Healthcare is Hard: A Podcast for Insiders views healthcare transformation through the lens of prominent leaders across the industry. Through intimate one-on-one discussions with executives, policy advisors, and other “insiders,” each episode dives deep into the pressing challenges that come with changing how we care for people. Hear the unique perspectives of these industry leaders to get a better understanding of what is happening today, the challenges across the healthcare ecosystem, and ...
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Election Implications (Part 1): Angst, Uncertainty and an Urge for Calm from Maverick Health Policy’s Julie Barnes
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Julie Barnes has made a career helping health plans, tech vendors, investors and others in the healthcare space decipher health policy. She’s a former Hill staffer who earned her law degree and spent a decade in corporate law serving healthcare clients before moving to policy think tanks, business consulting, and founding Maverick Health Policy. At…
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What’s the Difference Between Innovation and Performance Improvement?
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OSF HealthCare stands as a model health system for those who want to do innovation right. One of the defining characteristics of the Peoria, Illinois-based system is how it aligns innovation with operations for everyone – all 24,000 employees across 159 locations, including 16 hospitals. Becky Buchen is responsible for driving innovation at OSF Hea…
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Help or Harm? How CHAI is Mitigating the Risk of AI in Healthcare
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With great power comes great responsibility and in healthcare, those words may have never held more meaning than they do with the advent of artificial intelligence. AI most certainly has the power to transform healthcare, and those in the industry working to develop and use it have an immense responsibility to shape principles that ensure these tec…
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Live from DHIS East: Mass General Brigham CIO, Christopher Coburn
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Chris Coburn has been driving health system innovation for decades. He is currently chief innovation officer at Mass General Brigham (MGB), the nation’s largest academic research enterprise with over $16 billion in annual revenue, 1.5 million patient visits and more than $2.4 billion in research expenditures. MGB also has a managed care organizatio…
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Reinventing Pharmacy (Part 3): Optum Rx CEO, Dr. Patrick Conway, Brings the PBM, Provider and Payer POV
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Optum Rx serves more than 62 million people, processes 1.6 billion prescriptions and generates more than $110 billion of revenue annually. Dr. Patrick Conway, CEO of Optum Rx, is the third and final guest in a series of Healthcare is Hard episodes exploring the transformation of the pharmacy business – following conversations with Mark Cuban and Dr…
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Reinventing Pharmacy (Part 2): Dr. Troyen Brennan Disputes the False Narrative of Good vs. Bad Actors
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In the first of a series of episodes exploring opportunities for innovation in the pharmacy space, Mark Cuban offered perspective from an outsider intent on disrupting the status quo. In this, the second episode, Dr. Troyen Brennan gives an insider point-of-view from someone who has studied and worked in the space for decades. Dr. Brennan was Chief…
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Reinventing Pharmacy: Mark Cuban Says Trust Is Missing Across Healthcare. Here’s What He’s Doing About It
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Mark Cuban built a career disrupting industries and creating new ones. Now, his sights are set on healthcare. There’s no secret ingredient to Mark’s success. As the world sees very publicly on Shark Tank, his style is the opposite of keeping secrets. It’s based on providing respectful, but direct, honest and unvarnished opinions. He’s bringing that…
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Is Innovation Stuck in Healthcare? Two Brothers Get to The Bottom of It
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In most industries, innovation leads to an improved product or service while ultimately helping to lower cost. Healthcare is the exception. Despite a constant pursuit of new science, technology, operational efficiencies, business models and more, healthcare expenditures in the U.S. have continued to increase for decades with little sign of bending …
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Putting Trust at the Center of Healthcare Transformation: Press Ganey CEO, Pat Ryan
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Through its work with more than 41,000 healthcare facilities and the industry’s largest database of patient feedback, Press Ganey gives organizations the data and insights they need to put the human experience at the center of healthcare. Since it was founded nearly 40 years ago by Professors Press and Ganey at the University of Notre Dame, the com…
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Deciphering the New Normal (Part 4): Blue Cross Blue Shield of Massachusetts’ Chief Strategy Officer, Sukanya Soderland
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This is the final episode in a four part series with heads of strategy at providers and payers from across the healthcare ecosystem to explore “the new normal” in a post-COVID operating environment. For this episode Keith Figlioli welcomed Sukanya Soderland, Chief Strategy Officer at Blue Cross Blue Shield of Massachusetts, to explore how a regiona…
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Deciphering the New Normal (Part 3): Humana’s Chief Strategy & Corporate Development Officer, Dr. Vishal Agrawal
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The previous two episodes of Healthcare is Hard explored the “new normal” from the provider perspective with heads of strategy at an innovative regional health system, OhioHealth, and one of the nation’s largest, CommonSpirit. For the third episode in this series, Keith Figlioli welcomes Humana’s Chief Strategy and Corporate Development Officer, Dr…
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Deciphering the New Normal (Part 2): CommonSpirit’s Chief Strategy Officer, Sheri Shapiro
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CommonSpirit Health is one of the nation’s largest integrated health systems comprising 142 hospitals and 2,200 care sites across 24 states. Three years ago, at the height of the pandemic, CommonSpirit’s Chief Innovation Officer, Rich Roth, and now former CEO, Lloyd Dean, spoke with Keith Figlioli on the Healthcare is Hard podcast to discuss their …
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Deciphering The New Normal With OhioHealth’s Chief Strategy and Transformation Officer, Michael Krouse
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There are many reasons why central Ohio is a fertile ground for innovation and why the areas surrounding Columbus are ideal for testing new approaches to consumer behavior. It’s a diverse city with five Fortune 500 companies and 19 Fortune 1,000 companies in a wide range of industries, from banking and insurance to fashion. No single industry contr…
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Not Just a Side Gig: Government Contracting Takes Commitment, Says Booz Allen Hamilton COO, Kristine Martin Anderson
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Before taking responsibility for operational performance of Booz Allen Hamilton – the $9+ billion technology and consulting leader with 32,000+ employees worldwide – Kristine Martin Anderson built a career pioneering healthcare IT. Most notably, she spent nearly 14 years at an early innovator in the space, CareScience, where she helped advance work…
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Is AI Policy a Bigger Undertaking Than Meaningful Use? Kristen McGovern Thinks So
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Earning a Presidential Management Fellowship after law school gave Kristen McGovern firsthand experience working inside many of the agencies and offices that drive U.S. healthcare policy. Over a two year period with the Department of Health and Human Services (HHS) she worked at organizations including the National Cancer Institute and the Biomedic…
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AI Hype vs. Reality: A Conversation With Nuance (Microsoft) CSO, Peter Durlach
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Peter Durlach grew up around computers and was exposed to innovative technology at an early age by his father, who helped run a lab in the electronics department at MIT. After graduating college in the 1980s, Peter caught the entrepreneurial bug way before it was cool, and was employee number four at a company developing the first voice user interf…
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Scaling Up (Part 2). How Dr. Rasu Shrestha is Steering AI & Innovation After the Megamerger that Created Advocate Health
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Many physicians today choose to pivot their careers and apply their clinical knowledge to the innovation and digital transformation side of healthcare. Dr. Rasu Shrestha was an early pioneer of this trend and as he explains, went from “the dark side of radiology to the dork side of informatics” more than two decades ago. In addition to spanning bot…
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Follow the Money: Harvard Professor & MedPAC Chair, Michael Chernew, Illuminates the Causes & Consequences of Healthcare Spending
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Understanding healthcare spending growth in America is a critical component of any initiative attempting to improve care quality and affordability. This holds true for every person or organization focused on improving healthcare – from policy makers, to traditional healthcare incumbents, new entrants, and the entrepreneurs driving digital health in…
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The Healthcare Data Goldrush (Part 2): Chief Information & Digital Officer at Hartford Healthcare, Joel Vengco
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When Joel Vengco started his thesis during the third year of a MD-PhD program, it was the beginning of the end of his time in medical school. It changed his career path and kicked-off what he says is a love for data. The field of Big Data didn’t exist yet, but it’s essentially where Joel was focused. And thanks to a professor who was also the chief…
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Scaling up. Scott Powder Talks About the Merger of Advocate Aurora Health and Atrium Health to Build One of the Nation’s Largest Health Systems
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Advocate Health is the nation’s fifth largest nonprofit health system, operating 67 hospitals and more than 1,000 sites of care to generate revenues topping $27 billion. This new entity was formed by combining two like-minded, not-for-profit health systems in December 2022: Midwest-based Advocate Aurora Health and Southeast-based Atrium Health. Whi…
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The Healthcare Data Goldrush: Leavitt Partners’ Ryan Howells & IMO’s Dale Sanders Lay Out A Guide for Prospectors
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The digital transformation of healthcare has been a long and winding road, but one that is starting to open new possibilities in every aspect of business operations, care delivery and consumer experiences. The critical aspect to all of this is a newfound access to data. Dale Sanders and Ryan Howells have been at the forefront of the movement to unl…
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Why Health Systems with Data-Driven Strategies will be the Ones to Survive Turbulent Times: A Conversation with Vizient’s John Becker
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As the world emerges from the pandemic and U.S. health systems navigate a unique set of challenges they’ve never faced before, they’re fighting a battle on two fronts. They don’t have the luxury of dedicating all their resources towards the significant challenges they’re facing today. They also have to stay focused on innovation that will drive fut…
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Providence’s Sara Vaezy Tells the Tale of Two Health Systems: Fixing Fundamentals While Focusing on Innovation
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It’s a difficult time for health systems who are struggling with financial pressures brought on by rising costs, patient volumes that continue to remain below pre-pandemic levels, and a host of other issues putting their balance sheets in the red. But at the same time, the need for innovation has never been greater. New technology will be essential…
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Former Department of Defense Leader Interprets the Real Cyber Risks in Healthcare
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Tim Kosiba was first exposed to the healthcare industry while working at the FBI in the 1990s as part of its Computer Analysis Response Team (CART). For more than 30 years, he worked at the highest levels of government driving the cybersecurity, digital intelligence and offensive cyber practices that keep the country’s critical infrastructure safe.…
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Amazon, One Medical and the Acquisitions Moving Healthcare: Walmart’s Former SVP of Health, Marcus Osborne, Weighs In
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Marcus Osborne started his professional life as a White House intern and never intended to pursue a career in healthcare. In fact, he says he has a phobia of needles and doesn’t find much pleasure in daily work dealing with issues like insurance and disease. But he says healthcare kept finding him, and he admits that no other sector has more need f…
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Peering Inside Home Health and VBC with Clinician, Investor, Operator and Public Servant, Dr. Julian Harris
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Dr. Julian Harris developed a personal passion for home health and shifting care towards value watching his father and his grandfather serve as caregivers for his mother and grandmother, who both had complex health conditions. He started his professional life as a primary care doctor in community health centers and safety net hospitals, but with an…
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Mayo’s John Halamka on AI, ML and the Government’s Role in Digital Health’s Future
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As a self-described latchkey kid growing up in Los Angeles, Dr. John Halamka says riding his bike to Raytheon, Hughes Aircraft and Aerojet – and pulling integrated circuits and manuals from their dumpsters to learn how they worked – lured him into the world of technology. Not long after, he started developing his first healthcare-related IT system,…
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You Can’t Improve If You Don’t Measure: IHI CEO Dr. Kedar Mate Talks Care Quality
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At the beginning of the pandemic when nursing homes were a hotbed for COVID-19 infections and many untimely deaths, the Institute for Healthcare Improvement (IHI) began hosting daily phone calls where hundreds of facilities joined to quickly get and share information that would improve their response. It led to a larger project over the next year t…
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The Surgeon & Economics PhD Leading Medicare: Dr. Meena Seshamani
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Dr. Meena Seshamani is responsible for the health care coverage of more than 63 million Americans and nearly one in every five healthcare dollars spent in the U.S. With the ultimate goal of keeping the people who rely on Medicare at the center of every decision, her role as the director of the Center for Medicare at the Centers for Medicare & Medic…
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Google Cloud’s Aashima Gupta on Big Tech’s Platform Play in Healthcare
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Aashima Gupta was a rising star in the financial technology world at organizations including Fidelity Investments and JPMorgan Chase, but after her father passed away suddenly due to health reasons, she turned her technical talents towards improving healthcare. After five years in leading technical roles at Kaiser Permante and two years leading hea…
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Mona Siddiqui on Humana’s Evolution to a Healthcare Company
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Dr. Mona Siddiqui says she loves solving problems at the intersection of health policy, strategy, data and operations. After earning a medical degree from Johns Hopkins, a master’s in public health with a focus on quantitative methods and data analysis from Harvard, and a master’s in engineering from Stanford, Mona has dedicated her career towards …
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Amazon Web Services’ Phoebe Yang on Bringing Digital Transformation to Health System Boards
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Phoebe Yang holds one of the most instrumental roles at the intersection of tech and healthcare. As general manager for healthcare at Amazon Web Services, she leads a team focused on making healthcare better by enabling organizations to increase the pace of innovation, unlock the potential of health data, and develop more personalized approaches to…
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The Biggest Surprise at JPM 2022 Is What Wasn’t Being Discussed: COVID
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Since the beginning of the pandemic, Dan Michelson has held at least three to five zoom calls per day with hospital CFOs across the country. As the industry navigated the most disruptive and uncertain times in modern history, healthcare leaders turned to Dan for his insight and advice because of the unparalleled visibility he has into the market th…
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Size Doesn’t Matter: Innovation Happens Everywhere, Says Anthem’s Bryony Winn
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Bryony Winn is a Zimbabwe native and Rhodes Scholar who says her background growing up in the developing world contributed to her innate desire to pursue a career with an element of social impact. And she says that background had a fundamental impact on the voice she brings to the U.S. healthcare market and to her leadership style. Bryony spent the…
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The Retailers are Coming (Part 3): Walmart’s Chief Medical Officer
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Walmart is the world’s largest retailer with revenues surpassing $120 billion and more than 10,000 locations across the globe. With nearly 5,000 locations in the United States, 90% of Americans live within 10 miles of a Walmart store. No conversation about the role retailers are playing in healthcare disruption would be complete without including W…
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The Retailers are Coming (Part 2): CVS Health’s Chief Strategy & Business Development Officer
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In the United States, 85% of the population resides within 10 miles of a CVS Pharmacy. Through continued growth and expansion since its founding as a health and beauty products retailer in the early 1960s, CVS Health has now become America’s largest health services company. That expansion accelerated over the last two decades through acquisitions o…
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The Retailers are Coming: Walgreens CMO On the Future of Community Care
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Since its first store opened in 1901, Walgreens has been embracing innovation in the retail pharmacy space, fueling its expansion to become a neighborhood health destination with more than 9,000 locations. As the healthcare industry navigates major structural changes – and a global pandemic – Walgreens is staying true to its roots of innovation and…
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Digital Health Hype Vs. Reality: How KLAS Cuts Through With the Voice of the Customer
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Investments in digital health hit an all-time high in 2020, only to surpass the new record within the first six month of 2021. Needless to say, there’s never been more attention placed on digital health innovation. But it makes for a crowded market, putting providers and health system CIOs in a challenging position where it’s impossible to vet the …
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A Market-Driven or Policy-Driven Approach to Health IT Innovation? ONC’s Deputy National Coordinator on the Path Forward
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The accelerated pace of innovation in digital health, record-breaking investments in the sector and even some of the technology developed to navigate the pandemic wouldn’t have been possible without groundwork laid by The Office of the National Coordinator for Health Information Technology (ONC). And there’s probably no one who understands ONC’s pa…
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When Consolidation Isn’t About Pricing Leverage: How Ballad Health Merged Two Systems to Reduce Costs and Reinvent Rural Healthcare
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In the United States, more than 90% of the landmass is rural. And in rural communities from coast to coast, the challenges in delivering healthcare can be very different than the urban and suburban centers that get most of the attention. There’s untapped opportunity in reimagining healthcare business models and the technology that will enable them …
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Aledade Founder & CEO Farzad Mostashari: Preserving the Autonomy of Independent Practices to Drive Real Value in Healthcare
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Dr. Farzad Mostashari’s extensive resume doesn’t fully convey the true value he brings to reimagining healthcare. He’s the former National Coordinator for Health IT at the Department of Health and Human Services, served as assistant commissioner at the New York City Department of Health, was an Epidemic Intelligence Service officer at the CDC, a fe…
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Health Care vs. Sick Care: SCAN Health CEO Dr. Sachin Jain on Fixing the System
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Dr. Sachin Jain says he got a silent education about healthcare and medicine around the dinner table from his father, an anesthesiologist and pioneer in pain management. But he still wasn’t sold on a career in healthcare until the end of his junior year at Harvard when he took a course on the quality of healthcare in the U.S. taught by Dr. Howard H…
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Care @Home: A Fast Start to a Long Journey, According to Texas Health’s Chief Experience Officer, Winjie Miao
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Improving patient experience has been a driving focus for Winjie Miao during her twenty year career at Texas Health Resources, where she’s now senior executive vice president and chief experience officer. Texas Health cares for more patients in North Texas than any other provider through 350 access points including 27 hospital locations and a netwo…
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JPM Recap: The Healthcare Industry’s Annual Checkup with Strata CEO, Dan Michelson
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Last year tested nearly every aspect of the healthcare system, making the 2021 J.P. Morgan Health Care Conference like none other in its 39-year history. But there’s at least one constant from the past few years – the insight Dan Michelson, CEO at Strata Decision Technology, offers in the recap he writes for Becker’s Hospital Review. With a custome…
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The Payer Perspective on COVID, Value Based Care and More with Blue Cross Blue Shield of Massachusetts’ Chief Commercial Officer, Patrick Gilligan
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Before the term Value Based Care existed, Blue Cross Blue Shield of Massachusetts (BCBSMA) unveiled one of the nation’s first risk-based payment models – its Alternative Quality Contract (AQC). Patrick Gilligan joined BCBSMA in 2007 to oversee the AQC’s rollout after spending nearly 14 years negotiating contracts on the provider side at Partners He…
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Elections Have Consequences: Harvard’s John McDonough Reflects on ‘Decision 2020’ and the Implications to US Healthcare
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As someone who has been in the middle of healthcare policy and reform in the U.S. for decades, John McDonough has a unique perspective on how the rapidly changing political climate in Washington will impact the healthcare industry. John’s dedication to public health began in 1985 after he was elected to the Massachusetts House of Representatives wh…
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OptumInsight CEO Robert Musslewhite’s Journey from Building a High-Growth Startup to Acquiring Them
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Robert Musslewhite has viewed healthcare innovation and the lifecycle of a healthcare services company from nearly every angle over the past two decades. He joined The Advisory Board Company because it was a small but fast-growing organization where he felt he could make an impact, and where he ultimately became chairman and CEO. Under his leadersh…
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CommonSpirit’s Lloyd Dean and Rich Roth on Solving Inequities through Innovation
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CommonSpirit Health created one of the largest health systems in the nation by merging Dignity Health and Catholic Health Initiatives in early 2019. It now operates 137 hospitals and more than 1,000 care sites across 21 states, with revenues of nearly $29 billion. Extending its reach into more communities across the country has enabled CommonSpirit…
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The Culture Of Risk at UPMC: President of UPMC Enterprises, Tal Heppenstall, Explains
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Tal Heppenstall has a dual role at UPMC. He’s been treasurer of the $21 billion dollar health care provider and insurer since 2003, where he’s responsible for the day-to-day cash needs of an organization that integrates 90,000 employees, 40 hospitals, 700 doctors’ offices and outpatient sites, and a 3.9 million-member Insurance Services Division. I…
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Agile Operations: COVID-19 Forces a New Reality for Healthcare Finance, According to Michael Allen, CFO at OSF Healthcare
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Michael Allen has unique expertise in healthcare finance. He’s been chief financial officer at four different health systems and is national chairman of the Healthcare Financial Management Association (HFMA) where he regularly interacts and shares knowledge with peers in the 56,000-member organization. Michael calls HFMA his side hustle and is goin…
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