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Want a real look at how health care decisions get made? We sit down with Dr. Salil V. Deshpande, Chief Medical Officer at United Healthcare, to trace a morning of rapid-fire problem solving—resolving dialysis transport delays, auditing provider incentive rosters, and making the case to fund doula support in Texas Medicaid even when it is not a covered benefit. Along the way, we connect the dots from boardroom choices to patient impact, showing how ethics, data, and operations meet at the point of care.
We break down the leadership toolkit that matters beyond clinical skill: emotional intelligence to defuse conflict and build trust, crisp communication that moves teams, systems thinking to see how incentives and workflows interact, and business literacy to weigh costs against outcomes. Data literacy comes front and center as the map for strategy, while adaptability keeps leaders steady through policy shifts, new tech, and workforce pressures. For students and early-career pros, we share how to influence without formal authority and get heard in complex organizations.
On the technology front, we explore where Medicaid can leap forward: telehealth and remote monitoring to expand access; interoperability to align clinicians on a single story of the patient; and AI to target rising-risk members, cut administrative waste, and reduce fraud. We also highlight a less flashy but critical frontier—eligibility systems that reduce paperwork, prevent coverage churn, and keep families connected to care. Equity anchors the conversation with practical steps to build it into training now: focus on social determinants, volunteer in community programs, learn trauma-informed care, study structural racism, and use data to close gaps with humility and persistence.
The episode ends with a clear path forward: master the basics in science and communication, join teams that serve, find mentors, practice leadership in small ways every day, and stay curious. If this conversation sparked ideas or gave you a next step to try, follow the show, share it with a friend who cares about health equity, and leave a review to tell us what you want to hear next.
Dr. Deshpande LinkedIn: https://www.linkedin.com/in/salil-deshpande-md-mba-facp-10a33a/
Link to HOSA: https://hosa.org/podcast/