Healthcare Strategies

Industry Perspectives: Exploring the latest in behavioral health innovation

Since the coronavirus pandemic, mental and behavioral health awareness has improved and innovation in this area has exploded. What is the industry up to now?
Guest: Solome Tibebu, Founder and CEO of Behavioral Health Tech
In today's episode, we'll cover
Behavioral healthcare technologies
Challenges and progress in behavioral health since the coronavirus pandemic started
One key message to payers about behavioral healthcare technology
To learn more about behavioral healthcare technologies, check out our site Virtual Healthcare.
To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.
 

Industry Perspectives: Scaling Interoperability Efforts

The next big thing in interoperability may involve scaling data exchange efforts.
Guest: Terry Douglas, Product Marketing and Sales Enablement Director at Surescripts
In today's episode, we'll cover
The role of QHINs in interoperability's progress
Areas for improvement in payers' data exchange efforts
Opportunities for innovation in payers' interoperability strategies
To learn more about interoperability, check out our site Health IT and EHR. 
To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.
 

Industry Perspectives: What quality measures mean to Medicare Advantage

Quality measures play an important role in the Medicare Advantage program. SCAN Health Plan's recent lawsuit against CMS revealed just how important.
Guest: Sachin Jain, MD, CEO of SCAN Health Plan
In today's episode, we'll cover
SCAN Health Plan's lawsuit against CMS
Improving the Medicare Advantage program and Medicare Advantage quality measures
Getting over toxic positivity in the health insurance industry
To learn more about Medicare Advantage, check out HealthPayerIntelligence.com
To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.
 

Industry Perspectives: Tracking employer sponsored health plan trends

Employer sponsored health plans cover six in ten non-elderly Americans, making successful collaboration between payers and employers crucial to many Americans' wellness. Todd Woodruff, Chief People Officer at Salt & Straw, and Todd Burton, President of the Commercial Market at Providence Health Plan, shared about trends in mental health, pharmacy spend, and health equity in the employer-sponsored health insurance space.

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.