Business Of Healthcare

Therapist and psychotherapy practice owner Staci Connolly recently deployed a digital diagnostic tool for patients.  She anticipates the tool will accelerate diagnosis and measure patient progress in treatment, providing data she believes insurers will soon require.  Connolly also founded The Digital Education Project to educate families on the healthy use of digital devices.  Underwriters New Directions Behavioral Health, Foothold Technology, VPAC Clinical and Raiven Healthcare made this interview possible.

Mandy Cohen, MD, MPH, North Carolina Sec. of the Department of Health and Human Services, joins BOH host Matthew Hanis for a live interview in front of 200 NC physician practice leaders. That same day, bids were due for the conversion of 1.6 million NC Medicaid beneficiaries to managed care. Previously, Cohen helped resuscitate the federal ACA insurance exchange platform healthcare.gov and helped innovate federal alternative payment models such as bundle payments and MSSP accountable care organizations.

Cigna behavioral health leader William Lopez, MD, CPE describe efforts to prove better access to behavioral health services reduces total medical spending in commercial populations. The team is helping physician practices integrate behavioral health services in a financially-sustainable manner.

David C. Guth, Jr., Co-Founder & CEO of Centerstone and Marlowe Greenberg, MPP, Founder & CEO of Foothold Technology join BOH host Matthew E. Hanis to discuss driving better patient outcomes through data integration across behavioral, social and medical services.

David B. Nash, MD, MBA is founding dean of the Jefferson College of Population Health, one of the first programs granting Master and Doctoral degrees in population health topics. Interview explores the value of population health graduate programs and advancing population health or, as Nash says, “Shut off the faucet, instead of mopping up the floor.”

Cardiologist and Tryon Medical Partners CEO Dale Owen, MD led 88 physicians in separating their practice from a large health system.  He joins Business of Healthcare host Matthew E. Hanis to discuss why he and his partners sought to return to independent practice, his vision for taking on population health risk and the tactical challenges standing up a 75,000-patient practice in weeks.

Learn the most important traits being nurtured in future healthcare leaders by organizations leading the transformation of healthcare.  “Anyone going into healthcare leadership should know that we should be putting ourselves out of business,” shares Kevin Mahoney of Penn Medicine.  “As we work with clients on mitigating risk, on how GE Healthcare can share in that risk, our leadership approach helps us cross the chasm of trust a little bit faster,” reflects Joe Gasque of GE Healthcare.  

Gary Filerman, Ph.D., influential researcher and long-time advocate for formalized healthcare management education, argues the US middle class will ultimately vote for universal healthcare coverage as a means to lower out-of-pocket costs and waste. This would lead to massive disruption in the current healthcare sector and an enormous set of moral and ethical decisions for emerging healthcare leaders. 

Dr. Lloyd Sederer, a Professor, Columbia Public Health School, medical journalist, book/film/TV reviewer and the Chief Medical Officer for the $4 billion New York State Office of Mental Health advocates for his approach to the addiction and mental health crisis in our country. Sederer’s public health approach is described in his recently published book, The Addiction Solution: Treating Our Dependence on Opioids and Other Drugs. Sederer joined BOH host Matthew Hanis during NATCON18.

The diagnostic laboratory industry is undergoing major change and innovation.  Lab business expert Andy Olen (Siemens Healthineers) joins Business of Healthcare host Matthew Hanis to discuss current trends and the emerging ‘fee-for-value’ lab business model.  He also discusses his new book, The Trilogy of Yes, in which he observes that great sales people apply ‘Communication, Connection, and Cooperation’ across cultures to generate ‘win-win’ results.

 Guests Joe Wilkins (Atlantic Health) and Joe Gasque (GE Healthcare) share the leadership characteristics and innovations supporting the Healthy Communities movement, an effort to target persistent barriers to people living the healthiest life possible wherever they live.  Both organizations have proven commitment to this effort through formal innovation programs and through the traits they seek and nurture in emerging healthcare leaders.

Shelly Buck (WellSpan Health) and Joe Gasque (GE Healthcare) discuss ways they nurture inclusiveness in emerging leaders.  As healthcare continues to rapidly evolve, inclusiveness is critical for emerging leaders.  Inclusive leadership seeks not so much to guard against discrimination as it does to harness differences in age, culture, origin, and experience as competitive advantage.  This interview was made possible by GE Healthcare, the Commission on the Accreditation of Healthcare Management Education, Saint Louis University, and the Jefferson College of Population Health.

Captive insurance is an alternative to commercial insurance for professional liability, property, workers comp, etc.  In addition to self-insuring risks, Captives also invest to reduce losses. Providers now use captives for other risks such as employee health plans and managed care risk.  Guests explore why Cyber risk may be suited for captives. Rebecca Cady, Esp., BSN Vice President and Chief Risk Officer for Children’s National Health System Bob Chaput, CISSP, HCISSP, CRISC, CIPP/US Founder & Chairman of Clearwater

“I never set out to work in addictions, but I lost my best friend to a heroin overdose,” shares Omar Manejwala, MD in his BOH interview. That tragedy ultimately led Manejwala to his current role as Senior Vice President and Chief Medical Officer of Catasys, Inc. which he describes as “solving the hidden problem of untreated behavioral health conditions.” Manejwala describes his journey and the Catasys proven value proposition for health plans. Catasys has accumulated evidence proving efficacy.  The marketplace has responded positively with five of the top 8 health plans already utilizing their capabilities

As health systems take on more ‘fee-for-value’ arrangements, their strategic suppliers may share the risk.  Joe Gasque, a senior leader from GE Healthcare North America, shares GE’s shared risk arrangements in their journey to be a “leading provider of outcomes” and impact on hiring and training field team members.  Brad Ansley, Founder and Director of SPI Health, returns to talk about preparing sales team members and others for this new value-driven paradigm.

Scott Green (Netsmart) and Tom Petrizzo (Tri-County Mental Health Services) to learn about emerging outcomes, and innovation, from Certified Community Behavioral Health Clinics (CCBHC) pilots.

Digital is disrupting pharmaceutical companies at their very core: product development and commercial operations.  We explore this with two leaders deep in the thick of transforming this key healthcare segment . . . 10% of the overall healthcare spend in the US . . . as digital innovation destroys and recreates the industry.

Digital is changing almost every aspect of healthcare including pharmaceutical manufacturing and distribution.  Join Daniel J. Gandor, Director of Digital Innovation for Takeda Pharmaceuticals U.S.A., Inc. and Brad Ansley, Director of SPI Health as they look at the ways digital is changing pharma and the impact on commercial functions.

“No outcome, no income,” says Dr. David Nash, founding dean of the nation’s first graduate school of population health. He joins Brad Ansley of SPI Health to explore the emergence of population health and the implications for healthcare suppliers.  They cover the buyer’s perspective on changing health system needs, shared-risk contracting and new selling dynamics.

Empathy for the patient, helping providers improve efficiency, adjusting to new buying paradigms . . . the work and competencies of a sales representative is undergoing just as radical change as other stakeholders.  But do we even need salespeople in healthcare?  Is the portion of healthcare dollars spent on sales wasteful or productive? What drives a sales person and how can healthcare leaders ensure their organizations get the most value from these passionate contributors?  Filmed at eyeforpharma Philadelphia 2018  #efpphilly   @eyeforpharma