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Healthcare is Hard: A Podcast for Insiders

Business & Economics Podcasts

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 how innovation is really shaping the future of healthcare delivery.

Location:

United States

Description:

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 how innovation is really shaping the future of healthcare delivery.

Twitter:

@LRVHealth

Language:

English


Episodes
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Reinventing Pharmacy (Part 2): Dr. Troyen Brennan Disputes the False Narrative of Good vs. Bad Actors

4/18/2024
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 Medical Officer at CVS Health for nearly 14 years, and before that, Chief Medical Officer at Aetna for two years. He was also a practicing physician at Brigham and Women’s Hospital for 15 years where he was president of Brigham and Women’s Physician Organization. During that time, he was also Professor of Medicine at Harvard Medical School and Professor of Law and Public Health at the Harvard T.H. Chan School of Public Health. He is the former Chair of the American Board of Internal Medicine and has published six books and more than 600 articles offering his insight into the American healthcare system, and his ideas on how to improve it. With extensive knowledge of how the industry has evolved, and an understanding for why many of the complexities in the industry exist, Dr. Brennan offers a unique viewpoint about where and how disruption in the pharmacy space can succeed. In his eyes, the idea of good and bad actors in the pharmacy space is a false narrative. With an historical perspective, he explains how industry processes were all sensible when they were first implemented, and how that viewpoint is critical to understanding and addressing some that may have become seemingly senseless over time. A few of the topics he discussed with Keith Figlioli in this Healthcare is Hard episode include: Six ways PBMs have lowered cost.Flexibility of PBMs. The path to greater affordability.To hear Dr. Brennan and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:42:49

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Reinventing Pharmacy: Mark Cuban Says Trust Is Missing Across Healthcare. Here’s What He’s Doing About It

3/21/2024
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 style to healthcare in order to inject what he says the industry is lacking most. Trust. To kick-off a series of Healthcare is Hard podcast episodes that will dive deep into all aspects of reinventing the pharmacy space, Keith Figlioli sat down with Mark to discuss his vision and strategy behind Mark Cuban Cost Plus Drug Company, and many other healthcare-related topics. With Cost Plus Drug Company, Mark is bringing radical transparency to what he says is the most opaque industry he’s ever been involved in. He’s doing it by pricing every single product the same way – the cost of a drug, plus 15% markup, plus pharmacy fee (if any), plus shipping – and publishing these details for everyone to see. Through this model, Mark aims reduce costs and improve access to drugs, while rebuilding trust in the industry. With 2,400+ drugs now available, he’s off to a fast start and talked to Keith about other evolving elements of the business including wholesale operations for providers, partnerships with grocery and pharmacy chains, and more. Some of the other topics Keith and Mark discussed include: The Netflix model for specialty drugs.Transparent, direct contracting. Millions of AI models.To hear Mark and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:43:34

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Is Innovation Stuck in Healthcare? Two Brothers Get to The Bottom of It

2/15/2024
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 the cost curve downward. What causes this phenomenon in U.S. healthcare, and what can we do about it? In their book, Why Not Better and Cheaper?: Healthcare and Innovation, twin brothers James B. Rebitzer and Robert S. Rebitzer offer answers to those questions. Jim and Bob’s book brings together research on incentives, social norms, and market competition to argue that the healthcare system generates the wrong kinds of innovation. They contend that U.S. healthcare makes it too easy to profit from low-value innovations and too hard to profit from innovations that reduce the costs of care. As a result, we get a system where innovation abounds, but finding ways to deliver increased value at lower cost is remarkably ineffective. In this episode of Healthcare is Hard, Keith Figlioli talked to Jim, a professor at Boston University’s School of Business, and Bob, National Advisor at Manatt Health, for an in-depth discussion about their work. Their conversation explored topics including: Misaligned incentivesThe fourth vital sign of healthcareInnovation vs. irrational financeTo hear Keith, Bob and Jim discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:46:21

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Putting Trust at the Center of Healthcare Transformation: Press Ganey CEO, Pat Ryan

1/18/2024
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 company has built a reputation for being the prominent source of patient feedback, but it hasn’t stopped there. Its solutions capture the voice of the patient, physician, nurse, and employee to keep healthcare focused on people by enabling organizations to address safety, clinical excellence, patient and member experience, and workforce engagement. Pat Ryan became CEO of Press Ganey in 2012 after more than 30 years working with healthcare leaders and providers, including a dozen years as a Press Ganey client. Pat has served on several health system boards and has worked throughout his career to improve the quality and safety of care while lowering cost and achieving caregiver resilience to deliver truly patient-centered experience. In this episode of Healthcare is Hard, Pat spoke with Keith Figlioli about the increasing focus on human experience in healthcare transformation. Drawing knowledge from his career and from Press Ganey’s unrivaled understanding of patients and the professionals who serve them, Pat shared his perspective on topics including: The link between patient experience and financial successRedesigning healthcare from the outside in.The trust factorOpportunities for innovation.To hear Keith and Pat discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:36:20

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Deciphering the New Normal (Part 4): Blue Cross Blue Shield of Massachusetts’ Chief Strategy Officer, Sukanya Soderland

12/15/2023
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 regional payer is adapting. This follows previous episodes that offered a diverse perspective from heads of strategy at: OhioHealth (Episode 58)CommonSpirit Health (Episode 59)Humana (Episode 60)To wrap up this series, Sukanya provides a glimpse into the strategy at BCBS MA, the largest health plan in Massachusetts and a mostly commercial-focused payer that serves nearly three million members across New England. Unlike most not-for-profit organizations, BCBS MA pays significant federal, state, and local taxes and assessments. Without soliciting or receiving charitable donations, or benefiting from tax-exempt financing, BCBS MA stays competitive by generating a small margin from operations that it reinvests in its business, people, and technology, and by remaining deeply focuses on the community its serves. In her discussion with Keith, Sukanya shared her outlook on issues including: Shared empathy between operations and innovationBuilding vs. buying vs. co-designingChanging dynamics in how people access careTo hear Keith and Sukanya discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:37:02

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Deciphering the New Normal (Part 3): Humana’s Chief Strategy & Corporate Development Officer, Dr. Vishal Agrawal

11/16/2023
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. Vishal Agrawal, to shift the discussion towards payers and how they’re adjusting to the post-COVID world. Today, Humana is one of the nation’s largest health insurers that also provides payer-agnostic primary care, home health and pharmacy services through its CenterWell brand. However, delivering health care services is not new to Humana. The company’s roots date back to the 1960s where it began as a nursing home business, and by the 1990s, it grew to become the nation’s largest hospital company. While its care delivery assets eventually merged into HCA Healthcare as the company focused on insurance, this deep history provides a unique advantage as the industry continues its shift towards value. In this episode of Healthcare Is Hard, Dr. Agrawal shared some of the strategic priorities for Humana as he helps the organization navigate the new normal in healthcare. These include: Breaking the facility-centric modelChronic care managementRemoving waste from the systemConsumer choice & personalization

Duration:00:38:16

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Deciphering the New Normal (Part 2): CommonSpirit’s Chief Strategy Officer, Sheri Shapiro

10/26/2023
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 approach to leading the organization through healthcare’s most challenging times. As the country emerges into a new normal, CommonSpirit’s Chief Strategy Officer, Sheri Shapiro, joins the podcast to discuss how she’s leading this large organization with diverse markets and service lines into the future. Sheri recently joined CommonSpirit to lead strategy in June 2023, undertaking a wide ranging role that spans responsibility for market strategy and development, growth and partnerships, strategy transformation, innovation, marketing and communications, brand management, the international division, sales and payer strategy. She brings more than 20 years of healthcare management consulting, health system leadership and brand management to the position, including seven years leading strategy at another one of the country’s largest health systems, Trinity Health. In this episode of Healthcare Is Hard, Sheri talked to Keith about how she views the new normal and how she’s helping CommonSpirit navigate these uncharted waters. Some of the topics they discussed include: Guiding principles for a large health systemPortfolio rebalancingMisconceptions of healthcare economicsTo hear Keith and Sheri talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:41:11

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Deciphering The New Normal With OhioHealth’s Chief Strategy and Transformation Officer, Michael Krouse

9/21/2023
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 contributes more than 18% of GDP and together, they bolster a region that’s experiencing active and sustainable growth. In addition, Columbus has a relatively low cost of living, temperate climate and demographics that are reflective of the country at large. The bottom line is this well-balanced community creates an environment of low volatility that makes it an ideal place to try new things. These attractive attributes extend to healthcare as well. Central Ohio has a diverse payer market where no one payer holds more than a third of market share. Several leading health systems support the community, including OhioHealth, which is one of the largest. OhioHealth is a faith-based, nonprofit system with 35,000 associates, physicians and volunteers, and a network of 14 hospitals, 200+ ambulatory sites, hospice, home health, medical equipment and other health services spanning 47 Ohio counties. As OhioHealth’s Chief Strategy and Transformation Officer, Michael Krouse is responsible for the future direction of the organization and ensuring a strategic framework that delivers operational excellence and growth by meeting consumers’ needs with a diverse portfolio of services. Michael joined OhioHealth as CIO in 2007 after spending the previous 20+ years in healthcare executive roles at UW Medicine, First Consulting Group, E&Y and Arthur Young in the Pacific Northwest. In this episode of Healthcare is Hard, Keith Figlioli spoke with Michael to explore “the new normal” in healthcare and what the industry will look like at it settles into the post-COVID world. Michael discussed his perspective and predictions on the new normal including: The sweet spot of scaleLumpy operating marginsSpinning up new business lines quicklyInside innovation ecosystemsTo hear Keith and Michael talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:40:28

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Not Just a Side Gig: Government Contracting Takes Commitment, Says Booz Allen Hamilton COO, Kristine Martin Anderson

8/17/2023
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 in quality measurement before overseeing the launch of the nation’s first web-based clinical decision support system for hospitals, and the nation’s first health information exchange, among other groundbreaking initiatives. After CareScience, Kristine joined Booz Allen in 2006 to help grow, and ultimately run, the firm’s healthcare business. Kristine later became president of the firm’s civilian sector and ultimately ascended to her current role as chief operating officer. Nearly all of Booz Allen's business is through government contracts, and its clients include all of the cabinet-level departments of the U.S. federal government, from defense and homeland security, to transportation and public health. Kristine’s extensive work with the government and experiences pioneering healthcare IT put her in a unique position to navigate the complex demands of the healthcare industry. She shared some of her knowledge with Keith Figlioli in this episode of Healthcare is Hard, where they discussed topics including: Advice for winning government contractsHow AI adoption will be slow and unevenThe state of quality measurementProspects for entrepreneursTo hear Keith and Kristine talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:40:10

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Is AI Policy a Bigger Undertaking Than Meaningful Use? Kristen McGovern Thinks So

7/20/2023
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 Biomedical Advanced Research and Development Authority (BARDA). She eventually landed at the Office of Management and Budget (OMB) just as the HITECH Act was signed into law in 2009, dedicating nearly $30 billion to modernizing healthcare IT. As the executive office that oversees the federal budget and federal agencies, Kristen worked closely with leadership at OMB and HHS as they deployed funding for Meaningful Use and other programs catalyzed by the landmark legislation. In 2010, around the same time the Affordable Care Act was passed into law, Kristen was recruited by Farzad Mostashari (a previous guest on the Healthcare is Hard podcast) and became chief of staff at the Office of the National Coordinator for Health IT (ONC). These experiences launched a career that has put Kristen at the forefront of federal healthcare policy and politics. She is currently partner at Sirona Strategies, a healthcare consulting firm she co-founded to advise organizations – from startups to the Fortune 500 – on healthcare policy. Some of the topics Kristen talked to Keith Figlioli about on this episode of the Healthcare is Hard podcast include: A pulse check on DCThe evolution of Meaningful UseThe size and scope of AI PolicyPolicy advice for startupsTo hear Keith and Kristen talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:38:07

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AI Hype vs. Reality: A Conversation With Nuance (Microsoft) CSO, Peter Durlach

6/22/2023
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 interface for the Macintosh. Peter’s work put him at the center of bringing voice recognition and artificial intelligence (AI) to healthcare – work he continues today as EVP and Chief Strategy officer at Nuance Communications, a Microsoft Company. At Articulate Systems, the first voice recognition company Peter helped build, he and his team eventually recognized that 60% of their user base was physicians dictating medical notes. He helped pivot the company to focus exclusively on healthcare and build the technology that became PowerScribe, a solution still used by most radiologist today. Through acquisitions, Articulate Systems eventually became Nuance. After some time away from the company as a software consultant and running an AI-powered contact center business he sold to Microsoft, Peter was recruited back to Nuance in 2006 to create its healthcare division. By 2019, Nuance was focused on the healthcare and customer engagement market, and in 2022 was acquired by Microsoft for $20 billion. In this episode of Healthcare is Hard, Keith Figlioli builds on earlier conversations with guests like Mayo’s John Halamka and Advocate’s Rasu Shrestha to unpack the hype around AI in healthcare and understand what’s real right now, and what will be in the future. Some of the issue Keith and Peter discussed include: The AI adoption curveUse cases that matterOpportunities for startupsGovernanceTo hear Keith and Peter talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders

Duration:00:48:21

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Scaling Up (Part 2). How Dr. Rasu Shrestha is Steering AI & Innovation After the Megamerger that Created Advocate Health

5/11/2023
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 both technical and clinical roles, Dr. Shrestha brings a worldly view of medicine to his work as EVP and Chief Innovation and Commercialization Officer at Advocate Health. He attended college in Malaysia and medical school in India before becoming a visiting fellow in biomedical engineering at Imperial College London and a research fellow in informatics at the University of Southern California, where he also earned his MBA. Among many other positions, Dr. Shrestha also served as Chief Innovation Officer at the University of Pittsburgh Medical Center, and Chief Strategy and Transformation Officer at Atrium Health. After the December 2022 merger of Atrium Health and Advocate Aurora Health, Dr. Shrestha landed in his current role at the newly formed Advocate Health, now one of the nation’s largest nonprofit health systems. In an earlier Healthcare is Hard episode, Scott Powder provided his perspective on the megamerger from the Advocate Aurora side. In this episode, Keith Figlioli talked to Dr. Shrestha to hear his perspective from the Atrium side, and his thoughts on many of the biggest topics driving healthcare transformation. Some of the issue they discussed include: Financial realities in the post-pandemic eraExamining AI with a critical eyeInoculating against the shiny object syndromeRealizing the benefits of scale.To hear Keith and Dr. Shrestha talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:49:39

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Follow the Money: Harvard Professor & MedPAC Chair, Michael Chernew, Illuminates the Causes & Consequences of Healthcare Spending

4/20/2023
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 innovation. There are few people who understand healthcare economics in the U.S. as well as Michael Chernew, PhD, who has dedicated his career to studying healthcare spending and how it affects the quality of care and outcomes. Dr. Chernew is the Leonard D. Schaeffer Professor of Health Care Policy, and director of the Healthcare Markets and Regulation Lab in the Department of Health Care Policy at Harvard Medical School. Among many other roles, he is also currently serving as the Chair of the Medicare Payment Advisory Commission (MedPAC), an independent agency that advises Congress on costs, payments and other issues affecting the Medicare program. Dr. Chernew’s research examines several areas related to improving the health care system including studies of novel benefit designs, Medicare Advantage, alternative payment models, low value care and the causes and consequences of rising health care spending. In this episode of Healthcare is Hard, Dr. Chernew shares his knowledge with Keith Figlioli in a discussion that touches a broad range of topics around healthcare economics and innovation, including: The false choice between free markets and government interventionThe appetite for disruptive innovationSkepticism on the impact of better primary careThe high cost of drugsTo hear Keith and Dr. Chernew talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:41:57

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The Healthcare Data Goldrush (Part 2): Chief Information & Digital Officer at Hartford Healthcare, Joel Vengco

3/16/2023
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 scientific officer at Eclipsys (which later merged with Allscripts), Joel had access to extensive datasets to drive his work. He initially found a lot of data in disarray, but he also recognized the future potential for using data to transform the healthcare industry. Joel eventually left medical school in favor of a career chasing healthcare data inside venerable provider and vendor organizations – from Eclipsys and GE Healthcare, to Boston Medical Center, Partners Healthcare, and Baystate Healthcare where he founded the digital health incubator, Techspring. Joel is currently SVP & Chief Information & Digital Officer at Connecticut’s most comprehensive healthcare network, Hartford Healthcare. In this episode of Healthcare is Hard, Joel talks to Keith Figlioli about using data to drive healthcare transformation, his strategies for optimizing technology in a provider organization, and his advice for startups and entrepreneurs. Some of the topics they discuss include: Data liquidity.Data literacy.Technology through an equity lensShifting rightTo hear Keith and Joel talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:39:11

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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

2/16/2023
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. While this was among the biggest mergers ever in the nonprofit healthcare ecosystem, it wasn’t the first for Scott Powder. In the early 1990s, Scott began working for Evangelical Health System, a pioneer of horizontal integration, which later became Advocate Health Care. Over the next 30+ years serving in various strategy and planning roles, including overseeing the 2018 merger of Advocate Health Care in Illinois and Aurora Health Care in Wisconsin, Scott had a front row seat to the growth and development of the healthcare ecosystem. Scott is now President of Advocate Health Enterprises, where he is responsible for advancing Advocate Health’s whole person health strategy by investing in solutions that complement the health system’s core clinical offerings and broaden its business portfolio. In this episode of Healthcare is Hard, Scott talks to Keith Figlioli about the strategy behind creating Advocate Health, and the market forces driving it. They discuss topics including: The shifting mindset on geographyThe debate over scaleDual transformationCare in the homeTo hear Keith and Scott talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:48:39

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The Healthcare Data Goldrush: Leavitt Partners’ Ryan Howells & IMO’s Dale Sanders Lay Out A Guide for Prospectors

1/19/2023
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 unlock data in healthcare and help organization leverage it to actually drive business and clinical performance. As Principal at Leavitt Partners, Ryan works with the White House, Congress, HHS, and VHA on health care policy and interoperability issues. He also currently leads the CARIN Alliance, a multi-sector, public-private alliance focused on giving consumers digital access to their health information. Dale is Chief Strategy officer at Intelligent Medical Objects (IMO) where he closely analyzes market needs and challenges to set IMO’s strategic direction developing products that deliver critical data quality improvements and insights to improve patient care. In this episode of Healthcare is Hard, Keith Figlioli draws on the decades of experience Dale and Ryan have driving healthcare data policy and strategy. Their discussion touches on the intricate details of healthcare data, the everyday impacts that data can have on healthcare consumers, and many points in between. They cover topics including: Entering the “app economy” for healthcareEncouraging physicians to stage a riotThe B-to-C-to-B data strategy.Disrupting EHR incumbents.To hear Keith, Dale and Ryan talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:48:53

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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

12/15/2022
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 future growth, while finding the right balance between these priorities. Health systems can’t make these critical decisions in a vacuum – that’s why the information and expertise they get from Sg2, a Vizient company, is critical. As the nation's largest health care performance improvement company, Vizient serves more than 60% of acute care providers. Sg2 provides these organizations with unparalleled insight into local market dynamics and helps them anticipate healthcare trends that will be key to their success. John Becker leads Vizient’s Strategic Growth Solutions, including Sg2’s Intelligence, Analytics and Advisory Services, and the Vizient Research Institute. In this episode of Healthcare is Hard, John talks to Keith Figlioli about the issues that are top of mind for health system strategy and innovation leaders. They discuss topics including: Post-Covid collaborationInnovating in a down marketThe upside and downside of scaleThe CFO’s role in innovationTo hear Keith and John talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:39:32

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Providence’s Sara Vaezy Tells the Tale of Two Health Systems: Fixing Fundamentals While Focusing on Innovation

11/17/2022
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 to streamline operations and meet consumer demand for new care delivery models while staying ahead of big tech, retailers and others adding pressure for providers to evolve and transform. How can providers focus on getting business fundamentals back in order, while also looking to the future and accelerating their focus on innovation? On this episode of Healthcare is Hard, Sara Vaezy, chief strategy and digital officer at Providence, talked to Keith Figlioli about the need to address both of these issues at once – and how to do it. Some of the topics they cover include: New economics for providersBuilding beyond acute care.The importance of partnersThe advantage of incumbentsTo hear Keith and Sara talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:33:23

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Former Department of Defense Leader Interprets the Real Cyber Risks in Healthcare

10/20/2022
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. Tim started his career in the Navy, working for the organization now known as the Naval Criminal Investigative Service (NCIS), where he was successfully investigating digital crimes before the field of computer forensics was even established. In this role, he collaborated frequently with, and was soon asked to join the FBI, which was building its Computer Analysis Response Team (CART) to pioneer processes for investigating computer crimes and examining digital evidence. At the FBI, Tim worked closely with the National Security Agency, until he was asked to join the NSA directly. After more than a decade serving both domestically and abroad, Tim left NSA and joined the private sector to help advance the collaboration between public and private organizations on national cybersecurity interests. Tim now works closely with the American Hospital Association and healthcare organizations across the country as CEO at bracket f, a wholly owned subsidiary of [redacted]. And yes, “[redacted]” is the company’s name – it’s a startup built by a team of cybersecurity veterans with resumes that rival Tim’s. The company is focused on leveling the playing field by identifying and stopping threats, legally pursuing attackers, and bringing cybercriminals to justice. In this episode of Healthcare is Hard, Tim shares some of his insider knowledge with Keith Figlioli on topics of growing urgency for everyone in the healthcare industry – from providers, payers and life science companies, to the innovative startups transforming healthcare. Issues they discuss include: The state of healthcare cybersecurityWho’s attacking healthcare and whyImplementing the basics.To hear Keith and Tim talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:40:09

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Amazon, One Medical and the Acquisitions Moving Healthcare: Walmart’s Former SVP of Health, Marcus Osborne, Weighs In

9/15/2022
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 for good, talented people trying their best to make progress. After a couple jobs in business consulting and time as Chief Financial Officer for the Clinton Foundation’s Health Access Initiative, Marcus landed at Walmart, where he ultimately became Senior Vice President of Healthcare Transformation. In January 2022, he stepped down from that role after spending 15 years at the world’s largest retailer driving key initiatives to increase healthcare access and affordability, including helping to launch Walmart Health and leading Walmart Health clinics. In this episode of Healthcare is Hard, Keith Figlioli taps into the knowledge and experience Marcus has gained through his career to explore issues including: Viewing healthcare through the consumer’s eyesRetailer acquisitionsThe future for health systemsThe opportunities for entrepreneursTo hear Keith and Marcus talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Duration:00:40:46