On this episode, we talk with Matt Hollingsworth, CEO of Carta Healthcare , about ChatGPT. If you've been reading the headlines, and maybe even experimenting with Chat GPT yourself, but don't quite grasp what's going on, then this episode is for you. Mat gives a not-too-technical, high-level explanation of what's going on under the hood so that you have proper context for the discussion. Then, Matt outlines the potential benefits, and potential harms, of applying ChatGPT in healthcare. Finally, ...
Jun 26, 2023•46 min•Ep. 208
Medicaid Transformation. 1115 waivers. Delivery System Reform Incentive Payment (DSRIP) programs. Expansion. Contraction. We’ve been at this for a long time. Why isn’t Medicaid transformed already? Well… it turns out that this is really difficult work. First off, there are complex political and ideological issues. Even if we all agree that we want the best healthcare for every American – a conceptually easy outcome to rally behind – we don’t all agree on what that looks like, how to get there, o...
Apr 12, 2023•49 min•Ep. 207
Cleveland Clinic recently announced that they would begin charging for certain patient-initiated messages . This flies in the face of everything the industry is talking about when it comes to patient engagement and value-based care. At the same time, it is quite unreasonable to think that a doctor should be available for questions at any time, for free. How can we protect the clinicians' time AND provide the patients with the care and attention they need? And why are we moving away from value-ba...
Feb 09, 2023•36 min•Ep. 206
Don and Shahid discuss NCQA's Health Innovation Summit (November 2022) and FHIR Dev Days (June 2022). They explore these events as examples of how to interpret what you hear at conferences, in industry media, and even on podcasts like this. The discussion covers a lot of ground including: What is NCQA? What is HEDIS? What does it mean to move from Electronic Clinical Quality measures (ECQM) to Digital Quality Measures (DQM)? Can FHIR really do all that!? Specified, but not implemented (this is i...
Jan 13, 2023•49 min•Ep. 205
On this episode, we talk with Ray Dogum, MS, MBA about the state of blockchain and web3 technology in healthcare. Ray is the producer and host of the Health Unchained podcast where he discusses blockchain developments in healthcare with industry experts. There was quite a hype cycle around blockchain in healthcare that has died, but there is still real development being done and plenty of opportunity to create value in the future. We’ll break down the pockets of success that are happening today ...
Dec 16, 2022•52 min•Ep. 204
Some people tell doctors that anything more than a cup of coffee is a conflict of interest. What about executives? Is it ok to take them out to lunch? What about a trip to the Super Bowl? Is there a line? Where is it? On this episode, Don and Shahid discuss a recent LinkedIn discussion where a healthcare executive called shenanigans on himself and his colleagues for accepting gifts. The gift is a symptom... not the underlying issue. Tune in to find out what the issue is and how to fix it. Plus, ...
Oct 20, 2022•33 min•Ep. 203
There's no business case for doing the right thing in healthcare. Fortunately, being patient-first is the right thing to do and can be good for business too. Today we talk with Brian Sanderson , national healthcare management leader at Crowe LLP and author of the new book, The Patient-First Revolution. In it, Brian provides a blueprint for hospitals to skyrocket net revenue by boosting patient experience (#HCBiz listeners can grab a free copy of the book here ). Brian explains it's important to ...
Oct 05, 2022•46 min•Ep. 202
It's easy to experiment with new tech and produce products that look and sound innovative. It's much harder to tie your innovation efforts to strategic objectives with measurable outcomes and then scale the solution across your organization. The former leads to "death by pilot". The latter makes a difference in people's lives. We need a more disciplined approach to innovation if we want to make a difference. In this episode (Ep. 201) we introduce the concept of the Healthcare Delivery Organizati...
Sep 16, 2022•29 min•Ep. 201
On this episode, Don Lee and Shahid Shah celebrate 200 episodes of The #HCBiz Show! We discuss what we've done over the past 6 years and tell you where we're headed next. In a nutshell, we're going to work to codify what we've learned about innovation in healthcare over the past 200 episodes and in our decades of deploying digital health solutions. We're steering the effort, but we need your help. There will be plenty of ways to get involved. Thanks for learning with us over the past 200 episode...
Sep 08, 2022•53 min•Ep. 200
There’s no shortage of development when it comes to AI and ML in healthcare. The technology is already powerful and continues to advance. The challenge, as always, is getting things into the clinical workflow. And doing so at scale. Nuance has a plan to help innovators and health delivery organizations find alignment and get the right tools integrated into the clinical workflow quickly. Nuance started with ambient intelligence in the sensory realm. In computing, ambient intelligence (AmI) refers...
Aug 25, 2022•51 min•Ep. 199
It is now widely accepted that socioeconomic issues like food, housing, transportation, and more, directly drive health outcomes in the U.S. These issues hinder access to quality healthcare, and create obstacles to education and stable employment. In the former context, they are often referred to as the Social Determinants of Health. In the latter context, we might consider them the Social Determinants of Success. One organization that sees it this way is Ultimate Medical Academy (UMA) – a nonpr...
Aug 10, 2022•49 min•Ep. 198
There are many areas where customer service is lacking in healthcare, but few are more egregious than the medical records request process. It’s frustratingly slow, needlessly opaque, and contributes to patient safety issues and staff burnout. And it’s making most of our health systems look bad. Today’s guest is not just calling for a better customer service experience in the medical records request process… she is creating the tool to help get it done. Grace Cordovano is a board-certified patien...
Jul 13, 2022•1 hr 5 min•Ep. 197
Last year we learned how Nayya was using data to help employees pick the best health plan . Founder and CTO, Akash Magoon told us that they were “restacking the financial odds in favor of American Families.” We loved that mission, and apparently, the market did too. Nayya has grown tremendously since we spoke and recently raised $55M in Series C financing . Now that Nayya has helped us pick our plans, they are taking the next logical step to help Use them. On this episode, we talk with Satvik Ga...
Jun 09, 2022•50 min•Ep. 196
It's natural to reach for advanced analytics, machine learning, and other potentially transformational technologies in healthcare. That’s especially true in oncology where speed to diagnosis and speed to care are critical. However, there are fundamental data needs that must be mastered if we are going to be successful. Today we talk with C.K. Wang , Chief Medical Officer at COTA about these fundamentals: A surprising number of physicians and health delivery organizations still do not fully grasp...
Jun 01, 2022•34 min•Ep. 195
MedTech and Life Sciences commercialization expert, John Giantsidis of CyberActa , assesses the current regulatory environment around Medical Devices, the Internet of Medical Things (IoMT), and wearables. John shares best practices on how to gain regulatory approval and how to make compliance part of your company’s culture. Plus, he provides actionable advice on how to generate evidence and provide your prospects with quantifiable proof of value. If you’re developing a new medical device, IoMT, ...
May 20, 2022•38 min•Ep. 194
There is a lot of attention being paid to the patient experience, and rightly so. However, we haven’t paid enough attention to our clinicians and caregivers and what they need to guide our patients thru that experience. Providers struggle to keep up with the increased touchpoints and questions without the proper tools. That increases stress and deepens the crisis of burnout amongst clinicians. Worse yet, it leads to unanswered questions and missed opportunities to meet our patients where they ar...
May 16, 2022•35 min•Ep. 193
Digitization means taking paper charts and putting them into EHRs. Digital transformation means leveraging the digital asset to do something we never could before. Applying AI/ML in healthcare will be one of the primary ways we carry out that digital transformation. Today we discuss all of this with Prashant Natarajan , VP of Strategy and Products at H20.AI and co-author of the new book Demystifying AI for the Enterprise . Prashant tells us our goal for digital transformation is to "help the hum...
May 06, 2022•59 min•Ep. 192
Most health systems don’t understand their own referral networks or patient flows. From an overall fiscal standpoint, they may know who their best and worst physicians are but there’s little clarity on what’s happening in the middle. Where are patients going for procedures? Who is sending them there? And what’s the financial impact to the health system? Not knowing makes it difficult to make sound strategic decisions. The good news is that the data exist. The bad news is that few health systems ...
Apr 28, 2022•47 min•Ep. 191
We've been training medical personnel in the same way for decades, Virtual Reality (VR) and Augmented Reality (AR) are poised to change that. We talk with Dr. Ryan Ribeira , founder and CEO of SimX , about the opportunity to modernize and expand our approach to medical training. We discuss how that is already happening at many of the major medical institutions in the U.S., the opportunities to expand access to training and to cover more nuanced situations that are difficult to replicate using tr...
Apr 20, 2022•49 min•Ep. 190
The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is unclear. That couldn't be further from the truth. On this episode, we talk with François de Brantes , Senior Vice President of Episodes of Care at Signify Health , about where we are on the pathway to escaping the tyranny of Fee-For-Service healthcare. It's tyranny because it prevents us from delivering care the way we want to and need to. Advanced A...
Apr 13, 2022•45 min•Ep. 189
Healthcare orgs share large amounts of PHI with 3rd party vendors. They share it for analytics, rev cycle management, call center services, and more. It's a necessary part of the business. But you know what isn't necessary? Sharing everything! There is a very disrespected requirement in HIPAA called minimum necessary . It means exactly what it says... you should share only that which is needed to do the job (typically under treatment, payment, or operations). In my experience, the default is to ...
Apr 06, 2022•25 min•Ep. 188
It's difficult for Digital Health startups to find alignment between their innovations and the complex business realities of healthcare. That is why this show exists. We discuss it in nearly every episode. Today's guest has a novel approach to solving that alignment problem. Alex Yarijanian and the team at CareNodes have decided to build their ideal customer. That's right. CareNodes is an MSO and accelerator of sorts. They find promising digital health innovations and then build a market for the...
Mar 30, 2022•22 min•Ep. 187
Virtual-First thinking and telehealth adoption exploded during the pandemic. Since necessity was the driver there is some expectation that demand and use will scale back as the pandemic wanes. Yet today's guest tells us that is not what's happening in the field. We spoke with Karsten Russell-Wood at ViVE 2022, and he's seeing the opposite . Not only is demand steady, but hospitals are evaluating all their workflows to see what else they can do with telemedicine. Karsten serves as the Chief Marke...
Mar 25, 2022•23 min•Ep. 186
There's a difference between being "just another vendo r" , and being a true partner to your customers. Ed Marx has thrived on both sides of this equation, first as a health system executive and now as the Chief Digital Officer at Tech Mahindra / The HCI Group . We sat down with Ed at ViVE 2022 to hear what he has learned about good vendor/health system partnerships. For full show notes and links: https://thehcbiz.com/185-how-to-be-a-good-partner-to-health-systems-ed-marx-vive-2022/...
Mar 21, 2022•21 min•Ep. 185
AvoMD is a no-code platform that allows users to create clinical decision support apps that integrate directly into their workflows. We caught up with Dr. Yair Saperstein , co-founder, and CEO to learn a bit about their platform and approach. Plus, we dig into the keys to gaining attention as an early-stage startup, being a good partner from the sales process onward, and the importance of answering questions. You’ll learn: Why most EHR alerts are ignored The 5 Rights of Clinical Decision Support...
Mar 15, 2022•23 min•Ep. 184
Our population is aging. According to the Urban Institute : “The number of Americans ages 65 and older will more than double over the next 40 years, reaching 80 million in 2040. The number of adults ages 85 and older, the group most often needing help with basic personal care, will nearly quadruple between 2000 and 2040.” And the aging population continues to drive national healthcare spending . If we’re ever going to reign in our healthcare spending, then we will need to find ways to take bette...
Mar 07, 2022•47 min•Ep. 183
Whether you’re an administrator, clinician, or executive, if you’ve built a career in the healthcare industry then you have skills, knowledge, and connections that most digital health startups lack. On this episode, we talk with Dr. Alan Pitt, a physician, entrepreneur, and investor, about how to put your hard-earned healthcare industry expertise to work as a digital health advisor. For full show notes and links: https://thehcbiz.com/182-how-healthcare-leaders-can-get-involved-with-startups-alan...
Feb 11, 2022•52 min•Ep. 182
We tend to talk mostly with software startups about commercialization and sales. What do things look like for a startup selling a physical product? And a physical product that’s very relevant during the pandemic at that? That’s exactly what Jason Kang and the team at Kinnos are doing right now. Kinnos’ product, Highlight ®, colors bleach, and bleach wipes bright blue, providing instant visual confirmation of coverage, then fades in minutes to remind users of contact time. Studies show using High...
Jan 28, 2022•36 min•Ep. 181
Have you ever had an idea that you just had to make real? No matter what it took… no matter what obstacles were in your way… no matter how many times people told you no… you just couldn’t stop until it existed? Well, this is one of those stories. It begins with an idea in 1988 and leads to the first-ever autonomous AI to be approved by the FDA for diagnosis without physician input . Dr. Michael Abramoff is a neuroscientist, a practicing physician, and holds a Ph.D. in Artificial Intelligence and...
Jan 12, 2022•1 hr 9 min•Ep. 180
We talk about ML and AI quite a bit on this show. Our angle is always to avoid the hype and help you find the practical applications that you can put to work right now. Today’s episode is a great extension of this ongoing conversation. We talk with Dr. Taha Kass-Hout , Chief Medical Officer and Director, Machine Learning at Amazon Web Services about how they are trying to bring ML to the masses. We discuss: What’s needed to use machine learning at scale with cost efficiency, performance, and acc...
Dec 14, 2021•48 min•Ep. 179
