Consumer engagement is key to improving healthcare outcomes and affordability. 

In this episode, Tom Policelli discusses how his company is simplifying the complex world of healthcare insurance and patient financing to improve access to care. Tom explains that the company acts as an intermediary, consolidating financial information, reconciling bills, and providing a simple monthly statement for consumers. He also touches upon the importance of addressing the fact that many insured individuals are avoiding care due to cost concerns, leading to more expensive and severe health issues. Finally, Tom emphasizes that PPO networks need to deliver greater value. He shares his early career journey from a history major to a healthcare leader, and the need for focused self-delusion in entrepreneurship. 

Tune in and learn how simplification and financing can revolutionize healthcare access and improve patient outcomes!

What if healthcare went beyond clinics and hospitals to address the root causes of poor health, like housing and food security?

In this episode, Joshua Boynton shares how CareSource, founded over 35 years ago by a social worker, focuses on Medicaid, marketplace, and military healthcare programs while addressing social determinants of health like housing and food security. As a growing national organization, CareSource emphasizes evidence-based, person-centered care for vulnerable populations, prioritizes partnerships with states seeking innovative solutions, and advocates for long-term community investments to drive meaningful change in the healthcare system.

Tune in as Joshua Boynton shares how CareSource transforms healthcare by focusing on people, not just policies!

Navigating the complexities of healthcare billing can feel like solving a puzzle with missing pieces. So, how do providers ensure they get paid accurately and on time?

In this episode, Sarah Cevallos explains the three stages of RCM and the importance of each step in ensuring accurate payments to providers. She also discusses the challenges of outsourcing RCM and the need for patient education in the evolving landscape of value-based care.

Tune in as Sarah Cevallos unpacks the hidden challenges of RCM, shares insider tips, and reveals why patient education is key to fixing a broken system!

Effective change management in healthcare requires tailoring communication, consistent measurement, and strategic alignment with organizational goals. 

In this episode, Mike Kramer discusses the evolution of the CMIO role and the importance of emotional intelligence and management skills for physicians in leadership positions. He emphasizes the need to build trust and bidirectional communication with clinicians, addressing their concerns and providing ongoing support during system changes. Mike also points out that true change is only validated through consistent measurement of usage and outcomes and stresses the need for strategic alignment when initiating change.

Tune in and learn how to develop a culture of continuous improvement within your healthcare organization!

The key to long-term success in healthcare is consistent, incremental improvements over time. 

In this episode, Dr. Farzad Mostashari explains Aledade's mission as a public benefit corporation to improve care and reduce costs, focusing on value-based care models, specifically Accountable Care Organizations (ACOs). Dr. Mostashari also shares how Aledade works with primary care practices, taking on downside risk while sharing in the upside, and the importance of gradual, consistent improvement over time. Finally, he emphasizes the need for robust evidence and rigorous evaluation of partnerships.

Tune in and learn how Aledade leverages technology and data to drive better outcomes and significant cost savings within healthcare!

Embracing innovation and community needs is paramount for successful healthcare leadership.

In this episode, Mary Sunahara discusses her company’s unique approach to community-based healthcare and the importance of caregiver investment. She emphasizes the necessity of employee engagement, including "rounding" with team members for feedback, especially when transitioning to virtual work environments. Mary also underscores the value of communication, trust, and leadership training, advocating for continuous improvement and recognizing employee accomplishments authentically. Finally, she dives into the challenges of managing remote teams, maintaining engagement, and the importance of balancing technical innovation with employee empowerment to combat fears of job displacement. 

Tune in and learn how to foster a supportive, innovative environment within your healthcare organization!

Ever wonder what it takes to transform healthcare decision-making in a world of high stakes and endless innovation?

In this episode, Ryan Bengtson discusses the challenges of decision-making as a CEO, emphasizing the need to stay mission-focused and empower teams while addressing inefficiencies in healthcare. Panda Health supports health systems by streamlining decision-making and technology renewals, fostering collaboration, and driving innovation to create meaningful change.

Don't miss Ryan Bengston's insights on leadership, innovation, and how Panda Health is cutting through the noise to help health systems make faster, smarter decisions!

How can technology bridge the gap between complex healthcare challenges and innovative solutions while fostering trust and collaboration?

In this episode, Sudipto Srivastava emphasizes the transformative potential of digital health to deliver faster, better, and more cost-effective solutions. He believes that leadership, operational efficiency, and a focus on reducing costs and improving workflows are crucial for driving meaningful change in the healthcare industry, and sees a bright future with startups and integrated strategies leveraging AI and digital tools to address persistent challenges.

Tune in to explore how technology, trust, and innovation are shaping the future of healthcare!

Finding fulfillment in your career path, even if it takes unexpected turns, is crucial for long-term success and well-being. 

In this episode, Stanley Nachimson shares his experience working on Medicaid quality control, the pivotal role he played in implementing HIPAA standards, and his insights into the effectiveness of government incentives and penalties in driving change within the healthcare industry. Stanley also touches upon the interoperability and patient knowledge challenges, offering valuable perspectives on improving the healthcare system. Finally, he emphasizes the importance of pursuing a career you're passionate about, even amidst adversity and unexpected shifts. 

Tune in and learn from Stanely’s vast experience in navigating the complexities of healthcare policy and find inspiration for your career journey!

In its inaugural year, The Edge of Healthcare podcast aimed to provide valuable lessons for aspiring and current C-suite executives and tech pioneers in the healthcare industry.

In this special holiday edition of The Edge of Healthcare, host Martin Cody shares top soundbites from nine standout episodes, showcasing insights from 20 diverse healthcare leaders to help listeners thrive in this challenging industry. He thanks guests, listeners, and supporters while inviting nominations for future leaders who can share their wisdom and expertise.

The Edge of Healthcare is just beginning its journey to elevate knowledge, skills, and success in the healthcare field, promising even more valuable content in the year ahead!