Tuning Healthcare, Powered by Lumeris

This episode of Tuning Healthcare features Dr. Matthew Harris, Clinical Senior Lecturer in Public Health, in the department of Primary Care and Public Health at Imperial College London. Dr. Harris is an honorary consultant in public health medicine for the Imperial College Healthcare NHS Trust. His research spans global health, innovation, diffusion, primary care and health services. Dr. Harris has worked for several years as a primary care physician in Brazil, a WHO polio consultant in Ethiopia, an HIV technical consultant in Mozambique and the global health advisor to the UK Department of Health.

Dr. Harris discusses The benefits, biases and challenges for adopting frugal innovations and community health solutions in leading healthcare markets

This episode of Tuning Healthcare features Anthony Del Rio, the President of Rush Health, the Clinically Integrated Network of Rush University System for Health (RUSH). As Senior Associate General Counsel and Managing Director at RUSH, Anthony also oversaw the Business Development and Transactions team, where he managed multiple hospital affiliations and joint ventures with large healthcare entities. Prior to joining RUSH, Anthony represented healthcare clients at an international law firm with a focus on mergers and acquisitions. He also worked as a management consultant for large healthcare systems, helping develop and manage hospitals in multiple states.

Anthony discusses RUSH’s pivot to value and how the health system clinically integrated network controls costs, supports the mission of managing populations and delivers better outcomes for the patient.

This episode of Tuning Healthcare features Dr. Amy Abernethy, an internationally recognized oncologist, health data expert and digital health leader. Dr. Abernethy was recently the Principal Deputy Commissioner and Acting Chief Information Officer for the United States Food and Drug Administration. She also held positions of Chief Medical Officer and Chief Scientific Officer at Flatiron, as well as, Professor of Medicine at Duke University School of Medicine. Dr. Abernethy has written over 500 publications, spanning many topics, including real-world data and evidence, clinical trials, health policy, and patient-centered care.

In this episode, Dr. Amy Abernethy and Lumeris Senior Vice President Nigel Ohrenstein discuss:

• Overcoming the challenges of leading an immense bureaucratic agency like the FDA

• The importance of public-private partnerships in driving healthcare innovation

• How she maintained focus and successfully drove data modernization amid the distractions surrounding the Trump administration

• The role real-world data and real-world evidence will have in shaping the future of healthcare

• The need to accelerate the transition from fee for service to a system of aligned incentives

This episode of Tuning Healthcare features Renee DeSilva, the CEO of the Health Management Academy. She previously served as executive vice-president and chief talent officer at EAB and senior vice president of sales and marketing at The Advisory Board. Renee also serves on the board of Inova Health System and leads the Mosaic Network, a joint venture project to expand the number of board-level roles in health care companies for people of color.

Renee DeSilva discusses The Academy’s role as a major industry convener and shares insights from their alliances with health systems driving transformation.

In this episode, Renee DeSilva and Lumeris Senior Vice President Nigel Ohrenstein discuss:

• Using data to improve health equality and the efforts to increase diversity within boardrooms across the healthcare industry

• The unprecedented opportunity for health systems to lead the transformation of healthcare

• How the Academy has maintained a leadership role during the pandemic and key issues they are addressing with health systems CEOs

• Reasons why fee for value is the best opportunity to drive a transformational healthcare system

• The current industry trends poised to become part of the healthcare landscape and those likely to wane

This episode of Tuning Healthcare features Dr. Jennifer Schneider, former Chief Medical Officer and President of Livongo. Dr. Schneider was also the Chief Medical Officer of Castlight Health and trained as an internal physician at Johns Hopkins and Stanford, where she was the Chief Resident. She recently joined the Board of Directors of Cityblock and is an executive in residence at Endurance Partners, a private equity firm in New York City.

Dr. Schneider shares her notable startup experience and provides a unique perspective on being a parent, athlete, clinician, and consumer of chronic disease healthcare.

This episode of Tuning Healthcare features Dr. Ashwini Zenooz, Chief Medical Officer and SVP for Healthcare and Life Sciences at Salesforce. Dr. Zenooz was most recently the Chief Medical Officer at the Department of Veterans Affairs (VA) overseeing the national EHR modernization program. She is board certified in radiology and continues to practice medicine today. Dr. Zenooz provides a unique perspective from her clinical and healthcare policy experience and shares insight into digital health innovation.

This episode of Tuning Healthcare features Dana Safran, Senior Vice President, Value Based Care & Population Health at WELL Health. She formerly held leadership roles at Haven and Blue Cross Blue Shield of Massachusetts and served in advisory roles to numerous local, national and international organizations and government agencies. Dana shares key insights from his payer and healthcare retail experience, and where he expects the industry to move in the future.

This episode of Tuning Healthcare features Bradley Fluegel, Principal at BMF Advisors and an executive healthcare advisor to numerous healthcare organizations. He formerly served senior leadership roles at Walgreens, Anthem, Aetna and has led various consulting roles for healthcare organizations. Brad shares key insights from his payer and healthcare retail experience, and where he expects the industry to move in the future.

This episode of Tuning Healthcare features Brian Lobley, Executive Vice President, Health Markets at Independence Health Group, the parent company of Independence Blue Cross in Philadelphia. He is also a founding member and the board chair of Quill, a newly formed joint venture between Independence Health Group and Comcast. Brian shares his perspective on the opportunity for payers and providers to collaborate in improving health outcomes and the consumer experience. Particularly in the age of COVID-19, the acceleration of healthcare innovation and the move away from fee-for-service will continue to spur industry transformation.

“I think what is emerging is a recognition across all stakeholders that the fee-for-service marketplace needs massive, massive transformation. Customers are demanding it. Providers are looking forward to it on how they earn incentives and help drive adherence, and quality and costs down, and payers as the intermediary need it. We need to be able to get to equations where we're able to do partial or full risk deals.”

– Brian Lobley, Executive Vice President, Health Markets, Independence Health Group

In this episode, Brian and Lumeris Senior Vice President Nigel Ohrenstein discuss:

• How a large commercial payer is helping its members through COVID-19

• The market dynamics encouraging industry transformation that have emerged during the pandemic

• What successful payer-provider collaboration looks like in the future

• The complexities of the healthcare journey for patients and caregivers

• Rethinking the consumer experience in healthcare

• How payers and providers can help drive value-based care outcomes together

• The need for innovative partnerships in healthcare across all verticals

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The opinions of the podcast guests are not necessarily reflective of those of Lumeris.

Cited works:

• Text Message Alert 1 Sound. Available at http://soundbible.com/2154-Text-Message-Alert-1.html.

• ECG Sound. Available at http://soundbible.com/1730-ECG.html.

• AM Radio Tuning Sound. Available at http://soundbible.com/2099-AM-Radio-Tuning.html.

• Intro music. Gordon Household. August 2019. WAV File.

This episode of Tuning Healthcare features John Gorman, industry expert and Founder and Chairman of Nightingale Partners. He was formerly the Founder and Chairman of Gorman Health Group as well as Assistant to the Director of Health Care Financing Administration’s (HCFA, now the Centers for Medicare and Medicaid Services, CMS). In the episode, John discusses the importance of social determinants of health interventions to support the most vulnerable patient populations. He also discusses the role that the government and private sectors play in driving industry transformation and the need to move toward value-based care. In light of the COVID-19 pandemic, where should health systems be focusing for a sustainable future?

[On the future for health systems] “I think the strategy that's been illuminated especially during this pandemic, … has got to be, you got to get on a path of value-based care. You've got to be accepting risks and you've got to be capitated. Because to continue to try to operate in a fee-for-service environment when elective procedures are all shut down and you're just living on the whims of infection rates right now, getting paid fee-for-service is what kills you in a pandemic. And this isn't going to be the last one of these that we have. … So I think against that backdrop and where payers are certainly marching in formation too is toward value-based care, toward a more accountable care, toward really delivering on very specific performance metrics that are moving from process measures much more oriented toward outcomes. And I think as we've seen in every survey shown of health systems in this last two years…they all agree that one of the absolute top strategic priorities has to be mastering social determinants of health.”

– John Gorman, Founder and Chairman of Nightingale Partners.

In this episode, John and Lumeris Senior Vice President Nigel Ohrenstein discuss:

• The impact of the growing elderly population on the healthcare system

• The crisis facing caregivers, low income families, and the uninsured that has been further exposed during the COVID-19 pandemic

• The role of the federal and state governments in managing healthcare access and coverage

• The importance of moving away from volume-based fee-for-service reimbursement toward value-based payment models

• The power of non-clinical interventions to improve population health

• Why addressing social determinants of health is critical for truly managing health and improving outcomes.

Cited works:

• Text Message Alert 1 Sound. Available at http://soundbible.com/2154-Text-Message-Alert-1.html.

• ECG Sound. Available at http://soundbible.com/1730-ECG.html.

• AM Radio Tuning Sound. Available at http://soundbible.com/2099-AM-Radio-Tuning.html.

• Intro music. Gordon Household. August 2019. WAV File.