Redesigning Healthcare. Unfiltered.

Welcome to Redesigning Healthcare Unfiltered. In this episode, RaeAnn Grossman sits down with Michael Priem, CEO of Modern Impact, to explore the turbulent landscape of healthcare consumerism, market contraction, and innovation in patient engagement. With firsthand stories from their time leading transformative growth at Bright Health Plan, they unpack the disruptive shifts facing health plans like Medicare Advantage shrinkage, payer service area reductions, and increasing regulatory pressures. Together, they challenge industry assumptions about member experience, population-specific care, and the essential need for creative, compliant consumer engagement. Tune in for a candid conversation about breaking silos, rethinking value-based care, and preparing for the unpredictable future of healthcare delivery.

00:00 Starting Bright with Michael

05:07 Debating marketing strategies

08:02 Healthcare's consumer focus shift

11:44 Engaging members in healthcare choices

16:12 Improving healthcare navigation and outcomes

18:48 Meeting in person changed dynamics

20:45 Challenges in Navigating Healthcare Systems

27:05 Bridging gaps in healthcare delivery

28:21 Redesigning healthcare for continuity

34:47 Challenges in healthcare experience design

38:11 Improving patient-centered healthcare

39:54 Challenges in value-based healthcare transition

42:55 The Kickstarter launch

HLTHworks' Website - hlthworks.com

RaeAnn's Linkedin - linkedin.com/in/raeann-grossman-299756a

Podcast's Website - redesigning-healthcare.com

Podcast Media Partner - tophealth.care

Welcome to Redesigning Healthcare Unfiltered. In this episode, the conversation focused on the pressing challenges and innovations facing medical groups as they embrace artificial intelligence (AI) across clinical and business operations. A key theme that emerged was the surge in AI adoption within radiology and the necessity for disciplined, enterprise-wide governance to balance efficiency, compliance, and security. The discussion explored how leaders build robust frameworks for responsible AI use, navigate evolving regulatory landscapes, and establish strong partnerships, particularly between compliance and information security to ensure both innovation and risk management. Listeners will gain valuable insights into real-world strategies for vetting new technologies, maintaining accountability, and staying ahead of emerging federal, state, and international regulations.

00:00 AI explosion in radiology and business

05:58 Building project governance with partners

09:27 Discussing AI use and risks

13:14 AI tools and IT security measures

16:07 Vendor risk assessment and AI use

20:40 Navigating health plan challenges

23:51 Discussing Horizon process with law firms

27:14 Integrating AI into team dynamics

29:13 Embracing technology in healthcare

32:11 Closing remarks

1. Regulatory update → "The Audit Mandate Comes to Healthcare AI"

https://hlthworks.com/the-audit-mandate-comes-to-healthcare-ai/

2. Assessment → Preliminary AI Maturity Assessment (the free self-serve tool)

https://hlthworks.com/HLTHWORKS_Preliminary_AI_Maturity_Assessment.html

HLTHworks' Website - hlthworks.com

RaeAnn's Linkedin - linkedin.com/in/raeann-grossman-299756a

Podcast's Website - redesigning-healthcare.com

Podcast Media Partner - tophealth.care

Welcome to another episode of Redesigning Healthcare Unfiltered. I’m RaeAnn Grossman, CEO of HLTHWORKS, and today I’m joined by Brian Singer, a seasoned Chief Technology Officer with experience spanning health plans, providers, vendors, and healthcare-adjacent services. In this episode, we dive deep into a pressing topic shaking up the industry: the messy tidal wave of artificial intelligence in healthcare.

Together, we explore the mounting challenges of integrating AI, from regulatory complexity and technology pitfalls to cultural shifts and accountability in day-to-day operations. We tackle the practical realities of ensuring data quality, establishing disciplined processes, and building effective governance amidst relentless regulatory changes at federal, state, and organizational levels.

You’ll hear candid insights about the dangers of shadow AI, the importance of cross-team collaboration, and how organizations must transform their culture to survive and thrive in the face of unstoppable technological waves. Whether you’re a C-suite leader, operator, or simply navigating the evolving healthcare landscape, this episode will arm you with the perspective and strategies needed to redesign healthcare with rigor, transparency, and resilience.

00:00 Discussing AI Responsibility and Challenges

06:11 Risks of AI and automation

09:36 Improving medical data automation

11:15 Optimizing backend efficiency in healthcare

15:31 Challenges with data standardization

18:52 Updating legacy systems and data governance

22:24 Addressing organizational culture change

26:25 Challenges in healthcare AI implementation

31:19 Balancing compliance in AI development

34:37 Evaluating company security and AI use

40:25 Warning about fraud and penalties

42:10 Combining business and technology

HLTHworks' Website - hlthworks.com

RaeAnn's Linkedin - linkedin.com/in/raeann-grossman-299756a

Podcast's Website - redesigning-healthcare.com

Podcast Media Partner - tophealth.care

Welcome back to Redesigning Healthcare. Unfiltered. In this episode, host RaeAnn Grossman, CEO of HealthWorks, is joined by seasoned Chief Compliance Officer and consultant Marie to dive into the burning topics surrounding compliance in today’s rapidly evolving healthcare environment. As new regulations, audits, and AI-driven innovations transform the industry faster than ever, healthcare organizations face mounting risks and uncharted territory. Together, RaeAnn Grossman and Amelia Marie Biehler confront the uncomfortable truths compliance officers are grappling with, from invisible risks and gaps in oversight to the critical need for discipline and cross-functional governance. Get ready for a candid, unfiltered conversation about where healthcare compliance is headed and what it will take to stay ahead of the fire.

Timestamps:

00:00 Introduction to Compliance in Healthcare

06:23 Discussing AI governance gaps

08:11 AI accountability and inventory gaps

14:11 Evolving role of compliance officers

15:18 Adapting compliance to technical expertise

21:32 Implementing regulatory and AI systems

25:15 AI and compliance discussion

26:13 Preview of AI in Healthcare

HLTHworks' Website - hlthworks.com

RaeAnn's Linkedin - linkedin.com/in/raeann-grossman-299756a

Podcast's Website - redesigning-healthcare.com

Podcast Media Partner - tophealth.care

Welcome back to Redesigning Healthcare. Unfiltered. In today’s episode, host RaeAnn, a seasoned healthcare leader with over 25 years of experience and six successful builds under her belt. This isn’t a highlight reel, RaeAnn offers a raw look into the moments that defined her career, the tough decisions she made, and the lessons learned from both her wins and her missteps.

She dives into the real execution challenges facing healthcare today, exploring why the industry’s biggest obstacles aren’t about knowledge, but about putting ideas into action. You’ll hear candid stories of navigating conflict, driving innovation without roadmaps, restructuring culture, and aligning people around a shared, outcome-driven vision.

Whether you’re a health plan executive, an investor, a clinician, or someone passionate about healthcare transformation, this episode explores the principles, practical experience, and grit it takes to push healthcare forward. Stay tuned as RaeAnn shares the hard-earned wisdom that keeps her motivated to tackle the industry’s toughest problems and help shape the future of care.

Timestamps:

00:00 Conflict and Decision-Making in Expansion

04:31 Navigating workplace dynamics as a woman

07:00 Building a company with no roadmap

11:30 Streamlining health system payments

14:44 Aligning Vision, Trust, and Tech

19:20 Building trust through kindness in healthcare

23:12 Aligning roles in healthcare system

25:55 Discussing Community and Innovation in Healthcare

27:40 Connecting with RaeAnn and upcoming episodes

HLTHworks' Website - hlthworks.com

RaeAnn's Linkedin - linkedin.com/in/raeann-grossman-299756a

Podcast's Website - redesigning-healthcare.com

Podcast Media Partner - tophealth.care

Welcome to the first episode of Redesigning Healthcare. Unfiltered, where decades of industry know-how collide with raw, candid conversation. Host RaeAnn, a five-time healthcare founder and operator, sets the stage for a show that promises to do more than rehash well-known industry problems, it’s about bringing together seasoned operators, regulators, and policymakers to deliver honest solutions to close healthcare’s execution gap. As record-breaking regulatory pressures, ballooning administrative costs, and declining patient outcomes highlight how “broken” the system really is, this show invites the C-suite and industry decision-makers into a no-nonsense space for actionable dialogue. Tune in for unfiltered insights, tough questions, and the experience-based strategies you won’t hear elsewhere, because healthcare’s future relies on getting real about how we can actually fix what’s not working.

Timestamps:

00:00 Aligning Health Industry Leaders

06:20 Evolution of Health Insurance System

08:44 Navigating Medicare and regulatory changes

12:22 Discussing holistic healthcare approach

13:44 Community and healthcare responsibility

17:12 Improving healthcare delivery and trust

19:58 Understanding organizational decision-making

24:32 Encouraging listener interaction

HLTHworks' Website - hlthworks.com

RaeAnn's Linkedin - linkedin.com/in/raeann-grossman-299756a

Podcast's Website - redesigning-healthcare.com

Podcast Media Partner - tophealth.care