Bright Spots in Healthcare
Each episode, I interview innovators in the healthcare industry to extract the strategies, tactics, tools, and/or routines they utilize to generate extraordinary, positive outcomes. We highlight and breakdown these bright spots so you can apply them at your organization. "See a bright spot .... and clone it!"
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From Mint to Medicine: How Aaron Patzer Is Fixing Patient Communication
12/30/2025
From Mint to Medicine: How Aaron Patzer Is Fixing Patient Communication
What happens when the founder of Mint.com takes on one of healthcare’s most broken experiences—patient communication? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Aaron Patzer, Founder and CEO of Vital, to explore how simplicity, clarity, and human-centered design can drive real impact in healthcare. Drawing from his journey building Mint, Aaron shares why most healthcare technology misses the mark, how better communication improves outcomes and ROI, and what leaders must do to design experiences people actually use. The conversation goes deep on: Why simplifying complexity—not adding more tech—is the real innovation How better patient communication drives measurable ROI for hospitals What healthcare leaders can learn from consumer tech about trust, adoption, and engagement The leadership principles Aaron relies on when innovating inside highly regulated, slow-moving systems If you’re a healthcare leader navigating digital transformation, AI investment decisions, or experience strategy, this episode offers clear thinking, hard-earned lessons, and proof that when you make it easier for people to understand what’s happening, everything works better. References: Book Reference - The Design of Everyday Things by Don Norman About Aaron: Aaron Patzer is a renowned entrepreneur, engineer, and innovator best known as the founder of Mint.com, the personal finance platform that revolutionized money management for millions of users. After launching Mint in 2007, Patzer led it to rapid success, growing the user base to over 25 million and overseeing its acquisition by Intuit in 2009. A passionate advocate for user-centered design and simplicity in complex systems, Patzer built Mint.com by combining his technical acumen with a deep understanding of user experience and behavioral finance. He holds degrees in Electrical Engineering, Computer Science, and a Master’s from Princeton University. Following Mint, Patzer continued to push boundaries in tech and health innovation. He co-founded Vital, a healthcare startup focused on improving hospital emergency room, urgent care, and inpatient experiences using AI and design thinking. Ranked by KLAS as #1 in patient experience, Vital achieves concrete results: 30–50% fewer LWOBS/AMA, 10–15% higher NPS, stronger HCAHPS scores, reduced ED bounce- back, and 10% lower 30-day readmissions. Designed to integrate seamlessly with existing EHR systems, Vital provides a user-friendly interface that engages patients, resulting in 60%+ adoption rates, 5-10x higher than the competition. View our product overview. Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at . Visit our website: . Follow Bright Spots in Healthcare:
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Precision Health, AI & Engagement: Dr. Carolyn Jasik on Verily’s Vision for Consumer-Centered Care
12/24/2025
Precision Health, AI & Engagement: Dr. Carolyn Jasik on Verily’s Vision for Consumer-Centered Care
Recorded live at HLTH, this episode of Bright Spots in Healthcare features Dr. Carolyn Jasik, Associate Chief Clinical Officer at Verily, an Alphabet company focused on precision health innovation at scale. Carolyn shares how Verily has evolved through multiple “moonshot” phases, from devices and research to its current focus on precision health, combining AI, data science, and clinical expertise to deliver the right intervention to the right person at the right time. Drawing from her background as a pediatrician, behavioral scientist, and former digital health executive, Carolyn explains why healthcare transformation must move beyond the clinic and into people’s daily lives, meeting them in moments that actually matter. In this conversation, you’ll hear about: What precision health really means beyond the buzzword, and why timing and context are everything How Verily Me enables consumers to interact with their health records, ask questions, and identify gaps in care The role of AI coaches and human clinicians working together, not in competition Why Verily is taking a direct-to-consumer-first approach to crack the engagement problem in healthcare How licensed nurses, HIPAA-protected AI, and real-time support can transform patient experience Carolyn’s long-term vision for AI agents like Violet to meaningfully extend care teams and reduce clinician burden This episode offers a thoughtful, human-centered look at how AI can help people feel seen, supported, and cared for while laying the foundation for scalable, enterprise-grade precision health. If you’re building, buying, or deploying digital health solutions, this conversation provides a grounded blueprint for what consumer trust, engagement, and impact really require. Bio: References: Verily Me - Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at . Visit our website: . Follow Bright Spots in Healthcare:
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WellSense, CareSource & GroundGame.Health: Medicaid Work Requirements and the New Engagement Playbook
12/16/2025
WellSense, CareSource & GroundGame.Health: Medicaid Work Requirements and the New Engagement Playbook
In this Bright Spots in Healthcare episode, host Eric Glazer brings together senior Medicaid health plan leaders to explore how organizations are rethinking communication strategies in response to redetermination and upcoming work requirements. The conversation dives into how plans are combining cultural competency, behavioral insights, and data-driven personalization to strengthen member connections, improve retention, and support equity-focused outcomes. Real-world examples and best practices provide actionable guidance for health plans navigating these sweeping policy changes. Our guests include: Molly Whittle, Vice President, Medicaid Fiscal Strategy, WellSense Health Plan Terrie Hottle, Director of Product Implementation and Deployment, CareSource Abner Mason, Chief Strategy and Transformation Officer, GroundGame.Health Together, they explore: How Medicaid health plans are adapting communication priorities in response to redetermination and evolving work requirements. Innovative strategies to reach and retain hard-to-contact populations through culturally responsive and personalized engagement. How to transform compliance-driven outreach into trust-based, member-focused communication that supports long-term retention and health outcomes. Practical examples of leveraging behavioral insights, life coaching, and personalized messaging to improve engagement, close care gaps, and support members’ social and health needs. Panelist Bios: Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download the Key Insights Summary: Find key insights from the discussion: Resources: HMA’s new report on the CareSource JobConnect Program: Report: How Medicaid Payers can Prepare for New Work Requirements Coming in Early 2027 The Reconciliation Act of 2025, signed on July 4th, introduces new Medicaid work requirements. Beginning in January 2027, states will be required to verify at both application and renewal that members of the Affordable Care Act (ACA) expansion group meet these requirements. A few highlights that stood out: The disruption will be significant: The CBO projects 10 million people could become uninsured by 2034 due to work requirements. Most losses aren’t intentional: In Arkansas, 18,000 individuals lost coverage in seven months—largely because the reporting system was too complex to navigate. Waiting is the biggest risk: The report states plainly: “Payers need to act now… the biggest issue is waiting too long to engage.” Five practical steps to start today: From identifying high-risk members early and communicating before the state does, to automating exemption processes and enabling consent-based data sharing. To request your copy, email show producer, Vekonda Luangaphay at vluangaphay@brightspotsventures.com Thank You to Our Episode Partner, GroundGame Health: GroundGame is a human impact company that helps Medicaid members stay covered and get care by removing the real-world barriers that stand in their way. They do this through human connection. Community-based engagement. Meeting members where they are and creating a culturally tailored experience at the level of the individual. Their Right Touch model blends personalized outreach with deep relationships across community organizations to close quality gaps, surface hidden needs, and actually solve them. Learn more at Schedule a Meeting with Abner Mason, Chief Strategy & Transformation Officer at GroundGame.Health. To explore how GroundGame.Health can help your organization reduce churn, build trust, and keep Medicaid members connected to care through human-to-human, community-based engagement, reach out to show producer, Vekonda Luangaphay, to schedule a meeting with Abner Mason, Chief Strategy & Transformation Officer, GroundGame.Health. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at .
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How CareFirst, Blue Shield CA and Vori Health Drive Success in the New MA Ratings Era
12/10/2025
How CareFirst, Blue Shield CA and Vori Health Drive Success in the New MA Ratings Era
In this Bright Spots in Healthcare episode, host Eric Glazer brings together Medicare Advantage leaders who are rethinking how digital first and whole person strategies can meet rising Stars expectations. The conversation explores how plans are simplifying engagement, strengthening provider alignment, and integrating specialty and virtual care models to improve quality, experience, and overall performance in the new ratings era. Our guests include: Lisa Franklin, Director of Medicare Business, Product, and Marketing, Strategic Growth and Government Programs, Carefirst Christine McKinney, Vice President Customer Experience and Digital Transformation Blue Shield of California Mary O’Connor, MD, Chief Medical Officer & Co-Founder, Vori Health Together, they explore: How CareFirst reduced member friction by consolidating 175 touchpoints a year into a coordinated digital first experience built around scrolling content cards, real time click behavior, and simplified onboarding. How Vori Health is integrating whole person MSK care with payers through value based arrangements that support coaching, nutrition, behavioral health screening, and earlier risk identification. How Blue Shield of California built a continuous CAHPS simulation program to uncover pain points and used those insights to create the Care Navigation Desk for real time access help. How digital tools like online scheduling, integrated member health records, and proactive pharmacy cost transparency are reducing friction and helping seniors navigate the ecosystem more independently. How plans are using AI and preference based engagement to support new Medicare members, improve medication adherence, and scale outreach during market disruptions. Panelist Bios: Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation. Resources: Report: How Physician Led MSK Care Supports Stars Improvement and Whole Person Outcomes This companion report highlights how Vori Health’s physician-led, virtual first musculoskeletal care model helps Medicare Advantage plans strengthen performance in the new ratings environment. It includes data and real member stories showing how hybrid specialty access, early gap closure, and whole person support improve outcomes, reduce unnecessary MSK spend, and enhance member experience. Inside you will find insights on Improving access through forty eight hour specialty appointments Reducing opioid use and unnecessary surgeries Supporting preventive screenings and chronic condition management Elevating member satisfaction across measures tied to the 2026 Stars program To request your copy, email . Buyer’s Guide: The Comprehensive Guide to MSK Care for Health Plans This companion report gives health plans a clear framework for improving MSK strategy, highlighting how fragmented, high cost pathways drive unnecessary imaging, procedures, and surgeries without resolving pain. It outlines four MSK care models and the key elements of a high value program such as physician led care, holistic support, non opioid management, strong engagement, and real claims based ROI. It also shows how solutions like Vori Health bring these components together through coordinated, hybrid access and measurable improvements in outcomes and cost. Inside you will find insights on Improving MSK access and coordination across care models Designing physician led, whole person programs that address root causes of pain Reducing unnecessary imaging, procedures, and surgeries Driving stronger engagement, better outcomes, and meaningful cost savings To request your copy, email . Thank You to Our Episode Partner, Vori Health: Vori Health is a physician-led musculoskeletal care practice that delivers fast, evidence-based hybrid care for back, neck, and joint pain. Their whole person approach improves outcomes, reduces unnecessary MSK costs, and supports stronger Medicare Advantage Star Ratings. Learn more at . Schedule a Meeting with a Dr. Mary O’Connor of Vori Health: To explore how Vori Health can help your organization strengthen whole person MSK care and support better Stars performance, reach out to to schedule a meeting with Dr. Mary O’Connor, CMO and Co-founder, Vori Health. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at .
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AMA & Health2047: Warren Templeton on Transforming Healthcare Through Venture Innovation
12/03/2025
AMA & Health2047: Warren Templeton on Transforming Healthcare Through Venture Innovation
Recorded live at HLTH, this episode of Bright Spots in Healthcare takes you inside Health2047, the venture studio founded by the American Medical Association to tackle some of healthcare’s gnarliest problems. Host Eric Glazer sits down with Warren Templeton, Managing Director at Health2047, to explore how the AMA is backing founders at the earliest stages to reshape physician workflows, chronic disease management, and data liquidity. Warren shares how Health2047 partners with science- and clinician-led startups at the pre-seed and seed stages, wrapping founders with commercial strategy, clinical and billing expertise, and an evergreen capital model that matches healthcare’s longer time horizons. He also unpacks why humility and conviction are the two non-negotiable traits he looks for in founders. You’ll hear real-world examples from Health2047’s portfolio, including: Zing Health – a Medicare Advantage plan built for underserved communities, rooted in social determinants of health and community-based design Phenomics Health – an obesity phenotyping company born from a “failed” diabetes prevention bet, now helping match patients to the right GLP-1s, procedures, and care pathways ScholarRx – a global medical education platform partnering with the WHO to enable high-quality “tertiary care in the wild” for clinicians around the world Warren and Eric also dig into: Why traditional 5–7 year VC timelines often clash with healthcare reality How to balance breakthrough science with practical workflow integration and commercial viability The impact KPIs Health2047 tracks beyond IRR, including lives and care teams impacted If you’re a founder, investor, or healthcare leader trying to build something that actually works in the real world—not just on a pitch deck—this conversation offers a candid look at what it takes to design, fund, and scale the next generation of healthcare companies. Bio: References: Health2047’s portfolio companies mentioned in the episode: Zing Health - Phenomics Health - ScholarRx - Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at . Visit our website: . Follow Bright Spots in Healthcare:
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How Oscar Health + Hy-Vee Are Building a New Local, Tech-Enabled Health Plan
11/25/2025
How Oscar Health + Hy-Vee Are Building a New Local, Tech-Enabled Health Plan
Guests: Louis DeStefano, Chief Growth Officer, Oscar Health Jon Van Der Veer, DO, Founder & CEO, Hy-Vee Health In this special HLTH interview, Bright Spots in Healthcare host Eric Glazer speaks with two leaders shaping one of the most innovative payer–provider–retail collaborations in the country: Louis DeStefano, Chief Growth Officer, Oscar Health Jon Van Der Veer, DO, Founder & CEO, Hy-Vee Health Together, Oscar Health and Hy-Vee Health are building a new kind of health plan, one that blends local access, convenient care, primary care-first design, and tech-enabled member experience. Think of it as a hybrid model: part direct primary care, part advanced digital platform, part community-rooted retail ecosystem. This conversation dives into how the two organizations are integrating brick-and-mortar clinics, urgent care, pharmacy, SDOH-friendly retail access, and Oscar’s tech stack, including “Oswell,” Oscar’s AI-powered clinical support tool, to deliver a personalized and coordinated experience. Topics We Cover: Why healthcare must be local, convenient, and relationship-driven How the partnership blends a supermarket chain, primary care clinics, and a tech-enabled health plan into one member experience How ICHRA is opening new doors for employer-driven personalization The role of AI and tools like Oswell in interpreting labs, improving communication, and augmenting care What a modern, scalable direct primary care model could look like The 10-year vision for this collaboration and where it expands next This episode offers a first look into a payer–retail–provider model that could reshape consumer expectations, and redefine how employer-sponsored and individual coverage works in the coming decade. References and Mentions: Learn more about the partnership between Oscar Health and Hy-Vee Health - Meet Oswell, Oscar Health's new health AI agent - Dr. Garrison Bliss, widely recognized as the “Godfather of Direct Primary Care” - Bios: Louis DeStefano: Dr. Jon Van Der Veer: Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at . Visit our website: . Follow Bright Spots in Healthcare:
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Scaling AI and Innovation with Tampa General's Chief Digital & Innovation Officer
11/18/2025
Scaling AI and Innovation with Tampa General's Chief Digital & Innovation Officer
In this episode of Bright Spots in Healthcare, recorded live at the HLTH 2025 conference in Las Vegas, Eric Glazer sits down with Scott Arnold from Tampa General Hospital, one of the nation’s leading academic health systems, to explore their ambitious digital transformation journey. The conversation dives deep into how TGH built a unified digital foundation across a large, geographically dispersed system, enabling them to scale AI solutions that deliver measurable impact on operations, patient care, and the clinician experience. Scott shares his blueprint for modernizing a major health system, moving AI from pilot project to enterprise-wide tool, and provides practical lessons for health system and health plan leaders seeking to reduce burnout, improve satisfaction, and bring innovation to scale. The conversation dives into: Why a single digital operating system, standardizing the EHR, analytics, and phone systems, is the non-negotiable foundation for scalable AI and consistent patient experience The function of TGH Ventures, the dedicated venture arm used to fund and rapidly implement market-vetted digital health solutions The strategy for prioritizing AI deployment by focusing on human-centric problems, such as clinician burnout and nursing staff turnover How TGH partnered with Palantir to create an AI-enabled Care Coordination Operating System (CCOS) that uses real-time data to optimize patient flow and predict risk The critical need for operational governance to prevent AI from being layered on fragmented infrastructure, which often leads to "faster chaos" Building a culture that is grounded in trust, speed, and experimentation to ensure the organization can keep pace with rapid technological evolution This discussion offers a pragmatic, replicable blueprint for any health system ready to modernize with intention and urgency, demonstrating how digital transformation can be grounded in practicality, not just hype. References: Charlie Munger’s famous quote “Trust is one of the greatest economic forces on Earth” Learning from outside healthcare: Scott's view on "taking a page out of Apple" and applying consumer-grade principles to hospital system design Scott Arnold’s Bio: Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at . Visit our website: . Follow Bright Spots in Healthcare:
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From Hospital to Home: Scaling Remote Specialty Care to Close Gaps and Reduce Readmissions
11/11/2025
From Hospital to Home: Scaling Remote Specialty Care to Close Gaps and Reduce Readmissions
In this Bright Spots in Healthcare episode, host Eric Glazer brings together health system leaders transforming how care continues beyond the hospital stay—using digital coordination, subspecialization, and AI-enabled virtual care to reduce readmissions and improve patient experience. Our guests include: Matthew Sakumoto, MD, Medical Director, Connected Care Clinic, and Regional Chief Medical Informatics Officer, Sutter Health Sean O’Grady, President of Acute and Ambulatory Operations, Endeavor Health Sarah Schenck, MD, Executive Director, Center for Virtual Health, ChristianaCare Tina Nelson, Strategic Partnership Manager, TytoCare Together, they explore: How Sutter Health virtualized Transition-of-Care Management visits to improve post-discharge follow-up, eliminate transportation barriers, and connect hospitalists directly with patients at home. How Endeavor Health is scaling a subspecialized hospital model—combining orthopedics, spine, and cardiovascular centers of excellence with Epic-driven coordination to deliver big-system outcomes in community settings. How ChristianaCare’s Center for Virtual Health delivers “high-frequency, low-intensity” primary care—83% asynchronously—supported by Patient Digital Ambassadors who create human-centered, always-on engagement. How TytoCare and Sanford Health are expanding specialty access across rural communities with FDA-cleared diagnostic technology that brings high-quality remote exams to local clinics. How digital tools and aligned incentives are building a new care ecosystem—one that integrates human connection, data, and technology to keep patients home, healthy, and connected. Panelist Bios: Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation. Resources: Case Studies: Scaling remote exams to improve access, reduce costs, and enhance the patient experience These companion resources explore how digital care coordination, subspecialization, and virtual specialty models are reshaping transitions of care. It includes data and stories from Baptist Health and Sanford Health on how to reduce readmissions, enhance clinician satisfaction, and expand access. To request your copy, email . Podcast Recommendation: Check out Access Amplified, brought to you by TytoCare and hosted by Joanna Braunold - a podcast about how digital health is helping increase access to care and equity, one innovation at a time. We’ll shine a light on what’s actually working to make care more accessible and inclusive. If you’re a healthcare leader, an innovator, a policy shaper, or anyone passionate about health equity, this podcast is for you. New episodes drop every two weeks. Follow or subscribe wherever you get your podcasts. Thank You to Our Episode Partner, TytoCare. TytoCare enables health systems and plans to deliver high-quality remote exams anytime, anywhere. Their FDA-cleared devices and AI-powered diagnostic platform support virtual specialty care, school-based programs, and home health models—reducing unnecessary ED visits and improving patient experience. To learn more, visit . Schedule a Meeting with a Senior Leader at TytoCare: To explore how TytoCare can help your organization expand virtual specialty access and improve care coordination, reach out to to schedule a meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at .
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Inside Credentialing: Where AI Delivers Measurable ROI for Health Plans
11/04/2025
Inside Credentialing: Where AI Delivers Measurable ROI for Health Plans
In this Bright Spots in Healthcare episode, host Eric Glazer sits down with three leaders reshaping one of healthcare’s most overlooked — yet mission-critical — functions: provider credentialing. Credentialing is the quiet infrastructure of trust in healthcare. When it’s done right, patients get timely access to high-quality care, providers get paid faster, and health plans stay compliant. When it fails, backlogs grow, compliance risk skyrockets, provider satisfaction plummets, and member access suffers. Joining Eric for this discussion: Sandra Clarke, Former CFO & COO, Blue Shield of California Brett Dooies, Head of Product, Verifiable Janan Dave, VP of Operations, Verifiable Together, they explore how AI and automation are transforming credentialing from a slow, manual compliance task into a strategic capability that improves efficiency, trust, and network readiness. In this episode, you’ll learn: Why credentialing sits at the intersection of compliance, provider experience, and member access How legacy processes, staffing limits, and messy data create hidden risk, and why backlogs can grow like quicksand Practical ways health plans are applying AI to reduce verification time, speed onboarding, and triage high-risk cases Why the most successful plans treat credentialing as infrastructure, not paperwork Key metrics to track when modernizing credentialing, including turnaround time, backlog clearance, audit readiness, and provider experience What to automate first, and why humans still play a critical oversight role Bright Spots include: 97% automated verification in seconds across millions of records monthly New staffing and automation models that increase speed without compromising compliance Real-world examples where AI prevented risk exposure and accelerated network growth Leadership lessons in adopting AI responsibly and avoiding the “lift-and-shift” trap This conversation offers payer leaders a real-world playbook to modernize credentialing and strengthen the foundation of your healthcare organization. Panelist Bios: Sandra Clarke is a healthcare executive and board advisor with over 25 years of experience leading finance, operations, and large-scale transformation across payer, provider, and life sciences organizations. As former CFO and COO of Blue Shield of California, she oversaw $25B in annual revenue and spearheaded initiatives delivering $700M in annualized savings while reimagining the company’s pharmacy care model. Clarke has also held senior leadership roles at Daiichi Sankyo and Philips Healthcare and serves on multiple healthcare boards. She holds degrees from MIT, Bentley University, and Seton Hall University School of Law. Janan Dave is the VP of Operations at Verifiable, a start-up offering software and services solutions for healthcare organizations to ease the challenges surrounding provider network management. Janan has a background in public health and health policy, and has spent the last decade helping scale operations at various healthcare startups. She is passionate about building smart solutions to reduce waste in the healthcare system, and promote better care especially for the aging population, family caregivers, and women. Janan studied public health at the University of Pennsylvania, and lives in Brooklyn, NY. Brett Dooies is the Head of Product at Verifiable, where he leads the development of AI-powered solutions to simplify healthcare credentialing and monitoring. With a decade of experience building enterprise software, he specializes in applying advanced AI and analytics to enhance the customer experience and deliver transformative solutions. Drawing on his background in modernizing banking software, Brett is dedicated to creating products that drive operational excellence, uphold regulatory compliance, and improve data accuracy for Verifiable’s partners, helping them scale with confidence in a complex ecosystem. Resources: MIT Sloan “Internet of AI Agents: State of AI in Business 2025” report finds that although over 80 % of organizations have piloted generative AI tools, only around 5 % have achieved meaningful business transformation—a gap dubbed the “GenAI Divide”. It highlights that the primary barrier isn’t model technology or regulation, but rather the failure of AI systems to integrate deeply into workflows, learn from feedback, and scale beyond the pilot stage. Thank you to our Episode Partner, Verifiable: Verifiable is a credentialing and network monitoring platform built to help healthcare organizations optimize operations with error-free, fast verifications and to stay compliant with ease. Backed by their in-house NCQA certified credentialing team that bring a combined 60+ years of experience, Verifiable’s innovation supports managing trusted networks at scale through 97% verification automation in seconds with millions processing each month. Verifiable works with leading healthcare organizations such as Humana Dental, Zelis, Talkspace, Headway, Empower Pharmacy, and many others. Learn more about them at Want to go deeper or schedule a briefing with Verifiable? Email hkrish@brightspotsventures.com and we’ll coordinate time with the Verifiable team to discuss how their approach can help your plan reduce costs, accelerate onboarding, and strengthen network integrity. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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Dr. Kristian Olson, Vice President of Design Impact, Mass General Brigham | Finding Healthcare's Hidden Solutions Through Human-Centered Design
10/21/2025
Dr. Kristian Olson, Vice President of Design Impact, Mass General Brigham | Finding Healthcare's Hidden Solutions Through Human-Centered Design
In this episode of Bright Spots in Healthcare, we explore how human-centered design can uncover breakthrough solutions already hiding in plain sight. Dr. Kristian Olson, Vice President of Design Impact at Mass General Brigham and leader of the Springboard Studio, shares how slowing down to understand problems leads to faster, more effective innovation. The conversation dives into: The four pillars of effective healthcare innovation: design research, prototyping, supported implementation, and impact measurement How "stupidest ideas" exercises and question storming unlock creative solutions in frontline staff meetings Real results from Salem Hospital's mobility speedometer (300% increase in patient movement, reduced length of stay) The COVID testing booth prototype that saved $1 million per year while reducing gown usage by 97% Developing low-cost neonatal resuscitation devices in Uganda and India that improved ventilation skills Why frontline staff must be co-creators, not just implementers, of healthcare solutions This discussion offers practical frameworks for health plans, hospitals, and healthcare leaders looking to harness their teams' ingenuity and drive measurable improvement. Guest Bio: Resources & References MGB Springboard Studio: Augmented Infant Resuscitator: ebinnovations.net Positive Deviance approach to solving malnutrition in Vietnam (referenced as inspiration) Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at .
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How Humana, Blue Shield of CA, and Noom Are Reimagining GLP-1 Integration and Obesity Care
10/14/2025
How Humana, Blue Shield of CA, and Noom Are Reimagining GLP-1 Integration and Obesity Care
Host Eric Glazer convenes senior leaders from Humana, Noom, and Blue Shield of California to explore how payers are integrating GLP-1 therapies into comprehensive cardio-metabolic care strategies. The conversation outlines how digital, behavioral, and clinical interventions can align to deliver sustainable outcomes, lower costs, and strengthen member engagement. Panelists share real-world playbooks on scaling GLP-1 programs responsibly—balancing access, affordability, and long-term adherence through consumer-centric design and data-driven clinical support. 📘 What You’ll Learn How Humana’s CenterWell Pharmacy is transforming outcomes through AI-enabled automation, disease-specific Centers of Excellence, and a high-touch consumer experience. How Noom and forward-thinking health plans are using trust as currency to deepen engagement and sustain lifestyle change. How Blue Shield of California is implementing a step-therapy model that balances GLP-1 access with lifestyle interventions and clinical oversight. Why integration across benefit design, behavior change, and pharmacology is redefining obesity management. What future models look like for holistic, clinician-guided weight management and cardiometabolic care. 💬 Quotable Moments “Trust isn’t optional—it’s the currency that earns you the right to guide someone through change.” – Cody Fair, Chief Commercial Officer, Noom “You can have efficiency and still be high-touch. AI and automation don’t replace pharmacists—they empower them.” – Bethanie Stein, President of Pharmacy, Humana “GLP-1s are a tool, not the strategy. Success means combining medication with behavioral, nutritional, and clinical support.” – Angie Kalousek, Ebrahimi Senior Director, Lifestyle Medicine, Blue Shield of California “Culture—caring, curious, and committed—is the foundation of transformation.” – Bethanie Stein, President of Pharmacy, Humana ⏱️ Timestamped Hooks 00:08:00 – 00:09:00: Eric introduces the GLP-1 integration playbook and the challenge of turning high-cost therapies into sustainable value. 00:12:30 – 00:14:00: Humana’s digital transformation: from internal pharmacy to 95% retention and NPS of 87. 00:15:20 – 00:17:40: Noom on building trust through “Your Ultimate Why.” 00:20:00 – 00:25:00: Blue Shield of California on managing GLP-1 demand and step-therapy protocols. 00:31:00 – 00:33:00: Noom’s opt-out model driving 90% employer participation. 00:44:00 – 00:47:00: Humana partners with pharma to deliver GLP-1s at up to 70% lower cash prices. 00:55:00 – 00:57:00: “Caring, Curious, and Committed” – the cultural foundation for consumer-centric care. 01:03:30 – 01:04:50: Blue Shield on building Netflix-style personalization for obesity and MSK programs. 🗒️ Show Notes Featured Guests Bethanie Stein, President of Pharmacy, Humana Cody Fair, Chief Commercial Officer, Noom Angie Kalousek Ebrahimi, Senior Director, Lifestyle Medicine, Blue Shield of California Discussion Highlights Integrating GLP-1 therapies within holistic benefit design frameworks. Leveraging AI and automation in pharmacy operations to enhance adherence and experience. The role of behavior-based engagement models in long-term weight management. Data-driven approaches to affordability, utilization, and trust-based engagement. Creating digital ecosystems that mirror personalized consumer experiences in other industries. Panelist Bios: Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Key Insights Summary: Resources: Benefits beyond weight loss: The expanding impact of GLP-1s in modern healthcare This resource explores how leading health plans are integrating GLP-1 therapies into holistic care pathways—connecting behavioral support, nutrition, and digital engagement to sustain results. It also highlights Noom’s evidence-based approach, showing a 48% greater weight loss and over 4x ROI when GLP-1s are combined with behavioral coaching and mindset support. To request your copy, email . Thank You to Our Episode Partner, Noom Noom is a digital health company transforming how people achieve lasting health improvements through psychology, technology, and coaching. Their scalable cardiometabolic solutions—including weight management, diabetes prevention, and GLP-1 support through Noom Med—help employers, health plans, and health systems balance affordability with outcomes. To learn more, visit . Schedule a meeting with Cody Fair, Chief Commercial Officer, Noom: To dive deeper into how Noom can help your plan improve outcomes, reduce costs, and strengthen member engagement, or to schedule a meeting with Cody Fair. Reach out to to schedule the meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at .
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Stars, Savings, and Satisfaction with BCBS Michigan, Aetna, MVP & Vori
10/07/2025
Stars, Savings, and Satisfaction with BCBS Michigan, Aetna, MVP & Vori
In this Bright Spots in Healthcare episode, host Eric Glazer brings together an all-star panel of leaders who are reshaping the future of Medicaid and social care. Our guests include: Vanita Pindolia, Vice President, Medicare Star Ratings, Emergent Holdings (BlueCross BlueShield Michigan) Jason Merola, MD, Chief Medical Officer, MVP Health Care Charlotta Eriksson, Lead Director, National VBC Partnerships (Specialty), Aetna Mary O’Connor, MD, Chief Medical Officer & Co-Founder, Vori Together, they explore: How Medicare Advantage plans are embedding Stars, CAHPS, and adherence metrics directly into provider contracts to drive accountability, improve quality, and sustain year-over-year performance gains. How payers like Aetna are expanding value-based care into specialty domains—from CKD and oncology to musculoskeletal and cardiology—by partnering with specialty-aligned organizations rather than converting individual specialists to risk models. How MVP Health Care is designing hybrid incentive structures that reward specialists for closing quality gaps and improving outcomes, without requiring full downside risk. Why MSK care is becoming pivotal to Stars success, as physical and mental health measures grow in weight through 2027, and how holistic, physician-led models are improving activity, satisfaction, and cost savings simultaneously. How digital-first specialty networks are solving access challenges, reducing “ghost network” exposure, and creating new opportunities for plans to meet CMS adequacy standards while improving the member experience. How collaboration across utilization management, Stars, and member experience teams helps avoid trade-offs, ensuring that cost controls don’t come at the expense of satisfaction or CAHPS performance. Panelist Bios: Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Resources: Maximizing 2026 Medicare Advantage Performance with Physician-Led MSK Care This report outlines how Vori’s physician-led, virtual-first musculoskeletal (MSK) model helps Medicare Advantage plans:Improve up to 12 Star measures across preventive care, chronic condition management, and member experience Deliver faster access to care—appointments available within 48 hours Enhance outcomes for pain, fall prevention, and osteoporosis care while achieving an NPS of 87 Align with the new 2026 Star measures for Improving and Maintaining Physical and Mental Health To request your copy, email . Clinical Quality Performance of Value-Based and Fee-for-Service Models for Medicare Advantage: This JAMA Health Forum article compares clinical quality outcomes for Medicare Advantage patients whose care is delivered under value-based payment (VBP) models versus traditional fee-for-service (FFS). It finds that VBP arrangements, especially those with two-sided financial risk—in general are associated with better performance on standardized clinical quality measures than FFS. Thank you to our Episode Partner, Vori: Vori partners with health plans and providers to improve musculoskeletal (MSK) care through data-driven, physician-led solutions. Their approach helps reduce unnecessary surgeries, improve recovery outcomes, and enhance patient satisfaction—supporting plans in achieving better Stars performance and overall member experience. To learn more, visit Schedule a meeting with Mary O’Connor Chief Medical Officer, Vori: To dive deeper into how Vori can help your plan improve outcomes, reduce costs, and strengthen Medicare Advantage Star Ratings,or to schedule a meeting with Mary O’Connor. Reach out to to schedule the meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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Express Scripts SVP Harold Carter on GLP-1s & the Future of Pharmacy Benefits
10/03/2025
Express Scripts SVP Harold Carter on GLP-1s & the Future of Pharmacy Benefits
GLP-1 therapies are transforming pharmacy benefits, and Express Scripts is leading the way. Harold Carter, PharmD, SVP of Trade Relations, joins host Eric Glazer to discuss how one of the nation’s largest PBMs is navigating this disruptive moment in healthcare. Harold shares how Express Scripts is: Capping costs of GLP-1 therapies to expand patient access while keeping plan spending predictable. Redesigning funding models to strike a balance between affordability, predictability, and outcomes. Leveraging digital tools and AI to reduce friction in the member experience and support long-term adherence. Rethinking formularies not just as cost-control tools but as part of a broader population health and behavioral change ecosystem. You’ll also hear his forward-looking perspective on how PBMs will evolve over the next three to five years, and the key questions health plans and employers should be asking today to prepare for the future of pharmacy benefits. About Dr. Harold Carter: Harold Carter, PharmD, is responsible for leading all interactions and contracting with pharmaceutical manufacturers and oversees strategy and management of Express Scripts’ drug formularies, data & insights, client underwriting, and product strategy and development. In his nearly 14 years with the organization, Harold has held numerous leadership roles oriented around critical efforts to lower the cost of prescription drugs and ensuring medication access for Express Scripts clients and members. Harold’s previous responsibilities include oversight of the organization’s medical pharma contracting and drug procurement teams, as well as leading the strategy, development and execution of Express Scripts’ wholesale market, value-based solutions and generic strategy, and development of Express Scripts’ advanced utilization management solutions. In addition to his work at Express Scripts, Harold serves on numerous boards including LifeWise Stl Board of Directors, St. Louis University High School Board of Trustees and IVI Board of Directors. Harold earned his doctorate in pharmacy from St. Louis College of Pharmacy. Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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Maximizing ROI at HLTH 2025: A Conversation with Rich Scarfo (part 2)
10/01/2025
Maximizing ROI at HLTH 2025: A Conversation with Rich Scarfo (part 2)
In Part Two of our special HLTH 2025 series, Bright Spots in Healthcare host Eric Glazer continues his conversation with Rich Scarfo, President of HLTH, to explore how the event has become a true growth engine for healthcare solution providers. Rich shares why HLTH is more than a conference - it’s a platform intentionally designed to foster meaningful connections, drive measurable ROI, and accelerate innovation across the ecosystem. He breaks down how Market Connect and Investor Connect differ from traditional conference networking, best practices for making the most of those high-value 15-minute meetings, and strategies for effective follow-up that turn introductions into lasting partnerships. You’ll also hear how HLTH creates an environment that blends serious business with immersive, memorable experiences ensuring that startups, investors, payers, and providers leave with actionable opportunities. With HLTH 2025 taking place October 19–22 in Las Vegas, this episode is a must-listen for solution providers and innovators looking to maximize their presence and impact at the year’s most influential healthcare event. Resources: Take a look at what’s in store at HLTH 2025 - Attend HLTH using discount code H25_BSV for $250 off the General Attendee ticket - Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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Scaling Innovation at HLTH 2025: A Conversation with Rich Scarfo (part 1)
09/25/2025
Scaling Innovation at HLTH 2025: A Conversation with Rich Scarfo (part 1)
In this first episode of a special two-part series, Bright Spots in Healthcare host Eric Glazer sits down with Rich Scarfo, President of HLTH, to explore how one of the most influential healthcare events in the world continues to evolve. With HLTH 2025 taking place this October 19–22 in Las Vegas, Rich reveals what’s new this year—from immersive zones on AI and diagnostics, to physician and nurse engagement programs, to the expanded startup pavilions and Investor Connect opportunities. He also shares a blueprint for payers, providers, pharma, and innovators on how to get the most value out of their time at HLTH, including can’t-miss sessions, networking strategies, and hidden gems across the show floor. Whether you’re a health plan executive, provider leader, startup founder, or healthcare innovator, this episode offers a practical guide to navigating HLTH 2025 and turning conversations into action. Stay tuned for Part Two, where the discussion shifts to how HLTH serves as a growth engine for solution providers. Resources: Take a look at what’s in store at HLTH 2025 - Attend HLTH using discount code H25_BSV for $250 off the General Attendee ticket - Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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Don Antonucci, CEO, Providence Health Plan & Ali Diab, CEO, Collective Health | The Next Frontier in Self-Funded Benefits
09/23/2025
Don Antonucci, CEO, Providence Health Plan & Ali Diab, CEO, Collective Health | The Next Frontier in Self-Funded Benefits
In this episode of Bright Spots in Healthcare, we explore The Next Frontier in Self-Funded Benefits. Don Antonucci, CEO of Providence Health Plan and Ali Diab, CEO of Collective Health share how their new partnership is reshaping the employer-sponsored benefits landscape. The conversation dives into: Why aligning provider and member needs is essential for a truly seamless healthcare experience How transparency and simplicity can unlock smarter healthcare decisions The role of innovation and technology in reducing complexity for both employers and employees How strategic partnerships can accelerate growth and deliver more affordable, high-quality care This discussion offers practical insights for health plans, employers, and healthcare leaders looking to design benefits that drive satisfaction, savings, and long-term success. Panelist Bios: https://www.brightspotsinhealthcare.com/events/the-next-frontier-in-self-funded-benefits-inside-providence-health-plans-new-partnership-with-collective-health/ Resources & References Start with Why by Simon Sinek (Book) - https://simonsinek.com/books/start-with-why/ How Great Leaders Inspire Action – TED Talk by Simon Sinek - https://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action Healthcare Models to Explore: Kaiser Permanente (U.S.) – cited as effective at integrating coverage and care into one user experience Israel – highlighted as having a national health service with user-friendly, electronic front doors for care and transparency in costs Japan – also noted for its efficient, transparent national health service with easy access and clear financial responsibility for patients Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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Doubling Down on Medicaid Innovation with Impact Health, HEALI, PHAB, and Vircho
09/16/2025
Doubling Down on Medicaid Innovation with Impact Health, HEALI, PHAB, and Vircho
In this Bright Spots in Healthcare episode, host Eric Glazer brings together an all-star panel of leaders who are reshaping the future of Medicaid and social care. Our guests include: Laurie Stradley, CEO, Impact Health Lori Andrade, EVP, Health Equity Alliance of Long Island (HEALI) Joneigh Khaldun, MD, President & CEO, Public Health Accreditation Board (PHAB) Evan Jones, Chief Strategy Officer, Vircho Together, they explore: How community-based organizations (CBOs) are evolving into trusted healthcare partners Practical strategies for bridging healthcare and social care at scale The role of technology, data, and community health workers in building sustainable Medicaid networks Real-world success stories—from disaster recovery in North Carolina to integrated care models in New York and beyond You’ll hear how leaders are overcoming compliance, billing, and operational challenges while keeping people, not just systems, at the center of care. If you’re looking for bright spots you can replicate to drive innovation, equity, and efficiency in Medicaid, this episode is packed with lessons and inspiration. Panelist Bios: Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Resources: 2025 HRSN Innovations Learning Lab Conference, Oct. 23-24, 2025, Asheville NC Guided by Impact Health and the WNC Health Policy Initiative, participants will navigate hands-on workshops, build teams through peer networking, and discover practical paths to success beyond Medicaid—all while connecting with trailblazing experts from across the country. Learn more and register here - Check out PHAB’s new podcast In Service of Health with Dr. Joneigh Khaldun, which explores what it really takes to build healthier communities. Learn more and subscribe here - Thank you to our Episode Partner, Vircho: Vircho partners with health plans, Government, and Community Care Hubs to connect healthcare with the social needs that impact health. Their tools make it easier to deliver community-based services efficiently and improve outcomes for the people we all serve. To learn more, visit Schedule a meeting with Evan Jones, Chief Strategy Officer, Vircho: To dive deeper into how social care networks are optimizing capacity and outcomes, schedule a meeting with Evan Jones. Reach out to to schedule the meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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How Disruptors Defy the Odds with Dr. Imamu “Mu” Tomlinson
09/09/2025
How Disruptors Defy the Odds with Dr. Imamu “Mu” Tomlinson
What does it really take to challenge the status quo in healthcare, and win? Dr. Imamu “Mu” Tomlinson, CEO of Vituity and author of Less Than One Percent: How Disruptors Defy the Odds, joins host Eric Glazer to share hard-won lessons on leadership, resilience, and breaking barriers. In this energizing conversation, Mu discusses: How to turn “you can’t” into the fuel that drives innovation. Why being disagreeable, optimistic, and relentless are the core traits of true disruptors. Lessons healthcare can borrow from sports icons like Steph Curry and leaders in entertainment. Why moments of victory - not defeat - are the best opportunities to spark lasting change. You’ll come away with a fresh perspective on leadership, culture, and how to build teams that defy expectations and achieve more. About Dr. Imamu (Mu) Tomlinson: Imamu Tomlinson, MD, MBA, is the Chief Executive Officer at Vituity, a physician-led and -owned multispecialty partnership. With decades of clinical leadership and practice management experience, Dr. Tomlinson brings deep operational and clinical knowledge to foster Vituity’s mission to be at the heart of better care. In his role, Dr. Tomlinson oversees Vituity’s 500+ communities, focusing on clinical and cultural integration, and strategies that improve patient satisfaction and drive operational efficiency. Since his appointment as CEO in 2017, Vituity has doubled its footprint. Additionally, during his tenure, Dr. Tomlinson formalized two disciplines within Vituity to support improved patient care: an innovation team, including the appointment of the organization’s first Chief Innovation Officer, and a community impact initiative. He also champions physician engagement initiatives, including fellowship programs and innovation grants, to further empower Vituity’s healthcare providers to deliver exceptional care and collaborate across the care continuum. Prior to Vituity, Dr. Tomlinson was the Chief of Staff for the Adventist Health Central Valley Network, where he continues to practice as an emergency physician. He previously served as Medical Director for Adventist Health's Hanford and Selma Emergency Departments. At Adventist Health, he spearheaded an effort to create the network's Department of Emergency and Diagnostic Medicine and later served as the department’s chair. Outside of his work at Vituity, Dr. Tomlinson is devoted to making a difference in his local community through the 24/7 Foundation, which works with kids in the Central Valley Youth to inspire mental toughness, athletic competition, and resilience through basketball. Dr. Tomlinson is the author of Less Than One Percent: How Disruptors Defy the Odds. In this book, he thoughtfully explores the lives of those who dare to defy the odds and disrupt a world of contradictions. Through vivid narratives and deep insights, he reveals powerful strategies for challenging the status quo and driving transformative change. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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The Forecasting Frontier: How AI is Reshaping Risk, Revenue, and ROI
09/02/2025
The Forecasting Frontier: How AI is Reshaping Risk, Revenue, and ROI
Artificial intelligence is no longer just a buzzword, it’s a practical tool transforming how healthcare organizations prepare for the future. From evaluating and pricing risk with greater accuracy to identifying rising-risk members and strengthening long-term financial strategies, AI is reshaping the very foundations of forecasting in healthcare. In this episode, leaders from Florida Blue, Premera Blue Cross, Blue Shield of California, and Prealize Health share how they’re applying AI across actuarial, clinical, and data science domains to optimize decisions, improve outcomes, and drive organizational sustainability. In this episode, you’ll learn: How health plans are evaluating and scaling AI models to improve accuracy in forecasting and underwriting Real-world examples of AI identifying rising-risk populations and transforming engagement strategies Why “next best action” models are becoming central to member engagement and population health How generative AI and workflow optimization are streamlining operations and reducing costs What it takes to embed AI into financial planning, provider contracting, and long-term ROI strategies Panelists: Romilla Batra, MD, MBA, SVP & Chief Medical Officer, Premera Blue Cross Ratnik Gandhi, Senior Director, AI, Florida Blue Emily Allred, Senior Director & Actuary, Large Group Pricing, Blue Shield of California Dean Noble-Tolla, PhD, Chief Product & Analytics Officer, Prealize Health Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode.
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Closing the Member Engagement Gap with AI-Powered Actions
08/26/2025
Closing the Member Engagement Gap with AI-Powered Actions
Learn how AI is already working to close the member engagement gap, transforming intent into impact, personalizing care at scale, and creating the connected experiences members now expect. Leaders from Highmark Health, Ovatient, Cigna, and League share proven strategies, bright spots, and lessons learned in applying AI to drive measurable outcomes, lower costs, and improve the member experience. In this episode, you’ll learn: How AI is turning digital intent into meaningful health actions Real-world examples of personalized engagement that improved outcomes and savings Why the future of digital health is shifting from mobile-first to AI-first What it takes to build a scalable, purpose-built AI platform for healthcare How payers and providers can unite around the member with AI-powered engagement Panelists: Ian Blunt, VP Advanced Analytics, Highmark Health Michael Dalton, Founder & CEO, Ovatient Charles DeShazer, MD, Former Chief Quality Officer, The Cigna Group Andrew Dubowec, Chief Growth Officer, League Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Resources Here’s the podcast Eric Glazer referenced during the show: Thank you to League for supporting this episode. League is the leading healthcare consumer experience platform, reaching more than 40 million people around the world and delivering the highest level of personalization in the industry. Payers, providers, and consumer health partners build on League’s platform to deliver high-engagement healthcare solutions proven to improve health outcomes. Learn more at . How to Engage: Chat with Us: Share your thoughts with Producer Jessica Tenzer at jtenzer@brightspotsventures.com
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Missed Data, Missed Dollars: The Member Insights That Risk Models Are Blind To
08/19/2025
Missed Data, Missed Dollars: The Member Insights That Risk Models Are Blind To
With member engagement driving everything from Star Ratings to care gap closures, health plans are rethinking how they connect with members—pairing rich data with human-centered strategies to create real moments of influence. In this episode, we explore how payers are: Combining multiple assessments, social risk data, and AI to build actionable member profiles Using empathy-driven outreach and concierge-style service to build trust Leveraging real-time insights to engage members at the right moment Aligning cross-functional teams to accelerate innovation and close gaps Turning clinical, social, and behavioral signals into measurable quality gains Whether you focus on Stars, Medicaid quality, or member experience, you’ll walk away with practical strategies to engage more effectively and improve outcomes. Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download the Episode Notes and KPI’s: Get the moderator notes and the Key Points of Interest from the episode. Icario Client Summit Information: Additional details about the Icario Summit - Moments of Influence - taking place October 21-23, 2025, can be found . Thank you to Icario for supporting this episode. Icario is a leading health action platform that helps payers connect with members in ways that drive measurable results. By combining behavioral science, data-driven personalization, and omnichannel outreach, Icario motivates members to complete critical health actions—closing gaps in care, improving Star Ratings, and reducing avoidable costs—while delivering an experience that feels relevant, human, and engaging. Learn more at . How to Engage: Chat with Us: Share your thoughts with Producer Nicole Roberts at nroberts@brightspotsventures.com
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Lights, Camera, Adherence: Using Stories to Drive Star Ratings
08/12/2025
Lights, Camera, Adherence: Using Stories to Drive Star Ratings
With adherence measures playing a major role in Star Ratings, Medicare Advantage plans are rethinking how they engage members—moving beyond transactional reminders to personalized, story-driven content that inspires real behavior change. In this episode, leaders from Zing Health, Horizon Blue Cross Blue Shield of New Jersey, and SmartStory share how they're using storytelling, data, and behavioral insights to: Improve medication adherence and close gaps at scale Design culturally relevant, human-centered messaging Translate member engagement into measurable Star Rating gains Avoid common pitfalls in content strategy and execution Whether you lead pharmacy, Stars strategy, or member engagement, this discussion offers actionable insights to improve performance heading into the 2026 Star Ratings year. Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. here. Thank you to SmartStory for supporting this episode. SmartStory delivers secure, app-like digital experiences that help health plans improve medication adherence, member satisfaction, and quality performance—without requiring downloads or logins. Learn more at How to Engage: Chat with Us: Share your thoughts with Producer Vekonda Luangaphay at vluangaphay@brightspotsventures.com
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New Growth Playbooks for a Changing Healthcare Market
08/05/2025
New Growth Playbooks for a Changing Healthcare Market
Episode Description: In this episode, League, Vori Health, and Fitzroy International unpack how healthcare organizations are rethinking growth, partnerships, and go-to-market strategies in a rapidly shifting environment. Learn how leading innovators are: Designing scalable, digitally enabled experiences to meet evolving consumer expectations Adapting sales and billing models amid policy and reimbursement uncertainty Attracting long-term, “patient capital” to fuel innovation in mission-driven organizations From enterprise partnerships to nimble, virtual-first care models, this discussion delivers fresh perspectives and actionable strategies for leaders navigating transformation across health plans, health systems, and digital health. How to Engage: Chat with Us: Share your thoughts with Head of Production Strategy and Operations, Haritha Krishnarathnam at hkrish@brightspotsventures.com
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Closing the Gaps At Scale: Equitable Access Through Smart, Remote Primary Care
07/29/2025
Closing the Gaps At Scale: Equitable Access Through Smart, Remote Primary Care
Episode Description: How can healthcare leaders expand access and improve equity at scale without further burdening overstretched systems? In this Bright Spots in Healthcare episode, senior leaders from leading provider organizations explore how remote-first, tech-enabled primary care models are transforming access for diverse and underserved populations. Through real-world examples, clinical, innovation, and strategy experts will highlight how they’re leveraging data, team-based care, and smart technology to: Expand access to historically marginalized communities Improve care continuity and build patient trust Reduce avoidable utilization and enhance system efficiency Deliver sustainable, equitable outcomes at scale Panelists: Michael Cui, MD, Associate Chief Medical Informatics Officer, Rush University Medical Center Amanda Parsons, MD, MBA, Vice President, Clinical Management, Healthfirst Emily Young, MBA, President, Tufts Medicine Integrated Network, Tufts Medicine Gabriella Lawrence, Senior Director, Clinical Solutioning, TytoCare Download the Episode Guide: Summarizing key insights and speaker highlights, this guide is your companion to the discussion. to follow along and take away actionable strategies. Thank you to TytoCare for supporting this episode. TytoCare is transforming primary care with a smart, remote-first approach that connects patients and clinicians to deliver equitable, efficient healthcare, anytime, anywhere. Learn more here: How to Engage: Chat with Us: Share your thoughts with Producer Jessica Tenzer at jtenzer@brightspotsventures.com
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AI + Healthcare: Improving Value-Based Care & Financial Resilience
07/22/2025
AI + Healthcare: Improving Value-Based Care & Financial Resilience
Episode Description: In this episode, Atlantic Health System, Intermountain Health, and Navina explore how AI is transforming value-based care by boosting financial resilience and improving outcomes. Learn how these organizations are: Enhancing risk adjustment and closing care gaps Reducing administrative burden through AI-augmented workflows Equipping teams with real-time insights to drive performance under VBC models From virtual medical assistants to smarter financial planning, this discussion offers actionable strategies for leaders across clinical, operational, and financial roles. Download the Episode Guide: Summarizing key insights and speaker highlights, this guide is your companion to the discussion. to follow along and take away actionable strategies. Thank you to Navina for supporting this episode. Navina helps physicians thrive in value-based care with an AI-powered platform that turns data into actionable clinical insights. Learn how they’re enabling smarter decisions, better care, and less burnout at . How to Engage: Chat with Us: Share your thoughts with Producer Vekonda Luangaphay at vluangaphay@brightspotsventures.com
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How Sutter Health Is Scaling AI Across the Enterprise (episode 2 of 2)
07/08/2025
How Sutter Health Is Scaling AI Across the Enterprise (episode 2 of 2)
Scaling AI across a healthcare system takes more than just good technology—it requires effective governance, operational focus, and the right data foundation. In Part 2 of our conversation with Kiran Mysore, Chief Data & Analytics Officer at Sutter Health, he explores how Sutter is operationalizing AI across its 24 hospitals and hundreds of care sites. You’ll hear: How the AI Council—a cross-functional governance body—ensures alignment, safety, and momentum What makes the “Sutter Navigator” platform a game-changer for operational visibility Why “speed of business” and “speed of foundation” must be balanced to move fast and responsibly How Sutter is applying lessons from finance and retail to transform healthcare This episode is a masterclass in AI implementation at scale—perfect for health system leaders, innovators, and data executives alike. About Kiran Kiran is the Chief Data Analytics Officer at Sutter Health, a leading not-for-profit healthcare network in America. With over 25 years of experience, Kiran has been instrumental in driving digital transformation and leveraging data and AI to generate business value across various sectors, including healthcare, technology, and consulting. Before joining Sutter Health in September 2023, Kiran held significant roles at prestigious organizations such as Medtronic, GE, Apple, and St. Jude Medical. His expertise includes optimizing operations, developing real-time insights, and modernizing technology infrastructures. Known for his commitment to fostering data-driven cultures and championing diversity and ethical practices in data, Kiran’s leadership at Sutter Health focuses on making data and insights meaningful to improve healthcare outcomes, operational efficiency, and patient care. His work exemplifies the transformative power of technology in advancing healthcare. About Bright Spots Ventures Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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How Sutter Health Is Scaling AI Across the Enterprise (episode 1 of 2)
07/01/2025
How Sutter Health Is Scaling AI Across the Enterprise (episode 1 of 2)
How can health systems move from AI experimentation to AI execution at scale, without losing sight of what matters most: patients and providers? In this two-part episode of Bright Spots in Healthcare, Kiran Mysore, Chief Data and Analytics Officer at Sutter Health, joins host Eric Glazer to explore how Sutter is turning the promise of AI into measurable impact. In Part 1, Kiran Mysore, Chief Data & Analytics Officer at Sutter Health, shares how his team is building clinical AI solutions that actually work—because they’re built with empathy, trust, and a clear focus on impact. He walks us through: The strategic approach Sutter takes to choosing AI use cases How the team launched an ambient documentation program that reduced charting time by up to 30% The keys to earning clinician trust and enabling adoption Why ROI isn't always about dollars—but about doing the right thing for providers and patients Whether you’re just starting your AI journey or looking to scale, this episode offers lessons on building a human-centered AI strategy that providers will actually embrace. About Bright Spots Ventures Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
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How MetroPlusHealth is Enhancing Access and Experience for NYC's Most Vulnerable Populations
06/11/2025
How MetroPlusHealth is Enhancing Access and Experience for NYC's Most Vulnerable Populations
Brindha Sridhar, Vice President, Customer Experience Strategy, MetroPlusHealth, discusses how one of New York City’s largest public health plans is transforming the healthcare experience for its diverse and underserved populations. Brindha shares how her team is working to improve member and provider engagement across a city where 90% of members are Medicaid beneficiaries and 30% report a preferred language other than English. Brindha dives into initiatives aimed at addressing care disparities, including multilingual communication strategies, culturally aligned member onboarding, and integrated provider support. She also outlines how MetroPlusHealth is using real-time member feedback to fuel continuous improvement and why building a high-touch, relationship-driven experience, especially for vulnerable communities, requires both systemic change and frontline empathy. This conversation offers practical ideas and replicable strategies for any health plan seeking to improve equity, access, and engagement. This session was recorded as part of the Healthcare Engagement Virtual Summit: Strategies for Plans to Engage Consumers and Providers on May 8, 2025, co-sponsored by Bright Spots in Healthcare, TytoCare and Navina. For more information on the summit and to see the full video, please go to: About Bright Spots Ventures Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at .
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Inside Select Health’s Winning Strategy to Improve Rural Access, Provider Engagement & Health Equity
06/03/2025
Inside Select Health’s Winning Strategy to Improve Rural Access, Provider Engagement & Health Equity
In this insightful episode, Kim Barrus, AVP of Quality and Accreditation at Select Health, shares three compelling case studies showcasing how her team is improving care access, streamlining provider engagement, and addressing health disparities across four states. Kim walks us through: A groundbreaking hybrid clinic model in rural Nevada, created in partnership with the city of Wells and Intermountain Health, to bring primary, urgent, and behavioral care to medically underserved communities. The development of Select Health’s Quality Provider Plus Program, which consolidates risk adjustment and quality initiatives into a unified, less burdensome experience for provider partners—improving data sharing, reporting, and overall engagement. A remote blood pressure monitoring initiative targeting rural members with hypertension, using disparity analytics to identify high-need populations and improve outcomes through education, mailed BP cuffs, and clinician collaboration. If you're exploring ways to improve access to care, streamline provider relationships, and address social and geographic health disparities—this session is a must-listen. This session was part of the the Healthcare Engagement Virtual Summit: Strategies for Plans to Engage Consumers and Providers on May 8, 2025, co-sponsored by Bright Spots in Healthcare, TytoCare and Navina. For more information on the summit and to see the full video, please go to: https://www.tytocare.com/virtual-summit-healthcare-engagement-strategies-for-plans-to-engage-consumers-and-providers/
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Advancing Specialty Care in Medicare Advantage: Physician led, AI-Enabled
05/27/2025
Advancing Specialty Care in Medicare Advantage: Physician led, AI-Enabled
In this episode of Bright Spots in Healthcare, host Eric Glazer explores how leading healthcare organizations are transforming specialty care in Medicare Advantage through physician leadership and AI innovation. Hear from Julia McDowell (Highmark Health), Chuck Palermo (HAP), Dr. Mary O’Connor (Vori Health), and Dr. Krystal Revai (Health Alliance) as they share pragmatic strategies for improving care quality, enhancing member engagement, reducing administrative burden, and delivering meaningful clinical outcomes. Discover how AI is being used to streamline prior authorization, enable real-time gap closure, personalize care management, and deepen shared decision-making between providers and patients. Thank you to Vori Health for supporting this episode. Vori Health is the only nationwide MSK medical practice with doctor-led care teams – driving better outcomes. Vori helps with pain reduction in MSK issues, through their holistic approach, and by creating a personalized treatment plan from the convenience of your own home through their virtual-first platform. Their doctor-led team tailors care programs to reduce surgery by as much as 78%, avoiding pain, imaging, and injections and saving your organization the cost burden of unnecessary surgeries and increasing productivity. And all from the comfort of home! Vori is on a mission to empower humanity to lead a healthier life. Visit them at
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