Speakers of 2018” and the author of three Amazon #1 bestsellers: Lead with a Story (now in its 11th printing, and published in 7 languages around the world), Sell with a Story, and The 10 Stories Great Leaders Tell; in addition to Parenting with a Story and his newest work, Four Days with Kenny Tedford. He’s a former executive at The Procter & Gamble Company and a consultant with Accenture before that.   Buy Paul’s book, Sell with a Story: https://www.amazon.com/Sell-Story-Capture-Attention-Build/dp/0814437117 Paul’s website: https://leadwithastory.com/
February 24, 2023

Equity & Timely Access as a Stars Strategy

As health equity initiatives play an increasingly important role in CMS programs, Medicare Advantage plans must commit to addressing social factors hindering access to care and driving members to take action to improve their health, such as scheduling a preventive care visit or completing a missed screening. Industry leaders from 4 & 5-Star plans discuss strategies to advance health equity and improve care access to achieve higher Star Ratings.   Topics include: Creating a true health equity strategy   Using a personalized approach to reaching the unreachable members Creating a trustworthy, comfortable approach to care access Navigation and scheduling Partnering with CBOs   Panelists: Elizabeth Benz, Vice President of Quality and Clinical Integration, Network Health; Gene Huang, Executive Chairman, ReferWell; Brindha Sridhar, Vice President, Customer Experience Strategy, MetroPlusHealth; Alexandria Tusek, Director, HEDIS & Data Analytics, Priority Health   Panelist Bios: https://www.sharedpurposeconnect.com/events/equity-timely-access-as-a-stars-strategy/   Bright Spots in Healthcare is hosting our first in-person event on August 24 & 25, 2023, in Boston.  The Executive Roundtable Summit is a unique and transformative gathering, bringing together like-minded leaders from health plans, ACOs, health systems, hospitals, government agencies and community-based organizations for large-scale conversations that matter to the future of healthcare.   Payer & Provider Roundtable Summit brochure:  https://images.magnetmail.net/images/clients/SPC_/attach/SPCEventBrochure3.pdf   Summit Registration:  https://brightspotssummit.eventbrite.com   This episode is sponsored by ReferWell ReferWell helps health plans advance health equity by scheduling underserved members for the care they need, be it medical, care gap appointments or — through your community partnerships — appointments for services like transportation assistance, nutritional counseling, mental health services and other community-based organization offerings.  
February 18, 2023

Novel Approaches to Care Coordination: The Key to Profitable Risk Models

The residual impact of the COVID-19 pandemic is a change in the way care is delivered in the U.S.  With a growing demand for post-acute care, coupled with staffing challenges, providers face challenges and opportunities in care transition and coordination along the continuum of care. Hear our panel of experts discuss innovative and novel approaches to care coordination. Topics include: real-time transparency, streamlining and improving communication, and Interoperability between partner organizations   Panelists: Cynthia Deculus, Chief Population Health Officer and Vice President, Population Health, Cedars Sinai; Margie Zeglen, MBA, RHIA, Vice President, Population Health, Carle Health; Jessica Hohman, MD, MSc, MSc, President and Medical Director, Cleveland Clinic Medicare Accountable Care Organization; Lissy Hu, M.D., MBA, President, Connected Networks, CarePort, powered by WellSky Bios: https://www.sharedpurposeconnect.com/events/novel-approaches-to-care-coordination-the-key-to-profitable-risk-models/   This episode is sponsored by CarePort, powered by WellSky CarePort is the leading care coordination network of 2,000 hospitals and 130,000 post-acute and community providers. The end-to-end platform bridges acute and post-acute EHRs, providing visibility into the patient journey for providers, physicians, payers and risk-bearing entities.    With CarePort, healthcare professionals can efficiently and effectively coordinate patient care with visibility and intelligence to manage patients as they move through the continuum. Visit website at: www.careporthealth.com
January 20, 2023
View All Episodes

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.

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.

You may also like

Join our community and never miss
your favorite episodes

Join Our Newsletter

We gratefully acknowledge the many organizations that have generously supported our podcasts and platform.

Network Sponsors and Advertisers

Podcast Sponsors and Advertisers

Event and Media Partners