The Innovation Accelerator Podcast

The Innovation Accelerator Podcast is an ad-free service. These shows are produced to help payers, providers, life science companies, and digital health innovators accelerate healthcare's transformation by sharing expert voices, views, and advice on the important technology, care, reimbursement, and regulatory issues of the day. The Innovation Accelerator Podcast is brought to you by Innovaccer, the #1 healthcare data platform. We’re on a mission to connect and curate the world’s healthcare information to make it accessible and useful. Thank you for listening! If you have a suggestion for a show topic or quest, please contact us using the Contact form link on the show's home page or visit us at https://innovaccer.com.

The Evolution of the Chief Marketing Officer Role in Healthcare: The Geisinger Perspective 03/14/2024

The Evolution of the Chief Marketing Officer Role in Healthcare: The Geisinger Perspective Continuing our Reinventing the CMO podcast series, we bring to you the latest edition featuring , SVP, chief marketing and communications officer, and digital engagement leader at . He is responsible for marketing, communications, digital engagement vision, and strategy. He is a transformative industry leader who has built strong teams that have had a positive impact on healthcare and marketing. He is a firm believer in putting the customer first in marketing and authenticity in communications striving to innovate while getting the basics right by delivering the right message to the right customer at the right time. On today’s edition the moderator is , general manager, experience, at Innovaccer. Don shares insight on his journey exploring healthcare and marketing and reimagining marketing initiatives at Geisinger. He discusses the ever-evolving role of a CMO through financial management, growth marketing, health equity, value-based care, and data management. Some of the topics Don and Gary drill into include: The classic marketing CRM is moving more towards enterprise experience. What is the evolution and difference between the two? The critical nature of data management to ensure top-line experiences. What does this look like in the next five years as health system departments begin to consolidate and work more closely together? The CMO role is evolving. What are some suggestions on how a CMO can work better across business lines with peers like the CSO, CDO, and CIO? Navigating through the business is like walking on a tightrope—a constant balancing act. What strategies should be considered to strike the right balance between marketing initiatives and aligning business objectives for customer growth and EBITA? The ripple effect of acquisitions: How does this affect the CMO and impact marketing or digital strategies? Are there effective ways to navigate and capitalize on these transitions? Show Resources /episode/index/show/innovaccer/id/30370253

The Evolution of the Chief Marketing Officer Role in Healthcare: The Stony Brook Medicine Perspective 10/30/2023

The Evolution of the Chief Marketing Officer Role in Healthcare: The Stony Brook Medicine Perspective Today we're continuing our series on “Reinventing the Chief Marketing Officer,” with our very special guest, , chief communications and marketing officer for in Stony Brook, New York. Stony Brook Medicine consists of four hospitals and an ambulatory network of 216 facilities, including the university's six health science colleges and programs in the New York region. Timothy directs the marketing and communication programs that create a fusion of brand, image, clinical, and research accomplishments. He oversees media relations programs and internal communications for over 14,000 employees. On today’s show, Timothy shares his ideas for advancing healthcare marketing through content, convenience, community outreach, and more. He discusses how healthcare marketing can evolve by using data to shape consumer journeys, how to keep pace with changing consumer expectations, competing with well-heeled competitors, and other lessons learned from his leadership roles at major academic medical centers. Moderating today's show is , general manager of CRM at Innovaccer. Some of the specific topics Gary and Timothy drill into are: How the healthcare CMO’s role has changed since the pandemic—and why it keeps evolving Developing a unified health system brand and why that matters How to use data and precision targeting to boost marketing ROI Methods Stony Brook is using or considering for driving consumer growth Improving patient experience through digital tools and convenience The consumer appeal and organizational challenges of “open physician scheduling” Managing patient journeys across the care continuum Engaging patient populations by aligning messaging to diverse communities and demographics Examples of impactful community outreach The most important marketing initiative Stony Brook is working on right now A secret to marketing success: Partnering across the organization for insights and shared goals How healthcare CRM will progress in the next 5 years: What’s new, what’s needed, what’s next The one thing about healthcare that Timothy would change Show Resources /episode/index/show/innovaccer/id/28464317

Advancing Population Health by Empowering Primary Care 10/20/2023

Advancing Population Health by Empowering Primary Care What does it look like when value-based care theories, policies, practices, and innovative technologies are put into practice? What happens when we move beyond talking the talk to walking the walk of population health management at scale? To explore those questions and more, we invited , the Chief Medical Officer for Population Health Management at , to join our panel. Prisma Health is a clinically integrated network with over 5,000 providers focused on improving health outcomes, access, and health equity across South Carolina. Prisma Health works with health insurers, partners, and vendors to align stakeholders’ efforts to deliver value-based care to nearly 1.5 million patients across 21 counties, covering nearly 50% of the state. Joining Dr. Albano are regular podcast panelists , president and CEO of the , a not-for-profit organization working to advance an effective and efficient health system built on a strong foundation of primary care; columnist , managing director at , a leading healthcare consultancy working primarily with digital health startups and investors; and your host, . Dr. Albano is a vocal advocate and hands-on leader in population health management, influencing and accelerating the future of healthcare not just in South Carolina but as a national voice. He’s bullish on how innovative healthcare technology and collaboration together can play a pivotal and positive role to help healthcare professionals improve patient outcomes; enhance engagement; and efficiently address issues such as health equity, workforce burnout, labor shortages, and more. In a wide ranging discussion, the panel explores a variety of salient topics, including but not limited to: Inside the Prisma model: How they’re creating a better state of health in South Carolina Contrasting the governance of a clinically integrated network (CIN) vs. an ACO Unique healthcare challenges in serving rural vs. urban populations Unexpected challenges and opportunities on the road to value—and the crucial role of primary care in enabling that shift How patient-centered pop health models drive better outcomes The primary care access problem Redesigning primary care and the medical home model to drive VBC that better meets patients' needs How to tailor individual patient care while driving systemic improvements Challenges recruiting and retaining primary care doctors, and ways to solve them Why tech innovations must enhance the human connection The many faces, uses, opportunities, and potentially broad impact of applying AI in healthcare What primary care leadership can do to drive health system change Direct-to-consumer startups and retailers entering healthcare: how to navigate innovation, convenience, care fragmentation, and new competitive models Is preventative and primary care a right or a privilege? Recommendations for national policies that align incentives towards population health management Show Resources /episode/index/show/innovaccer/id/28376384

Reshaping Primary Care: Embracing Payment Reforms and VBC Technology 08/24/2023

Reshaping Primary Care: Embracing Payment Reforms and VBC Technology Primary care is meant to be the foundation of our healthcare system, yet it receives only 4-6% of total US healthcare spending. That under-investment is one reason—if not “the” reason—why the US spends more on healthcare but has the worst outcomes among high-income countries, according to a Commonwealth Fund report. Our current fee-for-service system incentivizes volume over value. Despite industry rhetoric about the importance of primary care, it remains poorly resourced and ill-equipped to deliver the comprehensive, continuous care patients need. Meanwhile, clinicians’ frustration with low payment, administrivia, and fragmented technology saps the joy of delivering care from their lives, fueling record-setting levels of burnout and a worsening shortage of primary care physicians. On today’s show, the IA panel explores how we can, and why we must, focus on and transform primary care through innovations in payment models; innovations in healthcare IT; and innovations in the marketplace by primary care startups (those funded by private investors, private equity, venture capitalists) and established corporations, such as retailers, pharmacy chains, insurers, and healthcare leaders. Joining on the panel is , the president and CEO of the , a not-for-profit association working to advance an effective and efficient health system built on a strong foundation of primary care and the patient-centered medical home. Also taking a seat on the panel is columnist , the managing director at , an advisory and consultancy focused exclusively in healthcare, and primarily working with digital health startups and investors. Here’s what the panel debated: The underappreciated role of primary care in the US healthcare system Top challenges facing primary care, including lack of investment and resources, clinician burnout, and payment and reimbursement issues Differences between a primary care-centered model and our current healthcare system—and why they matter How a strong primary care system produces better prevention, care coordination, and lower costs Why there’s underinvestment in primary care Innovative payment reforms that can better support primary care Why a hybrid approach to payment and care delivery can deliver better, equitable patient care Use, under-use, and misuse of technology and information systems in healthcare, and their ripple effects How achieving IT systemness makes such a shift possible and improve health equity and accessibility Measures to improve health equity and equal access to quality care Fragmentation in the healthcare system, why and how to end it Emergence of new primary care models and the companies investing in them Network effects’ impact on care coordination enabled by technology Designing provider- and patient-centric technology solutions Ways to scale promising innovations in primary care Techniques to improve care team satisfaction to cool burnout Untapped opportunities for pharmacists to partner with primary care The investor perspective on healthcare innovation Show Resources /episode/index/show/innovaccer/id/27833469

The Shift to Value: Opportunities and Challenges for Specialty Providers 08/08/2023

The Shift to Value: Opportunities and Challenges for Specialty Providers It’s no secret that the transition from fee-for-service to value-based care is accelerating in healthcare. While primary care has led the way so far, new models—and new investors—are emerging to position speciality care providers as the leaders of this transformation. On this episode of the Innovation Accelerator podcast, host discusses the opportunities and challenges of VBC for specialty providers with , VP of customer success and value engineering at Innovaccer. Dr. Seth is an expert in value-based care and population health, having spearheaded ACO management and enablement in physician- and hospital-led ACOs for nearly a decade. Steve and Dr. Seth investigate why specialists have been slower to adopt value-based models, including issues around financial incentives; design flaws in programs; challenges with data interoperability, transparency, and analytics; difficulties measuring performance, and more. Despite these obstacles, Dr. Seth is bullish on specialty care to the extent that he sees specialists—such as cardiologists and nephrologists—as leading the next wave of VBC adoption and innovation going forward. He believes specialists are at an inflection point in the move to value, with the convergence of data-driven technologies and evolving payment models creating opportunities for better care and business growth. Market trends support his view. Specialty practice transactions reached $22 billion in 2022, with venture capital and private equity firms accounting for 70%, according to the American Journal of Managed Care. And specialists are accelerating adoption of value-based care models as part of increasingly effective and scalable value-based care platforms, according to McKinsey. Tune in now for a deep dive with Steve and Dr. Seth into: Why specialists haven’t been involved in value-based care models from day one What value-based care programs look like today for specialists, and how they differ from primary care models What value-based care models are emerging for specialists Why providers now want to move lucrative specialty services into value-based models: opportunities and incentives Which specialties are best positioned to be early adopters of value-based care, and why What specialists say have been their top challenges in a transition to value The crucial role patients play in accelerating VBC for specialty care Closing care coordination and data sharing gaps with payers How to manage the financial risks of value-based care Innovation and emerging technologies, such AI, to enable value-based care success How to capture, measure, and report value through outcomes and patient experience Key metrics and data points different specialties should monitor and us Show Resources /episode/index/show/innovaccer/id/27694914

Reinventing the Role of Chief Marketing Officer 07/21/2023

Reinventing the Role of Chief Marketing Officer In healthcare, the acronym “CMO” most often refers to a Chief Medical Officer, and rightly so. But another variety of CMO, the Chief Marketing Officer, is found in just about every industry––including healthcare. And today, the role of the healthcare CMO is evolving quickly. In post-pandemic America, marketing and branding have taken on new meaning as hospitals, health systems, MCOs, ACOs, and insurers all seek to engage the consumer. For provider organizations, it’s not simply a matter of maintaining reputation and driving traffic through the door. Value-based care and the increasing focus on population health are influencing the messages that marketers must deliver. When most folks think about marketing, advertising and public relations are typically the disciplines that first come to mind. While these remain core elements of any marketing program, they are just a few of the tools in the modern healthcare CMO’s arsenal, which is increasingly omni-channel, data-driven, and needs to be hyper-personalized. Today's episode focuses on the reinvention of the healthcare chief marketing officer. Host , Innovaccer’s general manager of CRM, speaks with special guest , chief marketing and communications officer at Hackensack Meridian Health. An Emmy Award-winning producer for Today on NBC and former Chief Medical Producer for the CBS Evening News, Dorie oversees all marketing, communications, media relations, crisis management, brand, creative, digital, social media, and video and podcast production for the 17-hospital system spanning New Jersey’s Bergen and Ocean Counties. Together, Gary and Dorie delve into the dynamic and changing role of the healthcare CMO. Here’s what they discussed: Chief Marketing Officer or Chief Strategic Storyteller? Conveying the brand voice with omnichannel marketing Data and analytics now have a seat at the table with creative Hyper-localization of messages down to the Zip-Code level The new realities of consumer engagement in healthcare Mapping the evolving patient journey The inherent complexity of health systems’ brand messaging Elevating the consumer growth story in the marketing mix Engaging patients with exceptional content Using data to identify care gaps and opportunities to connect Validating campaign effectiveness and ROI Expanding the patient funnel to provide concierge healthcare A shift in focus in the wake of the pandemic How health system CMOs can keep brand ID on point in a rapidly-evolving market Juggling multiple stories via multiple channels for multiple audiences Marketing’s role in addressing health equity and social determinants The best use of PR Population health, VBC, and instilling patient loyalty Show Resources /episode/index/show/innovaccer/id/27534330

HIMSS23: A Look Back, a Look Ahead 05/12/2023

HIMSS23: A Look Back, a Look Ahead It's best to let some things marinate. And so it is with HIMSS, the year's largest healthcare IT trade show. Many folks are quick to draw conclusions about what they heard and learned, but given the size and scope of the annual exhibition—35,000 attendees this year (close to 2019's 40,000 record) and nearly 1,600 sessions and exhibits—maybe it's wise to wait a little while and let that information sink in, and give our minds some time to process it before drawing conclusions or taking actions. It's in that spirit that we bring you several members of our CMO (Chief Medical Officer) team, including our CMO himself, , in a lively roundtable discussion that takes a look back at HIMSS23, digests the team's key take-aways, shares some trend spotting and action items, and then looks ahead to where healthcare might (or can!) be by the time we all meet again at HIMSS24. There's even one moment of stunned silence in response to a provocative observation shared by one of the panelists. What's your opinion? Share it on . Joining Dr. Nace for this latest CMOcast are , Innovaccer's chief innovation officer; , Innovaccer's chief technology officer; and , our host for today's show. Here are some highlights of what they discussed, but there's lots more ground covered, so be sure to tune in! AI everywhere: Massive buzz around generative AI in healthcare Does healthcare need standards and regulations for AI Updates to existing regulations to account for the use of AI Balancing regulations and standards with free-market innovation Attendee expectations: Pressure to deliver new and innovative solutions with rapid ROI A shift in conversations from conceptual discussions to implementation Big trends in healthcare IT, such as retailization, financial pressures, and smart hospitals The state of electronic health records (EHR) in 2023 Closing the EHR's gaps that EHR vendor’s can’t or won’t close The challenge of legacy code in EHRs The real causes of burnout and how IT can help Solving the interoperability problem by integrating with EHRs' clinical workflows Getting the right information to the right person at the right time in the EHR workflow How to ensure physician adoption and good experiences with new HIT Using "query understanding" AI to bridge the gap between analytics systems and end-users Reducing the burden on staffing levels to support analytic requirements A new approach to enterprise customer relationship management (CRM) in healthcare Unifying CRM and pophealth data to ensure a successful healthcare journey How to influence patient behavior to promote a healthier lifestyle Reflections on the lack of diversity and inclusion in the health tech industry The need for greater regulatory clarity around state privacy Show Resources /episode/index/show/innovaccer/id/26822406

Growth vs. Loyalty: A Battle for the Heart of Healthcare Consumers 03/29/2023

Growth vs. Loyalty: A Battle for the Heart of Healthcare Consumers Today's show brings together , and Gary Druckenmiller, General Manager of Consumer and CRM at Innovaccer, to discuss the topic of "growth versus loyalty" in healthcare. They delve into the impact of healthcare consumerism on people and communities, and share a framework for a full end-to-end journey in healthcare. They also touch upon classic marketing aspects often ignored or misunderstood in healthcare, such as the importance of similar clinic and storefront names, the need for different departments to work closely together on the patient experience, and prioritizing patient experience goals across departments. Today's show is packed with great take-aways on the world of healthcare consumerism and engagement; the importance of balancing growth and loyalty when providing effective care, and the role of digital tools, patient engagement, and community involvement in improving healthcare outcomes. Here are some of the many points Gary and Lisa discuss: Setting the stage on "growth versus loyalty" Healthcare consumerism and its changing impact on people and communities Establishing a framework for a full end-to-end journey in healthcare Pain and suffering in healthcare scheduling The importance of similar names and storefronts and clinics Garbage in, garbage out sentiment in the work of health systems Consumer acquisition and its impact on health systems Methods to alleviate workforce shortages and staff displacement Prioritizing goals and aligning priorities across departments The challenge of achieving a commonality of goals How different departments can work more closely together Patient experience's influence on retention Feedback and improving patient experience Strategic business development goals and profitability in healthcare Understanding diverse perspectives on telehealth and online scheduling Metrics for success in healthcare Providing a cohesive and intuitive patient journey Digital front doors: where they work, where they fail Social media and privatized healthcare media Health equity's connection to patient engagement Younger doctors as advocates for digital tools Building patient trust in providers and programs Technology and data failures in healthcare Creating effective content and data for patients Measuring success and failures, and what metrics matter How to test marketing systems in healthcare The idea of secret patients in healthcare Show Resources /episode/index/show/innovaccer/id/26357490

Today's State of Value-Based Care 01/17/2023

Today's State of Value-Based Care Starting with a CMS demonstration project of only ten providers in 2005, today’s value-based care (VBC)一when including MIPS and MACRA一now carries close to 100% primary care provider participation. And nearly 60% of all healthcare payments have some relation to quality and value—with rising levels of reimbursement related to risk and population. However, why have some of the promises around cost savings and outcomes not lived up to expectations? Will specialists, as well as secondary and tertiary care adopt VBC? What role does data readiness play in VBC success, and what can we expect over the next five years and beyond? , commissioned by Innovaccer, looks at these questions and more. To discuss the research and more, we assembled a roundtable discussion with a panel of VBC experts. Host and Innovaccer Chief Medical Officer, takes the audience on a guided journey through the past, present, and future of VBC with our guests, including: , General Manager of Provider Performance and Value Innovation at Innovaccer; , Executive Director at the ; and , Chief Population Health Officer at Innovaccer. Here’s what the panel discussed: Not fast enough: why VBC’s adoption has been slower than expected Where VBC will grow or fail over the next five years The plans for managed risk and health equity in VBC’s future Tips a North Star perspective to VBC teaches How data readiness gets personalized at the employee level Factors hampering success in the shift from FFS to VBC Potato—Po-ta-toe: What’s the right definition of value in VBC? Four risk management strategies providers learned from the pandemic How educating and re-skilling the workforce impacts VBC success What’s slowing VBC growth in commercial plans The one thing that will fuel a future greater provider-payer collaboration Shifting the mindset from “population health” to “health one-to-one” Top three questions about VBC providers should ask How consumerism and retail entrants can add value to the system Provider perspectives on actuarial vs. performance risk Specialty care strategies for VBC success Show Resources /episode/index/show/innovaccer/id/25625019

On Informatics, Nursing Shortages, and Digital Transformation, with Brian Norris, CNIO at IU Health 01/12/2023

On Informatics, Nursing Shortages, and Digital Transformation, with Brian Norris, CNIO at IU Health When you think of “informatics,” what do you see? Data centers, high speed connections, data and analytics platforms, AI, ML, and NLP? If so, here’s a surprise: the roots of nursing informatics go back to the 1850’s, where Florence Nightingale captured and used data in efforts to improve sanitation that impacted medical protocols in military hospitals. Today, nursing informatics is among the mission critical roles in healthcare. Its leaders are accountable for many challenges and needs including clinical team workflow, staffing and retention, supply chain, informatics solution development and implementation (now with IT, of course), digital transformation and analytics. And increasingly, they have a leadership seat at the executive table. In fact, given where healthcare is at today, nursing informatics leaders are among those at the epicenter of healthcare’s greatest challenges. How are they handling nursing shortages? What data and digital transformation investments are they focused on? How are informatics impacting health equity and patient experience? Which metrics have become most important to meet? To answer those questions and more, we’re privileged to enjoy a candid conversation with , Vice President and CNIO at Indiana University Health, and a top, well-cited nursing informatics leader. Podcast host covered these topics and more with Brian: The role CNIOs play in digital transformation efforts in provider organizations The three biggest challenges Brian sees facing healthcare in 2023 What technology must intersect to help alleviate the nursing staffing crisis A virtual nurse that can handle up to 40% of all hospital admissions How to pick the right metrics to ensure informatics is supporting the consumerism trend How IU Health’s digital transformation is improving health equity and the use SDoH The single biggest mistake in thinking around metrics and measurements IU Health’s unusual informatics and investment strategy Show Resources /episode/index/show/innovaccer/id/25578405

Innovaccer Book Club: An Interview with Jeb Dunkelberger, author of Rich & Dying 12/15/2022

Innovaccer Book Club: An Interview with Jeb Dunkelberger, author of Rich & Dying In any industry, it’s rare to find a C-suite leader who talks “inside baseball” on the outside, sharing views with candor that’s normally reserved for the boardroom. But that’s not , CEO of . Jeb isn’t afraid to go after healthcare’s sacrosanct topics, speaking truth to power in an effort to spark an open dialog, however heated or defensive, to affect change. Jeb is the author of more than 100 articles about improving the healthcare industry, and has held executive roles for Fortune 5 companies, and part of some of Silicon Valley’s most disruptive health startups. His education includes healthcare-related degrees from Virginia Tech, London School of Economics, London School of Hygiene and Tropical Medicine, Cornell, and the University of Pennsylvania. Jeb joins us on today’s show to discuss his popular book, . The book is a manifesto on American healthcare that reflects Jeb’s experience, passion, and humor to untangle the complexity of misaligned incentives, structural problems in our system, and pitfalls of reform attempts. It also provides Jeb’s nine core elements to drive innovative and foundational changes needed to transform the current health system. Our discussion touches on: Why our healthcare system is not broken—but works great! (I see you scratching your head …) Four free-market principles missing from healthcare The emerging new actors in creating value How to drive greater value-based reimbursement adoption with specialists Medicaid’s misaligned mix: When federal funding meets state implementation Jeb’s top concern on the current value-based reimbursement model Obvious and much-needed changes in grading and paying doctors Key factors of attribution and measurement that are holding back VBC growth Why organizations say they want to “fix healthcare” but don’t Why many of today’s healthcare CEOs have become NFL running backs The one escape valve hospitals are looking for in today’s economic climate Two inescapable realities for achieving meaningful system change Five challenges that have kept many retailers in healthcare from generating ROI Show Resources /episode/index/show/innovaccer/id/25315344

Healthcare Consumerism’s Next Big Leap 11/12/2022

Healthcare Consumerism’s Next Big Leap When seeing our provider, how often have we felt like number 32 at the deli counter? Customer relationship management (CRM) is used throughout healthcare, but the solutions are often limited by , add-on solutions from a 360-degree view of the patient, and a lack of to provide insights that inform better decisions and actions. How does going beyond traditional CRM solutions to truly know patients as people, and respecting and responding to their role as consumers, influence the clinical, operational, and financial segments of a provider organization? And how will multiple sources of patient data be unlocked, integrated, and optimized to deliver a powerful and ? Today’s show convenes an expert provider panel to answer those questions and more. With us is , System Director of Consumer Marketing at ; , Associate Vice President of Marketing for ; and host , General Manager of Customer Relationships Management at Innovaccer. And when you’re done listening to the show, take the to see where your health organization stands. Here’s what they discussed: What CRM will look like in 2025 The 4 biggest changes for the future of CRM 6 metrics that determine CRM success How clinicians relate to the value of the “connected conversation” Bedside manners and consumer manners—why they’re not same thing The lesson the “Ring doorbell” brings to CRMs What a CRM should bring to patient personalization and care accessibility The 3 differences between patient-centered and consumer-centric care The one thing keeps physicians from thinking of patients as consumers Why providers-as-entrepreneurs should consider CRM metrics their bread and butter CRM’s impact must include alignment with these 3 business areas Moving brand attachment from clinical to “full longitudinal” moments Why integrating siloed patient entities across a care system is so hard, yet must be done One panelist’s favorite pastime with claims data Inpatient and outpatient bifurcation: A CRM challenge to solve What’s the difference between healthcare CRM and health 1:1, and why does it matter? 3 tips for mapping an effective health 1:1 journey How convenience and options foster the consumer-first mindset The first things Alexa and Ryan would fix first in healthcare Show Resources /episode/index/show/innovaccer/id/24983127

Medication Management: There Is a Better Way 10/09/2022

Medication Management: There Is a Better Way Prescriptions are involved in of every clinical encounter in the U.S. each year, with more than filled and dispensed for nearly two-thirds of all US adults. Yet for all the lives saved and care outcomes improved, medication management has a dark side. Each year, suboptimal medication use—through inaccurate prescribing, medication errors, and medication non-adherence results in annually. The CDC notes that adverse drug events or ADEs in the US are responsible . These are just a few of the many challenges inherent in the mismanagement of medications, needing to be rectified through a proven process known as comprehensive medication management (CMM). In short, CMM is underutilized—and because it’s not widely understood, organizations and healthcare stakeholders are limited in their ability to lower costs, restore health in individuals and communities, and save more lives. On today's show, we've assembled an expert panel to weigh in on the state of affairs in CMM: , co-founder, and executive director of ; , vice president of Care Coordination at ; Corrine Leong Lee, director of Pharmacy Services at ; and , chief transformation officer at Innovaccer and president of Get the Medication Right Institute. Here’s what they discussed: The crucial impact of adverse drug events (ADEs) on emergency room visits Four certainties the CMM standard of care ensures How Medicare’s medication therapy management (MTM) missed the mark Four crucial differences between MTM and CMM The one component that will keep CMM’s clinical goals from being met The clinical “land of confusion”: When claims data mismatches EMR data Five health system flaws that waste $528 billion annually Why fee-for-service impairs CMM’s benefits How advanced diagnostics target correct therapies What’s the most important measurement for effective CMM in VBC? Three places in the CMM process where data access is most valuable Why opt-in state exchanges hamper CMM effectiveness and patient outcomes How a simple button-click on patient discharge can impact safety and readmissions Affordability: meds vs. food Driving policy through the three A’s: affordability, access, and appropriateness How advanced primary care can improve success in CMM The one CMM change panelists wanted most Show Resources /episode/index/show/innovaccer/id/24632337

SDoH’s Missing Link? 09/26/2022

SDoH’s Missing Link? Today’s medical care often misses the life story of a patient and its link to behaviors and context that can negatively affect health outcomes. The context of one’s life—personal, family, community, environmental, financial, psychosocial—is an integral part of the individuals' healthcare experience. These contextual challenges are not the same as social determinants of health, though they are connected to and compounded by SDoHs, such as economic inequality, poor housing, access to care, and more. Despite more than a decade of positive research featured in respected medical publications and journals, contextualization has remained off the radar of many healthcare organizations. But now that value, health equity, and SDoH have become paramount for providers, contextualization is finally emerging as a key need for driving better outcomes. Today’s guest, , explains the value of contextualizing care, and how organizations can integrate it into today’s care. Dr. Neuwirth is Atrium Health’s Clinical Chief of Care Transformation and Strategic Services, and hosts one of the top healthcare podcasts, . A nationally recognized thought leader, he is also the author of - a roadmap for creating disruptive change, which has earned a 4.7/5 rating on Amazon, and continues to be read and used by healthcare leaders and organizations across the country. Joining Dr. Neuwirth on the show is Innovaccer’s Chief Population Health Officer, . Here’s what they discussed: 3 catalysts that drove Dr. Neuwirth from clinician to change agent Why contextual and non-clinical determinants of health are highly relevant to improved care outcomes and patient experience Non-clinical providers: why they’re crucial in the shift to home-based care 7 underlying factors that impact contextualized care The importance of recognizing and addressing patients’ emotions in our processes and workflows. The whole-person reframing of healthcare from “what’s the matter with you” to a “what matters to you” approach The aligned opinion on payment that Dr. Neuwirth's podcast guests all share 3 critical factors for successful and sustainable healthcare payment reform The gap that still exists in integrating SDoH and contextualized care into workflows and medical records Why dialectic thinking is a must for changing our payment system in healthcare How the aging American demographic (the so-called “silver tsunami”) is transforming healthcare delivery Show Resources /episode/index/show/innovaccer/id/24495129

Innovaccer Book Club: An Interview with Dr. David Nash, author of How COVID Crashed the System 09/13/2022

Innovaccer Book Club: An Interview with Dr. David Nash, author of How COVID Crashed the System “During COVID, I couldn’t make a contribution at the bedside. But I could make a lasting contribution, through my most powerful weapon—the written word.” - Dr. David Nash Renowned care quality and healthcare reform expert committed to the power of the pen to shine a light on why the U.S. lost more patients to COVID-19 than any other nation, and why the American health system tragically collapsed during the first wave of the pandemic. In his highly acclaimed new book, , Dr. Nash digs deep and uncovers root causes that unraveled the world's most advanced and expensive health system. He and co-author Charles Wohlforth then share their analysis, lessons that must be learned, and report-driven recommendations for transforming America’s sick healthcare system to ensure such a national disaster doesn’t happen again. On today’s show, we’re honored to have Dr. Nash, Founding Dean Emeritus of the Jefferson College of Population Health, join us for a wide-ranging discussion with Innovaccer’s Chief Medical Officer , Chief Population Health Officer , and show host . Here’s what the Innovaccer Book Club panel discussed: 5 root causes why our healthcare system crumbled under COVID Eye-opening statistics that reveal leadership failures during the pandemic How exceptionalism and individualism influenced poor decisions and tragic results Healthcare lessons from W.E.B. DuBois … realized today The medical folk hero who helped the community trust doctors and vaccinations Structural racism in healthcare: Why “white guys over 65” won’t solve these problems The one thing that needs 186,000 primary doctors to fix Revealed: the economic factor that’s the #1 driver of clinical behavior A big idea: Why America needs a National Patient Safety Board Human factors engineering: Can it improve burnout and medical errors? 4 crucial measures that save more lives every day than 150 medical centers A fresh and frank look on healthcare’s taboo topics: affordability and pricing Dr. Nash’s top 5 solutions for a post-pandemic health system transformation Show Resources /episode/index/show/innovaccer/id/24353670

The EHR Changemaker Helping Transform Clinical Care 09/06/2022

The EHR Changemaker Helping Transform Clinical Care A recent Morning Consult revealed 95% of healthcare IT leaders are focused on digital transformation as a top priority. Only a year or two ago, EHRs were at the forefront of provider efforts to hit the triple aim–and today, nearly 6 in 10 see their EHR as a limitation holding back their enterprise data strategy. For all their good, EHRs have been plagued by inconsistent data entry, insufficient workflow support, cognitive overload for users, rising levels of user burnout, as well as lack of complete data integration for effective and safe care management. With healthcare costs, patient outcomes, and reduced operating margins on the rise, how can providers improve the limitations in their EHRs? Where should they be investing and most focused on, to best execute on transformation? How will company-based interoperability and unified patient records play a key role? Our guest is here to answer those questions, and many others. , CMIO at BayCare Health System is an industry leader, who holds responsibilities over all their clinical systems, associated governance, as well as over providing executive leadership of data and analytics. He recently won the Changemaker in Health Award from HIMSS, for his work in helping to refine EHRs, use the data within it to help improve quality, address operational concerns, and improve efficiencies. Joining Dr. Weiss on today’s show is , chief innovation officer at Innovaccer. Here’s what they discussed: Three improvements that help improve care quality and inspire staff Why the longitudinal patient story must be told Putting an end to chart diving When giving a stale diagnosis improves EHR limitations Where today’s clinicians are embracing–and resisting–transformation Only 6% of cost reduction programs are highly effective, so what’s missing? "The Tetris challenge" that’s impacting cost reduction efforts When a unified patient record isn’t a unified patient record Three top tips for the next generation of clinical IT leaders The single biggest problem in healthcare we need to fix Why population health and digital transformation are inseparable When data becomes a cognitive burden to providers and clinical efficacy Five pitfalls of legislating common sense into EHRs The two keys to unlocking digital transformation How often-neglected workflows impact data and analytics Why and how overreliance on technology hurts patients, families, and clinicians Show Resources /episode/index/show/innovaccer/id/24122973

Embracing Challenges to Accelerate Transformation 08/29/2022

Embracing Challenges to Accelerate Transformation is the Global Chief Medical Officer and VP of Healthcare at Microsoft. Recognized as one of Modern Healthcare’s top 50 most-influential persons in healthcare, he is a sought-after speaker who holds numerous patents in electronic health records and clinical decision support technology. In his more than 25 years as an infectious disease doctor, researcher, and successful healthcare IT executive, Dr. Rhew has a track record of uniquely connecting technology to medicine. It’s proven valuable for his part in evaluating and developing technologies that have improved outcomes in care quality, access, safety—as well as accelerating innovation around bettering patient and provider experience. Joining Dr. Rhew on today’s show is , Chief Medical Officer at Innovaccer. They cast a wide net as they grapple with today’s biggest industry challenges, and look at technology’s role in transforming healthcare through innovation. Here’s some of what they discussed in this expansive conversation: What makes interoperability a foundational element for improving AI Tomorrow’s AI-driven chatbots—matching patients to the right clinical trials The best incentives to choose for driving value-based care What is ACI and why is it a game changer for clinicians? The ACO Model: the right approach, but missing one thing COVID’s biggest lesson (and biggest factor) for improving health equity The secret to successful community-based care partnerships Choose wisely: How technology can accelerate or hamper innovation What four crucial opportunities are necessary to improve clinical insights Active listening: Technology that re-humanizes the patient-provider relationship Is data interoperability enough to transform care and outcomes? Why NLP should join the care team How real-world evidence closes crucial data gaps to improve clinical care The one challenge Dr. Rhew would choose to fix above all others Show Resources /episode/index/show/innovaccer/id/24183861

The Tip of the Spear for Advancing Data Interoperability 08/04/2022

The Tip of the Spear for Advancing Data Interoperability Data interoperability: will it ever become a reality in our healthcare system? The answer could be an emphatic “yes.” That’s because on January 18, 2022, the National Coordinator for Health IT (ONC) and its Recognized Coordinating Entity (RCE), , released the publication of the Trusted Exchange Framework and the Common Agreement, or TEFCA. A requirement of the 21st Century Cures Act, TEFCA is the single biggest step to make access to and sharing of electronic health information a reality between America’s health information networks, providers, payers, and patients. How will it work? When will it start? What stakeholders will be involved? Who will enforce it? How will it impact many of today’s healthcare challenges? Here to answer those questions and more is one of most recognized champions for healthcare data interoperability, . Mariann is the CEO of The Sequoia Project, an independent trusted advocate responsible for the development and implementation of TEFCA’s Common Agreement; as well as the designation and monitoring of its Qualified Health Information Networks, or QHINs. Joining Mariann on today’s show is , chief innovation officer at Innovaccer. Here’s what they connected on: TEFCA’s purpose, history, and stakeholders What ATMs and the financial industry can teach healthcare about sharing data When we will know that our health system has reached true interoperability Inside the role Sequoia plays with TEFCA and the ONC How interoperability improves efficiency in care delivery Open standards and the QHIN Technical Framework How organizations not participating in TEFCA might be left behind The impact a “network of networks” holds for private and public health settings How non-traditional sources of data will be a meaningful part of shared records How TEFCA can help move clinicians using fax machines and paper into digital information exchange How treatment, financial, and operational data will evolve with interoperability Data Driven: How Sequoia will empower America’s healthcare consumers What FHIR means to companies wanting to innovate in healthcare How TEFCA can support the goals of health plans Interoperability’s future—data sharing, semantics, usability, and compliance Show Resources /episode/index/show/innovaccer/id/23962566

Dr. Marion Ball on Health Informatics Trends and Care Transformation 06/28/2022

Transformation’s Missing Link: The Physician-Leader 06/21/2022

Transformation’s Missing Link: The Physician-Leader Earlier this month, Innovaccer’s Xccelerate conference brought together new thinking, valuable insights, critical conversations, and a shared vision on how patient data—unified and universally shared across consumer, care, and business settings—will be the biggest driver for accelerating the innovation and digital transformation that fundamentally improves healthcare. was one of two visionary keynote speakers to kick off the conference and take the stage at Xccelerate 2022.* The author of the acclaimed book , Dr. Cochran is renowned for his efforts to help physicians become effective leaders for transforming healthcare so it can consistently deliver what patients want, need, and deserve. While serving as CEO for the Permanente Federation, he led clinical quality and engagement, and oversaw more than 20,000 physicians caring for over 10 million patients. Under his leadership, Kaiser Permanente completed the largest civilian deployment of a clinical information system to date, and was recognized as a national leader in clinical quality by Medicare’s Star program, the National Committee for Quality Assurance (NCQA), and other organizations. One of Modern Healthcare’s “50 Most Influential Physician Executives and Leaders,” Dr. Cochran connected with us during Xccelerate 2022 to talk about what he sees as today’s top challenges in healthcare, and the role of physicians in driving industry-wide transformation—including why doctors must develop the leadership and partnering skills essential to driving transformation, in addition to their traditional roles as healers, confidants, and caregivers. * We know you’re wondering who the other keynote speaker was. It was , executive VP of the Oakland A’s, and subject of the book . A journey from physician to physician-leader Trust, active listening, and the impact on physician engagement Watching angels work Why Healer, Leader, and Partner struck a chord Dealing with complex issues in difficult times Transformation’s golden rule: Value dissent, challenge cynicism to lead change The intellectual arms race: why being bright and right isn’t enough Evolving physicians into physician-leaders Going beyond the point of clinical care Physicians’ disproportionate impact on transformation—and how to leverage it Preserving the patient’s voice: it takes a team Using data as an absolute truth to improve clinical judgment Writing the owner’s manual for healthcare transformation The unified patient record as an information ecosystem Cooling off physician burnout Innovation and the elimination of thankless jobs How complexity has made specialty care primary, and primary care special Who’s watching the data silos? Show Resources /episode/index/show/innovaccer/id/23498090

The Shifting State of Healthcare Consumerism 06/01/2022

The Shifting State of Healthcare Consumerism Consumerism in healthcare has made “webside manner” as important as bedside manner. It’s no secret that lessons learned from the pandemic have motivated providers and payers to rethink strategies around patient access and experience, retail care competition, partnerships, and care delivery and payment models, and more. But rethinking isn’t action. What do healthcare stakeholders need to do to adapt to market forces that are radically reshaping the industry? Today's show attempts to answer that question and more, with a roundtable discussion that offers a wealth of fresh thinking around healthcare consumerism: where it's been, where it's at, and most importantly, where it's headed and how to thrive in an industry that’s changing faster than ever. Our panel includes , host of the , and a healthcare leader with over 30 years of experience on the payer side, including President of Humana’s employer group segment. Joining Beth is , host of the ; and , managing director of PRM (Patient Relationship Management) at Innovaccer. Here’s what the panel discussed: Why healthcare remains out-of-step with consumerism The #1 thing that can unlock the consumer experience in healthcare Revealing the next big movement in value-based care The difference between patient- and consumer-centricity Where healthcare CMOs draw the line—and why they shouldn’t Where healthcare is getting consumerism right Who’s ahead in the consumerism race, payers or providers? Friction in the system (and where we need some WD-40) Is fee-for-service more consumer friendly? Going beyond digitization of medical records The nexus of consumerism and value-based care Personalized care: Not just for clinical The key to unlocking lower care costs The employer equation Retailers in mirror are closer than they appear Fixing 30 years of fragmented data repositories A macro view of consumer data Payviders: a help or a hindrance to consumerism? The business roles that must align to meet the consumer age Tackling healthcare’s #1 taboo topic Show Resources /episode/index/show/innovaccer/id/23260313

Key Factors for Boosting Contract Performance for Providers 05/03/2022

Key Factors for Boosting Contract Performance for Providers How can providers improve their ability to meet the business and clinical performance targets in their contracts? , it's a critical concern shared by provider organizations in both the fee-for-service and value-based worlds. Here to help us answer that question and more is , a nationally known healthcare leader who recently joined Innovaccer as General Manager of Provider Performance and Value Innovation. Amy has over 20 years of leadership experience inside health systems, ranging from large for-profits, such as HCA, to smaller regional not-for-profits. She’s been a chief strategy officer and a chief operating officer, and led one of the industry’s first clinical integration networks. More recently Amy has been helping health systems, children's hospitals, and payers transform their digital journey. At Innovaccer, she’s focused on helping providers unlock the power of data to improve their ability to achieve the business and clinical performance targets in their contracts. On today’s show, we speak with Amy about her views on how to improve healthcare business performance, using data to drive predictability in revenue, the vast and untapped power of SDoH, tools providers can use to achieve higher levels of value-based care delivery, building future-proofed healthcare systems, and more. Here’s what we discussed: Why clinical integration helps improve the digital journey for providers How segregated core systems create data and workforce silos inside of silos The need for speed: When data and insights arrive too late for action How poor data connectivity impacts care delivery and business performance When data becomes an asset as important as the workforce, facilities, and managed care contracts Payment models: Where the industry stands on pure FFS, performance-based arrangements, and true risk Tools that can help accelerate the transition to value and full risk Integrating SDoH data everywhere to help manage chronic diseases, avoid readmissions, improve pop health, and reduce the total cost of care Beyond the EHR: Creating a holistic view of the patient with new forms of data Keep the baby and the bath water: How to embrace and extend existing systems to accelerate transformation Getting to the hyper-personalized patient journey “Plugging in” to higher performance with modular data and applications by leveraging a data platform Building an infrastructure that’s ready for “what’s next” (genomics, proteomics, digiceuticals, etc.) Improving performance and removing data barriers through application rationalization A commitment to boost female leaders in health tech Show Resources /episode/index/show/innovaccer/id/22968389

ACO REACH: Analyzing the Latest Value-Based Care Model from CMS 04/24/2022

ACO REACH: Analyzing the Latest Value-Based Care Model from CMS The CMS's Center for Medicare and Medicaid Innovation (CMMI) recently announced the strategic redesign of their current Global and Professional Direct Contracting (GPDC) model. Beginning in January 2023, the redesigned program, known as ACO REACH, seeks to drive greater provider participation and improved quality of care, with a strong focus on improving health equity and closing the gaps for millions of vulnerable beneficiaries. For today's show, we've assembled an expert panel to weigh in on the new ACO REACH model, including its framework, benefits, and opportunities. On the panel: , CEO of and , and President of . She has more than 20 years in cost-of-care management, CMMI value-based care models, and is a leading voice of physician health policies. Joining Melanie on the panel are , chief population health officer at Innovaccer; and , national director for value engineering at Innovaccer. Here’s what they discussed: The design and functional framework of ACO REACH model Why CMMI chose to redesign the GPDC model How value in healthcare delivered through ACO REACH What the different entity, risk-sharing, and payment options are for participants The health equity requirements for participation under the ACO REACH model What health equity data REACH ACOs need to collect The advantages and disadvantages of the professional track and global track participation options Why whole-person care is integral to accountability in risk-sharing arrangements How the "health equity benchmark" will impact provider payments How health equity data will be combined into population health analytics The differences in the Medicare Shared Savings Program (MSSP) and ACO REACH What is value engineering, and how does it help providers in value-based care contracts How CMMI will monitor ACO REACH participants for compliance Other drivers will help transition more commercial carriers from FFS to VBC Show Resources /episode/index/show/innovaccer/id/22867538

A Roadmap for Success in the Transition to Value 04/22/2022

Eureka! Unified Data is Gold for Improving Drug Launches, Market Access, and Patient Outcomes 03/29/2022

The Power of Voice: Reducing Physician Burden and Burnout 03/28/2022

“Hard” vs. “Soft” Healthcare: A New Framing for Patient Engagement 03/16/2022

Beyond the EHR: Transformation that Transcends Technology 03/03/2022

Needed: Bolder Leadership in Innovation, Partnering, and Leveraging Data 03/02/2022

Digital Transformation: The Old New Thing, with special guest, Phil Fasano 02/22/2022

The Innovation Accelerator Podcast

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