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_outlineToday’s episode is about how the Rural Risk-Free Solution helps rural hospitals and health systems take on risk faster to achieve value-based care. The methodology is a community / population health approach. By providing analytics on care metrics, nurse-led and team based care, and population health programs, you can improve outcomes for both communities and the hospitals. Today we have Lynn Barr here from Caravan Health to explain how it works.
Highlights from A Rural Risk-Free Solution
- The rural challenges of moving from cost-based reimbursement to value-based care.
- How consolidation is putting rural clinics at risk.
We thought we were very high quality, we were the best. We were leading the country. And guess what happened? We reported our quality results. And we were the worst in the country. It was the first time we knew. Nobody had been gathering our data!
- The Rural ACO Turn Around Story
- The payment incentive system that is working against us.
- Build a support system around your doctors.
It doesn’t really take much time to fix this stuff. We beat the national averages by 2015. This isn’t rocket science. It’s just a bunch of work and it’s hard to change.
- The ACO numbers game.
- BONUS: How will the COVID-19 pandemic effect ACOs?
Lynn Barr, Founder and Executive Chairwoman of Caravan Health
Lynn Barr is a recognized leader in the movement to transform and improve our nation’s healthcare systems. While working at a rural hospital as Chief Information Officer, Lynn organized the National Rural Accountable Care Consortium to overcome barriers for rural health providers so they could participate in innovative payment models under healthcare reform. In 2014 Caravan Health was formed to provide turn-key services to providers interested in population health programs in Practice Transformation Networks, Medicare and Commercial Accountable Care Organizations, MACRA, Comprehensive Primary Care, and other payment models.
As founder of Caravan Health, Ms. Barr has led the development and execution of nationwide programs that bring better care to patients and help health care providers achieve financial success. Caravan Health supports more than 13,000 primary care providers and 250 community hospitals making the transformation to value-based payments, with affordable, simple solutions that achieve outstanding results.
Ms. Barr is a popular speaker and a frequent collaborator with government and national organizations looking to improve our healthcare systems.
About Caravan Health
Caravan Health was started by a forward-looking group of community hospital CEOs and physicians who recognized early on the many challenges they would face transforming to a value-based payment model. They were attracted to the emphasis on the patient and the focus on improving overall community health through operational improvements, staff development, community engagement, regional collaboration, and the effective utilization of useful information based on never-before-available data.
Caravan Health is now a national leader of successful accountable care and population health programs for community health systems. Caravan helps physicians and hospitals work together to create, operate and manage successful population health programs that improve patient care, clinician satisfaction and financial performance.
Links and Resources
- Caravan Website: https://caravanhealth.com/
- About the Rura Risk-Free Solution for Rural ACO participants: https://caravanhealth.com/rural/
- Am I Rural? Webpage for providers to determine if they qualify as rural: https://caravanhealth.com/am-i-rural/
- See the Caravan Webinars page for more educational sessions and info https://caravanhealth.com/thought-leadership/webinars/
- Twitter: @CaravanHealth
- Health Affairs: Payment Reform In Transition—Scaling ACOs For Success by Lynn Barr, Anna Loengard, LeeAnn Hastings and Tim Gronniger.
Check out my new podcast collaboration with The Infection Prevention Strategy (TIPS): https://deepdive.tips/