Turn on the Lights Podcast

How do health care quality measures get created, and are we measuring too much?

In this episode, Jeff Geppert, Senior Research Leader at Battelle Memorial Institute, discusses the lifecycle and future of health care quality measurement in value-based care. He explains how measures move from multi-year development and evidence testing through endorsement and CMS rulemaking before being implemented in federal programs. He addresses concerns about measurement overload, noting that health care complexity has driven the growth in measures but that rising infrastructure costs, interoperability demands, and AI adoption may force greater focus and parsimony. He also shares why he’s optimistic that emerging technologies will better align quality measurement with quality improvement, helping uncover root causes of variation and drive meaningful value in care delivery.

Tune in to explore where health care measurement is headed, and why the future may be more focused, fair, and impactful than ever.

Resources:

Connect with and follow Jeff Geppert on LinkedIn.

Follow Battelle Memorial Institute on LinkedIn and explore their website!

What would it look like if aging in America came with a real plan instead of a quiet free fall?

In this episode, Dr. Joanne Lynn, a longtime geriatric and hospice physician and elder-care policy leader, explains how longer lives have outpaced the systems people rely on when disability arrives. She highlights how ageism and invisible, unpaid caregiving strain families, often forcing them to drain savings before support becomes available. She also examines staffing shortages in nursing homes, limited geriatric training for clinicians, and gaps in long-term care infrastructure. Finally, she shares promising solutions, including community villages, the PACE model, and policy reforms like catastrophic long-term care social insurance and stronger local accountability.

Tune in to learn how we can build a future where aging remains meaningful, supported, and dignified.

Resources:

Connect with and follow Dr. Joanne Lynn on LinkedIn.

Visiting medicaring.org to learn more about community-based eldercare improvements.

Leading a major health system today means juggling patient-first ethics with a financing model that keeps tightening the screws.

In this episode, Chris Van Gorder, President and Chief Executive Officer of Scripps Health, explains why health care is becoming structurally unaffordable amid soaring premiums, uncompensated emergency care, and rising input costs. He describes how hospitals have become the default safety net as county systems disappear, while underpayment by Medicare and Medicaid forces cost shifting onto employers and commercially insured patients. Van Gorder also highlights California’s seismic rebuilding mandates, which create massive capital pressure without matching reimbursement. He critiques managed care, value-based care, and Medicare Advantage for pushing risk onto providers through prior authorization and denials, recounting Scripps’ difficult decision to exit several Medicare Advantage contracts after heavy losses and the downstream impact on patients.

Tune in and learn how payment design, intermediaries, and regulation shape what hospitals can sustain and what patients can access.

Resources:

Connect with and follow Chris Van Gorder on LinkedIn.

Follow Scripps Health on LinkedIn and explore their website!

What does it take to reimagine aging services in a complex health and social care system?

In this episode, Marta Corvêlo, President & Chief Executive Officer at Somerville-Cambridge Elder Services, talks about her journey into health and human services and her approach to transforming community-based aging support. She shares how her upbringing in Portugal and early work with refugee families shaped her commitment to social impact and equity. Marta explains the mission of SCES and how its home-based, wraparound services help older adults, people of all abilities, and caregivers age with independence and dignity. She also discusses operating at the intersection of health care, behavioral health, and social supports to better navigate the systems serving aging populations.

Tune in to hear how values-driven leadership and community-based innovation are reshaping the future of aging services!

Resources:

Connect with and follow Marta Corvêlo on LinkedIn.

Follow Somerville-Cambridge Elder Services on LinkedIn, Instagram, and Facebook, and explore their website!

America’s drug crisis isn’t a science problem; it’s a pricing and policy problem that blocks patients from medicines that already exist.

In this episode, Dr. Jerry Avorn, a professor of medicine and leading expert in pharmacoepidemiology and medication policy, discusses why many patients still can’t afford essential treatments even as breakthrough drugs for cancer and inflammatory disease proliferate. He shares a personal case where “nonadherence” was really unaffordability, then unpacks how US exceptionalism in drug pricing, patent “thickets,” and delayed competition keep costs unsustainably high. Dr. Avorn also contrasts access failures with overuse concerns, explores why other countries negotiate on the basis of value, and addresses objections to innovation and rationing, including a sobering example of cystic fibrosis in the UK. Finally, he explains how academic detailing spreads evidence-based prescribing and evaluates recent US attempts to let Medicare negotiate prices alongside more deal-driven approaches. 

Tune in and learn how drug prices, patents, and public funding shape what patients can actually access!

Resources:

Connect with and follow Dr. Jerry Avorn on LinkedIn.

Follow Harvard Medical School on LinkedIn and explore their website!

Learn more about Brigham and Women’s Hospital on LinkedIn and visit their website.

Visit Dr. Avorn’s personal website.

Buy the Rethinking Meds book here and learn more about it here.

Mindfulness isn’t a “nice-to-have”; it’s a low-cost public health lever that changes how people handle pain, emotions, and community life.

In this episode, Brother Phap Luu, a monk in the Plum Village tradition founded by Thich Nhat Hanh, discusses how mindfulness can be practiced as “everyday meditation” through breathing, walking, eating, and even cultivating awareness of dreams. He shares his personal journey from activism and disillusionment to depression, and then to healing through mindful breathing and finding community at Plum Village. Brother Phap Luu explores the roots and global reach of Plum Village, why mindfulness naturally fosters compassion, and how “watering” emotions like anger through rumination can prolong suffering. He also unpacks mindfulness as an “invitation,” the challenge of scaling it, through training, ethics, trauma sensitivity, and limited profit incentives, and its potential integration into schools of public health and policy.

Tune in and learn how mindful breathing, community practice, and compassion can become practical tools for healthier lives and societies!

Resources:

Connect with and follow Brother Phap Luu on LinkedIn.

Learn more about Plum Village on their LinkedIn and explore their website.

Quality measurement matters only if it helps patients and clinicians deliver better care in real time, not just prove compliance after the fact.

In this episode, Vivek Garg, President and CEO of NCQA, reflects on how growing up with an immigrant physician father, living with his mother’s undiagnosed bipolar disorder, and training in internal medicine shaped his commitment to patient-centered improvement. He explains why he pursued “edge-case” primary care roles at innovative organizations and how those experiences led him to focus on quality, value-based care, and complex populations. Vivek also clarifies NCQA’s role in convening standards, accrediting health plans and practices, and validating performance through audits and support. He critiques today’s bloated measurement ecosystem and argues for digital, interoperable, clinically meaningful metrics that reduce burden and truly improve care delivery.

Tune in and learn how quality standards can evolve from checklists into a continuous improvement engine that patients can actually feel!

Resources:

Connect with and follow Vivek Garg on LinkedIn.

Learn more about the National Committee for Quality Assurance (NCQA) on their LinkedIn and website.

Millions of Americans could lose health coverage in the coming years, and the consequences may be more profound than most people realize.

In this episode, Dr. Ben Sommers, the Huntley Quelch Professor of Health Care Economics at the Harvard T.H. Chan School of Public Health, and professor of medicine at Harvard Medical School and Brigham & Women’s Hospital, talks about how new federal policies, including Medicaid work requirements and the rollback of Affordable Care Act subsidies, are reshaping access to health insurance in the U.S. Drawing on extensive research, he explains why these changes are expected to increase uninsured rates without meaningfully boosting employment. Dr. Sommers also shares evidence from prior state experiments showing that administrative red tape, not a lack of willingness to work, drives coverage loss. He outlines the ripple effects on patient health, safety-net providers, and hospitals, especially in rural and underserved communities.

Tune in to understand what these policy shifts mean for patients, providers, and the future of the U.S. health care system.

Resources:

Follow the Harvard T.H. Chan School of Public Health on LinkedIn and explore their website!

Learn more about the One, Big, Beautiful Bill here!

Trust in health care AI won’t happen by hype. It will be earned through transparent standards, independent evaluation, and real-world performance monitoring.

In this episode, Dr. Brian Anderson, President & CEO and Co-Founder of the Coalition for Health AI (CHAI), discusses why health care needs a technically specific, use-case-by-use-case definition of “good” AI and how CHAI is building voluntary consensus-driven guidelines around fairness, transparency, safety, robustness, and privacy. He shares how his frustration with bloated EHR workflows pushed him into digital health innovation, then into pandemic-era public-private coordination during Operation Warp Speed, where rapid collaboration revealed what’s possible when incentives align. Brian explores CHAI’s “AI nutrition labels” (model cards), an emerging registry, and why vendors may opt into scrutiny to speed sales cycles and prove value. He also digs into ambient clinical documentation, performance metrics that matter to clinicians, cost pressure through apples-to-apples comparisons, agentic AI to expand rural access, and the alignment and biosecurity risks that demand vigilance.

Tune in and learn how to build and verify AI that improves care without sacrificing safety, equity, or trust!

Resources

Connect with and follow Brian Anderson on LinkedIn.

Learn more about the Coalition for Health AI (CHAI) on LinkedIn.

Explore CHAI’s website.

What happens when a health system decides that quality comes first?

In this episode, Dr. Gary Kaplan, who retired as the longtime CEO of Virginia Mason and currently serves on the Board of Stewardship Trustees of CommonSpirit Health, discusses leading one of America’s most influential physician-led health systems through a radical transformation focused on quality, safety, and patient-centered care. He reflects on Virginia Mason’s roots as a Mayo Clinic–style group practice and why shared purpose and clinician leadership created a fundamentally different culture of care. Dr. Kaplan explains how adopting Lean management principles reshaped chaotic health care systems, reduced waste, and supported clinicians in delivering safer, more reliable care. He also discusses why fee-for-service medicine drives unsustainable costs, his advocacy for value-based and capitated payment models, and how market consolidation ultimately led to Virginia Mason's merger, despite its strong performance and independence.

Tune in to explore what it truly takes to redesign health care systems around patients, clinicians, and value, rather than volume.

Resources:

Connect with and follow Dr. Gary Kaplan on LinkedIn.

Follow CommonSpirit Health on LinkedIn and explore their website!