The Health System CXO Podcast

Summary

Your CXO host Jackie Kimmell discusses three significant developments in the healthcare sector that highlight innovative approaches to value-based care and investment. The first topic covers the surprising acquisition of Summa Health by General Catalyst, exploring the implications of this investment for healthcare systems. The second segment focuses on Longitude Health, a new collaborative initiative among several health systems aimed at driving innovation and efficiency in value-based care. Finally, Jackie delves into Risen Health, a consortium that aims to transform healthcare delivery through technology and shared resources, featuring insights from Chris Cornue on the motivations behind these partnerships.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Our Health System CXO podcast host, Jasmaine McClain interviews Mikelle Moore, a seasoned healthcare executive with over 25 years of experience. Together they discuss the challenges of healthcare leadership, the importance of health equity, and the role of impact investing in addressing social determinants of health. 

Key Takeaways:
1. Healthcare is challenging, and leaders must prioritize self-care.

2. Success in healthcare comes from collaboration and shared visions

3. Leaders should not fear admitting mistakes and redirecting efforts.

4. Health equity should be embedded in all aspects of healthcare.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Anne Herleth, your Health System CXO podcast host, discusses the perspectives of frontline nurses regarding AI in healthcare. Anne highlights the misconceptions surrounding nurses' opposition to AI, presenting data that shows a more nuanced view.  Anne also emphasizes the need for understanding and collaboration between nurses and AI to improve healthcare delivery.

Key Takeaways
1. Understanding the perspective of the frontline nurse is crucial.

2. Nurses are not universally opposed to AI; they are ambivalent.

3. AI can help nurses do their job better and spend more time with patients.

4. Job security isn't the top concern for nurses; patient care is.

5. Data integrity and reliability are major concerns for nurses.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Jackie Kimmell, your Health System CXO host discusses the emerging trend of cost transparency in healthcare, focusing on the rise of companies like Surest that offer innovative insurance models aimed at reducing out-of-pocket costs for patients. Jackie highlights significant data points indicating a shift in employer-sponsored insurance offerings and the implications of rising healthcare costs for employers and health systems. 

1.The growth of Surest indicates a significant change in employer-sponsored insurance offerings.

2.Cost transparency disruptors are changing how patients make healthcare decisions.

3.Employers are facing unprecedented increases in healthcare costs, projected at 8-9% for 2025.

4.Health systems may need to adapt their strategies in response to these disruptors.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

 Your Health Systems CXO Podcast host Jasmaine McClain focuses on the intersection of health equity and healthcare quality, highlighting how health systems are integrating these two vital areas. Jasmaine also explores the growing trend of health equity teams reporting through quality leadership. She also touches on the challenges health systems face, such as administrative burdens in quality reporting and the nascent development of health equity strategies.

Key Takeaways:
1.Integration of Health Equity and Quality: Health systems are increasingly integrating health equity into their quality work, with many equity teams now reporting through quality leadership—a significant shift toward addressing health disparities.

2.Challenges in Quality Reporting: Administrative burdens remain a challenge for health systems, with immense resources required to meet quality reporting demands, as evidenced by research showing it can take over 100,000 person-hours for a single hospital to report on quality metrics.

3.Evolving Health Equity Strategies: Health equity is still an emerging focus, with most health equity executives in place for three years or less. Building the capacity and infrastructure to tackle equity challenges is still in its early stages.

4.Leading Examples in Health Equity: Organizations like Novant Health and NYC Health and Hospitals are leading the way by integrating equity into their strategies and operations, utilizing innovative approaches like trans-cultural health managers and diverse board leadership to drive progress.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Your Health System CXO Podcast host Anne Herleth brings a very special episode about Virtual Nursing. Virtual nursing is a solution that is gaining popularity in the healthcare industry. It involves a virtual nurse overseeing or supporting care delivery by a bedside team. Virtual nursing is not outpatient telehealth or behavioral coaching, but rather a way to enhance the work of bedside nurses. It can improve nurse satisfaction, patient experience, care quality, and care efficiency. However, to achieve the best ROI, virtual nursing needs to be integrated into the core care model and not just used as a tool. 

Key Takeaways:
-Virtual nursing is a promising solution for healthcare organizations facing workforce and financial challenges.

-Virtual nursing can improve nurse satisfaction, patient experience, care quality, and care efficiency.

-To achieve the best ROI, virtual nursing should be integrated into the core care model.

-Scaling virtual nursing pilots requires careful planning and frontline involvement.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Jackie Kimmel, your Health Systems CXO Podcast host for Strategy Executives,  discusses the challenges and trends in Medicare Advantage (MA) contract management. Jackie highlights the declining yield from MA contracts and the negative impact on health system financial sustainability. The increasing number of audits, denials, and prior authorizations from MA payers is also a major pain point for health systems. Contract terminations are becoming more common, with many health system executives considering terminating at least one major plan in the next year. The viability of provider-sponsored health plans in MA is also discussed, with some systems slowing down growth while others see it as a leverage point in negotiations.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Our CXO Podcast host Jasmaine McClain brings on special guest Dr. Joseph Betancourt, President of the Commonwealth Fund, to discuss health equity and the work being done to improve healthcare for diverse populations. Dr. Betancourt highlights the role of the Commonwealth Fund in advancing health equity and emphasizes the importance of addressing issues such as primary care, Medicaid payment and reimbursement, and the social drivers of health. 

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Nurse Executives this episode is FOR YOU! The Health System CXO Podcast host Anne Herleth discusses the challenges and solutions in the nursing workforce. Anne highlights the financial aspect of health systems and the need to think differently about workforce costs. She also addresses the issues of turnover, shortages, workload, and clinical competence in the nursing profession. Anne emphasizes the importance of transforming the care delivery model to address these challenges.

Key Takeaways:
-Health systems need to think differently about workforce costs and find new solutions.

-Turnover, workload, and clinical competence are major challenges in the nursing profession.

-Shortages in the nursing workforce vary by region and can have different impacts.

-Transforming the care delivery model is crucial to addressing the challenges in the nursing workforce.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

On this episode of The Health System CXO Podcast, Jackie Kimmell, Sr. Director - Member Insights at The Health Management Academy, discusses Medicare Advantage (MA) and its impact on health system executives. 

She also discusses the growth and significance of MA in the healthcare industry, the profitability for payers, the benefits and challenges for beneficiaries, and the struggles health systems face. She also highlights the regulatory changes and headwinds that have affected the profitability of MA plans, leading to decreased margins for payers and lower yields for health systems. 

Lastly - she shares the insights Strategy Executives need to know regarding the variations in MA penetration across different markets and the importance of understanding the MA landscape for healthcare executives.

Key Takeaways
-Medicare Advantage (MA) is a major topic of concern for health system executives due to its significant impact on the healthcare industry.

-Payers have prioritized MA and have seen high profit margins, but regulatory changes and headwinds have affected their profitability.

-MA offers benefits such as low premiums and supplemental benefits, but there may be hidden downsides and challenges for beneficiaries.

-Health systems have contracted with MA plans to benefit from higher reimbursement rates, but they face challenges such as claims denials and lower yields.

-Understanding the MA landscape is crucial for healthcare executives to navigate the changing market and ensure financial sustainability.

Chapters
00:00 Introduction and Podcast Evolution

00:27 The Significance of Medicare Advantage for Health System Executives

03:02 Medicare Advantage: Profitability and Challenges

07:38 Regulatory Changes and Headwinds in Medicare Advantage

09:31 Variations in Medicare Advantage Penetration Across Markets

12:23 Challenges Faced by Health Systems in Medicare Advantage Contracts

17:21 Navigating the Medicare Advantage Landscape as a Healthcare Executive

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...