Outcomes Rocket

Synchronizing provider data between health organizations and insurance companies ensures accurate information and reduces costs.In this episode of the AHIP 2024 series, Eric Demers, CEO of Madaket Health, discusses his company’s role in benefitting patients through reducing administrative waste and enhancing efficiencies for providers and payers. By streamlining and automating functions, Madaket Health helps synchronize provider data between health organizations and insurance companies, ensuring accurate information flow and reducing costs. Eric stresses the importance of accurate provider data managed by organizations like insurance companies, which supports initiatives like the No Surprises Act and enhances provider network management, member satisfaction, and quality. He highlights the challenges of misinformation in healthcare and the need for accurate directories, emphasizing that improving provider directories can enhance quality, reduce costs, and increase revenues. He also explains that using platforms like Madaket Health can prevent revenue loss and create business opportunities.Tune in and learn how to navigate the complexities of the healthcare industry and improve your organization's operations!Resources:  Watch the entire interview here.  Connect and follow Eric Demers on LinkedIn. Learn more about Madaket Health on their LinkedIn and website. Listen to Eric’s previous episode on our podcast here.

Care delivery is shifting towards home and community settings to improve accessibility and reliability.In this episode of the AHIP 2024 series, Ashish Shah, Co-Founder and CEO of Dina Care, centers the discussion on the shift in care delivery to the home and community, focusing on improving accessibility, reliability, and transparency. Ashish highlights organizing care logistics for services like skilled nursing and physical therapy at home and emphasizes the need for health plans and providers to improve access to essential services suitable for home and community delivery. He discusses the benefits of Dina's technology in quickly confirming requests and establishing strong connectivity, reducing friction, and enhancing well-being, especially for Medicare Advantage members, while also addressing health equity challenges and the value of nonmedical benefits. Additionally, he emphasizes the importance of collaboration among providers, payers, solution providers, and vendors, mentioning how Dina Care’s platform ensures members get the necessary services, positively impacting outcomesTune in and learn how home-based care is transforming healthcare and why collaboration among providers, payers, solution providers, and vendors is essential for this initiative’s success.Resources:  Watch the entire interview here.  Connect and follow Ashish Shah on LinkedIn. Learn more about Dina Care on their LinkedIn, X, and website.

Organizations like Vitality Group are driving momentum for change and innovation in the healthcare system in a unique way.In this episode of the AHIP 2024 series, Tanya Little, Chief Commercial Officer of Vitality Group, explains how the company combines behavioral science, actuarial science, technology, and incentives to help healthcare payers engage their members. Vitality operates as a risk bearer and insurer in South Africa and the UK, partnering with insurers in 38 other markets and serving 35 million members. Tanya highlights the challenges in the healthcare system, such as lack of collaboration and rising costs, and discusses innovations like GLP-1s and AI, emphasizing the importance of engagement in healthcare to drive quality, close care gaps, and build relationships with members. She also advocates for a village-like approach to establish principles and expectations for payers, urging the audience to consider their own behavioral biases and engage more meaningfully in their health. Tune in and learn about the power of engagement in transforming healthcare outcomes and reducing costs!Resources:  Watch the entire interview here. Connect and follow Tanya Little on LinkedIn. Learn more about Vitality Group on their LinkedIn and website. Listen to Stephen Mitchley’s, CSO of Vitality Group, interview on our podcast here.

Expanding dental practices with a focus on specialty care can create high-quality patient experiences and scalable business models.In this episode, Dr. Jason Auerbach, Founder of Riverside Oral Surgery, and founder and Co-CEO of MAX-SSM, discusses expanding his business to 22 locations with a focus on high-level specialty care and a hospitality-based approach, emphasizing comprehensive oral health care, patient education, and reducing future care needs. He underscores integrating technology and expertise to improve dental care equality alongside the importance of a brilliant team, care coordination, and setting a compelling vision, purpose, and values to attract and retain talented individuals. Tune in and learn about the transformative strategies shaping the future of oral health care!Resources: Connect with and follow Dr. Jason Auerbach on LinkedIn and Instagram. Follow Riverside Oral Surgery on LinkedIn and Instagram and discover their website! Learn more about MAX Surgical Specialty Management on their LinkedIn and website. Check out the Glo Good Foundation on their Instagram and website! Watch the entire episode on YouTube and get more details at Think Oral Health.

The future of IVF will focus on making clinics more patient-friendly and accessible, especially for those who can't afford it or live far away.In this episode, Dr. Eduardo Hariton discusses how his dual training in medicine and business has shaped his innovative approach to enhancing patient engagement, efficiency, and cost reduction in fertility care through technology like AI. He also addresses challenges in IVF accessibility, patient education, task automation, and outcome measurement for improved patient-centric care.Tune in and learn how innovative approaches and technology can transform healthcare delivery, particularly in fertility care!Resources: Connect and follow Dr. Eduardo Hariton on LinkedIn. Follow US Fertility on LinkedIn. Discover US Fertility’s Website! About Memora Health:Memora Health, the leading intelligent care enablement platform, helps clinicians focus on top-of-license practice while proactively engaging patients along complex care journeys. Memora partners with leading health systems, health plans, and digital health companies to transform the care delivery process for care teams and patients. The company’s platform digitizes and automates high-touch clinical workflows, supercharging care teams by intelligently triaging patient-reported concerns and data to appropriate care team members and providing patients with proactive, two-way communication and support.

Educating oneself about behavioral health and connecting mind, body, and spirit are essential for overall well-being.In this episode of the AHIP 2024 series, Kye Gardner, Executive Director of Corporate Operations and Development at Alera Health, talks about the importance of integrating behavioral health into primary care. They explain how Alera Health focuses on population health management, specifically targeting behavioral health to prevent future issues and improve patient outcomes and discuss the role of clinically integrated networks in streamlining care and supporting both patients and providers. Kye touches on the significance of value-based reimbursement models in the behavioral health space, emphasizing the need for early diagnosis and appropriate care. They also note the growing importance of behavioral health in healthcare discussions, highlighting the need for kindness and understanding in addressing these challenges.Tune in and learn how behavioral health is being integrated into primary care, the impact of value-based reimbursement, and the importance of kindness in healthcare!Resources:  Watch the entire interview here.  Connect and follow Kye Gardner on LinkedIn. Learn more about Alera Health on their LinkedIn and website. Discover more about Alera Health’s partner, OPEN MINDS, on their website.

Clinician burnout is a significant issue, with 25% of nurses and physicians expected to leave the profession due to stress and lack of appreciation.In this episode of the AHIP 2024 series, Deryk Van Brunt, a therapist, CEO, and co-founder of CredibleMind, discusses the national mental health crisis and how technology can improve population health. He introduces CredibleMind's digital mental health platform, which offers evidence-based self-care, screening tools, and a new approach to mental health by partnering with payers, providers, universities, and organizations to enhance well-being, with a strong focus on happiness and resilience. Addressing the mental health industry's challenges, Deryk highlights the importance of reducing stigma, increasing engagement, and leveraging AI to make targeted mental health recommendations while advocating for evidence-based self-care for the entire population. He also notes the critical issue of clinician burnout and the shortage of behavioral health therapists, calling for a shift from reactive to proactive mental health care using technology to create positive impacts. Tune in and learn how CredibleMind is reshaping mental health care!Resources:  Watch the entire interview here. Connect and follow Deryk Van Brunt on LinkedIn. Learn more about CredibleMind on their LinkedIn and website.

Specialty medications are costly and complex to obtain and make up over 50% of the drug spend in the US.In this episode, Julia Regan, co-founder and CEO of RxLightning, explains why she created a digital platform that helps patients access high-cost, complex drugs faster and more efficiently. RxLightning's platform supports over 1600 medications, working seamlessly with provider platforms and EHR systems to reduce prescription wait times from weeks to days, ensuring top-quality patient care through a more cohesive experience. Throughout this interview with Saul Marquez, Julia underscores how the company has grown to include 1200 organizations that use its services, leveraging white-labeling to increase adoption. She also emphasizes how, despite financial constraints and the need to balance revenue with value, RxLightning has made significant strides in digitizing prescription processes, ensuring data protection, and improving patient outcomes. Tune in and learn how RxLightning is transforming the specialty medication landscape and making prescriptions at lightning speed!Resources:  Watch the entire interview here. Connect and follow Julia Regan on LinkedIn. Learn more about RxLighting on their LinkedIn and website.

The American Cancer Society excels by smoothly combining research, patient support, and advocacy worldwide, focusing on the needs of people at risk or diagnosed with cancer, as well as their caregivers and families.In this episode, Dr. Bonny Morris, Senior Director for Patient Navigation at the American Cancer Society (ACS), shares her personal journey from a rural background to her role in healthcare innovation. Bonny emphasizes the disparities in cancer care in underserved areas and explains how ACS is addressing those disparities by combining research, patient support, and advocacy on a national and global scale. The focus shifts to the ACS CARES app, a groundbreaking initiative aiming to personalize cancer care support by providing users with a digital platform to navigate cancer information and connect with trained specialists 24/7. Dr. Morris extends an invitation for collaboration, stressing the importance of conversations to optimize cancer care delivery. Tune in, learn, and become a part of the movement to shape a brighter and more compassionate future in cancer care!Resources: Connect with and follow Bonny Morris on LinkedIn. Follow the American Cancer Society on LinkedIn and visit their website. Learn more about the ACS CARES App here. Download the ACS CARES App on the App Store here or on the Google Play Store here.

Psychedelics can help individuals navigate significant life challenges and gain new perspectives.In this episode, Niko Skievaski, co-founder and CEO of Althea, discusses the transformative potential of psychedelics in mental health. Niko explains the growing evidence that psychedelics can offer better outcomes than traditional psychiatric treatments for conditions like PTSD, depression, and addiction. Throughout this interview with Saul Marquez, he talks about the resurgence of research at top institutions, the development of new software to support regulatory compliance and practice management, and the bipartisan support for psychedelic programs. Niko also shares personal stories on psychedelics and societal issues like AI, climate change, and political unrest, while highlighting an entrepreneur's journey in health tech and the need for a more inclusive and effective approach to mental health.Tune in and learn about the future of psychedelics in healthcare and the innovative efforts to integrate these treatments into mainstream medicine!Resources:  Watch the entire interview here. Connect and follow Niko Skievaski on LinkedIn. Learn more about Althea on their LinkedIn and website. Listen to Niko’s previous interview on our podcast here.