Outcomes Rocket

Medecision is solving foundational healthcare problems by making data actionable in real time through personalized health journeys.  In this episode, Mark Gee, Chief Growth Officer at Medecision, discusses how his company is disrupting healthcare data through real-time insights and action. By re-architecting their enterprise platform, Ariel, they've broken down data silos and enabled operationalized insights at scale, moving beyond traditional data lakes. Their system's ability to accept and process any data format in real time allows for hyper-personalized care journeys that shift focus from reactive to proactive care, evidenced by a 64% engagement increase in a Blue Cross Blue Shield health plan’s behavioral health program. Additionally, Medecision is redesigning care and utilization management processes to improve productivity and proactively assist patients. Tune in and learn how real-time data and personalized care journeys are transforming healthcare! Resources: Connect with and follow Mark Gee on LinkedIn. Follow Medecision on LinkedIn and visit their website.

The health tech fundraising environment shows promise. More deals are occurring alongside modest growth in total funding, suggesting a shift toward realistic valuations. In this episode, Julie Ebert, managing director of Healthcare and Life Sciences for Silicon Valley Bank, discusses the key findings from their annual Future of Health Tech report, highlighting the growth of AI adoption in healthcare as well as the increasing focus on specialty value-based care models. She noted a third of health tech companies that have raised money have an AI component, and half of the investment is in the administrative use of AI. Julie also explains that value-based care is moving from primary care to specialties due to these areas being complex and costly. Finally, she emphasizes that Silicon Valley Bank is playing a bold role in providing transparency to companies by offering working capital solutions and releasing reports that allow companies to have the knowledge to move forward.  Tune in and learn about the current landscape of health tech investment and the future of value-based care! Resources: Connect with and follow Julie Ebert on LinkedIn. Follow Silicon Valley Bank on LinkedIn and visit their website. Read this year’s SVB’s Future of Healthtech report here.

Surescripts facilitates over 24 billion health data transactions annually, with e-prescribing only making up a small portion, highlighting its expansive role in health data interoperability. In this episode, Frank Harvey, CEO of Surescripts, discusses his company’s mission to lower healthcare costs, improve quality, and enhance patient safety through its vast health intelligence network. He elaborates on the significant savings generated by electronic prescriptions by reducing administrative burdens and medication errors. Frank underscores the critical importance of interoperability for clinical decision-making and Surescripts’ role as a Qualified Health Information Network, as well as its commitment to supporting the Sequoyah Project. He also highlights the need for collaborative care, especially given the primary care provider shortage, emphasizing the role of pharmacists.  Tune in and learn how Surescripts' work improves the e-prescribing process, enhances real-time prescription benefits, and streamlines prior authorizations! Resources: Connect with and follow Frank Harvey on LinkedIn. Follow Surescripts on LinkedIn and visit their website.

Enhancing healthcare navigation by combining technology with a human touch reduces costs, improves patient experiences, and promotes sustainable innovation. In this episode, Zane Burke, CEO of Quantum Health, talks about leveraging technology and human connection to enhance healthcare navigation. Zane discusses Quantum Health's pharmacy navigation solution, which reduces pharmacy costs, especially for specialty medications, by offering cost-effective alternatives at the point of care. This approach aims to minimize friction, improve member experiences, and enhance provider knowledge. He also talks about expanding solutions to surgery and oncology, utilizing reference-based pricing to manage costs.  Tune in to discover how Quantum Health is revolutionizing healthcare navigation with innovative technology and human touch! Resources: Connect with and follow Zane Burke on LinkedIn and X. Follow Quantum Health on LinkedIn and visit their website. 

Healthcare needs to view patients as consumers, integrating their healthcare journey into their daily lives.  In this episode, Srinivas Velamoor, President and Chief Operating Officer at NextGen Healthcare, discusses his company’s approach to improving the patient experience through a "closed-loop" patient engagement model using mobile devices as a digital front door, allowing patients to schedule appointments, make payments, and receive follow-up care, all seamlessly. NextGen also addresses the financial pressures in healthcare, focusing on transparency, AI-enabled revenue cycle management, and staff efficiency tools. Srinivas explains that their company uses AI, especially on the admin side, and they ensure that healthcare data is used for training models. Moreover, he emphasizes that they are boldly reimagining the physician experience, aiming for non-linear workflows and ambient assistance. Finally, Srinivas calls for collaboration among health tech companies and emphasizes an open ecosystem that benefits patients and physicians.  Tune in and learn how NextGen Healthcare is revolutionizing healthcare with a focus on integration and impact! Resources: Connect with and follow Srinivas Velamoor on LinkedIn. Follow NextGen Healthcare on LinkedIn and visit their website.

Improving health outcomes should be accessible to all, and convenience and affordability are key to unlocking that.  In this episode, Dr. David Stein, CEO and Director at Babson Diagnostics, details how the BetterWay Blood Testing service offers routine and specialty testing through a finger-prick sample at convenient locations like local pharmacies and community events, eliminating the need for traditional venipuncture. This service addresses the crucial issues of access, affordability, and equity by providing testing for uninsured and underinsured individuals and those with needle phobias. Dr. Stein emphasizes their focus on diverse communities, affordable self-pay options, and extended hours. He also explains that their goal is to make proactive health monitoring more convenient for all, thereby reducing barriers and empowering individuals with vital health information, leading to better patient advocacy and clinical outcomes.  Tune in and learn how Babson Diagnostics is making better health accessible for all! Resources: Connect with and follow David Stein on LinkedIn. Follow Babson Diagnostics on LinkedIn and visit their website. Learn more about BetterWay Blood Testing here.

Frontline providers are the most crucial innovators in healthcare due to their daily interaction with patients and direct experience with care gaps and inefficiencies.  In this episode, Dr. Theo Koury, President of Vituity, explores how leveraging frontline provider insights drives healthcare innovation. He shares how his organization fosters a culture of collaboration by dedicating time and resources to support provider-led innovation projects, resulting in solutions like Rely Health and Sayvant. Dr. Koury emphasizes the power of a bottom-up approach to implementing meaningful, real-time decision-support technologies that enhance care, improve diagnoses, and reduce costs. He urges healthcare leaders to champion evidence-based projects that demonstrate technology's benefits and influence policy changes.  Tune in and learn how to unlock the power of frontline innovation to transform healthcare! Resources: Connect with and follow Dr. Theo Koury on LinkedIn. Follow Vituity on LinkedIn and visit their website.

A modern digital healthcare economy is impossible without a robust provider directory, which serves as the foundation for interoperability and crucial processes.  In this episode, Erin Weber, Chief Policy and Research Officer, discusses how CAQH supports provider directories, emphasizing the need for data accuracy and standardization through initiatives like universal group roster templates. She highlights the importance of interoperability and maintaining accurate data to ensure seamless care delivery and billing. Don Rucker, Chief Strategy Officer, talks about modern FHIR APIs and interoperability. He uses the analogy of domain name services on the internet and stresses the need for “computable interoperability” where data can be used in real time to improve care. They explain how the 21st Century Cures Act has impacted healthcare and how legacy systems need to be modernized. Don and Erin stress that this work is crucial for modern healthcare to evolve and deliver improved patient experiences.  Tune in and learn how these key changes are shaping the future of healthcare! Resources: Connect with and follow Erin Weber on LinkedIn. Follow CAQH on LinkedIn and visit their website. Connect with and follow Don Rucker on LinkedIn. Learn more about 1upHealth on their LinkedIn and website. Check out the latest annual CAQH Index Report here.

Transforming healthcare requires a blend of technology, content, and heart-centered design that prioritizes patients. In this episode, Shawn Nason, Chief Experience and Innovation Officer at PatientPoint, shares insights on how his company empowers better health through its unique product portfolio, which includes interactive screens in waiting and exam rooms and back-office solutions. He emphasizes the importance of creating personalized, easy, and surprising experiences for patients, citing personal stories from his own cancer journey. Shawn highlights how PatientPoint uses content to drive behavior change, offering educational and entertaining material that simplifies healthcare processes for patients. Looking ahead, he discusses his company’s bold initiatives, such as expanding its innovation network and collaborating with industries outside of healthcare to transform the patient experience. Tune in and learn how PatientPoint is reimagining the future of healthcare by putting people at the heart of technology and design! Resources: Connect with and follow Shawn Nason on LinkedIn. Follow PatientPoint on LinkedIn and visit their website.

A groundbreaking approach to making healthcare affordable and effective is combining GLP-1 medications with a powerful behavior change platform. In this episode, Noom’s Geoff Cook, CEO, and Cody Fair, Chief Commercial Officer, discuss their mission to help people live healthier, longer lives through behavior change and accessible healthcare solutions like Noom. They highlight their new initiatives, such as partnerships to reduce GLP-1 medication costs and an innovative AI body scan that measures lean muscle and fat composition, empowering employers to offer sustainable health benefits even for high-cost medications. Geoff and Cody explore the critical role of behavior change, emphasizing protein tracking and AI-powered food logging to enhance outcomes. They delve into leveraging wearable tech and AI to remove friction and personalize health interventions, preventing muscle loss and future health risks like sarcopenia.  Lastly, Geoff and Cody also stress the importance of democratizing healthcare by offering end-to-end solutions that integrate medication, coaching, and data-driven insights for chronic disease management. Tune in and learn how these bold innovations are transforming weight management and chronic disease prevention while making healthcare more accessible and affordable! Resources: Connect with and follow Geoff Cook on LinkedIn. Connect with and follow Cody Fair on LinkedIn. Follow Noom on LinkedIn and visit their website.