Outcomes Rocket

Learn how Evernorth Health Services and Alma are empowering providers to deliver high-quality care and demonstrate successful outcomes.In this episode, Melissa Reilly, the Evernorth Chief Strategy Officer of Behavioral Health, Douglas Nemecek, the Evernorth Chief Medical Officer of Behavioral Health, and Dr. Harry Ritter, founder and CEO of Alma, share how they are transforming the behavioral health landscape. Harry shares how his team assists behavioral health clinicians in providing modern care by offering technology and infrastructure. They are centered around supporting and empowering providers in the mental health sector, who have traditionally operated independently. Through technology and their service platform, Alma fosters a sense of community, enabling these providers to participate in the modern healthcare system, collaborate with partners like Evernorth, and deliver affordable, high-quality care. Doug and Melissa discuss how they are focused on improving access to high-quality behavioral healthcare by simplifying the complex behavioral health journey for individuals, making it easy for them to receive the care they need. They use data from various sources, including medical, behavioral, and pharmacy information, to help people access the right care. Harry, Doug, and Melissa shed light on the importance of measurement in providing behavioral care. They discuss how measurement-based care strategies help strengthen and optimize patient care and foster collaboration with provider groups like Alma.Stay tuned for an enlightening conversation with these remarkable guests as they share their insights and experiences in revolutionizing the behavioral healthcare landscape. Resources: Visit the Evernorth Website. Follow the Evernorth on LinkedIn. Connect with and follow Melissa Reilly on LinkedIn. Connect with and follow Doug Nemecek on LinkedIn. Visit Alma on their Website. Connect with and follow Harry Ritter on LinkedIn.

MDaudit emphasizes proactive risk management, allowing healthcare organizations to be ahead of potential issues in their claims.In this episode, Joseph Squadrito II, a sales engineer at MDaudit, explains how his organization uses generative AI to focus on a payer's claims data, providing a first line of defense against potential denials and billing issues. He explains how MDaudit, as a billing compliance and revenue integrity platform for healthcare organizations, offers a 360-degree view to audit claims, mitigate risks, and maximize revenue. Joe shares insights from the conference, highlighting the implementation of conversational AI into their platform, a feature that allows users to ask business questions in plain English, eliminating the need for complex skills to navigate dashboards. He also emphasizes the value of this technology, especially in addressing high-impact charges that might face denials. Tune in to discover how MDaudit leverages AI to streamline billing compliance and revenue integrity in the healthcare industry.Resources:  Watch this interview here. Connect with and follow Joseph Squadrito II on LinkedIn.  Learn more about MDaudit on their LinkedIn and website.

Leveraging machine learning (ML) and artificial intelligence (AI) to enhance cyber threat detection may help to secure life sciences and health care organizations.In this podcast episode, Deloitte Cyber & Strategic Risk leaders Steph Meehan, partner, and Keith Brogan, managing director, at Deloitte & Touche LLP, share their extensive experience in third-party risk management and cybersecurity. Both express their passion for working with life sciences and health care organizations because things are always changing. Keith discusses the challenges posed by a rapidly evolving threat landscape and emphasizes the shortage of skilled professionals. Steph underscores the need for organizations to rethink their third-party risk management programs, using technology to streamline assessments and monitoring, moving away from traditional compliance-driven approaches. Steph also encourages listeners to challenge existing paradigms in third-party risk management, advocating for adaptive and resilient frameworks, while Keith stresses the importance of embracing change in the face of evolving threats.Tune in for valuable insights into leveraging advanced technologies to transform cybersecurity strategies in the health care and life sciences sectors!Resources: Connect with and follow Keith Brogan on LinkedIn. Connect with and follow Steph Meehan on LinkedIn. Listen to our previous interview with Raj Mehta and Tiffany Kleemann on the changing landscape of cyber operations here. Check out Deloitte’s website to read their insights and learn about their services and solutions Read Cybersecurity forecasts. Explore Deloitte’s Global TPRM Survey.

Understanding why aspiring dentists choose dentistry is key to their career trajectory.In this podcast episode, Dr. Craig Spodak shares insights on disrupting and revolutionizing the dental profession and explores the complexities of entrepreneurship in dentistry, challenging the conventional narrative of scaling up and becoming a CEO and advocating for authenticity, adaptability, and happiness over financial goals. He also emphasizes that the future of dentistry lies in understanding individual motivations, staying abreast of technology, and fostering a supportive team environment. Tune in and learn how dentists can embrace change and find fulfillment in a profession that goes beyond financial gains!Resources: Connect with and follow Craig Spodak on LinkedIn. Follow Spodak Dental Group on LinkedIn. Discover Spodak Dental Group’s Website. Learn more about Bulletproof Dental Practice on their website and LinkedIn. Listen to Craig’s podcast, Bulletproof Dental Practice, here. Buy Craig’s book, The Bulletproof Practice, here.

Most people don’t know that there’s a 70% chance you do not have a job if you have a disability or are visually impaired.In this episode, Jimm Cobb, Vice President for New Business Development at Chicago Lighthouse for the Blind, sheds light on their impactful work in supporting the blind, visually impaired, veterans, and those with disabilities. Chicago Lighthouse offers a range of social work programs, including early childhood support, a K-12 school, and a unique factory where visually impaired or blind individuals craft designer clocks. In this conversation, Jimm shares some insights regarding the limitations of AI in comparison to the irreplaceable human touch, as Chicago Lighthouse's visually impaired staff are doing an excellent job in contact centers, proving that people are crucial in this work. He also emphasizes the organization's mission-driven approach and invites engagement through LighthouseEnterprises.org for those interested in their healthcare administrative services. Tune in to discover how the Chicago Lighthouse for the Blind combines mission-driven goals with innovative solutions in the healthcare ecosystem!Resources:  Connect with and follow Jimm Cobb on LinkedIn.  Learn more about The Chicago Lighthouse on their LinkedIn and website. Visit Lighthouse Enterprises to learn more about their services here. Contact Lighthouse Enterprises at (312) 447-3259.

Brent Althoff, Director of Credentialing Operations at MedTrainer, discusses the complexities of healthcare credentialing and the need for automation tools to streamline the process and maximize revenue. He emphasizes the importance of standards, compliance, and staying informed in the industry. Learn how healthcare institutions can enhance credentialing efficiency and stay ahead of emerging trends.

Lisa Shock discusses AI's role within the industry, healthcare disparities, and illiteracy implications on cost and efficiency. Importance of trust in patient-provider relationships and adapting to patient needs. Challenges of tracking costs and procedures in healthcare organizations and the significance of reading for effective change.

Large language models enhance patient communication by answering questions and providing easily digestible medical information.In this episode, Dr. Stefano Bini, an endowed professor of Orthopedics at UCSF and Chief Technology Officer, explores the potential of generative AI models in healthcare. The conversation kicks off with insights into the Digital Orthopedics Conference San Francisco (DOCSF), an event focusing on digital health within the musculoskeletal vertical, of which he is the founder and chair. Stefano highlights the integration of generative AI into Orthopedics, emphasizing the role of large language models, which present a user-friendly interface functioning as chatbots to answer patient questions, streamline communication, renew medications, and simplify medical explanations. Dr. Bini envisions the future ROI of AI in healthcare, focusing on resource allocation and system optimization. Tune in and learn about the transformative potential of generative AI in healthcare and how it’s reshaping patient communication!Resources:  Watch the video interview here. Connect with and follow Stefano Bini on LinkedIn.  Find out more about the DOCSF podcast here. Visit the University of California, San Francisco’s LinkedIn and website. Buy Stefano Bini’s book, The Team Management Strategy, here. Watch DOSCF’s two-part webinar about Generative AI here.

Always be prepared for inevitable, unexpected events in business and create a regular practice to navigate through them effectively.In this episode, Stan Rose, President of Rose Ventures, shares the keys to success as an entrepreneur in healthcare and his book "Can't Tame a Mongoose," which delves into navigating unexpected events in business. He shares his inspiring journey into healthcare innovation and entrepreneurship, which was motivated by his broad curiosity and the desire to make impactful discoveries that would improve people's lives. Stan discusses his experiences with the aspects of corporate culture, including building strong networks, financing, and adapting to unexpected events, all central to succeeding as an entrepreneur in healthcare. He explains how his upcoming book, "Can't Tame a Mongoose," delves into these critical aspects and provides real-world examples that offer valuable lessons for entrepreneurs.Tune in to discover insights and lessons from Stan's remarkable journey in the world of healthcare innovation.Resources:  Watch this interview here. Connect and follow Stan on LinkedIn here. Learn more about Rose Ventures on its website.

Prioritizing data integrity and seamless interoperability will have a transformative impact in the increasingly digitized healthcare ecosystem.In this episode, Charlie Harp, founder and CEO of Clinical Architecture, talks about the challenges and importance of data quality and interoperability within the healthcare sector. He emphasizes the complexities involved in evaluating data quality and implementing strategies for its improvement. Charlie highlights the importance of comprehensive measurement and the need for strategic investments and technological advancements to address these challenges effectively. Moreover, he underscores the significance of maintaining flexibility in data usage to accommodate the decentralized nature of healthcare and the critical role that high-quality, accessible data plays in improving healthcare services and ultimately influencing patient outcomes.Tune in and learn more about the need for continued efforts and advancements in the field of data management to meet the evolving demands of the healthcare industry! About Charlie Harp:Charlie Harp is the founder and CEO of Clinical Architecture, an industry-leading healthcare data quality solutions provider. Charlie has over 35 years of experience as a healthcare software engineer focused on creating tools to better utilize and understand data. He led his team to develop the first deterministic algorithm-based engine for automating semantic interoperability. Charlie often speaks on clinical data quality and usability and is the host of the Informonster Podcast.Things You’ll Learn: Evaluating data quality in healthcare involves assessing millions of data points for each patient. Improving data quality in healthcare is not just a technical task but a strategic endeavor that necessitates significant investment and allocation of resources. Achieving healthcare data interoperability requires balancing standardized data practices with the flexibility needed for different healthcare institutions to operate effectively. Technology can play a significant role in alleviating the burden of data quality management, allowing for more efficient and accurate data assessment and integration. Despite challenges, incremental steps are being taken in the healthcare industry to enhance data quality and management, reflecting the dedication of healthcare professionals and the industry's commitment to progress. Resources: Connect with and follow Charlie Harp on LinkedIn. Follow Clinical Architecture on LinkedIn. Visit the Clinical Architecture Website. Listen to the Informonster podcast here.