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The #HCBiz Show!

The podcast dedicated to unraveling the business of healthcare.

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There Are No Drug Prices in the US w/ AJ Loiacono

AJ Loiacono, CEO of Capital Rx, is a new PBM injecting some much-needed trust back into the system. By starting fresh and denouncing business as usual, AJ is giving control back to self-insured entities while looking after the community and specialty pharmacies that historically haven't had negotiating power.
February 5, 2020
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Interoperability 2.0 with Niko Skievaski

In this wide-ranging conversation, Don Lee and Shahid Shah talk with Niko Skievaski, President and Co-Founder of Redox, about his team’s solution to interoperability and why health information exchanges (HIEs) are only part of the answer.
January 15, 2020
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Headwinds Impacting the Shift to Value-Based Care with Kyle Swarts and Dr. Matt Lambert

Health systems have been working hard to lay the foundation for taking on a larger case mix of value-based contracts. 75% of health systems surveyed said they are ready to accept downside risk in the next two years, up from 42% in 2015. As health systems are discovering, value-based care reimbursement is more complicated and requires a new level of specificity in documentation. The question is, are health systems really ready to take on downside risk while continuing to manage FFS contracts?
January 9, 2020
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A Playbook for Social Care Providers with Juliette Price

The health sector is on the verge of providing a permanent revenue stream for Social Care Organizations that previously relied on grants and charitable donations. These partnerships require a clear value proposition and Juliette Price from Helgerson Solutions Group has made just the playbook to help you do that.
December 18, 2019
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Designing an Innovator Network for Hospitals with Amy Stevens

Amy Stevens of AVIA shows us a new platform that gets targeted information to health system leaders who are driving meaningful change in their organization. We get updates from the front lines of the Medicaid Transformation Project. And we get a look at next year's plans for new Integrated Care Networks.
December 4, 2019
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The State of Remote Patient Monitoring w/ Sam Liu of VivaLNK

In this episode, we talk with Sam Liu, Vice President of Marketing at VivaLNK. VivaLNK provides medical wearable sensors designed to monitor human vitals and biometrics. VivaLNK’s IoT sensor platform is quickly becoming the Amazon Cloud of remote healthcare sensors by making it very simple for healthcare developers to capture patient data for their own applications.
November 27, 2019
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Addressing SDOH in the Community: Baby Cafés with Rev. Diann Holt

How can health systems and health plans support and benefit from Baby Cafés? They provide critical support to mothers and babies before, during and after childbirth that can lower maternal morbidity rates, address health access and health disparities, improve mental health and more.On today’s episode, we talk with Rev. Diann Holt from Durham’s Baby Café in downtown Buffalo about the benefits of these services and explore how the healthcare system can support and get value from them.
November 26, 2019
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Tying SDOH Factors to Clinical Outcomes with Erin Benson

Learn how to tie social determinants of health (SDOH) factors to clinical outcomes so that you can address them more effectively in the clinical workflow.LexisNexis Risk Solutions has built out an impressive suite of solutions to integrate SDOH best practices into your organization and here to tell Shahid and I about it is their Director of Market Planning, Erin Benson. In this episode, we go deep into a case study on medication adherence and have some needed conversations around data ethics. Enjoy!
November 13, 2019
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Enhancing Diagnostic Accuracy with Art Papier of VisualDx

Learn how clinical decision support tools can help physicians think more richly about the diagnostic problems they face and improve diagnostic accuracy at the point of care.Today’s guest is Art Papier, MD, co-founder and CEO of VisualDx. The goal of VisualDx, a clinical decision support system, is to “augment the brain” of physicians and help them make better diagnoses at the point of care.
November 6, 2019
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Environmental Services Optimization Playbook (ESOP) at HITS 2019

Learn how the Environmental Services Optimization Playbook (ESOP) will support reliable design (standardization of evidence-based practices) for environmental cleaning and disinfection in health care facilities in alignment with AHE Standards, to reduce the risk of HAI (healthcare-associated infection). Recorded at HITS 2019.
October 14, 2019
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Environmental Services Optimization Playbook (ESOP) at HITS 2019

Learn how the Environmental Services Optimization Playbook (ESOP) will support reliable design (standardization of evidence-based practices) for environmental cleaning and disinfection in health care facilities in alignment with AHE Standards, to reduce the risk of HAI (healthcare-associated infection). Recorded at HITS 2019.
October 14, 2019
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Who’s Got the Patient’s Back? with Patient Advocate Grace Cordovano

Grace Cordovano is a board-certified patient advocate. Grace helps us to understand why patient advocates are needed, how they add value, and how much work and expertise is really necessary to do this job effectively.What is a board-certified patient advocate? Which patients are most likely to benefit from this service? Why aren’t health insurers and providers doing this already? And more...Full show notes and links: https://thehcbiz.com/patient-advocate-grace-cordovano/
October 8, 2019
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Who’s Got the Patient’s Back? with Patient Advocate Grace Cordovano

Grace Cordovano is a board-certified patient advocate. Grace helps us to understand why patient advocates are needed, how they add value, and how much work and expertise is really necessary to do this job effectively.What is a board-certified patient advocate? Which patients are most likely to benefit from this service? Why aren’t health insurers and providers doing this already? And more...Full show notes and links: https://thehcbiz.com/patient-advocate-grace-cordovano/
October 8, 2019
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Ultraviolet Disinfection for High-Touch Hospital Surfaces with Proximity at HITS 2019

Learn how UV-C energy can be used to automatically disinfect high-touch surfaces in hospitals to fight the spread of hospital-acquired infections (HAI). An interview with Proximity Systems at HITS 2019.For full show notes and links (and to see a single-cell paramecium explode under UV-C light!): https://thehcbiz.com/proximity-hits-2019/
September 24, 2019
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Ultraviolet Disinfection for High-Touch Hospital Surfaces with Proximity at HITS 2019

Learn how UV-C energy can be used to automatically disinfect high-touch surfaces in hospitals to fight the spread of hospital-acquired infections (HAI). An interview with Proximity Systems at HITS 2019.For full show notes and links (and to see a single-cell paramecium explode under UV-C light!): https://thehcbiz.com/proximity-hits-2019/
September 24, 2019
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Environmental Infection Control with Sodexo at HITS 2019

We talk with Brooke Hossfeld, Infection Prevention Specialist and Jeff Bennett, Director of Marketing about Sodexo Healthcare’s infection control protocol, Protecta. It's a full-service model that covers staffing, training, product, procedure and best practice research, and outcomes measurement. Brooke and Jeff explain why this type of service is needed, tell us about the results so far, and share their insights on where the industry is headed next.
September 18, 2019
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Environmental Infection Control with Sodexo at HITS 2019

We talk with Brooke Hossfeld, Infection Prevention Specialist and Jeff Bennett, Director of Marketing about Sodexo Healthcare’s infection control protocol, Protecta. It's a full-service model that covers staffing, training, product, procedure and best practice research, and outcomes measurement. Brooke and Jeff explain why this type of service is needed, tell us about the results so far, and share their insights on where the industry is headed next.
September 18, 2019
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The Behavioral Side of Infection Prevention with Sanjay Saint at HITS 2019

Knowing what to do isn't enough. Learn how to address the behavioral side of infection prevention so that the medical staff does the right thing every time and the culture polices itself.We talk with Sanjay Saint about the major points from his keynote address at HITS 2019 in Buffalo, NY.Sanjay Saint, MD, MPH, is the Chief of Medicine at the VA Ann Arbor Healthcare System and the George Dock Professor of Internal Medicine at the University of Michigan.
September 16, 2019
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The Behavioral Side of Infection Prevention with Sanjay Saint at HITS 2019

Knowing what to do isn't enough. Learn how to address the behavioral side of infection prevention so that the medical staff does the right thing every time and the culture polices itself.We talk with Sanjay Saint about the major points from his keynote address at HITS 2019 in Buffalo, NY.Sanjay Saint, MD, MPH, is the Chief of Medicine at the VA Ann Arbor Healthcare System and the George Dock Professor of Internal Medicine at the University of Michigan.
September 16, 2019
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Pay for Success in Social Innovation w/ Ruth Ann Norton

Learn how to use Pay for Success (PFS) funding models to align need, funding and will to implement social innovations in a sustainable way. We talk with Ruth Ann Norton, President & CEO of the Green & Healthy Homes Initiative (GHHI), about how they’re using Pay For Success to enable social innovation across the country.
September 12, 2019
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Pay for Success in Social Innovation w/ Ruth Ann Norton

Learn how to use Pay for Success (PFS) funding models to align need, funding and will to implement social innovations in a sustainable way. We talk with Ruth Ann Norton, President & CEO of the Green & Healthy Homes Initiative (GHHI), about how they’re using Pay For Success to enable social innovation across the country.
September 12, 2019
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Driving Down Pharmacy Spending w/ David Henka

Learn how reference pricing and therapeutic equivalents can help health plans, employers and other plan sponsors reduce their pharmacy spend.
August 29, 2019
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Driving Down Pharmacy Spending w/ David Henka

Learn how reference pricing and therapeutic equivalents can help health plans, employers and other plan sponsors reduce their pharmacy spend.
August 29, 2019
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The Medicaid Transformation Project with David Smith – Part 2

Learn how Avia, in partnership with healthcare leaders and Andy Slavitt, is executing the Medicaid Transformation Project to change the health and care of the Medicaid population by leveraging digital solutions and innovative care models to more effectively and efficiently meet its needs. Part 2 of 2.
August 15, 2019
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The Medicaid Transformation Project with David Smith – Part 2

Learn how Avia, in partnership with healthcare leaders and Andy Slavitt, is executing the Medicaid Transformation Project to change the health and care of the Medicaid population by leveraging digital solutions and innovative care models to more effectively and efficiently meet its needs. Part 2 of 2.
August 15, 2019
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The Medicaid Transformation Project with David Smith – Part 1

Learn how Avia, in partnership with healthcare leaders and Andy Slavitt, is executing the Medicaid Transformation Project to change the health and care of the Medicaid population by leveraging digital solutions and innovative care models to more effectively and efficiently meet its needs.
August 9, 2019
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The Medicaid Transformation Project with David Smith – Part 1

Learn how Avia, in partnership with healthcare leaders and Andy Slavitt, is executing the Medicaid Transformation Project to change the health and care of the Medicaid population by leveraging digital solutions and innovative care models to more effectively and efficiently meet its needs.
August 9, 2019
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Innovation with a Purpose: Jeremiah Gray of EarthSafe

Learn how to drive innovation that results in sustainable, real-world change within your organization by applying systems thinking and taking responsibility for your work.Our guest is Jeremiah Gray, COO and founding partner of EarthSafe Chemical Alternatives. Jeremiah explains ErthSafe’s approach to innovation by way of example. The launch of the EvaClean Infection Prevention System is a clinic in systems innovation and sets a high bar for taking responsibility for your work.
July 22, 2019
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Innovation with a Purpose: Jeremiah Gray of EarthSafe

Learn how to drive innovation that results in sustainable, real-world change within your organization by applying systems thinking and taking responsibility for your work.Our guest is Jeremiah Gray, COO and founding partner of EarthSafe Chemical Alternatives. Jeremiah explains ErthSafe’s approach to innovation by way of example. The launch of the EvaClean Infection Prevention System is a clinic in systems innovation and sets a high bar for taking responsibility for your work.
July 22, 2019
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Selling to Health Systems: Advice for Digital Health Startups (Part 2)

Part 2 of 2: What happens when you take an experienced digital health buyer and an experienced digital health seller and have an honest conversation about the process of bringing new innovations into a health system? You get lots of not-so-obvious, but tremendously valuable insight into how to cross the moats successful health systems have been forced to build to keep you out.
July 12, 2019
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Selling to Health Systems: Advice for Digital Health Startups (Part 2)

Part 2 of 2: What happens when you take an experienced digital health buyer and an experienced digital health seller and have an honest conversation about the process of bringing new innovations into a health system? You get lots of not-so-obvious, but tremendously valuable insight into how to cross the moats successful health systems have been forced to build to keep you out.
July 12, 2019
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Why HIEs Will Lead the Way on Healthcare Quality Measurement w/ John D’Amore

Learn how Health Information Exchanges (HIE) are commoditizing clinical data exchange and data quality in support of healthcare quality measurement. With special guest John D'Amore, President and Chief Strategy Officer at Diameter Health.
July 3, 2019
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Why HIEs Will Lead the Way on Healthcare Quality Measurement w/ John D’Amore

Learn how Health Information Exchanges (HIE) are commoditizing clinical data exchange and data quality in support of healthcare quality measurement. With special guest John D'Amore, President and Chief Strategy Officer at Diameter Health.
July 3, 2019
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Selling to Health Systems: Advice for Digital Health Startups (Part 1)

Part 1 of 2: What happens when you take an experienced digital health buyer and an experienced digital health seller and have an honest conversation about the process of bringing new innovations into a health system? You get lots of not-so-obvious, but tremendously valuable insight into how to cross the moats successful health systems have been forced to build to keep you out.
June 27, 2019
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Selling to Health Systems: Advice for Digital Health Startups (Part 1)

Part 1 of 2: What happens when you take an experienced digital health buyer and an experienced digital health seller and have an honest conversation about the process of bringing new innovations into a health system? You get lots of not-so-obvious, but tremendously valuable insight into how to cross the moats successful health systems have been forced to build to keep you out.
June 27, 2019
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Building Water Systems: The Sustainability and Public Health Nexus

Legionella outbreaks, which can cause the deadly Legionnaires’ disease, are on the rise. In 2017, the CDC reported 7,500 Legionnaires’ disease cases. Within the general population, 10% of those affected will die. In a healthcare setting, the death rate jumps to 25%. And according to the CDC, 9 out of 10 Legionella outbreaks were preventable. Learn how to balance conservation efforts with water safety to ensure the best outcomes and safety for your patients.
June 19, 2019
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Building Water Systems: The Sustainability and Public Health Nexus

Legionella outbreaks, which can cause the deadly Legionnaires’ disease, are on the rise. In 2017, the CDC reported 7,500 Legionnaires’ disease cases. Within the general population, 10% of those affected will die. In a healthcare setting, the death rate jumps to 25%. And according to the CDC, 9 out of 10 Legionella outbreaks were preventable. Learn how to balance conservation efforts with water safety to ensure the best outcomes and safety for your patients.
June 19, 2019
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Decision Support for Selecting Digital Health Tools

Learn how Medigy is providing a decision support tool for selecting digital health products with quantitative analysis driven by the outcomes and key results (OKR) framework.
June 12, 2019
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Decision Support for Selecting Digital Health Tools

Learn how Medigy is providing a decision support tool for selecting digital health products with quantitative analysis driven by the outcomes and key results (OKR) framework.
June 12, 2019
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No BS and No PowerPoint: HealthImpact East in NYC

HealthImpact East is a no BS and no PowerPoint conference that facilitates real-talk around healthcare's thorniest problems. Shahid Shah explains what you can expect in NYC on June 12 and 13, 2019.
June 3, 2019
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No BS and No PowerPoint: HealthImpact East in NYC

HealthImpact East is a no BS and no PowerPoint conference that facilitates real-talk around healthcare's thorniest problems. Shahid Shah explains what you can expect in NYC on June 12 and 13, 2019.
June 3, 2019
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Expo.Health with John Lynn

John Lynn discusses practical healthcare IT innovation at the Expo.health in Boston from July 31 – August 2, 2019.For full show notes: https://thehcbiz.com/expo-health-john-lynn/
May 30, 2019
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Expo.Health with John Lynn

John Lynn discusses practical healthcare IT innovation at the Expo.health in Boston from July 31 – August 2, 2019.For full show notes: https://thehcbiz.com/expo-health-john-lynn/
May 30, 2019
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Taking Aim at Phony Doctor Reviews w/ Ted Chan

Learn how CareDash identifies fraudulent doctor reviews and what they do about them. You’ll also learn how CareDash uses good SEO practices, online advertising, and quality content to drive their incredible growth.Check out the full show notes and related content here: https://thehcbiz.com/preventing-fraudulent-doctor-reviews-ted-chan/
May 22, 2019
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Taking Aim at Phony Doctor Reviews w/ Ted Chan

Learn how CareDash identifies fraudulent doctor reviews and what they do about them. You’ll also learn how CareDash uses good SEO practices, online advertising, and quality content to drive their incredible growth.Check out the full show notes and related content here: https://thehcbiz.com/preventing-fraudulent-doctor-reviews-ted-chan/
May 22, 2019
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Visions of Disruption: What’s expected of Amazon in Healthcare?

Exploring perceptions of Amazon in healthcare and the impact it will have on the industry with CNBC's Christina Farr, Shahid Shah and Data Book.
May 10, 2019
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Visions of Disruption: What’s expected of Amazon in Healthcare?

Exploring perceptions of Amazon in healthcare and the impact it will have on the industry with CNBC's Christina Farr, Shahid Shah and Data Book.
May 10, 2019
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The CMS NPRM: Opportunities from the Payer Perspective

Learn about opportunities in the CMS NPRM from the health plan perspective for payers and 3rd-party app developers.
May 3, 2019
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The CMS NPRM: Opportunities from the Payer Perspective

Learn about opportunities in the CMS NPRM from the health plan perspective for payers and 3rd-party app developers.
May 3, 2019
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HCLDR, Access 2022, and more with Colin Hung

Colin Hung on the power of online communities like #HCLDR, a new push for healthcare interoperability in Canada called Access 2022, and much more. Our guest is Colin Hung, CMO and editor at HealthcareScene.com, and founder of #HCLDR.
April 16, 2019
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HCLDR, Access 2022, and more with Colin Hung

Colin Hung on the power of online communities like #HCLDR, a new push for healthcare interoperability in Canada called Access 2022, and much more. Our guest is Colin Hung, CMO and editor at HealthcareScene.com, and founder of #HCLDR.
April 16, 2019
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The Path to Healthcare Interoperability

The ONC and CMS proposed rules, HIMSS Interoperability definition, and the CMMI Emergency Triage, Treat and Transport (ET3) Model.This conversation sets up the next several episodes where we'll identify the opportunities that are being created and share ideas on how you can capitalize on them.See full show notes and links here: https://thehcbiz.com/the-path-to-interoperability/
April 10, 2019
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The Path to Healthcare Interoperability

The ONC and CMS proposed rules, HIMSS Interoperability definition, and the CMMI Emergency Triage, Treat and Transport (ET3) Model.This conversation sets up the next several episodes where we'll identify the opportunities that are being created and share ideas on how you can capitalize on them.See full show notes and links here: https://thehcbiz.com/the-path-to-interoperability/
April 10, 2019
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Building a Social Network for Patients and Caregivers

On this episode, we talk with Brian Loew, founder and CEO at Inspire. They've built a social network for patients and caregivers that provides a safe place for them to share their stories and learn from people like them. And it empowers patients to raise their hands and volunteer to participate in research that could advance treatments for their disease.Check out the full show notes and links here: https://thehcbiz.com/social-network-for-patients-and-caregivers/
April 3, 2019
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Building a Social Network for Patients and Caregivers

On this episode, we talk with Brian Loew, founder and CEO at Inspire. They've built a social network for patients and caregivers that provides a safe place for them to share their stories and learn from people like them. And it empowers patients to raise their hands and volunteer to participate in research that could advance treatments for their disease.Check out the full show notes and links here: https://thehcbiz.com/social-network-for-patients-and-caregivers/
April 3, 2019
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Top 10 Things to Ensure Success in a Value-based Healthcare World

On this episode, we hear from Jason Helgerson, founder of Helgerson Solutions Group and former Medicaid Director for the State of New York. Jason shares with us his top 10 list of things you can do (should do? must do?) to ensure success in a value-based healthcare world. Unsurprisingly, sitting by and waiting for it to pass, didn’t make the cut.Check out the full show notes plus more links and pictures here: https://thehcbiz.com/top-10-steps-value-based-healthcare/
March 27, 2019
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Top 10 Things to Ensure Success in a Value-based Healthcare World

On this episode, we hear from Jason Helgerson, founder of Helgerson Solutions Group and former Medicaid Director for the State of New York. Jason shares with us his top 10 list of things you can do (should do? must do?) to ensure success in a value-based healthcare world. Unsurprisingly, sitting by and waiting for it to pass, didn’t make the cut.Check out the full show notes plus more links and pictures here: https://thehcbiz.com/top-10-steps-value-based-healthcare/
March 27, 2019
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Deep Medicine with Dr. Eric Topol

In his new book, Deep Medicine, Dr. Topol makes an optimistic, but realistic argument for how artificial intelligence (AI) and machine learning (ML) can make healthcare human again. On this episode, Dr. Topol explains his thesis and we explore the potential paths from where we are now, to where we might go. Dr. Topol makes a compelling case for breaking that inertia and putting the priority back on the patient.For full show notes, link and bios, visit https://thehcbiz.com/deep-medicine-eric-topol/
March 12, 2019
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Deep Medicine with Dr. Eric Topol

In his new book, Deep Medicine, Dr. Topol makes an optimistic, but realistic argument for how artificial intelligence (AI) and machine learning (ML) can make healthcare human again. On this episode, Dr. Topol explains his thesis and we explore the potential paths from where we are now, to where we might go. Dr. Topol makes a compelling case for breaking that inertia and putting the priority back on the patient.For full show notes, link and bios, visit https://thehcbiz.com/deep-medicine-eric-topol/
March 12, 2019
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Healthcare Is Not Quite Digitized w/ Bill DeStefanis

We've effectively digitized medical record via EHRs, but the healthcare industry still relies heavily on paper for many of its workflows and supporting documents. On this episode, we talk with Bill DeStefanis, Director of Product Strategy at Nuance about how and why paper is still widely used in healthcare, how we can keep it secure, and how we can effectively integrate it into our digital workflows.For full show notes and links: https://thehcbiz.com/healthcare-is-not-quite-digitized-w-bill-destefani
February 10, 2019
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Healthcare Is Not Quite Digitized w/ Bill DeStefanis

We've effectively digitized medical record via EHRs, but the healthcare industry still relies heavily on paper for many of its workflows and supporting documents. On this episode, we talk with Bill DeStefanis, Director of Product Strategy at Nuance about how and why paper is still widely used in healthcare, how we can keep it secure, and how we can effectively integrate it into our digital workflows.For full show notes and links: https://thehcbiz.com/healthcare-is-not-quite-digitized-w-bill-destefani
February 10, 2019
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What exactly is Precision Medicine? with Prashant Natarajan

There's a lot of promise and hype around precision medicine, but can you confidently define what it means? Prashant Natarajan is a thought leader in big data, machine learning and precision medicine. He answers: What is precision medicine? What is not precision medicine? How does big data, AI, ML fit in? What should CIO's be doing right now to ready their team and tools to enable precision medicine?
May 30, 2018
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Take it to the Cloud: A Look at Hybrid Data Storage in Healthcare | Laz Vekiarides | ClearSky Data

Today's guest believes that data storage is ripe for innovation and that a hybrid cloud approach may be the best path forward. Lazarus Vekiarides, co-founder and CTO of ClearSky Data, explains how a hybrid solution combines the speed, reliability, and comfort of on-premises infrastructure with the scalability and convenience of the cloud.
September 13, 2017
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About The #HCBiz Show!

The #HCBiz Show! is the podcast dedicated to unraveling the business of healthcare. We help innovators understand the endless list of conflicting priorities and incentives competing for their customer’s attention. Whether you’re launching a product, improving a workflow, or promoting a best practice, we’ll help you align your value proposition and message with the things healthcare leaders need right now.

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