Outcomes Rocket

Today, the United States is experiencing the worst health outcomes among any of the other high-income nations despite spending the most.

In this episode, Terry Boch, the Chief Executive Officer of Clarify Health Solutions, shares her excitement about leading Clarify and highlights the company's unique position in addressing challenges within healthcare. Terry emphasizes the breadth and talent of the Clarify team, whose goal is to improve patient care, increase outcomes, and lower healthcare costs, by sharing some of their success stories, including collaborations resulting in billions of dollars in savings and revenue for healthcare organizations. She covers Clarify's role in supporting the shift to high-value care, empowering providers with insights, and fostering collaboration between payers and providers. In this conversation, Terry also details Clarify's strategic vision for growth, emphasizing investment in data assets and tailoring insights to address market needs. 

Tune in and discover why Clarify Health excels in healthcare analytics and value-based payments with its exceptional data, commitment to quality, and dedicated team.

People tend to have better experiences in hospitality than they do in healthcare.

In this episode, Saul Marquez welcomes healthcare leaders and authors Dr. Peter Yesawich and Dr. Stowe Shoemaker to discuss their new book, "Hospitable Healthcare," which emphasizes the need for healthcare to learn from the hospitality industry to improve patient care. Leveraging their expertise in hospitality and healthcare, the authors tackle patient experience challenges, urging the healthcare industry to integrate hospitality strategies and principles. The conversation delves into their research methodology, involving interviews with executives and a consumer survey, revealing five key deficits in patient experience, ranging from transparency in service costs to service recovery. To address these deficits, Peter Yesawich and Stowe Shoemaker introduce the "PAEER" model, emphasizing preparation, anticipation, engagement, evaluation, and reward, providing a user-friendly framework with anecdotes for healthcare professionals seeking to enhance patient care.

Tune in and learn how adopting hospitality principles can transform the patient experience in healthcare!

Learn how Evernorth Health Services and Alma are empowering providers to deliver high-quality care and demonstrate successful outcomes.

In this episode, Melissa Reilly, the Evernorth Chief Strategy Officer of Behavioral Health, Douglas Nemecek, the Evernorth Chief Medical Officer of Behavioral Health, and Dr. Harry Ritter, founder and CEO of Alma, share how they are transforming the behavioral health landscape. Harry shares how his team assists behavioral health clinicians in providing modern care by offering technology and infrastructure. They are centered around supporting and empowering providers in the mental health sector, who have traditionally operated independently. Through technology and their service platform, Alma fosters a sense of community, enabling these providers to participate in the modern healthcare system, collaborate with partners like Evernorth, and deliver affordable, high-quality care. Doug and Melissa discuss how they are focused on improving access to high-quality behavioral healthcare by simplifying the complex behavioral health journey for individuals, making it easy for them to receive the care they need. They use data from various sources, including medical, behavioral, and pharmacy information, to help people access the right care. Harry, Doug, and Melissa shed light on the importance of measurement in providing behavioral care. They discuss how measurement-based care strategies help strengthen and optimize patient care and foster collaboration with provider groups like Alma.

Stay tuned for an enlightening conversation with these remarkable guests as they share their insights and experiences in revolutionizing the behavioral healthcare landscape. 

MDaudit emphasizes proactive risk management, allowing healthcare organizations to be ahead of potential issues in their claims.

In this episode, Joseph Squadrito II, a sales engineer at MDaudit, explains how his organization uses generative AI to focus on a payer's claims data, providing a first line of defense against potential denials and billing issues. He explains how MDaudit, as a billing compliance and revenue integrity platform for healthcare organizations, offers a 360-degree view to audit claims, mitigate risks, and maximize revenue. Joe shares insights from the conference, highlighting the implementation of conversational AI into their platform, a feature that allows users to ask business questions in plain English, eliminating the need for complex skills to navigate dashboards. He also emphasizes the value of this technology, especially in addressing high-impact charges that might face denials. 

Tune in to discover how MDaudit leverages AI to streamline billing compliance and revenue integrity in the healthcare industry.

Leveraging machine learning (ML) and artificial intelligence (AI) to enhance cyber threat detection may help to secure life sciences and health care organizations.

In this podcast episode, Deloitte Cyber & Strategic Risk leaders Steph Meehan, partner, and Keith Brogan, managing director, at Deloitte & Touche LLP, share their extensive experience in third-party risk management and cybersecurity. Both express their passion for working with life sciences and health care organizations because things are always changing. Keith discusses the challenges posed by a rapidly evolving threat landscape and emphasizes the shortage of skilled professionals. Steph underscores the need for organizations to rethink their third-party risk management programs, using technology to streamline assessments and monitoring, moving away from traditional compliance-driven approaches. Steph also encourages listeners to challenge existing paradigms in third-party risk management, advocating for adaptive and resilient frameworks, while Keith stresses the importance of embracing change in the face of evolving threats.

Tune in for valuable insights into leveraging advanced technologies to transform cybersecurity strategies in the health care and life sciences sectors!

Understanding why aspiring dentists choose dentistry is key to their career trajectory.

In this podcast episode, Dr. Craig Spodak shares insights on disrupting and revolutionizing the dental profession and explores the complexities of entrepreneurship in dentistry, challenging the conventional narrative of scaling up and becoming a CEO and advocating for authenticity, adaptability, and happiness over financial goals. He also emphasizes that the future of dentistry lies in understanding individual motivations, staying abreast of technology, and fostering a supportive team environment. 

Tune in and learn how dentists can embrace change and find fulfillment in a profession that goes beyond financial gains!

Most people don’t know that there’s a 70% chance you do not have a job if you have a disability or are visually impaired.

In this episode, Jimm Cobb, Vice President for New Business Development at Chicago Lighthouse for the Blind, sheds light on their impactful work in supporting the blind, visually impaired, veterans, and those with disabilities. Chicago Lighthouse offers a range of social work programs, including early childhood support, a K-12 school, and a unique factory where visually impaired or blind individuals craft designer clocks. In this conversation, Jimm shares some insights regarding the limitations of AI in comparison to the irreplaceable human touch, as Chicago Lighthouse's visually impaired staff are doing an excellent job in contact centers, proving that people are crucial in this work. He also emphasizes the organization's mission-driven approach and invites engagement through LighthouseEnterprises.org for those interested in their healthcare administrative services. 

Tune in to discover how the Chicago Lighthouse for the Blind combines mission-driven goals with innovative solutions in the healthcare ecosystem!

Resources: 

Learn more about how to navigate the complex healthcare credentialing process effectively and ensure organizational compliance by visiting https://outcomesrocket.health/medtrainer/

In this episode, we have Brent Althoff, Director of Credentialing Operations, as part of the entire series on Rethinking Compliance with MedTrainer. Brent sheds some light on the critical drivers behind credentialing and its impact on compliance and revenue cycle. Using his vast experience with payers and providers, Brent addresses the complexities of credentialing, highlighting the need for automation tools and strategies to streamline the credentialing process, improve efficiency, and maximize the revenue cycle. Brent also offers guidance on the best ways for executive leadership teams to support and enhance credentialing efficiency. He also identifies emerging trends in credentialing and how healthcare institutions can stay ahead of the curve.

Join us as we dive deep into the world of credentialing with Brent Althoff and discover the key areas to focus on to ensure compliance, optimize revenue, and provide quality care.

Let’s explore the multifaceted concept of population health across different sectors and its intersection with AI! 

In this episode, Lisa Shock talks about AI’s role within the industry and delves into challenges like healthcare disparities and illiteracy and their implications on cost and efficiency. She discusses the holistic nature of healthcare, underscores the importance of trust in patient-provider relationships, and advocates for adapting to individual patient needs and preferences.

Tune in for a thought-provoking session with Lisa, a leader at the forefront of revolutionizing healthcare!

• Connect with and follow Lisa Shock on LinkedIn.

Large language models enhance patient communication by answering questions and providing easily digestible medical information.

In this episode, Dr. Stefano Bini, an endowed professor of Orthopedics at UCSF and Chief Technology Officer, explores the potential of generative AI models in healthcare. The conversation kicks off with insights into the Digital Orthopedics Conference San Francisco (DOCSF), an event focusing on digital health within the musculoskeletal vertical, of which he is the founder and chair. Stefano highlights the integration of generative AI into Orthopedics, emphasizing the role of large language models, which present a user-friendly interface functioning as chatbots to answer patient questions, streamline communication, renew medications, and simplify medical explanations. Dr. Bini envisions the future ROI of AI in healthcare, focusing on resource allocation and system optimization. 

Tune in and learn about the transformative potential of generative AI in healthcare and how it’s reshaping patient communication!