Healthcare Strategies

There are many eye-catching artificial intelligence use cases out there, but in today's episode we focus on one AI opportunity that impacts a large swath of the healthcare system: prior authorizations. What can AI do to alleviate provider burden related to prior auth?

Featuring: Amber Nigam, CEO and co-founder of basys.ai

In today’s episode, we’ll cover…

• The challenges of the prior authorization process

To watch video clips from our podcast, subscribe to our YouTube channel, @HealthcareStrategies.

Read More

• Impact of prior authorizations on health insurers: https://www.techtarget.com/healthcarepayers/answer/With-Proper-Use-Artificial-Intelligence-Improves-Health-Plan-Operations 

Chronic disease management and prevention strategies are of increasing importance as chronic conditions increase in prevalence.

Guests: Sara Heath, executive editor at Xtelligent Healthcare

Alivia Kaylor, senior editor, Pharma Life Sciences at Xtelligent Healthcare

Anuja Vaidya, senior editor, Virtual Healthcare, and special events lead at Xtelligent Healthcare

In the first episode of Season 6, we'll cover

• Patient engagement strategies to improve chronic disease management

and more!

References

• 100 million people lack primary care access

To learn more about chronic disease management from different angles, check out our Patient Engagement site, Pharma Life Sciences site and Virtual Healthcare site.

To watch video clips from the conversation, subscribe to our YouTube channel, @HealthcareStrategies.

Leaders in some healthcare organizations, like today's guest, are trying to bridge the gap between stakeholders to achieve a common goal: lowering drug costs for patients. Why do drug costs have such a high impact on overall healthcare spending and what can healthcare organizations do about it?

Guest: Cynthia Meiners, senior vice president and strategic program development officer at GoodRx

In today's episode, we'll cover

• Prescription drug spending trends

To learn more about drug spending, check out our site Pharma Life Sciences.

To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.

Since the coronavirus pandemic, mental and behavioral health awareness has improved and innovation in this area has exploded. What is the industry up to now?

Guest: Solome Tibebu, Founder and CEO of Behavioral Health Tech

In today's episode, we'll cover

• Behavioral healthcare technologies

To learn more about behavioral healthcare technologies, check out our site Virtual Healthcare.

To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.

The next big thing in interoperability may involve scaling data exchange efforts.

Guest: Terry Douglas, Product Marketing and Sales Enablement Director at Surescripts

In today's episode, we'll cover

• The role of QHINs in interoperability's progress

To learn more about interoperability, check out our site Health IT and EHR. 

To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.

Quality measures play an important role in the Medicare Advantage program. SCAN Health Plan's recent lawsuit against CMS revealed just how important.

Guest: Sachin Jain, MD, CEO of SCAN Health Plan

In today's episode, we'll cover

• SCAN Health Plan's lawsuit against CMS

To learn more about Medicare Advantage, check out HealthPayerIntelligence.com

To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.

Employer sponsored health plans cover six in ten non-elderly Americans, making successful collaboration between payers and employers crucial to many Americans' wellness. Todd Woodruff, Chief People Officer at Salt & Straw, and Todd Burton, President of the Commercial Market at Providence Health Plan, shared about trends in mental health, pharmacy spend, and health equity in the employer-sponsored health insurance space.

Providers are expected to equip payers with information so that health plan members can find in-network care. But what if those demands from payers were consolidated from 20 separate requests into one? What if providers could enter their information one time in such a way that all of their payer partners could access it? Tyler Ford, Vice President, Strategy and Partnerships, CAQH, shares how that might be possible in today's episode.

The generative AI revolution is here. How should payers respond and how can they learn from past technological revolutions in healthcare to inform their next steps? Charles DeShazer, MD, Chief Quality and Health Advocacy Officer at Cigna Healthcare, offers his recommendations in this episode of Industry Perspectives.

In this last episode of season 5 of Healthcare Strategies...

The United States has a health equity problem, but a lack of comprehensive data standards has limited efforts to mitigate health disparities. In this episode, Keysha Brooks-Coley, vice president of advocacy at Blue Cross Blue Shield Association (BCBSA), discusses the importance of standardized SDOH data in pursuing health equity.

Don't worry, we'll be back in September with more great conversations! In the meantime, tune in to our Healthcare Strategies | Industry Perspectives every Thursday for insights from AHIP 2024. Subscribe to get the episodes when they drop!