Using Data to Pick the Right Health Plan with Akash Magoon
Release Date: 04/14/2021
ChatGPT: Where (and Where Not) to Apply it in Healthcare
The #HCBiz Show!
On this episode, we talk with Matt Hollingsworth, CEO of , about ChatGPT. If you've been reading the headlines, and maybe even experimenting with Chat GPT yourself, but don't quite grasp what's going on, then this episode is for you. Mat gives a not-too-technical, high-level explanation of what's going on under the hood so that you have proper context for the discussion. Then, Matt outlines the potential benefits, and potential harms, of applying ChatGPT in healthcare. Finally, Matt shares his experience launching Carta Healthcare, including how he convinced VCs that software plus...
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Medicaid Transformation: Past, Present, and Future with Alan Weil of Health Affairs
The #HCBiz Show!
Medicaid Transformation. 1115 waivers. Delivery System Reform Incentive Payment (DSRIP) programs. Expansion. Contraction. We’ve been at this for a long time. Why isn’t Medicaid transformed already? Well… it turns out that this is really difficult work. First off, there are complex political and ideological issues. Even if we all agree that we want the best healthcare for every American – a conceptually easy outcome to rally behind – we don’t all agree on what that looks like, how to get there, or how to pay for it. Second, it takes a long time for policy levers to play out in the...
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Should Patients Be Charged for Messages to their Doctors?
The #HCBiz Show!
Cleveland Clinic recently announced that they would begin . This flies in the face of everything the industry is talking about when it comes to patient engagement and value-based care. At the same time, it is quite unreasonable to think that a doctor should be available for questions at any time, for free. How can we protect the clinicians' time AND provide the patients with the care and attention they need? And why are we moving away from value-based care? Craig Joseph, MD, Chief Medical Officer of Nordic Consulting Partners, and Matt Lambert, MD, Chief Medical Officer for Curation...
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Take it All With a Grain of Salt
The #HCBiz Show!
Don and Shahid discuss NCQA's Health Innovation Summit (November 2022) and FHIR Dev Days (June 2022). They explore these events as examples of how to interpret what you hear at conferences, in industry media, and even on podcasts like this. The discussion covers a lot of ground including: What is NCQA? What is HEDIS? What does it mean to move from Electronic Clinical Quality measures (ECQM) to Digital Quality Measures (DQM)? Can FHIR really do all that!? Specified, but not implemented (this is important) Why is it hard to innovate and sell innovations in the quality measure space? How...
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The State of Blockchain and Web3 in Healthcare with Ray Dogum
The #HCBiz Show!
On this episode, we talk with Ray Dogum, MS, MBA about the state of blockchain and web3 technology in healthcare. Ray is the producer and host of the where he discusses blockchain developments in healthcare with industry experts. There was quite a hype cycle around blockchain in healthcare that has died, but there is still real development being done and plenty of opportunity to create value in the future. We’ll break down the pockets of success that are happening today and talk about where things could be headed in the future. For complete show notes and links visit:
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Can I Buy You Lunch (and tell you about my product)?
The #HCBiz Show!
Some people tell doctors that anything more than a cup of coffee is a conflict of interest. What about executives? Is it ok to take them out to lunch? What about a trip to the Super Bowl? Is there a line? Where is it? On this episode, Don and Shahid discuss a recent LinkedIn discussion where a healthcare executive called shenanigans on himself and his colleagues for accepting gifts. The gift is a symptom... not the underlying issue. Tune in to find out what the issue is and how to fix it. Plus, learn why Don hates RFPs and how we can do those better too.
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The Business Case for Being Patient-First with Brian Sanderson
The #HCBiz Show!
There's no business case for doing the right thing in healthcare. Fortunately, being patient-first is the right thing to do and can be good for business too. Today we talk with , national healthcare management leader at and author of the new book, The Patient-First Revolution. In it, Brian provides a blueprint for hospitals to skyrocket net revenue by boosting patient experience (#HCBiz listeners can grab a free copy of the book ). Brian explains it's important to think about more than short-term financials. Yes... you need to operate efficiently and run a sound business… those are...
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Building an Innovation Lifecycle Ontology
The #HCBiz Show!
It's easy to experiment with new tech and produce products that look and sound innovative. It's much harder to tie your innovation efforts to strategic objectives with measurable outcomes and then scale the solution across your organization. The former leads to "death by pilot". The latter makes a difference in people's lives. We need a more disciplined approach to innovation if we want to make a difference. In this episode (Ep. 201) we introduce the concept of the Healthcare Delivery Organization Innovation Lifecycle Ontology or HDO-ILO. That's a fancy way of saying that we are attempting to...
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Episode 200!!! What's Next for the show?
The #HCBiz Show!
On this episode, Don Lee and Shahid Shah celebrate 200 episodes of The #HCBiz Show! We discuss what we've done over the past 6 years and tell you where we're headed next. In a nutshell, we're going to work to codify what we've learned about innovation in healthcare over the past 200 episodes and in our decades of deploying digital health solutions. We're steering the effort, but we need your help. There will be plenty of ways to get involved. Thanks for learning with us over the past 200 episodes. Here's to 200 more! Oh... and we're on YouTube now too if you prefer the visuals: ...
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Putting Ambient Intelligence into the Clinical Workflow at Scale with Peter Durlach
The #HCBiz Show!
There’s no shortage of development when it comes to AI and ML in healthcare. The technology is already powerful and continues to advance. The challenge, as always, is getting things into the clinical workflow. And doing so at scale. Nuance has a plan to help innovators and health delivery organizations find alignment and get the right tools integrated into the clinical workflow quickly. Nuance started with ambient intelligence in the sensory realm. In computing, refers to electronic environments that are sensitive and responsive to the presence of people. Today, Nuance’s Dragon...
info_outlinePicking a health plan can be the biggest crapshoot of anyone’s year. It’s confusing and tedious to compare the plan benefits, the provider directories are unreliable, and even if you can figure it out, there’s no way to know how much you’ll pay for a given service from one plan to the next. So, we cross our fingers, pick the one that seems like a fit, and hope for the best. Today’s guest is trying to change all of that. Akash Magoon is Co-founder and CTO at Nayya – a company that offers personalized enrollment guidance across all employee benefits. Today we talk about how Nayya uses claims and consumer data to help consumers pick the best health plan for their situation. Their goal is to “restack the odds for American families”. That’s something we can all get behind.
As a bonus to the startups out there, we talk about Nayya’s rapid growth over the past year. Pre-pandemic it was just Akash and his co-founder, Sina. Now a seed and series A round later, they have expanded to more than 30 employees and have customers in nearly every state. We talk about the key factors that enabled them to find their product-market-fit and show value to their customers.
On this episode you’ll learn:
- How claims and consumer data can be used to help consumers make better decisions about health plans.
- Why employers and health plans are interested in providing this service to their employees and members.
- Why it's important to engage consumers throughout the year to help them get the most out of their plans for the least amount of money.
- How the CMS Patient Data Access Rule creates new opportunities to empower healthcare consumers.
- How to get feedback early and often when launching a new product, and other advice for finding your product-market-fit.
About Nayya
At Nayya, we believe there is a better way to choose and use healthcare benefits. A more transparent, less confusing way where consumers feel more confident in their decisions. We focus on decision support and benefits engagement. It’s one of the most stressful and challenging situations consumers face – and we see that as an opportunity to do good. We’re excited to deliver a new experience to consumers – where they choose and use their benefits through our software, data and AI engine.
Learn more:
- Web: https://www.nayya.com/
- Nayya Series A Announcement
- Nayya + Selerix Partnership
- Nayya + Selerix Video
Get connected:
- LinkedIn: https://www.linkedin.com/company/nayya
- Twitter: https://twitter.com/Nayya_Inc
- Facebook: https://www.facebook.com/WeAreNayya
- Instagram: https://www.instagram.com/nayya_inc/
Links and Resources
- Episode 153: How Will Patients Securely Connect 3rd Party Apps to Their Data Once Patient Access Rules Kick In? from Health Data Unbound
- Episode 50: A Blueprint for the Next Generation Health Ecosystem | Dave Chase | The Health Rosetta
- Episode 27: Health Benefits as a Strategic Opportunity | Chris Skisak | HBCH
The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media.