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Innhold levert av Listening In (with Permission...) and Catalyst for Payment Reform. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Listening In (with Permission...) and Catalyst for Payment Reform eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
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Episode 94: CJ Stimson, MD on improving maternity care for Nashville’s public schools
Manage episode 292768383 series 1602067
Innhold levert av Listening In (with Permission...) and Catalyst for Payment Reform. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Listening In (with Permission...) and Catalyst for Payment Reform eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
Suzanne Delbanco calls CJ Stimson, MD, the Senior Vice President of Value Transformation at Vanderbilt University Medical Center (VUMC), to discuss Vanderbilt’s direct contract bundled payment arrangement for maternity care with Metro Nashville Public Schools (MNPS). This call serves as follow-up to the webinar hosted by CPR in March 2021, where Dr. Stimson and David Hines of MNPS shared their insights one year after the program’s implementation. Dr. Stimson received both medical and law degrees from Vanderbilt, and is currently an Assistant Professor at VUMC, as well as a practicing urologic surgeon. Here, he and Suzanne discuss why VUMC and MNPS decided to launch a direct contract program on maternity care, the scope and contents of the bundle, and how payers and providers have reacted to this innovative strategy. CJ also takes a guess at what may be ahead for direct contract bundled payments, and what it will take to get more organizations on board with a similar arrangement.
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133 episoder
Episode 94: CJ Stimson, MD on improving maternity care for Nashville’s public schools
Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
Manage episode 292768383 series 1602067
Innhold levert av Listening In (with Permission...) and Catalyst for Payment Reform. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Listening In (with Permission...) and Catalyst for Payment Reform eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
Suzanne Delbanco calls CJ Stimson, MD, the Senior Vice President of Value Transformation at Vanderbilt University Medical Center (VUMC), to discuss Vanderbilt’s direct contract bundled payment arrangement for maternity care with Metro Nashville Public Schools (MNPS). This call serves as follow-up to the webinar hosted by CPR in March 2021, where Dr. Stimson and David Hines of MNPS shared their insights one year after the program’s implementation. Dr. Stimson received both medical and law degrees from Vanderbilt, and is currently an Assistant Professor at VUMC, as well as a practicing urologic surgeon. Here, he and Suzanne discuss why VUMC and MNPS decided to launch a direct contract program on maternity care, the scope and contents of the bundle, and how payers and providers have reacted to this innovative strategy. CJ also takes a guess at what may be ahead for direct contract bundled payments, and what it will take to get more organizations on board with a similar arrangement.
…
continue reading
133 episoder
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 136: The State of Healthcare feat. Karen van Caulil, Bret Jackson, and Chris Syverson 33:19
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33:19In the latest episode of Listening In (With Permission), we dive deep into the challenges and potential solutions around high healthcare costs that employers face in states like Florida, Michigan, and Nevada. This conversation brings together Karen van Caulil, Bret Jackson, and Chris Syverson to discuss findings from CPR's recent research, reflecting on state-specific struggles and opportunities for policy intervention. They explore the implications of soaring insurance premiums—like the 16.9% increase facing nonprofits in Michigan—and the burden of surprise facility fees that can cost consumers and employers alike. This episode offers a thoughtful and urgent look at the healthcare crisis, with a focus on how businesses and policymakers can collaborate to create more sustainable solutions. Tune in to hear what’s working, what’s not, and how we can pave a path forward in the ongoing battle against rising healthcare prices.…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 135: Glen Tullman on Wayfinding with AI 22:30
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22:30On this episode Ryan calls Glen Tullman, CEO of Transcarent, to discuss the untapped power of generative AI in revolutionizing healthcare accessibility and affordability. Glen describes the concept of "wayfinding", which integrates benefits navigation, clinical guidance, and care delivery into a seamless user experience using generative AI as the conductor. This new take on traditional "navigation" models could be poised to significantly disrupt the norm, consolidating fragmented services into a unified platform accessible via mobile devices. Listen In (With Permission) Now!…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 134: Paul Grady on the Power of Purchaser Activation 22:33
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22:33In this episode, Ryan Olmsted from Catalyst for Payment Reform (CPR) sits down with Paul Grady, Principal at Alera Group to discuss the critical role of purchaser activation in mitigating rising costs in healthcare and improving value. Paul and Ryan also delve into the importance of purchasers' involvement in policy-making and how their participation in committees like the Connecticut Cost Growth Benchmark Advisory Board is essential for addressing healthcare cost increases. Paul shares real-life examples of how being actively involved in policy and marketplace initiatives can positively influence one's career.…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 133: Tackling the Healthcare Access Crisis with Ashok Subramanian 17:32
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17:32Tune into our latest episode of Listening In (With Permission) as Ashok Subramanian, CEO and founder of Centivo, and Ryan Olmstead dive deep into the critical issues of healthcare affordability and access. Discover groundbreaking insights from Centivo's recent guide, "Breaking Down and Breaking Through the Healthcare Affordability and Access Crisis," which highlights the alarming statistic that 43% of working Americans earning under $50,000 regularly skip necessary care due to cost. Ashok and Ryan explore the human side of these challenges, emphasizing the urgency for disruptive strategies in healthcare reform. Learn about innovative solutions and practical steps employers can take to improve healthcare access and affordability for their employees. Don't miss this engaging discussion on how to achieve radical affordability and ensure a healthier future for all. Listen In (With Permission) now to stay informed and inspired!…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 132: Chris Chan on Empowering Employers with Claims Data 20:46
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20:46Ryan calls Chris Chan, Chief Value Officer of finHealth, to discuss the pitfalls many self-insured employers face related to their claims review as they try to meet their fiduciary responsibilities. "We're seeing increased scrutiny and requests from employers to say, “Hey, we, we know we have this cycle in the past that we worked where we just automatically approve these things, but we need to be better stewards of our plan and really understand on a weekly basis whether the charges are appropriate or not.""…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 131: Dr. Matthew Resnick on the state of quality measurement 17:27
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17:27In this episode of Listening In (With Permission) Dr. Matthew Resnick, Chief Medical Officer at Embold Health, discusses with Ryan the evolution of quality measurement and improvement in healthcare, emphasizing the importance of aligning care with evidence-based guidelines. He highlights the need for integrating quality and cost considerations to drive progress in the healthcare system and addresses the disparities in access to high-quality care, particularly in rural areas, and suggests short-term and long-term solutions to address these challenges. The episode underscores the significance of purchaser engagement in prioritizing healthcare quality alongside cost considerations to drive meaningful improvements in patient outcomes and reduce unnecessary care.…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 130: Tim Huke on Unlocking Value Through Diabetes Point Solutions Analysis 15:26
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15:26In this podcast episode Dayne and Tim Huke, Chief Growth Officer for Cedar Gate Technologies, explore firsthand the core of CPR's latest case study, Unlocking Value: Diabetes Care Management Vendors' Impact on Quality and Clinical Outcomes for Self-Funded Employers. What are the challenges faced by employers as they navigate the expansive ocean of point solution vendors, seeking answers to the ever-growing health care cost dilemma? Find out in this podcast episode!…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 129: Rachael Jones and Emily Walker on Value-Based Contracting: It's not magic, it's math. 26:00
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26:00On our latest podcast episode the tagline is, "Value-Based Contracting: It's Not Magic, It's Math." 🏥 Andréa Caballero calls the co-founding team at Syntax Health, Rachael Jones, Chief Executive Officer, and Emily Walker, Chief Analytics Officer, to demystify the complexities of value-based contracting, and encourage employers to stop treating it as a sideshow, and instead to make it the main event. Rachael and Emily break down the math behind value-based contracting and share anecdotes from the trenches of healthcare negotiations. Tune in for an enlightening discussion on how math, trust, and transparency intersect in the healthcare industry. Listen In (With Permission) today!…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 128: Rob Andrews on HTA's National Advanced Primary Care Network 19:32
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19:32In our latest episode of Listening In (With Permission), Guy calls Rob Andrews, founding CEO of the Health Transformation Alliance (HTA) and former U.S. Congressperson. Listen in as Rob and Guy discuss the challenges and triumphs in healthcare, and how the HTA is bridging the gap between providers and patients, bringing about a new era of convenience and trust in primary care. Listen to how HTA, through their advanced primary care program, is knitting together a network of primary care doctors across the nation so that their plan members are never more than five miles from one of these providers. With virtual care options as support, this approach will ideally lead to more problems solved at the primary care level without referrals, and when referrals are made those referrals are based upon data, sending the patient to the highest-value doctor. "If I had one wish for American health care, I think it would be that we figure out a way to dramatically increase the salaries of primary care physicians, increase their compensation and reduce their student debt. If you did that, I think we would get more really able people going into that profession and you get better care outcomes for consumers." Listen In today, and don't forget to subscribe on your favorite podcast platform. #LIWP…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 127: Jeffrey Hogan on the Evolving Role of CFOs in Healthcare Purchasing 18:43
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18:43Part two of our three-part data series. In this insightful podcast episode, we dive deep into the evolving role of Chief Financial Officers (CFOs) in healthcare purchasing. Join Ryan Olmstead, CPR's Director of Member Services and Jeffrey Hogan, President of Upside Health Advisors, as they discuss the significant changes brought about by the Consolidated Appropriations Act of 2021 (CAA). The conversation delves into how, under the CAA, CFOs are now named fiduciaries, personally liable for procurement decisions, which marks a significant shift in their responsibilities. This episode explores the future of data ownership, access, and usage in healthcare. Jeffrey predicts a growing trend of value-based solutions, advanced primary care organizations, and bundled payments, offering predictability and accountability in healthcare costs. Listen In (With Permission) today to stay up to date on all things health care and subscribe on your favorite podcast platform! #LIWP…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 128: Julie Selesnick on the Impact of Recent Health Care Data Litigation 20:53
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20:53Part Three of our three-part Data Podcast Series. In this episode of Listening In (With Permission), CPR's Director of Member Services, Ryan Olmstead engages in a captivating conversation with Julie Selesnick, Senior Counsel at Berger Montague, with two decades of experience in healthcare law. Together, they delve into the complex world of healthcare data transparency, legal challenges, and the evolving policy landscape. Julie shares her impressive background, having transitioned from a defense attorney to a plaintiff-side attorney specializing in Employee Retirement Income Security Act (ERISA) and employee benefits law. The episode spotlights a pivotal case where two Taft-Hartley clients filed a class-action lawsuit against a healthcare provider, Anthem, over restricted access to claims data. Ryan and Julie discuss the challenges faced by purchasers, including delayed data access, incomplete information, wrongful payments, and misconduct. Listen In (With Permission) today and subscribe on your favorite podcast platform. #LIWP…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 126: Hugh O’Toole on why the CAA is a gift to employer-purchasers. 17:44
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17:44"So when I say it's a gift, anytime a consumer gets enough information to make an informed decision, it's a gift." Listen In (With Permission) to Hugh O'Toole, CEO of Innovu, about the transformation happening in employer-sponsored healthcare. Hugh explains how data transparency is the key to making informed decisions and achieving significant cost savings, and how the new CAA regulation will help free up the data necessary to simplify an overly-complex system. This is part one of a three part series on Health Care Data, where we will explore the new fiduciary responsibility of the CFO in managing health care benefits from a variety of perspectives. Hope you enjoy, and subscribe today!…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 125: Candace Shaffer on the purchasing strategies that saved Purdue University millions 14:54
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14:54Suzanne calls up Candace Shaffer, Senior Director, Benefits at Purdue University to discuss the benefits purchasing strategies that she and her team have implemented and some of the tremendous savings as a result of those strategies. They also discuss what goes into thorough strategic decision making; utilizing your data, understanding your business, and seeking regular input from plan members are all steps Candace and her team take to plan strategically, and based on the results, very effectively.…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 124: Allison Sesso on the Crisis of Medical Debt 17:26
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17:26Andréa call Allison Sesso, President and CEO of RIP Medical Debt (RIP) to discuss the crisis of Medical Debt and RIP's unique mitigation strategy. They also discuss innovative policy on the state and federal level to help relieve consumers of medicals debt and make health care more affordable. "While we love our solution and we think it's really important to help resolve the issue for individuals right now...we very clearly understand and appreciate that we are not the answer, which is why we do need to focus on the systemic solutions and contribute to that proactively."…
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Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
1 Episode 123: Vikas Saini on The Lown Institute's Hospital Index 18:59
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18:59Andréa calls Dr. Vikas Saini, President of the LOWN Institute to discuss their Hospital Index which measures a hospital's social responsibility, examining how hospitals rank in terms of health outcomes, value and equity. The index is comprised of 53 different metrics, Dr. Saini explains how they collect and analyze their data. This podcast is sponsored by Embold Health.…
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