Healthcare Strategies

Industry Perspectives: Standardizing provider data for health plans

Providers are expected to equip payers with information so that health plan members can find in-network care. But what if those demands from payers were consolidated from 20 separate requests into one? What if providers could enter their information one time in such a way that all of their payer partners could access it? Tyler Ford, Vice President, Strategy and Partnerships, CAQH, shares how that might be possible in today's episode.

Industry Perspectives: Charles DeShazer, MD, Chief QHA Officer at Cigna

The generative AI revolution is here. How should payers respond and how can they learn from past technological revolutions in healthcare to inform their next steps? Charles DeShazer, MD, Chief Quality and Health Advocacy Officer at Cigna Healthcare, offers his recommendations in this episode of Industry Perspectives.

Driving SDOH data standardization for health equity

In this last episode of season 5 of Healthcare Strategies...
The United States has a health equity problem, but a lack of comprehensive data standards has limited efforts to mitigate health disparities. In this episode, Keysha Brooks-Coley, vice president of advocacy at Blue Cross Blue Shield Association (BCBSA), discusses the importance of standardized SDOH data in pursuing health equity.
Don't worry, we'll be back in September with more great conversations! In the meantime, tune in to our Healthcare Strategies | Industry Perspectives every Thursday for insights from AHIP 2024. Subscribe to get the episodes when they drop!

Industry Perspectives: Kathryn Eshelman, MD, VP at Inovalon

In value-based care, providers rely on accurate, timely data. But their needs also evolve as their participation in value-based contracts progresses. Kathryn Eshelman, MD, VP of Clinical Informatics at Inovalon, dives into what providers need at different stages of the value-based care continuum and how healthcare technology vendors can help.

Supporting Patient Education as a Health Plan

Chronic disease management, preventive care, and mental wellbeing all have at least one thing in common in the healthcare field: a need for strong patient education practices in order to be successful. Cathy Moffitt, MD, explains how patient education is not just a provider task. Rather, payers have a role to play in ensuring members understand their conditions, their options, and their benefits.

Industry Perspectives: Nick Kraft, SVP, Chief Growth Officer at CDPHP

Member retention is challenging in the current health insurance landscape, but it is advantageous for achieving high-quality care and member satisfaction. Nicholas Kraft, SVP and chief growth officer at CDPHP, identifies strategies for building member loyalty.

Mid-year check-in: Why the market for telehealth is narrowing

The telehealth industry has leveled out since reaching unprecedented heights of adoption and use during the COVID-19 pandemic, leaving behind a markedly different landscape for stakeholders to navigate. In a new Healthcare Strategies podcast, Dr. Sanjula Jain, senior vice president of market strategy and chief research officer at Trilliant Health, tracks telehealth's trajectory, detailing the factors behind its decline and the limitations of the current market.

Industry Perspectives: Jeremy Wigginton, MD, CMO at Capitol Blue Cross

How can healthcare leaders tweak value-based care models to better suit the needs of specialty care providers? Jeremy Wigginton, chief medical officer at Capitol Blue Cross, shares strategies for promoting the quality over quantity mindset in specialty care spaces in today’s conversation from AHIP 2024.

Carving a Path Forward for Anti-Racism in Nursing Schools

Leaders in medical education have been laser-focused on addressing health equity and discrimination in healthcare settings. In this episode, Kenya Beard, EDD, one of the commissioners for the National Commission to Address Racism in Nursing, outlines the progress made in promoting anti-racism in nursing schools, pitfalls to avoid and strategies for moving forward.

Unpacking the Updated USPSTF Breast Cancer Screening Guidelines

Cheruba Prabakar, MD, a minimally invasive surgeon, board-certified obstetrician–gynecologist, and Founder and CEO of Lamorinda Gynecology & Surgery, discusses the new United States Preventive Services Task Force (USPSTF) breast cancer screening guidelines. While the guidelines recommend starting mammograms at age 40, Prabakar expressed concerns about the shift to biannual screenings, which could result in missed cancer cases.