Quality Matters: A Podcast by NCQA - podcast cover

Quality Matters: A Podcast by NCQA

Welcome to "Quality Matters," the podcast where we unpack the complexities of modern healthcare to shape a brighter future. Join us as we delve into the dynamic world of healthcare quality and innovation, exploring topics such as digital transformation, health equity, and quality standards. Each episode brings together thought leaders, industry experts, and innovators to discuss the latest trends, best practices, and challenges shaping the future of healthcare. With a focus on convening voices from across the industry, "Quality Matters" provides a platform for meaningful conversations and collaboration. Whether you're a health plan leader, a health IT professional, or simply someone passionate about improving healthcare outcomes, tune in to gain valuable insights and actionable strategies for driving positive change in healthcare delivery. Because when it comes to healthcare, quality truly matters. Join us on "Quality Matters" as we shape tomorrow's healthcare today.
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Episodes

An Unconventional Approach to Health Equity

University of Chicago professor and Doctor, Marshall Chin, joins us on Quality Matters to revolutionize medical training with his unique blend of improv and stand-up comedy. Discover how these innovative techniques equip medical students with the skills to care for diverse patients and engage in vital discussions about systemic racism and social privilege. By prioritizing active listening and real-time interaction, Dr. Chin's approach helps shift the perspective from merely addressing health dis...

Jun 13, 202427 minEp. 126

Welcome to Quality Matters!

Welcome to "Quality Matters," the podcast where we unpack the complexities of modern healthcare to shape a brighter future. Join us as we delve into the dynamic world of healthcare quality and innovation, exploring topics such as digital transformation, health equity, and quality standards. Each episode brings together thought leaders, industry experts, and innovators to discuss the latest trends, best practices, and challenges shaping the future of healthcare. With a focus on convening voices f...

Jun 13, 20241 min

Inside Health Care #125: The Digital Drive from Sick Care to Value-Based Care

In this episode, we highlight two companies that leverage data from many different sources to create a more complete picture of a person’s health. The ultimate goal? Shifting away from the current model of “sick care” - where patients primarily see their doctors when they aren’t feeling well – to care models that prioritize long-term health and self-management with guidance from providers. These companies are helping lead the way to value-based care, from using AI to sift through patient-reporte...

Feb 14, 202434 minEp. 125

Inside Health Care #124: Targeting Health Equity Gaps with Digital Tools

The course of the Digitalization of Health doesn’t always run smooth. But for every set of pain points a provider might experience, there are companies developing technological solutions – platforms and tools – that not only guide us through digital transformation but identify crucial patient and population data along the way. In this episode, we talk with two health tech leaders, interviewed during NCQA’s 2023 Health Innovation Summit in Orlando, Florida, about their strategies and successes in...

Jan 31, 202424 minEp. 124

Inside Health Care #123: Health Equity & Making the Commitment to Change

This episode of “Inside Health Care: a Podcast by NCQA” features three interviews recorded live at our Health Innovation Summit in October 2023. Among many panels and presentations was an incredible session titled “Health Equity Trailblazers: Where Vision Meets Commitment.” Health equity leaders discussed their organizations’ health equity strategies, vision and lessons learned, delving into how leaders can commit to and advance health equity priorities. Each of this episode’s guests sat on that...

Jan 17, 202452 minEp. 123

Inside Health Care #122: Teaching Medical Residents to Follow a Value-Based Model of Care

In this Inside Health Care interview, we explore GME — graduate medical education — and explore a few fundamental questions. How can we make sure today’s medical residents are paying attention to their patients? How do we teach residents to ask the right questions? And even more fundamentally, how do we make sure that the next generation of clinicians knows how to implement value-based models of care in order to focus on person-centered outcomes? A value-based model helps patients envision what ...

Jan 03, 202433 minEp. 122

Inside Health Care #121: Peggy O'Kane and Driving Digital Transformation in 2024

We close 2023 with our annual year-end State of Health Care interview with NCQA President Peggy O’Kane. In this interview, Peggy talks with Vice President for Public Policy and External Relations, Frank Micciche, about NCQA’s progress in 2023—both in improving equitable access to health care and implementing digital transformation across the ecosystem. As you’ll hear, we’re hitting the ground running in 2024. With new digital products, digital quality implementers and digital solutions to reveal...

Dec 20, 202330 minEp. 121

Inside Health Care #120: Bringing PCMH Back Home and Digging into Supplemental Data

In this episode of our “Inside Health Care” podcast, we hear two interviews that each demonstrate how close we are to solving the challenges of health disparities and digital transformation. Our first interview finds a real-life, “Last Mile” solution that will bring historically under-served populations to the health care services they need and deserve. Our second interview reveals how improved efficiencies in digitalization actually make it easier to add even more data – and more data crunching...

Dec 06, 202356 minEp. 120

Inside Health Care #119: Bringing Alcohol Screening to the PCPs & Coordinated Care through CBOs

In this episode of Inside Health Care, we present two interviews that each ask really basic, yet complex, questions about health care. The first question: Why are patient alcohol and substance use issues so often overlooked in primary care? This interview will not only answer that question: it will point patients and providers in the right direction: toward adoption of universal alcohol screening and follow-up. Three experts remind us that there is help to implement evidence-based alcohol health...

Nov 22, 20231 hr 1 minEp. 119

Inside Health Care #118: Collaboration Is the Key to Interoperability and Equity for All

In this episode, we explore a much-discussed Inside Health Care topic: interoperability. Within the process of health care digitalization, interoperability deals with the multi-lane, multi-directional transfer of electronic health records, or EHRs. But more and more, in that transfer process, companies discover data they hadn’t considered using, data needing refinement, and data that tells stories of patients being overlooked and left behind. In the first interview, my guest and I discuss the be...

Nov 08, 202347 minEp. 118

Inside Health Care #117: Live from NCQA's Second Health Innovation Summit

In this episode, we hear clips from four interviews recorded live at NCQA’s 2nd annual Health Innovation Summit. Parker Holcomb is Chief AI Engineer at Elevance Health. At NCQA’s 2023 Health Innovation Summit, he participated in a session titled “Building Trust in Clinical Data for Value-Based Care”. Parker stands at the forefront of data quality, constantly seeking to perfect data quality standards, all towards closing gaps in health equity. So how do professionals and technologists align the m...

Oct 25, 202324 minEp. 117

Inside Health Care #116: Fighting Structural Racism and Promoting Virtual Care

In this episode of “Inside Health Care,” we meet two guests, in two interviews. Our first guest advocates for birth, racial and gender equity, driven by her own distressing experiences as a patient. Our second guest developed effective ways to implement virtual care on a large scale to improve equity and representation for rural communities. Sinsi Hernández-Cancio , JD, is a vice president at the National Partnership for Women & Families , where she leads the Health Justice team. Born in Pue...

Oct 11, 202357 minEp. 116

Inside Health Care #115: Telehealth, Adult Immunization, and the Pandemic in Retrospect

In this episode of “Inside Health Care,” we take a look back at what we’ve learned since the pandemic hit over two years ago. We first chat with an upcoming star speaker at NCQA’s 2023 Health Innovation Summit on what we’ve garnered from the growth of telehealth in remote medicine. Then in our second interview in this episode, we discuss the public’s conflict with immunization and new strategies on encouraging vaccination. Dr. Leslie Eiland is an Associate Professor of Medicine in the Department...

Sep 27, 202349 minEp. 115

Inside Health Care #114: Dr. James Tcheng and the FHIR Side of Hypertension

In this episode of “Inside Health Care,” we talk interoperability with a cardiologist who helped develop a new standard for data records exchange. Fast Healthcare Interoperability Resources, a.k.a. FHIR, can improve efficiencies in use and transfer of electronic health records. It can ease pressure on medical staff while also improving health equity measurement. In our discussion with Dr. James Tcheng, we focus on the CardX Hypertension Project . CardX, or cardiovascular data exchange, was launc...

Sep 13, 202329 minEp. 114

Inside Health Care #113: Fee-Based vs. Value-Based Care and Careful Credentialing

In this episode of “Inside Health Care,” we chat with a prominent NCQA board member about flipping fee-for-service models to value-based models, all in order to ease digital transformation. Then, we talk about the challenges and true rewards of pursuing Credentialing Accreditation . Dr. Craig Samitt is the CEO and Founder of ITO Advisors, an advisory and investment firm committed to value transformation of the health care industry. Dr. Samitt sits on many boards in addition to NCQA’s Board of Di...

Aug 30, 202350 minEp. 113

Inside Health Care #112: Patient Focus, Equity Lensing, and Next Steps for Long-Term Services and Supports

In this episode of “Inside Health Care,” we talk digital transformation with a prominent medical informaticist. Then, we hear a conversation on NCQA’s long-term services and supports programs, a.k.a. LTSS , from a long-time accredited managed care supporter. Dr. John Glaser is Executive in Residence at Harvard Medical School Executive Education. Previously he was Chief Executive Officer of Siemens Health Services. He is former Chair of the Global Agenda Council on Digital Health in the World Eco...

Aug 16, 202349 minEp. 112

Inside Health Care #111: Cozeva, Data Aggregator Validation, and Data Credibility

In this episode, we talk with two leaders of an amazing NCQA partner company, Cozeva , while revisiting one of NCQA’s cutting edge digital products , our Data Aggregator Validation program [DAV] . Cozeva, a member of the original program cohort, is an integrated, comprehensive population health platform. Our Data Aggregator Validation program now forms the backbone of Cozeva’s services. Cozeva currently provides health care data solutions to nearly 37,000 providers across 16 states. For more det...

Aug 02, 202348 minEp. 111

Inside Health Care #110: Dr. Xiaoyan Huang, Danielle Christensen and the Value of Patient-Centered Specialty Practice Recognition

In this episode, we’re focusing on NCQA’s PCSP—Patient-Centered Specialty Practice Recognition program . As noted on our website, the PCSP Recognition program focuses on coordinating and sharing information among primary care clinicians and specialists. It requires clinicians to organize care around patients—across all clinicians seen by a patient. Patients and their families or other caregivers are included in planning care and considered partners in managing conditions. Specialty practices tha...

Jul 19, 202342 minEp. 110

Inside Health Care #109: The End of the Emergency and the Rise of Medicaid Redetermination

On this episode of Inside Health Care, we talk Medicaid with a large, equity-focused provider about the end of the Fed’s pandemic-related emergency Medicaid provisions . Following that, a chat with one of our 2022-2023 PCMH Certified Content Expert Quality Award winners. Later on, some fast facts for you in observance of World Hepatitis Day. Elevance Health , a large multi-state health insurance provider, is the largest managed care company in the Blue Cross Blue Shield Association. In September...

Jul 05, 202357 minEp. 109

Inside Health Care #108: Dr. Alex Keuroghlian and the State of Health Equity for LGBTQIA+ Patients

On this episode of Inside Health Care, we celebrate Pride Month with discussions on gender health equity, sexual orientation and gender identity health care quality issues, and health care access and representation for the LGBTQIA+ community. Later, some tips on improving the provider experience for transgender patients. Dr. Alex Keuroghlian is an expert in Sex- and Gender-Informed Medicine and Sexual and Gender Minority Health Care. As a psychiatrist, Dr. Keuroghlian’s work often centers on pat...

Jun 21, 202346 minEp. 108

Inside Health Care #107: Dr. Ava Jones and the Pursuit of Health Equity for the Homeless

On this episode of Inside Health Care, we feature two interviews celebrating winners of two different NCQA awards: a NCQA 2022 Health Innovation Award and a 2022-2023 PCMH CCE Quality Award Winner. Later in the show in our Fast Facts segment, we discuss gender equity-related health care terminology. In our first interview, we talk with Dr. Ava Jones, PhD and RN, the Director for Health Equity and Accreditation at United Health Care Community and State’s Florida Plan . Dr. Jones' workplace won an...

Jun 07, 202353 minEp. 107

Inside Health Care #106: Dr. Ben Kligler with Integrative Medicine through a Quality Lens

On this episode of Inside Health Care, we talk about acupuncture, yoga and a host of other “alternative” therapies with a health leader in the U.S. government. After that, we explore a newly announced breakthrough in digitalization exploration with NCQA’s Chief Technology Officer. Our first guest is one the foremost experts in the U.S. on integrative medicine. He answers some difficult questions. How have some alternative therapies become legitimized? And what are the risks of unregulated therap...

May 24, 202345 minEp. 106

Inside Health Care #105: Dr. Pippa Shulman and the Growth of Hospital at Home

On this episode of Inside Health Care, we interview a pioneering speaker and a featured presenter at NCQA’s 2023 Quality Talks event. We first interviewed Dr. Pippa Shulman back in episode 76 , which dropped in April 2022. Since then, Dr. Shulman's seen the growth and expansion of her business, Medically Home , the world’s first virtual hospital. Medically Home is a tech-enabled services company, providing all the necessary capabilities to safely shift medical care from hospitals to patients’ ho...

May 10, 202334 minEp. 105

Inside Health Care #104: Dr. Garth Graham, Dr. Aaron Neinstein, and Pushing Health Care into the Digital World

On this episode of Inside Health Care, we interview two upcoming speakers at NCQA’s 2023 Quality Talks event . First, we meet a global leader with a deep understanding of the need for health equity. Following that, we have an in-depth discussion with an amazing tech expert on digital transformation in the health care ecosystem. Dr. Garth Graham is Managing Director and Global Head of Healthcare and Public Health at Google/YouTube and Google Health. Among other significant positions, he’s the for...

Apr 26, 202351 minEp. 104

Inside Health Care #103: Dr. Nzinga Harrison, Dr. Suchi Saria and the Many Ways to Equity

On this episode of Inside Health Care, we’ll hear from two health care innovators. One developed a unique yet powerful approach towards resolving historic gaps in health equity . The other champions artificial intelligence as a key solution in the drive towards streamlined patient-centered care. And...both of them will be featured speakers at NCQA’s annual Quality Talks event , set for May 3, 2023, in Washington, DC. Nzinga Harrison, MD , is Co-Founder and Chief Medical Officer of Eleanor Health...

Apr 12, 202343 minEp. 103

Inside Health Care #102: Dr. Liz Kwo and Using Tech to Put Patients First

On this episode of Inside Health Care, we hear from a digital entrepreneur who’s dedicated to getting the most out of health tech. Dr. Liz Kwo is Chief Medical Officer of Everly Health and an upcoming speaker at NCQA's 2023 Quality Talks event . Dr. Kwo is an expert in development and implementation of digitalization to improve diagnostics-driven health care. Her work—and her career—have been molded and guided by experiences both joyful and tragic. Today, she is dedicated to using all available ...

Mar 29, 202339 minEp. 102

Inside Health Care #101: Jennifer Goldsack on the Fast Track for Digital Medicine

On this episode of Inside Health Care, we hear from a digital scientist and researcher eagerly finding tech solutions to promote immediate change in health care. Jennifer C. Goldsack is founder and CEO of the Digital Medicine Society (DiMe) , a 501(c)(3) non-profit organization dedicated to advancing digital medicine to optimize human health. Jen earned her master’s degree in chemistry from the University of Oxford, England, her masters in the history and sociology of medicine from the Universit...

Mar 15, 202336 minEp. 101

Inside Health Care #100: Inside Health Care Turns 100

In celebration of the 100th episode of the Inside Health Care podcast, we take a moment to tell stories of health equity and health digitalization . Through clips from six interviews over the past few years, we explore the evolution of these two concepts—both now pillars of NCQA programming. Thanks to all our podcast guests of the past 5½ years. We’re grateful for the discussions to come, including talks about gender equity , birth equity , remote care , hospital at home and behavioral health . ...

Mar 01, 202345 minEp. 100

Inside Health Care #99: Dr. Eric Wei and Dr. Ted Long and the Crisis of Health Worker Burnout

On this episode of Inside Health Care, we offer two interviews. NYC Health + Hospitals leaders, Dr. Eric Wei and Dr. Ted Long, discuss hospital worker burnout, including suicide , and the need for awareness, mitigation and prevention. After that, Inland Empire Health Plan Chief Quality Officer, Dr. Edward Juhn , talks about “algorithmic bias,” a software-based anomaly that may adversely affect population health metrics that drive research on equity. Both interviews were recorded live at NCQA’s i...

Feb 15, 202339 minEp. 99

Inside Health Care #98: Horizon BCBS of New Jersey and the Local Links to Health Equity

On this episode of “Inside Health Care,” we hear from Tracy Parris-Benjamin , Director for Community Health and Health Equity at Horizon Blue Cross Blue Shield of New Jersey , about its 2022 NCQA Innovation Award -winning program “Neighbors in Health.” “Neighbors in Health” is a statewide Community Health Workers program delivered through a collaboration of payers, hospital systems and community-based organizations. Community Health Workers, in consultation with a Personal Health Assistant, supp...

Feb 01, 202337 minEp. 98
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