The Healthcare Solutions Project

Healthcare is becoming like the US retirement system, where consumers are given more and more responsibility for spending scarce funds. But healthcare consumers don't have the time or the interest to become healthcare experts. In this episode, Brian Colburn of Alegeus talks about how providing tools and guidance for spending healthcare dollars can help improve the lives of consumers.

One of healthcare's biggest issues is the rivalry that exists between payers and providers. But as the industry moves toward value-based care, these two major healthcare stakeholders have more in common clinically and financially. Joan Butters and Heather Bassett, MD of XSOLIS are leaders in utilizing artificial intelligence and predictive analytics to bring payers and providers together in the decisions they make about patients. 

Value-based care is slowly taking over the care delivery and payment mechanisms in healthcare. But what's good in theory isn't always good in practice. Joy Rios, founder of Chirpy Bird Health IT Consulting, gives a boots-on-the-ground assessment of how physician practices can struggle to integrate value-based care regulations into their practices.

Healthcare has been siloed for decades, and we aren't helping it when we create siloed apps. David Franklin, founder and CEO of KnowRX, wants to change that by empowering patients with digital solutions that bust the silos and meet patients on their terms.

Every patient is different, as is every patient journey. But data can point to subtle similarities that unlock the door to patient engagement. When it comes to medication management, Omri Shor may have unlocked that door. Using artificial intelligence, patient reported data and behavioral data,  MediSafe has found specific points where they can influence the patient journey in a very personal way. 

Over the past few months, hospitals and health systems have made tremendous transformations. They've had no choice. Rather than make decisions by committee and consensus, they've been forced to be agile, innovative and creative. Pam Arlotto, President and CEO of Maestro Strategies, is encouraging healthcare leaders to maintain that agility using data tools that enable prediction as they continue to navigate through uncertainty.

Healthcare is in a schizophrenic position today, says value-based care expert and consultant Dominique Morgan. The newly titled VP and General Manager for Michigan of VillageMD has been working in and consulting about value-based care since before the coin was termed. While she has seen tremendous progress, she also sees that too many organizations are playing both sides of the volume-to-value divide. COVID-19 has forced us to learn some things about proactive care, but there's still a lot to learn.

Documenting care has become a big part of caring for patients. Not only does it provide the justification for reimbursement, it also provides the basis for quality care. Doctors need to know the whole patient story. In this episode, Jake Mathew, CEO of MBOS, talks about mentoring physicians to help them tell the patient story as well as help them keep patients from experiencing the fallout from claims denials.

Marcus Whitney, co-founder of JumpStart Foundry and co-founder and CEO of Health:Further, is raising his voice against what he sees as systemic racism in today's healthcare system. A self-taught entrepreneur and a consultant who helps healthcare companies navigate disruptive change, Marcus shares his perspective on what healthcare leaders should do to address inequities.

While most physicians love the practice of medicine, most of them also hate the administrative runaround. Getting credentialed to work in specific states and facilities can be incredibly difficult, especially for physicians who are temporary workers or who must be licensed in multiple states to work in telehealth. Jared S. Taylor, the co-founder and CEO of BlocHealth, discusses the pains of credentialing and what his company is doing to make the going easier for doctors.