The Beat

About Jaime Murillo:Dr. Jaime Murillo is a Senior VP and the Chief CardioMetabolic Health Officer at Optum Labs. He is focused on disruptive care delivery solutions to improve health in the community using AI-powered technology, social-behavioral determinants of health, and community-based collaboration. His work also includes advanced analytics to identify gaps in care with an emphasis on health equity and AI/ML-based phenotyping and multi-omics to advance precision medicine. Before his current role at Optum Labs, he spent 2 years at UnitedHealthcare as the national lead for cardiovascular and ED services. This work focused on simple innovation and value-based transformation of care and affordability. He is a cardiologist from Yale University with a background in computer sciences and basic science and clinical research at Harvard Medical School and outcomes research at Yale University.He is a former IBM Watson Health collaborator on the clinical implementation of machine learning in the cardiovascular field. He practiced cardiology with a subspecialty in imaging for 20 years at Sentara Health. Within Sentara, he played several executive roles with a focus on leadership development and consumer strategies. Outside of work Jaime enjoys watching his son play tennis, watching movies with his wife, and practicing Pilates. Things You’ll Learn:In healthcare, communication is one of the areas with significant improvement opportunities.By 2025, about $300 billion in care will be delivered to consumers' homes.UnitedHealth Group also works with a sense of purpose, their recent merger with LHC seeks to build care in communities and at homes.Healthcare solutions today are based on clinical components and other different determinants of health.Algorithms can now be built to allow the identification of those who may have a condition before it develops any complications.Medical solutions today cannot exclusively take into account clinical data, they need to look at the patient holistically.  Resources:Connect with and follow Jaime Murillo on LinkedIn.Follow Optum Labs on LinkedIn.Discover the Optum Labs Website!

How can we transform patient health through personal and predictive care?By taking it home.Sheeza Hussain is the Chief Commercial Officer of Biofourmis, a global leader in digital therapeutics. Biofourmis has a vision to improve the delivery of healthcare by treating patients with chronic and acute medical conditions outside of the hospital utilizing advanced technology.On this episode, Sheeza joins hosts Dr. Gautam Gulati, Dr. Jessica Shepherd, and Dr. Jordan Shlain to discuss how Biofourmis is using continuous vitals monitoring to prevent adverse events before they happen, allowing patients to get healthy at home.Listen as Sheeza shares Biofourmis' mission to expand AI into people’s  lives by creating innovations that meet patients at home. Scientific studies support the fact that patients recover more comfortably in their own environment and now technology is making it possible for aging to happen at home.Topics CoveredHow Biofourmis is like the OnStar for your healthAn inside look at the data and the analytics of Biofourmis’ bio vitals indexThe 3 tools the Biofourmis platform uses to customize careThe partnerships required for hospital-at-home patient selectionSheeza’s passion for the future and how demand is increasing for patients to receive their care at homeConnect with Sheeza HussainSheeza Hussain on LinkedInConnect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica ShepherdDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedInDr. Shepherd on LinkedInDr. Shepherd on TwitterResourcesBiofourmisViVE

Can we take what we learned from the influx of telehealth during the pandemic into the future to close the gap in health inequality?Scott MacLean is Senior Vice President and Chief Information Officer at MedStar Health, a not-for-profit health system serving Maryland and Washington, DC. He's responsible for the leadership and vision of information services to support clinical research and academic and administrative functions across the system.On this episode, Scott joins host Dr. Gautam Gulati to discuss how the entire healthcare model is being re-engineered before our very eyes. The pandemic may have started the chain of change, but that was just the beginning.Scott shares the biggest challenges MedStar Health was facing before the pandemic and how his team found the technical solutions to serve the mass increase in telehealth visits during the COVID crisis.Listen as they discuss how those innovations became the catalyst for MedStar Health to transform its strategic processes and move the needle on optimization. And learn why he’s working so hard to invest in technology to engage his community with more digital healthcare options to close the divide of health inequity.Topics CoveredMedStar Health’s story of teamwork during the pandemic and their current focus on infrastructureHow MedStar Health adjusted the universal EHR across the enterprise as COVID treatment protocols evolvedWhat MedStar is doing to move the needle towards more optimization and clinician usabilityMedStar’s strategy for the future of home-based telehealth and how Scott’s team is using technology to better serve the communityConnect with Scott MacLeanScott MacLean on LinkedInScott MacLean on TwitterConnect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica ShepherdDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedInDr. Shepherd on LinkedInDr. Shepherd on TwitterResourcesMedStar HealthViVE

The pandemic exposed the cracks in the healthcare system. But how do we prioritize resources to maximize capabilities for the future?By prioritizing partnerships.Dr. Rasu Shrestha is Chief Strategy and Transformation Officer and Executive Vice President for Atrium Health, one of the largest non-profit and leading academic health systems in the United States. Dr. Shrestha is responsible for Atrium Health’s enterprise strategy, including planning and tactical direction for the organization’s current strategic roadmap.On this episode, Dr. Shrestha joins hosts Dr. Gautam Gulati and Dr. Jordan Shlain to discuss his background and how he’s forging a path to the future by breaking down walls and building bridges to person-centered care enabled by technology.We discuss the cracks exposed in our healthcare system during the COVID and how we can pivot to make the heroics displayed during the pandemic the blueprint of how we operate going forward.Listen as Dr. Shrestha shares why social impact is such a big driver at Atrium Health and how they’re embracing their mission of health, hope, and healing for the future of healthcare.Topics CoveredHow Dr. Shrestha’s personal experiences, combined with today’s healthcare climate, inform what he is doing at AtriumHow the pandemic accentuated the cracks in the healthcare systemHow Atrium is creating a blueprint for collaborating in public-private partnershipsWhy human struggles mixed with a healthcare emergency and chaos in the healthcare field is the recipe for disasterHow Atrium is using technology to leverage data to reach underserved communitiesHow Atrium is thinking globally while acting locally in its program rolloutAn inside look at ‘The Pearl,’ Atrium Health’s innovative new medical schoolHow Atrium is asking the right questions to overcome data blind spotsDr. Shrestha’s quest to prioritize Atrium Health’s mission of health, hope, and healing for allConnect with Dr. Rasu ShresthaDr. Shrestha on LinkedInDr. Shrestha on TwitterConnect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica ShepherdDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedInDr. Shepherd on LinkedInDr. Shepherd on TwitterResourcesAtrium HealthViVE

Since the pandemic many health care providers have shifted to a remote approach. Though, not every provider looks to improve the root of total health. How can we power proactive, predictive health from real-time patient data with prevention in mind - all remotely?Dan Vahdat is the CEO and Founder of Medopad, a global HealthTech AI company with a vision to create a world where people can live longer. His professional career spans from IT to medical technology including several years at Johns Hopkins University.On this episode, Dan joins hosts Dr. Gautam Gulati and Dr. Jordan Shlain to discuss the future of remote patient monitoring not only in the U.S. but in countries around the entire world. He describes exactly how the remote monitoring process works for clients at Huma, the constraints found in America compared to other countries, as well as how technology can help at a scale compared to physical care alone. Listen in to how Huma is working with countries all over the world to provide remote care that brings each patient proactive data that allows Huma to power predictive health and prevention.Topics CoveredWhat Huma does and how the company came aboutHow the remote monitoring process works at HumaWhat the exact care process looks like for clientsHow technology innovations have benefited the health care systemHow Dan and his team are handling the flow of communications at HumaDan’s insight on the differences being seen in remote patient monitoring in the US versus in European countriesThe biggest constraints found in America with remote healthcareDan’s insight on the non-traditional players who act as competitionWhat the future of Huma and Remote Patient Monitoring looks likeThe possible limits with remote telehealthHow Dan defines healthHow Dan defines health care as care with a smile Connect with Dan VahdatHuma Connect with Dr. Gautam Gulati & Dr. Jordan ShlainHLTHDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on LinkedInDr. Shlain on Twitter Introductory Quote[4:00–4:49]“In the past 18 months we have done national projects. Not one hospital, not two hospitals, not one region - across large scale countries as big as Germany, UK, France and not only modern countries but countries like India…and so on. Projects that are quite big..We have shipped millions of devices for our projects…This showed that technology can help at scale.

How do you optimize the outcome for a patient who has chronic kidney disease? By treating them as a whole person.Rani Khetarpal is Head of Value-Based Care Partnerships at CVS Health, where she leads the build and execution of innovative alternative payment models and risk arrangements. While she encompasses a diverse array of experience within the healthcare ecosystem, Rani’s area of expertise lies in designing and delivering patient-centric, outcomes-driven models that align provider and payer.On this episode, Rani joins hosts Dr. Jessica Shepherd, Dr. Gautam Gulati, and Dr. Jordan Shlain to discuss kidney care models that look at the patient holistically—as a patient and a person.Listen as Rani shares how CVS is using brand recognition and its geographical footprint to reach patients where they are. They explore how CVS Health is partnering with provider care teams to change the narrative and provide value-based care that is quality-, cost-, and patient-centered.Topics CoveredThe psychosocial barriers, comorbidities, and other factors that contribute to the progression of chronic kidney disease (CKD)How CVS is working to challenge the true cost of care by focusing on the desired outcomes and then working backwardHow value-based care is shifting the focus to preventing disease instead of treating patientsWhere Rani thinks the greatest use of digital technology is happening right nowHow CVS is using provider-based care teams to create individualized treatment modelsHow CVS is changing the value-based care narrative to better meet patients' needsConnect with Rani KhetarpalRani Khetarpal on TwitterRani Khetarpal on LinkedInConnect with Dr. Jessica Shepherd, Dr. Gautam Gulati, & Dr. Jordan ShlainDr. Shepherd on LinkedInDr. Shepherd on TwitterDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedInResourcesCVS HealthViVE

If you think about our phones, we all essentially have the same phone yet, it’s a deeply personalized experience for each one of us. What if healthcare was like that? -  Personalized and holistic, thinking about you, where you are.Vivian S. Lee, M.D., Ph.D., M.B.A., is the President of Verily Health Platforms, overseeing all health care platforms, including Onduo, Healthy at Work, and Verily’s Value Suite, among others. She is also the author of The Long Fix: Solving America’s Health Care Crisis with Strategies that Work for Everyone. As a healthcare executive, she formerly served as the medical school dean, SVP, and CEO of the University of Utah Health, a $3.5 billion integrated health system and health plan that ranked first among university hospitals in quality and safety. Over her career as an NIH-funded MRI researcher, she has published over 200 articles in leading journals including JAMA and the New England Journal of Medicine and received the Gold Medal of the International Society for Magnetic Resonance in Medicine.If that wasn’t enough, Dr. Lee was elected to the National Academy of Medicine in 2015 and was ranked #11 among Becker’s 100 most influential people in healthcare in 2019. A Rhodes Scholar, she is a graduate of Harvard College, Oxford University, Harvard Medical School, and NYU Stern School of Business.On this episode, Vivian joins hosts Dr. Gautam Gulati and Patricia Bradley to discuss the intersection of health and tech and how it can be very transformative on health care. She describes strategies to solve America’s healthcare crisis and how these strategies can not only work for everyone, but also advance healthcare faster than ever before. Listen in for insight on the future of health platforms and the potential they have to advance population health.Topics CoveredVivian’s background in medicine and what she does now with VerilyInsight on Vivian’s book, The Long Fix: Solving America’s Health Care Crisis with Strategies that Work for EveryoneWhat the average individual can do to contribute to the ongoing change of healthcareWhere all the costs of healthcare are coming fromThe Surf and Turf ProblemHow the healthcare system is only designed to treat instead of preventWhat Vivian took away when writing her bookWho Verily is and their purposeVivian’s insight on how much more personal healthcare could be and the goal around thatVivian’s insight on how unique and personalized healthcare could and should beThe ways Onduo plans on providing more personal results and solutions for peopleThe vision of Verily Health PlatformsHow Vivian defines health as the ability to really live our lives in a productive, comfortable and safe wayVivian’s belief that healthcare for every single person in America is the answer to health Connect with Vivian LeeVerily Connect with Dr. Gautam GulatiHLTHDr. Gulati on TwitterDr. Gulati on LinkedIn ResourcesThe Long Fix: Solving America’s Health Care Crisis with Strategies that Work for EveryoneOnduoHealthy at WorkVerily’s Value Suite Introductory Quote[19:05–19:34]“Even though my book is called The Long Fix, I’m hoping that it’s going to be less long now because of the pandemic and the acceleration of these digital health approaches that can be a lot more personalized and holistic, and thinking about you, where you are. So, if you think about our phones, we all essentially have the same phone...but yet it’s a very deeply personalized experience for each of us. Now, think about if healthcare were like that.

People talk about cost savings or about longevity but if you frame it with how many doctor visits you’re going to have per year, you want that to be the lowest number not the highest number. So, how do we prevent people from getting into an ICU? How do we do this when on the other side with capitalism you have people saying, “how do we get more people in here?” There’s this real tension in the health care system.Vin Gupta, MD, MSt, MPA, is a Critical Care Pulmonologist, Senior Principal Scientist and Chief Medical Officer of COVID-19 Response at Amazon, and Affiliate Faculty at the Institute for Health Metrics and Evaluation, part of the University of Washington. Vin previously served as Principal Scientist at Amazon Care and, prior to that, was part of the Apple Clinical team in a part-time capacity working on its pulmonary roadmap for the Series 6 Apple Watch. Additionally, he served as health advisor on the Biden-Harris Transition’s COVID-19 Response team, and currently serves as a senior medical advisor to several organizations, including T-Mobile, Inc, Thermo Fisher Scientific, the Seattle Seahawks and Seattle Mariners. Though, his background doesn’t stop there.On this episode of The Beat, Vin joins hosts Dr. Gautam Gulati and Dr. Jordan Shlain to discuss the future of public health and the pandemic response within Amazon care and how they are working through tension found in the healthcare system. Vin describes the steps being taken to make the majority of primary care virtual for patients with prevention in mind rather than sickness alone. Listen in for insight on telemedicine and telehealth and how Amazon’s virtual health care compares to other providers.Topics CoveredVin’s background that’s led him to where he is now with AmazonVin’s insight on the healthcare system working with doctors that want to prevent transactions from a system that wants transactionsVin’s insight on how the increase of savvy patients is affecting the health care systemThe innovations that have developed because of the pandemic and why they should become permanentWhat Telemedicine is and why it needs to be talked about moreWhy it’s so important to have a user friendly telemedicine platform and how Amazon does that wellNavigating how to best scale telehealth servicesVin’s insight on Amazon’s virtual healthcare system compared to all the other virtual plays availableHow Vin defines health as living a long life filled with wellnessHow Vin defines healthcare to him as focusing on prevention, not sickness Connect with Vin GuptaVin Gupta on LinkedIn Connect with Dr. Jordan ShlainHLTHDr. Shlain on LinkedInDr. Shlain on Twitter ResourcesAmazon Care Introductory Quote[3:19–3:30]“The goal here is how do we actually virtualize most of primary care and do so in a way that’s clinically meaningful - that makes people feel reassured that they’re getting high quality care, they’re not making any sacrifices?”

The biggest opportunity in healthcare is to extend health equity and provide total wellness solutions through virtual and technology platforms.But what challenges does that present? And how can you simplify the human experience across the spectrum?Rajeev Ronanki is the President of Digital Platforms at Anthem®, where he is harnessing the power of AI to offer personalized healthcare for patients, providers, and caregivers. He is also the author of You and AI: A Citizens Guide to AI, Blockchain, and Puzzling Together the Future of Healthcare.On this episode, Rajeev joins host Dr. Jessica Shepherd to discuss the current gap and biggest obstacles to extending the reach of virtual healthcare to provide options for wellness, prevention, and breakthroughs in health equity.Listen as Rajeev shares the details of how Anthem® is navigating the challenges of delivering virtual healthcare to more populations through partnerships with cellphone companies and their Concierge Care programs.Topics CoveredWhat Rajeev thinks is the biggest issue today for physicians, patients, and caregivers and the opportunity for improved outcomesHow to create a win-win in virtual vs. in-person careHow to use data as a predictor of a person’s health journey to decrease preventable disease and lower healthcare costsHow Anthem® is working to attract consumers through rewards-based incentivesWhat Rajeev believes is the future of the national standard of careRajeev’s take on the biggest change needed to improve health equity and access to care for allConnect with Rajeev RonankiRajeev Ronanki on LinkedInRajeev Ronanki on TwitterConnect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica ShepherdDr. Shepherd on LinkedInDr. Shepherd on TwitterDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedInResourcesYou and AIAnthem®ViVE

Virtual care solutions have come to be just as important, if not, more important than physical care options. How can we work to meet that need with many challenges including, affordability, accessibility, etc? How can we pioneer a new approach to health care that meets every aspect of one’s total health?CVS Health and Chief Medical Officer, CVS Caremark, Sree Chaguturu and his team are working diligently to enhance the quality, affordability, and accessibility of health services provided to millions of patients virtually and physically.Prior to CVS Health, Sree was a Chief Population Health Officer at Mass General Brigham and previously was a healthcare consultant at McKinsey and Company.On this episode, Sree joins hosts Dr. Gautam Gulati, Dr. Jordan Shlain and Patricia Bradley to explain exactly how CVS Health is providing a new approach to total health for people in all communities. Sree describes how the team is providing new and improved resources, improving health equity, and taking every step possible to improve the total health of members and patients. Listen in for Sree’s insight on the future of retail and consumer health and how CVS Health is leading people to better health as the leading health solutions company.Topics CoveredWhat CVS Health is doing to reduce costs of pharmaceuticalsHow CVS Health prioritizes trust over cost with their customersHow CVS Health is leveraging their ecosystem for the future with Health AdvisorWhat Health Advisor is, the areas that it targets and the data behind itHow CVS Health works to provide accessible and affordable healthcare in marginalized communitiesThe surprising data shown in low income communities compared to high income communitiesHow Sree defines health as staying true to living out your own definition of “living” and how that is the goal for CVS customers and patientsHow Sree defines health care as the delivery of services in achievement of health Connect with Sree ChaguturuSree Chaguturu of CVS Health Connect with Dr. Gautam Gulati & Dr. Jordan ShlainHLTHDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedIn ResourcesVirtual Care Solutions for CVS Health Introductory Quote[29:25–30:15]“We are the largest in home infusion provider. We have a home kidney care business. We have those capabilities across the country to be in patients’ homes and then as we continue to grow, our clinical delivery services as an organization. We believe that it is going to be a combination of home, hub and hand. What I mean by that is, care at home, care in our health hubs, and in our retail stores and clinics, and care in hand, which is that virtual on the go. I’m really excited for our ability to bring virtual, physical care and that physical care can either be in our stores or at home. That is what’s going to be exciting to talk about in upcoming conversations.”