AI innovation requires patient data in order to develop accurate models that can bolster healthcare functions. But, legally, there is only so much one can do with protected health information. How should healthcare organizations walk the line between innovation and privacy? This conversation was recorded at HIMSS25. Featuring: Adam Greene , partner at Davis Wright Tremaine, LLP In this episode, we'll cover The legal limits on using patient data for AI development What CEOs and healthcare leaders...
Mar 10, 2025•13 min•Ep 2•Transcript available on Metacast Healthcare organizations dodge cyberattacks daily, even from service providers with multiple degrees of separation. What if there was a standard way to prioritize cybersecurity actions across the healthcare sector so that organizations can know their risk level and be more prepared? The Health Sector Coordinating Council (HSCC) Cybersecurity Working Group is working on something that might do just that. Featuring: Greg Garcia, executive director, Health Sector Coordinating Council Cybersecurity ...
Mar 06, 2025•22 min•Ep 1•Transcript available on Metacast Despite decades of advancements in reproductive health, male contraception methods remain limited to condoms or vasectomies. This leaves few options for those seeking alternatives and leaves women shouldering the physical and hormonal burdens of birth control. Today, with 85% of men aged 18–45 actively seeking new family planning solutions, the demand for a long-acting, reversible alternative is greater than ever. As male contraception advances in the wake of the Dobbs decision reversal, this ep...
Mar 04, 2025•16 min•Ep 20•Transcript available on Metacast The Change Healthcare cyberattack had widespread, unprecedented impacts across the healthcare sector in February 2024 and beyond. What has the sector learned since, and are providers better equipped to handle a similar incident today? Featuring: Errol Weiss , chief security officer at the Health Information Sharing and Analysis Center (Health-ISAC) In this episode, we'll cover Systemic security challenges that the Change Healthcare cyberattack exposed Lessons learned in the year since the Change...
Feb 18, 2025•21 min•Ep 19•Transcript available on Metacast The public outcry against health insurers intensified after the shooting of a UnitedHealthcare CEO. What trends are driving Americans' dissatisfaction with payers and can payers recover the public's trust? Featuring: Jacqueline LaPointe , executive editor at Xtelligent Healthcare In today’s episode, we’ll cover… Trends in claim denials The driving factors behind payers' denials The role of artificial intelligence in claims management, for better and for worse... and more! To learn more about cla...
Feb 10, 2025•26 min•Ep 18•Transcript available on Metacast Social determinants of health (SDOH) play a critical role in health outcomes, but standardized SDOH data collection is lacking. How is NCQA driving standardization through national SDOH quality measures? Featuring: Rachel Harrington , PhD, AVP of health equity sciences, NCQA Adrianna Nava , PhD, MPA, applied research scientist, NCQA In today’s episode, we’ll cover… Updates to NCQA’s SDOH quality measures Current SDOH data collection challenges The role policy plays in driving SDOH data standardi...
Feb 03, 2025•16 min•Ep 17•Transcript available on Metacast AI has officially transcended buzzword status, with healthcare continuously diving deeper into its uses and applications. But as technology continues to proliferate healthcare, experts eye questions about the effects on patient experience and the industry's overall push for more patient-centered care. In this episode, we explore those questions and discuss how healthcare can embrace AI as a leading clinical decision support tool without losing site of its patient-centered goals. Featuring: Prash...
Jan 21, 2025•26 min•Ep 16•Transcript available on Metacast Sexual orientation and gender identity (SOGI) data is key for improving health outcomes among sexual and gender minority (SGM) patients. How can healthcare organizations effectively navigate challenges -- like bias and discrimination -- to improve SOGI data collection? Featuring: Carey Candrian, PhD , associate professor of medicine at the University of Colorado School of Medicine and a 2024 Health and Aging Policy Fellow In today's episode, we'll cover: The implications of missing SOGI data on ...
Jan 13, 2025•21 min•Ep 15•Transcript available on Metacast 2025 promises to be an interesting year in healthcare with many possibilities, challenges and unknowns. A few of our editorial staff members got together to discuss the trends we will be watching in the new year, from telehealth flexibilities to artificial intelligence guardrails, and from employers' cost-cutting efforts to the future of reproductive health. Featuring: Shania Kennedy , assistant editor of Healthtech Analytics at Xtelligent Veronica Salib , associate editor of Pharma Life Science...
Jan 06, 2025•38 min•Ep 14•Transcript available on Metacast As the reproductive health landscape continues to evolve, access to contraception and prescriptions for contraception are increasingly critical tools for preventing unplanned pregnancies. In some states, pharmacists at retail pharmacies can play a critical role in contraceptive access by providing counseling and prescriptions for some birth control methods. Featuring: Dr. Mollie Scott , a pharmacist, the regional associate dean of the University of North Carolina Eshelman School of Pharmacy, and...
Dec 23, 2024•21 min•Ep 13•Transcript available on Metacast The future of telehealth policy remains uncertain, with pandemic-era regulatory flexibilities set to expire by the end of the year, barring Congressional action. What is holding Congress back from extending or solidifying these flexibilities, and will those concerns influence telehealth legislation in 2025? Featuring: Darryl Roberts , Vice President of Health Informatics at RELI Group In today's episode, we'll cover… The impact of telehealth flexibilities on healthcare delivery and patient outco...
Dec 16, 2024•28 min•Ep 12•Transcript available on Metacast GLP-1 (glucagon-like peptide 1) medications are revolutionizing weight loss and diabetes care, but behind the hype lies a growing web of regulatory gaps, telehealth expansion and online pharmacy risks. This episode unpacks the opportunities -- and dangers -- shaping the future of these life-changing drugs. Featuring: Scott Roth , Chief Executive Officer, LegitScript Gerard Olsen , Director of Research, LegitScript In today’s episode, we'll cover… The skyrocketing demand for GLP-1 medications and...
Dec 09, 2024•24 min•Ep 11•Transcript available on Metacast Staffing shortages and rising operational costs are daunting challenges for community health centers, which are vital for serving underserved populations. How can the right technology investments help community health centers overcome these obstacles? Featuring: Abby Sears , president and CEO of OCHIN Jeff Lowrance , CEO of OSIS In today’s episode, we’ll cover… The top operational challenges community health centers face How health IT innovation can transform healthcare delivery in underserved c...
Nov 25, 2024•22 min•Ep 10•Transcript available on Metacast As many patients decide whether to take glucagon-like peptide 1 agonists (or GLP-1s), providers face various new patient engagement challenges. What patient engagement strategies can providers pursue to achieve shared decision-making, even when their patients decide to take GLP-1 compounds? In this episode, we hear one local dietitian share her experience guiding patients through the decision to take GLP-1s and we'll also touch base with one of our senior staff members to get a more comprehensiv...
Nov 18, 2024•29 min•Ep 9•Transcript available on Metacast GLP-1 drugs, like Ozempic, Wegovy, and Zepbound, have gained attention for their significant health impacts and anti-obesity effects. However, there continues to be a lot of unknowns surrounding these medications, their long-term impacts, and access. Featuring: Dr. Lydia Alexander , an obesity medicine specialist, lifestyle specialist, president of the Obesity Medicine Association (OMA), Chief Medical Officer at Enara, and a medical chef. In today’s episode, we’ll cover The significant progress ...
Nov 11, 2024•17 min•Ep 8•Transcript available on Metacast General hospitals in New York State are subject to new cybersecurity regulations. What do these regulations entail, and what inspired them? How can hospitals in other states prepare for similar cybersecurity requirements? Featuring: Jill McKeon , associate editor, Healthtech Security, Xtelligent Healthcare Kelsey Waddill , managing editor & multimedia manager at Xtelligent Healthcare In this episode, we’ll cover The provisions of New York State's hospital cybersecurity regulations Why these ...
Nov 04, 2024•13 min•Ep 7•Transcript available on Metacast Note: we're taking a quick break next week (10/28) but will be back 11/4 with more conversations. A good population health strategy requires a breadth of health data to make it work. Across social determinants of health data, patient data and data from non-traditional sources, healthcare organizations and professionals can design interventions tailored to better support chronic disease management and, ideally, prevention. But how can healthcare providers and their insurer counterparts make effec...
Oct 21, 2024•28 min•Ep 6•Transcript available on Metacast Generative AI adoption is of increasing interest within the healthcare industry. How can healthcare leaders ensure that their workforce has the appropriate AI literacy needed to support successful AI integration in clinical settings? Featuring: Melissa Knuth , vice president of planning at OSF HealthCare In today's episode, we'll cover… How generative AI use can improve patient experience and empower the healthcare workforce Strategies to design and scale an enterprise-wide educational initiativ...
Oct 14, 2024•22 min•Ep 5•Transcript available on Metacast Note: Healthcare Strategies will be taking a quick break next week, but will return 10/14 with more great conversations! Connected healthcare models are proliferating, with technologies like telehealth, remote patient monitoring and AI transforming care delivery; however, health inequities stand in the way of progress in this arena. How can healthcare providers advance connected healthcare efforts without compromising health equity? Featuring: Arianne D. Dowdell , vice president and chief divers...
Sep 30, 2024•18 min•Ep 4•Transcript available on Metacast Good cyber hygiene is critical to successfully mitigating cyber threats in healthcare. What strategies can healthcare organizations employ to train employees on the tenets of cyber hygiene and prevent data breaches in an increasingly digitally connected healthcare environment? Featuring: Kyle Murphy , vice president, editorial, Xtelligent Healthcare Jill McKeon , associate editor, Healthtech Security, Xtelligent Healthcare In this episode, we’ll cover Top strategies for employee cybersecurity tr...
Sep 23, 2024•12 min•Ep 3•Transcript available on Metacast There are many eye-catching artificial intelligence use cases out there, but in today's episode we focus on one AI opportunity that impacts a large swath of the healthcare system: prior authorizations. What can AI do to alleviate provider burden related to prior auth? Featuring: Amber Nigam , CEO and co-founder of basys.ai In today’s episode, we’ll cover… The challenges of the prior authorization process How artificial intelligence can reduce provider burden What prior authorization might look l...
Sep 16, 2024•18 min•Ep 2•Transcript available on Metacast Chronic disease management and prevention strategies are of increasing importance as chronic conditions increase in prevalence. Guests: Sara Heath , executive editor at Xtelligent Healthcare Alivia Kaylor , senior editor, Pharma Life Sciences at Xtelligent Healthcare Anuja Vaidya , senior editor, Virtual Healthcare, and special events lead at Xtelligent Healthcare In the first episode of Season 6, we'll cover Patient engagement strategies to improve chronic disease management Using digital healt...
Sep 09, 2024•34 min•Ep 1•Transcript available on Metacast Leaders in some healthcare organizations, like today's guest, are trying to bridge the gap between stakeholders to achieve a common goal: lowering drug costs for patients. Why do drug costs have such a high impact on overall healthcare spending and what can healthcare organizations do about it? Guest: Cynthia Meiners , senior vice president and strategic program development officer at GoodRx In today's episode, we'll cover Prescription drug spending trends Alignment among healthcare stakeholders...
Sep 05, 2024•12 min•Ep 10•Transcript available on Metacast Since the coronavirus pandemic, mental and behavioral health awareness has improved and innovation in this area has exploded. What is the industry up to now? Guest: Solome Tibebu, Founder and CEO of Behavioral Health Tech In today's episode, we'll cover Behavioral healthcare technologies Challenges and progress in behavioral health since the coronavirus pandemic started One key message to payers about behavioral healthcare technology To learn more about behavioral healthcare technologies, check ...
Aug 22, 2024•8 min•Ep 9•Transcript available on Metacast The next big thing in interoperability may involve scaling data exchange efforts. Guest: Terry Douglas, Product Marketing and Sales Enablement Director at Surescripts In today's episode, we'll cover The role of QHINs in interoperability's progress Areas for improvement in payers' data exchange efforts Opportunities for innovation in payers' interoperability strategies To learn more about interoperability, check out our site Health IT and EHR. To watch video clips from AHIP 24, subscribe to our Y...
Aug 16, 2024•14 min•Ep 8•Transcript available on Metacast Quality measures play an important role in the Medicare Advantage program. SCAN Health Plan's recent lawsuit against CMS revealed just how important. Guest: Sachin Jain, MD, CEO of SCAN Health Plan In today's episode, we'll cover SCAN Health Plan's lawsuit against CMS Improving the Medicare Advantage program and Medicare Advantage quality measures Getting over toxic positivity in the health insurance industry To learn more about Medicare Advantage, check out HealthPayerIntelligence.com To watch ...
Aug 09, 2024•13 min•Ep 7•Transcript available on Metacast Employer sponsored health plans cover six in ten non-elderly Americans , making successful collaboration between payers and employers crucial to many Americans' wellness. Todd Woodruff, Chief People Officer at Salt & Straw, and Todd Burton, President of the Commercial Market at Providence Health Plan, shared about trends in mental health, pharmacy spend, and health equity in the employer-sponsored health insurance space....
Aug 01, 2024•20 min•Ep 6•Transcript available on Metacast Providers are expected to equip payers with information so that health plan members can find in-network care. But what if those demands from payers were consolidated from 20 separate requests into one? What if providers could enter their information one time in such a way that all of their payer partners could access it? Tyler Ford, Vice President, Strategy and Partnerships, CAQH, shares how that might be possible in today's episode.
Jul 25, 2024•12 min•Ep 5•Transcript available on Metacast The generative AI revolution is here. How should payers respond and how can they learn from past technological revolutions in healthcare to inform their next steps? Charles DeShazer, MD, Chief Quality and Health Advocacy Officer at Cigna Healthcare, offers his recommendations in this episode of Industry Perspectives.
Jul 18, 2024•14 min•Ep 4•Transcript available on Metacast In this last episode of season 5 of Healthcare Strategies... The United States has a health equity problem, but a lack of comprehensive data standards has limited efforts to mitigate health disparities. In this episode, Keysha Brooks-Coley, vice president of advocacy at Blue Cross Blue Shield Association (BCBSA), discusses the importance of standardized SDOH data in pursuing health equity. Don't worry, we'll be back in September with more great conversations! In the meantime, tune in to our Heal...
Jul 15, 2024•20 min•Ep 34•Transcript available on Metacast 
