Bright Spots in Healthcare

Dec 10 2024 99 ep. 53 mins 17
Bright Spots in Healthcare Podcast artwork

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!"

  Health & Fitness
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Responsible GLP-1 Strategies: Structuring Benefits for Economic Viability and Proven Member Results

Dec 10 2024 61 mins  
Leaders from Arkansas Blue Cross and Blue Shield, CVS Caremark, Independent Health and Vori Health explore how healthcare leaders tackle members’ weight management challenges by creating comprehensive programs that responsibly integrate GLP-1 medications while controlling costs. Key Discussion Topics: Benefit Design and Prior Authorization Programs: Crafting strategies to bala

An Inside Look at HealthIMPACT 2025

Dec 06 2024 27 mins  
Megan Antonelli, Founder & CEO of HealthIMPACT and HealthIMPACT Chairperson Shahid Shah, Publisher & CEO, Medigy, join Eric to give Bright Spots in Healthcare listeners a sneak preview of the HealthIMPACT Forum 25, taking place on January 22-23, 2025, in New York City. Megan and Shahid share what makes their event different from other healthcare conferences – purposeful conten

One-on-One with Natalie Davis CEO, United States of Care

Dec 02 2024 26 mins  
This episode was recorded on Monday, October 21, 2024, at HLTH 2024 in Las Vegas Natalie Davis, co-founder and CEO of United States of Care, joins Eric to share her thoughts on the current healthcare system and how her organization is advocating for a more affordable, dependable, personalized and understandable healthcare system. In addition, Natalie shares insights from the US

How Providers Are Maximizing Hybrid Care and Home-Based Interventions

Nov 25 2024 61 mins  
OSF HealthCare, Providence, UMass Memorial Medical Center, and TytoCare share actionable strategies and best practices to transform hybrid care and offer patients personalized, flexible and accessible care. Our expert panel also explores how virtual care reduces costs and addresses healthcare challenges like staff shortages. Key topics include: Maximizing Hybrid Care Models: P

How to Create More Bright Spots in Post-Acute and Home Care

Nov 15 2024 58 mins  
Healthfirst, myPlace Health and Wellsky share their successful strategies for reducing readmissions, improving health outcomes and reducing costs through post-acute and home care. Topics covered include: Building your provider partnerships beyond the traditional transition of care program Reducing readmissions among higher-risk Medicare Advantage members? Ensuring members receiv

A New Era for Consumer Engagement and HEDIS: Combining the Human Touch with AI

Nov 08 2024 58 mins  
AmeriHealth Caritas, Health Alliance Plan, Highmark Health and Icario discuss how AI transforms healthcare by creating personalized experiences that drive performance improvements and enhance member engagement. Learn how high-ranking health plans reinvent their approach to member experience to elevate your HEDIS scores, improve health outcomes and streamline data processes. Gue

Innovations in Lifestyle Change & the Role of Primary Care

Nov 01 2024 60 mins  
Banner|Aetna, Blue Shield of California, Healthfirst and TytoCare explore innovative strategies that health plans can leverage to drive meaningful lifestyle modifications among members, improve health outcomes and reduce the rising costs of chronic disease. Our expert panel also discusses the role of primary care in empowering members to adopt healthier behaviors. Topics inclu

Unlocking Success Through Specialty Value Based Models

Oct 04 2024 60 mins  
Value-based care leaders from Kaiser Permanente, Premera, UnitedHealthcare and TailorCare discuss the evolving landscape of specialty value-based care. They explain how their plans drive success with innovative approaches designed to optimize care and improve outcomes—even with their most complex, high-cost members. Our expert panelists share practical strategies for navigating

Innovations in Medicare Advantage and Beyond: How Devoted Health is Transforming Care

Aug 08 2024 56 mins  
Alec Peterson, MD, Chief Medical Officer of Acute and Specialty Care at Devoted Health, joins Eric to explore the innovative care delivery model that sets Devoted Health apart from other Medicare Advantage plans. Devoted Health uniquely integrates healthcare coverage with its in-house, virtual, and in-home care provider, Devoted Medical, in partnership with leading healthcare pro

The Blueprint for Speciality Value-Based Care

Aug 01 2024 53 mins  
Rachel Winokur, CEO, TailorCare and Alex Bateman, CEO, United Musculoskeletal Partners (UMP) join Eric to discuss the evolution and adoption of specialty value-based care, highlighting the significant improvements in patient care, customer satisfaction scores, cost reduction and value creation. Hear how their two organizations partner with a commercial payer to manage musculoskel