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Bright Spots in Healthcare

Bright Spots in Healthcare

Find a bright spot ... and clone it!

Latest From Series

How Digital Technologies are Advancing Health Equity

  Digital technology can give organizations more data so that they have visibility not only into patients’ clinical profiles but also population health profiles and socioeconomic profiles.    Our panel of experts will discuss how health plans can effectively tap the potential of digital technologies to improve care delivery, outcomes and equity for traditionally underserved populations. Learn strategies and best practices you can implement in your own organization!  how health plans can use digital tools to close gaps in care and advance health equity.   Panelists: Paula Gutierrez, Director, Health Equity, Director of Health Equity for CVS Kidney Care, a CVS Health Company  Seun O. Ross, Executive Director, Health Equity, Independence Blue Cross Paula LeClair, US General Manager, Healthy.io   Panelist bios: https://www.sharedpurposeconnect.com/events/health-equity-how-digital-technologies-are-reshaping-healthcare/   This episode is sponsored by Healthy.io Healthy.io is the global leader in turning the smartphone camera into a clinical-grade medical device for an at-home urinalysis and digital wound management    Their smartphone-powered home kidney test (pause) aids in the early detection of chronic kidney disease and helps close gaps in access and care for over 500,000 patients worldwide. Beyond being recently featured by CNBC, Fast Company and the Financial Times, Healthy IO is partnered with some of the nation's leading health plans and the National Health Service in the United Kingdom b/c of the test’s ease of use, high completion rates, and the huge potential savings.   They are the first company to convert your smartphone into a clinical-grade medical device to enable at-home testing with instant results.    
July 1, 2022

Elevate Risk Adjustment by Activating Providing Participation

Risk adjustment is much more than a regulatory requirement for Medicare Advantage plans –  it can improve the quality of care by providing an accurate picture of each member’s health status and ensuring each member receives the right interventions and treatment.    Providers play an important role in risk adjustment, too. An engaged partnership between health plans and providers is vital to ensure beneficiaries receive valuable benefits.    Our panel of experts from Blue Cross Blue Shield of Illinois, CommuniCare Health Centers, Priority Health, SelectHealth and Vatica Health will share successful strategies and best practices for payers and providers to work in partnership to close gaps in care, achieve better clinical and financial performance, and support value-based care. Hear both payer and provider perspectives on building a successful relationship.   Confirmed Panelists: Jeslie Jacob, Divisional Vice President, Provider Analytics, Reporting & Connectivity, Blue Cross and Blue Shield of Illinois. Rebecca Welling, Associate Vice President, Risk Adjustment & Coding, SelectHealth Lisa Wigfield, RN, BSN, CCM, CRC, CDEO, Clinical Advisor, Risk Management, Priority Health Janie Reddy, DNP, FNP-BC, Director of Family Medicine, CommuniCare Health Centers Hassan Rifaat, MD, CEO, Vatica Health Bios: https://www.sharedpurposeconnect.com/events/elevating-risk-adjustment-by-activating-physician-participation/   This episode is sponsored by Vatica Health Founded in 2011, Vatica Health is the leading provider-centric risk adjustment and quality of care solution for health plans and health systems. By pairing expert clinical teams with cutting-edge, HITRUST-certified technology at the point of care, Vatica increases patient engagement and wellness, improves coding accuracy and completeness, facilitates the identification and closure of gaps in care, and enhances communication and collaboration between providers and health plans. The company’s unique solution helps providers, health plans, and patients achieve better outcomes together. Vatica Health is trusted by many of the leading health plans and thousands of providers nationwide. Vatica Health is a portfolio company of Great Hill Partners. For more information, visit www.vaticahealth.com/.  
June 24, 2022

The Playbook for Local as a Healthcare Strategy

Engaging high-needs Medicare and Medicaid members can be a huge barrier to better health and a consistent challenge for even the most innovative health plans. In order to successfully engage these members, health plans must meet them in the communities they live and work and provide the right solutions and resources. Our expert panel of leaders from UnitedHealth Group, UPMC Health Plan, and Reema Health along with the former mayor of Wahington D.C. share how using personalized, community-based solutions helps plans identify member needs, build meaningful relationships, establish trust, navigate care gaps and boost outcomes. Panelists: Cyrus Batheja, National Vice President, UnitedHealth Group; Kendra J. White, Senior Manager, Medicare Community Relations, UPMC for Life; Adrian Fenty, Former Mayor District of Columbia; Justin Ley, Co-Founder & CEO, Reema Health Panelist bios: https://www.sharedpurposeconnect.com/events/the-playbook-for-local-as-a-healthcare-strategy/ This episode is sponsored by Reema Health Reema uses technology to power human relationships with the goal of improving health outcomes for people who are hardest to reach. Reema’s breakthrough health platform uses proprietary technology and predictive data modeling to identify people with the highest level of unmet social needs, power Community Guides with the right information to engage them meaningfully, connect them with the most relevant resources, and improve their health and their lives. For more information visit ReemaHealth.com.  
June 10, 2022

How Carefirst and Socially Determined are Taking an Analytic Approach to Drive Precision

Socially Determined Co-Founder and CEO Trenor Williams, MD, talked with Eric about the importance of accessing and unlocking the potential of member demographic data,  including race, ethnicity and language, to identify social risk, and prioritize geographies and interventions for best results, and measure intervention return on investment (ROI).   He specifically discussed how his organization partnered with CareFirst in Maryland on a $10.5 million diabetes prevention initiative. Using the alternative data, Socially Determined defined the communities most at risk to develop diabetes, enabling CareFirst to create targeted solutions that would produce the greatest impact.    About Trenor Trenor co-founded Socially Determined in 2017 and is responsible for leading the company’s mission and fundraising activities with strategic investors as well as providing executive oversight to clients. As the son of a social worker, Trenor saw firsthand how the insights his mother gleaned during in-home client visits provided a more holistic story of a person than he ever got as a family physician. Inspired by this experience, he created the company to give organizations full visibility into social risk factors so they could understand its impact on the people and communities they serve and strategically intervene.   Prior to Socially Determined, Trenor was the Medical Director of Family Practice at Mammoth Hospital in California. He went on to serve as Lieutenant Commander in the United States Naval Reserve. This Episode of the Bright Spots in Healthcare is sponsored by Socially Determined   Socially Determined is a physician-founded, Social Risk Intelligence and solutions company, providing risk analytics, data, and advisory services to industry-leading organizations committed to assessing and addressing Social Determinants of Health (SDOH) and social risk among the communities and populations they serve – and bear risk for. Visit their website at https://www.sociallydetermined.com/
June 1, 2022

How Conquering Loneliness is A Key to Your Medicare & Medicaid Businesses

Loneliness has been associated with worsening health-related quality of life, increased mortality, higher risk for a variety of physical and mental health conditions, and other poor health outcomes. While loneliness is typically associated with seniors, it can apply at any age. Michelle Bentzien-Purrington, SVP, Senior Vice President, MLTSS, Molina Healthcare and Cindy Jordan, Co-founder & CEO of PYX Health, share strategies and best practices tied to reducing the impact of loneliness on Medicare and Medicaid populations.  This episode is sponsored by PYX Health Founded pre-pandemic, Pyx Health is the first proven solution used to treat loneliness. The Pyx Health platform combines a friendly technology application with a call center staffed with certified, compassionate humans. We work with health insurers who have demonstrated improving loneliness improves cost (57% reduction in medical spending), health (82% improved loneliness and depression) and engagement (73% feel more connected to care teams).
May 27, 2022

SDOH and DE&I: Knowing Your Veteran Population

Featuring: David Shulkin, MD, Former U.S. Secretary of Veterans Affairs Kacey L. Serrano, MPA, CPC, CRC, Director, Medicare Stars and Risk Adjustment, Arkansas Blue Cross and Blue Shield Sean Libby, President, BeneLynk Today, 22% of Medicare Advantage members are veterans of the United States Armed Forces and 5% of Medicare Advantage members use the Department of Veterans Affairs (VA) for some of their healthcare needs. However, many health plans don’t have a full understanding of the care their veteran population needs. Panelists share how Medicare Advantage plans can address social determinants of health (SDOH) for its veteran members by identifying their veteran populations and coordinating care with the VA. Topics for Discussion include: Identifying your Medicare Advantage veterans, discovering the value of documenting VA care and understanding military service as a Social Determinant of Health.   This episode is sponsored by BeneLynk, a national provider of social determinants of health (SDoH) solutions for Medicare Advantage and Managed Medicaid health plans. We serve plans and their members by creating a human-to-human connection and providing the assistance a member needs to get the benefits they deserve. By employing one dynamic conversation that flows organically to meet social determinants of health challenges, we build stronger human connections that are supported by innovative technology. We help Medicaid members to retain their benefits through a comprehensive outreach campaign providing information and assistance. All of our services are customized to the specific geography where we provide services and provide the members with the specific information they need to keep their benefits in place. Our mission is to improve lives and positively impact social determinants of health barriers by providing our healthcare partners with the information they need, and people with the advocacy they deserve.   Panelist bios available at: https://www.sharedpurposeconnect.com/events/medicare-quality-and-risk-knowing-your-veteran-population/
May 20, 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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