The Beat

50% of women distrust the healthcare system in the US. Yet women make up 51% of the population and control 80% of the healthcare dollars. So, what does it look like to build trust with women in a healthcare setting? Carolyn Witte is Cofounder and CEO of Tia, the modern medical home for women. Carolyn’s team is dedicated to treating women holistically rather than by body part or life stage. Tia's Whole Woman, Whole Life care model fuses gynecology, primary care, mental health and evidence-based wellness services to treat women comprehensively. On this episode of The Beat, Carolyn joins hosts Dr. Jessica Shepherd, Dr. Gautam Gulati and Dr. Jordan Shlain to discuss how Tia was created out of her frustration as a patient and describe the company’s evolution from the Google for women’s health to care delivery platform. Carolyn explains how point solutions exacerbate the fragmentation of healthcare for women and what Tia is doing to serve the whole woman, addressing her physical, mental and reproductive health.Listen in to understand how Tia builds trust by listening to what real women want and learn what Carolyn’s team does to make women feel seen, heard and cared for. Topics CoveredHow Tia was created out of Carolyn’s frustration as a patientTia’s evolution from the Google for women’s health to care delivery platformWhy 50% of women distrust the healthcare system and why it mattersCarolyn’s take on the politicization of women’s healthHow point solutions exacerbate the fragmentation of healthcare for womenHow Tia serves the whole woman within the framework of health insurance coding and reimbursementsThe biggest users of virtual care (on Tia and among the general population)How Tia is supporting women in a post-Dobbs worldThe obstacles Tia faces in terms of reproductive health restrictions, regulations and investment in women’s healthWhat Tia does to make women feel seen, heard and cared forCarolyn’s dream to give every woman access to Tia-style careHow Tia builds trust by listening to what real women want Connect with Carolyn WitteTia Connect with Dr. Jessica Shepherd, Dr. Gautam Gulati & Dr. Jordan ShlainHLTHDr. Shepherd on TwitterDr. Shepherd on LinkedInDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedIn ResourcesDobbs v. Jackson Women’s Health OrganizationTim Urban’s Life Calendar

About Aamer Mumtaz:Aamer is a healthcare operations and growth expert with over 20 years of broad-based experience as a transformation leader. In addition to advising complex healthcare systems and facilities on strategies to address systemic operational and strategic challenges, Aamer has served as a successful growth and operations executive in multiple digital health labor marketplaces. He has a particular focus on workforce transformation and is passionate about developing and implementing equitable and sustainable labor solutions in healthcare.Things You’ll Learn:There was about a 27% turnover for nursing in the United States in 2022; after 2023 more than half of healthcare systems will be in a severe shortage.A third of all staffing dollars and a quarter of all staffing hours are provided by contract labor. Most travel nursing contracts range from 12 to 13 weeks on average.Nurses have never had the right financial structures or incentives to consider patient care a career.ShiftMed works with W-2 employees and pays their payroll taxes, giving them workers' compensation and other benefits like transportation.ShiftMed allows health systems and facilities to book employees weeks in advance and change their needs as the time comes close. Still, it also allows them to book guaranteed shifts, which are appealing to employees as they will have some security.Resources:Connect with and follow Aamer Mumtaz on LinkedIn.Follow ShiftMed on LinkedIn.Explore the ShiftMed Website.

Breakthrough health tech is useless if it fails to meet people where they are, especially when it comes to underserved populations. So, how do we encourage VCs to invest in culturally competent digital health solutions? How do we direct capital in a way that promotes health equity for women and communities of color? Deena Shakir is Partner at Lux Capital, where she invests in transformative technologies improving lives and livelihoods. She is passionate about investing in women's health, digital health infrastructure, health equity and foodtech, and her portfolio includes notable startups like Maven Clinic, Everly Health and Gameto. On this episode of The Beat, Deena joins host Dr. Jessica Shepherd to discuss the fertility and maternal health crises we face in the US and the $90 million Lux has invested to address these issues.Deena describes some of the category leading companies in the Lux health tech portfolio and explains how she thinks about putting women’s health at the forefront of research, technology and innovation. Listen in for insight on building technologies that meet people where they are and get Deena’s take on the future of the healthcare investment landscape. Topics CoveredDeena’s journey to becoming a VC in health and wellness techThe $90M Lux has focused on investing in women’s healthDeena’s insight on the fertility and maternal health crises we face in the USThe category leading companies in integrated women’s health in the Luxe portfolioPutting women’s health at the forefront of research, technology and innovationHow the conversation around women’s health is changing among VCsHow innovation has improved coming out of the pandemicWhy women in leadership serve as champions for cultural competency in healthcareHow time spent with her founders lifts Deena up on a bad day Connect with Deena ShakirDeena at Lux Capital Connect with Dr. Jessica ShepherdHLTHDr. Shepherd on TwitterDr. Shepherd on LinkedIn ResourcesGoogle HealthMaven ClinicEverly HealthAlife Health‘Temporal Trends in Sperm Count: A Systematic Review and Meta-Regression Analysis of Samples Collected Globally in the 20th and 21st Centuries’ in Human Reproduction UpdateGametoMiga HealthCityblock HealthWaymarkAnne Wojcicki

About Caitlin Donovan:Caitlin Donovan is the Global Head of Uber Health. She joined Uber most recently from MyOrthos, an Orthodontic Services Organization, where she served as Chief Operating Officer. Prior to that, Caitlin developed her knack for tackling obstacles to patient care as Chief Operating Officer of Circulation and Executive Vice President of Operations at LogistiCare (now ModivCare), specialty benefit managers in the non-emergency medical transportation space. She also served as the Vice President of Operations at CareCentrix with a focus on home health and post-acute care. Early in her career, she worked in finance as an investor at Bain Capital and as a member of the internal consulting group at Summit Partners. She earned her bachelor's degree in Economics from Harvard University and lives in Dover, Massachusetts with her husband and two boys. Things You’ll Learn:Medicaid has had transportation as a covered benefit since 1966, but it’s not a benefit many know how to access.Health plans are increasingly looking to include transportation within their benefits portfolio.According to a recent study, within 5.1 million employees under self-insured employers, 27% live at 200% of the poverty line or below. The above-mentioned population uses preventative services 50% less, resulting in four times more avoidable admissions.To register for WIC, it is required to go in person to an office before getting groceries delivered.Logistics and value-based care will not solve healthcare’s problems on their own; It is important to think about the underlying issues to address them in a scalable way while they align with the system’s incentives. Resources:Connect with and follow Caitlin Donovan on LinkedIn.Follow Uber Health on LinkedIn.Visit the Uber Health Website.

For most cancers, Black Americans have the highest death rate and shortest survival of any patient population.And access to genetic testing is key to eliminating this disparity.Feyi Olopade Ayodele is Cofounder and CEO of CancerIQ, a company on a bold mission to end cancer as we know it by giving providers and health systems access to the latest innovations in early cancer detection and prevention.Under Feyi’s leadership, CancerIQ has grown its provider network to over 200 locations across the US and established a robust ecosystem of leading diagnostic and genomic testing vendors.On this episode of The Beat, Feyi joins host Dr. Jessica Shepherd to explain how she built CancerIQ to solve for the disparity in access to genetic testing by making it part of everyone’s primary care visit.Feyi describes how CancerIQ helps patients initiate conversations around cancer prevention with their providers and gives providers the right precision prevention program for each patient. Listen in for Feyi’s insight on the emotional journey associated with a cancer diagnosis and learn how CancerIQ is helping African American and rural patient populations prevent cancer or detect it in its earliest stages. Topics CoveredDisparities in breast cancer outcomes between Black women and other patient populationsWhy Feyi built CancerIQ to solve for the disparity in access to genetic testingHow CancerIQ makes it easy for providers to navigate patients to the right precision cancer prevention programWhy Feyi encourages primary genetic care vs. specialty genetic careHow CancerIQ helps patients initiate conversations on cancer prevention with their providersHow CancerIQ is closing the gap for African American and rural patient populationsWhat CancerIQ does to help patients adhere to a cancer prevention planHow CancerIQ recognizes the emotional journey associated with a cancer diagnosisFeyi’s vision to make CancerIQ part of everyone’s preventative care visit and detect cancer in its earliest stages Connect with Feyi Olopade AyodeleCancerIQ Connect with Dr. Jessica ShepherdHLTHDr. Shepherd on TwitterDr. Shepherd on LinkedIn  ResourcesNCCN GuidelinesSmall Talk Baby Podcast

About Jean Drouin:Jean is a leader with over 25 years of experience in healthcare management, technology, operations, finance, and cultural change. As CEO, Jean focuses on creating the environment that allows Clarify to deliver on its mission by delighting customers and growing a great team. Jean leads the Executive Leadership Team which sets the company’s vision and strategy and is responsible for ensuring the company’s overall success. Jean believes that healthcare has been held back by a lack of actionable insights and that by integrating innovative analytics and incentives, we can power better health and outcomes.  Prior to founding Clarify, Jean was a Senior Partner at McKinsey, where he led the Healthcare Digital and IT practice. He also built and served as the founding Head of McKinsey Advanced Healthcare Analytics (MAHA), which provided services and products on healthcare reform, consumer analytics, new payment and pricing models, and risk management. Jean spent several years in the UK, where he helped set up the hospital regulator and served as the Head of Strategy for NHS London, a $15 billion organization that oversaw London’s hospitals, primary and social care.   Jean holds an MD and MBA from Stanford University and an AB in Molecular Biology from Princeton. He is a Trustee of the Mailman School of Public Health at Columbia University, and the former Vice-Chair of the Board of Lester B. Pearson United World College of the Pacific. Things You’ll Learn:The United States Health System is the only one in the world with the granularity of information to understand patient journeys in an actionable way.The FDA has a very high standard around the data collected for a clinical trial, which is why recruiting patients takes a long time.Machine Learning and AI tools can be beneficial in automating data pipelines to turn them into the cleanest possible analytics fuel.Value-based payments haven't scaled as expected because doctors aren’t excited about a model that looks at their yearly performance to give them a bonus. Paying clinicians shouldn’t be exclusively transactional but more collaborative and team-based.Resources:Connect with and follow Jean Drouin on LinkedIn.Follow Clarify Health on LinkedIn.Explore the Clarify Health Website.

Isabelle Kenyon, Founder and CEO of Calibrate, discusses how her program treats obesity as a chronic disease. The podcast explores the importance of combining medication and lifestyle interventions for long-term success. It also delves into the role of coaches and community support, challenges of habit formation, and the need to change the perception of obesity.

About Thom Bales:Thom is a Principal in Strategy&, a part of the PwC network. He leads PwC’s Health Services Sector with responsibility for our payer-provider and digital health growth. He has over 20 years of management consulting experience, originally with Booz Allen Hamilton/ Booz & Company merged with PwC to become Strategy&. He has expertise in health services growth, operations, technology strategy, and transformation. He has co-authored several articles including the industry-leading viewpoint “5 PMPM Healthplan”, “PwC’s Next In Health, 2022” and managing change and the investment bulge as well as a co-host of PwC’s Health 180 Forums.Thom’s past work has included capabilities-based growth strategy, technology-enabled business, and cost transformations, payer-provider collaboration strategy, consumer engagement strategies, as well as assessment of merger, acquisitions, and divestitures for his clients. He has led some of the largest business-led payer technology transformations and growth programs in the industry in the past 10 years.Thom earned his M.B.A. with high distinction at the University of Michigan; MS, Chemistry, Georgia Institute of Technology; and BA Chemistry, BA Economics, Cornell University.About Patty Obermaier:As Vice President of Microsoft US Health and Life Sciences business, Patty is responsible for growing Microsoft's solutions, services, and support revenues across enterprise health customers in the United States. She leads a 950-person team and is accountable for a $5B P&L. Patty holds a bachelor’s degree in biology from the Massachusetts Institute of Technology and an M.B.A. from the Darden School at the University of Virginia. Things You’ll Learn:During COVID, many people couldn't access virtual health because they didn't have broadband or the appropriate devices to do so.Out of 8 billion people on Earth, 4 billion do not have access to healthcare, and a billion have disabilities, 70% of which can't be seen.The average family in the United States has a family income of around $60,000 of which roughly half does to insurance, healthcare, and out-of-pocket costs.Patients can now request their information, which has to be made available and stored for them, and they have to be able to take it with them wherever they want.Health equity is about understanding who we are as individuals, where we’re at, and what we need to get to our definition of health.Most healthcare companies are now focusing on improving patient experience.Resources:Connect with and follow Thom Bales on LinkedIn.Connect with and follow Patty Obermaier on LinkedIn.Follow Strategy& on LinkedIn.Visit the Strategy& Website!Follow PwC on LinkedIn!Explore the PwC Website!Follow Microsoft US Health and Life Sciences on LinkedIn.Discover the Microsoft US Health and Life Sciences Website.

When Krista Drobac first started thinking about home-based health care, she assumed that the biggest barriers to adoption would be cultural. But she quickly learned that policy was the problem.And then came COVID-19. Regulations were loosened, and we were allowed to experiment with caring for patients at home. So, how do we convince policymakers to preserve the advances in home-based care made during the pandemic and change the rules for good?Krista serves as Partner at Sirona Strategies, Executive Director of the Alliance for Connected Care and Founder of Moving Health Home,  a coalition working to change policy to enable the home to be a clinical site of care. Krista has 25 years of experience in federal and state government policy and public affairs, and she consults on Medicare, Medicaid, digital health, social determinants of health and new care models. On this episode, Krista joins hosts Dr. Jessica Shepherd, Dr. Gautam Gulati and Dr. Jordan Schlain to explore the innovations in hospital-at-home and SNF-at-home we achieved during the pandemic. Krista discusses who benefits most from home-based care (and who might want to opt out) and describes how providers can identify environmental risks when they’re in a patient’s home. Listen in to understand why Krista advocates for value-based reimbursement models and learn what you can do to help persuade legislators to embrace home-based care. Topics CoveredThe regulatory barriers to moving health care into the home prior to the pandemicHow Moving Health Home was launched to preserve the innovation and advances in home-based care made during COVIDWho benefits most from home-based care and who might want to opt outWhat the hospital-at-home model looks like and how it took off during the pandemicThe regulatory challenges Moving Home Health faces in executing SNF-at-homeHow home-based care allows providers to identify environmental risksWhy value-based care reimbursement models are more appropriate for home-based care than fee-for-serviceHow home-based care might improve a patient’s mental and emotional healthWhy we need a large-scale demonstration of the benefits of home-based care to change policyThe power of patient voice in convincing legislatures and hospital systems to embrace home-based careHow we might incentivize or persuade Americans to choose healthy foodHow the social determinants of health or SDOH are influenced by policy Connect with Krista DrobacMoving Health Home Connect with Dr. Jessica Shepherd, Dr. Gautam Gulati & Dr. Jordan ShlainHLTHDr. Shepherd on TwitterDr. Shepherd on LinkedInDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedIn ResourcesAmerica’s Essential HospitalsCMS COVID WaiversMoving Health Home StudiesWhite House Conference on Hunger, Nutrition and HealthSocial Determinants of Health

Starting a company in the healthcare space is incredibly difficult, as founders face regulatory hurdles, high security standards and complicated reimbursement policies, among many other challenges. But what if you had an expert to help you assemble a founding team and shepherd you through the first 15 months of being a startup? What if there was a platform to streamline the complex process of launching a health company? Missy Krasner is Venture Chair at Redesign Health, where she sits on the boards for Uplift, Overalls and Motto. A seasoned healthcare operator, Missy has more than 30 years of experience in digital health, most notably serving as a founding member of the Alexa Health & Wellness Team at Amazon. On this episode, Missy joins host Dr. Jessica Shepherd to discuss how Redesign Health serves as a company creation platform for healthcare services, describing how her team bends the risk curve for digital health startups.Missy walks us through some of the obstacles to providing services and solutions in the health tech space and weighs in on what we might do to fix the issues with electronic medical records.Listen in to understand how Redesign creates efficiencies in the process of launching companies across the healthcare spectrum, meeting the needs of patients and providers while keeping pace with the trajectory of science and research.Topics CoveredMeeting the needs of patients and providers while keeping pace with scienceHow Redesign Health serves as a company creation platform for healthcare servicesWhat Redesign does to bend the risk curve for digital health startupsThe obstacles to providing services and solutions in the health technology spaceHow we might change the perverse incentives in healthcare to reward qualityWhat the competition among big tech and retailers to own consumer-centric virtual primary means for hospitals, health systems and patientsRedesign Health’s strength in assembling founding teams for healthcare companiesWhy so many providers struggle to stay up to speed on innovationHow Missy thinks about fixing the problems with electronic medical recordsWhy it’s so challenging to get medical records from point A to point B Connect with Missy KrasnerRedesign Health Connect with Dr. Jessica ShepherdHLTHDr. Shepherd on TwitterDr. Shepherd on LinkedIn ResourcesPractice FusionDoximityHealthLoopVita HealthGoogle HealthZus HealthParticle HealthHuman APIMedicare AdvantageMedicare Supplement InsuranceDr. David BrailerOffice of the National Coordinator for Health Information TechnologyProtected Health Information