The State of Healthcare

This is a must listen episode. 

Dr. Joia Crear - Perry is a thought leader around racism as a root cause of health inequities, Speaker, Trainer, Advocate, Policy Expert, and fighter for justice and is the Founder and President of the National Birth Equity Collaborative.

We were lucky enough to have her come on today and discuss the intricacies of policy, systemic racism and what we can do to overcome the negative effects it's had on our most vulnerable populations.

In this episode, we talk about…

• Where we are as an industry today when it comes to racial inequities

• The steps we need to take in order to make the future of healthcare a bright one for every American.

• Major misconceptions when it comes to SDOH and policies surrounding them

• Where Dr. Crear-Perry thinks we should be moving as an industry

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Artificial intelligence (AI) and increased computing power have long held the promise of improving prediction and prognostication in health care.

Now, use of predictive analytics and AI in medicine, though with fits and starts, is transitioning from hype to reality: Several commercial algorithms have received regulatory approval for broad clinical use. 

But the barrier for entry of new advanced algorithms has been low. To unlock the potential of advanced analytics while protecting patient safety, regulatory and professional bodies should ensure that advanced algorithms meet accepted standards of clinical benefit, just as they do for clinical therapeutics and predictive biomarkers. 

External validation and prospective testing of advanced algorithms are clearly needed, but recent regulatory clearances raise concerns over the rigor of this process. 

This is a snippet of just the introduction to our guest today's peer reviewed research paper on the regulation of predictive analytics in healthcare. 

Today’s guest on The State of Healthcare, Dr. Amol Navathe, is an Assistant Professor of Health Policy and Medicine and a Senior Fellow at the Leonard Davis Institute for Health Economics at the University of Pennsylvania. Dr. Navathe is a practicing physician, health economist, and engineer. 

Dr. Navathe’s expertise is focused in three core areas: (1) the impact of alternative payment models, particularly bundled payments, on the cost and quality of health care; (2) financial and non-financial incentive design, including applications of behavioral economics, to drive clinician practice change; and (3) predictive analytics and informatics to improve health care delivery

Each of which are spoken about in today's episode. 

In this episode, we talk about…

• Where we are as an industry today when it comes to digital health

• The steps we need to take to take our predictive analytics to the next level

• Policy when it comes to creating an AI standard of care

• The different levels of and the specific uses for AI today in healthcare

• What Dr. Navathe is excited about when it comes to the future of healthcare

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How does a Sloan Fellow at MIT think about Healthcare? 

How about a Sloan Fellow at MIT who is a former Medicaid Medical Director?

Former Chief Medical Officer of a multi-specialty, multi-site practice?

Former Vice President of Medical Affairs?

Founder of healthcare consulting firm?

How about an industry thought leader and four time “Top Voice” who has co-authored national curriculum, contributed to two state public health curricula, and invited to chair advisory panel by national funder.

Ever wonder what an individual touted as a change agent skilled at building coalitions and partnerships to engage a range of stakeholders to promote effective cross-sector collaboration thinks about social determinants and the future of our industry?

Well if so, you're in luck! That's exactly who our guest is today and you're in for an absolute treat!

Dr. Umbereen Nehal and I sit down to discuss everything from the Business of Healthcare, to Value Based Reimbursement, Social Determinants of Health and TONS more. 

You don't want to miss this episode!

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Value based reimbursement ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness.  

A discussion that has gone on for years is one of transitioning from a FFS payment structure to a value based reimbursement structure.   

While the FFS model promotes the quantity of services rendered by a physician, value based reimbursement is focused on the quality of care given to patients.   

This centers around patient outcomes, and how well healthcare providers can improve quality of care based on specific measures.  

Today’s guest on The State of Healthcare, Jason Helgerson, has been on the forefront of this change on a Global Sale.  He is the Founder and Chief Solutions Officer of Helgerson Solutions Group, a firm focused on helping companies, providers, payers and governments make the move to value in health care.  

In this episode, we talk about…  

• The global view of value based healthcare and how that effects us on a local level 

• The growing need to focus on social determinants of health as a catalyst to a successful organization 

• A focus on user experience in the future of healthcare 

• Steps to navigating forward into value based care at an organizational level 

• New Business Ideas for our entrepreneurial listeners  

Follow Jason on:  

LinkedIn: https://www.linkedin.com/in/jason-helgerson-69a0411/  

Twitter: https://twitter.com/policywonk1  

Check out Helgerson Solutions Group:  

Linkedin: https://www.linkedin.com/company/helgerson-solutions-group/  

Twitter: https://twitter.com/HSG_4_Value  

Website: https://www.helgersonsolutions.com/  

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We are on a journey at HALOS Systems to help healthcare organizations optimize their population management. We've spent the last 17 years building and perfecting our population health intelligence platform, using it at our own Medicare Advantage Plans, MSO's/IPA's and ACO's. The final product, AURA, is a unique combination of healthcare analytics, artificial intelligence, and actionable insights, which have been proven to drive better clinical outcomes, improve care management, lower cost of care, and increase revenue.    

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In this inaugural episode of The State of Healthcare, your host Ned Arick speaks with Dr. Josh Luke about where we are today as an industry and the future of healthcare consumerism and the move to value based reimbursement. 

They dig into the intricacies of the industry and what it will truly take for us to make the future of healthcare a bright one. You don't want to miss this one!

Dr. Josh Luke is considered America’s healthcare affordability authority and began his career as a successful sports marketer, but frustration over the lack of communication between his aging grandmother’s caregivers led him to make a dramatic change to his career path at age 27. 

By age 32, he had become a hospital CEO, and after ten years in that role, became an award-winning healthcare strategist, social media influencer and in-demand international public speaker and author. 

His first book Ex-Acute: A Former Hospital CEO Tells All on What’s Wrong with American Healthcare is an Amazon bestseller, and Dr. Luke now hosts the Health-Wealth Podcast and Radio Show, as well as The Health-Wealth Daily Minute on LinkedIn.

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