PODCAST · business
The #HCBiz Show!
by Don Lee and Shahid Shah
A practical podcast on the business of healthcare w/ hosts Don Lee and Shahid Shah. The premise behind #HCBiz is that we can't "just innovate". Sure, you may have a great idea, an all-star team and execute flawlessly, but if you don't understand the complex dynamics of the healthcare business you'll never get traction. We'll identify the issues that impede change, explain why they exist and find ways to work with them, through them, or around them. In short, we'll help you create space for innovation in healthcare through technology (HealthIT | HIT | Digital Health) and workflow. We'll also explore health policy, administration and the psychology behind it all. Finally, we help you align your ideas to business incentives, market them to healthcare leaders and get the sale.Check out all of our podcasts, videos and blog posts here: http://thehcbiz.com/Produced by Glide Health IT LLC in partnership with Netspective Media.
Episodes
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ChatGPT: Where (and Where Not) to Apply it in Healthcare
On this episode, we talk with Matt Hollingsworth, CEO of Carta Healthcare, about ChatGPT. If you've been reading the headlines, and maybe even experimenting with Chat GPT yourself, but don't quite grasp what's going on, then this episode is for you. Mat gives a not-too-technical, high-level...
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Medicaid Transformation: Past, Present, and Future with Alan Weil of Health Affairs
Medicaid Transformation. 1115 waivers. Delivery System Reform Incentive Payment (DSRIP) programs. Expansion. Contraction. We've been at this for a long time. Why isn't Medicaid transformed already? Well… it turns out that this is really difficult work. First off, there are complex political and...
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Should Patients Be Charged for Messages to their Doctors?
Cleveland Clinic recently announced that they would begin charging for certain patient-initiated messages. This flies in the face of everything the industry is talking about when it comes to patient engagement and value-based care. At the same time, it is quite unreasonable to think that a doctor...
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Take it All With a Grain of Salt
Don and Shahid discuss NCQA's Health Innovation Summit (November 2022) and FHIR Dev Days (June 2022). They explore these events as examples of how to interpret what you hear at conferences, in industry media, and even on podcasts like this. The discussion covers a lot of ground including: What is...
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The State of Blockchain and Web3 in Healthcare with Ray Dogum
On this episode, we talk with Ray Dogum, MS, MBA about the state of blockchain and web3 technology in healthcare. Ray is the producer and host of the Health Unchained podcast where he discusses blockchain developments in healthcare with industry experts. There was quite a hype cycle around...
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Can I Buy You Lunch (and tell you about my product)?
Some people tell doctors that anything more than a cup of coffee is a conflict of interest. What about executives? Is it ok to take them out to lunch? What about a trip to the Super Bowl? Is there a line? Where is it? On this episode, Don and Shahid discuss a recent LinkedIn discussion where a...
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The Business Case for Being Patient-First with Brian Sanderson
There's no business case for doing the right thing in healthcare. Fortunately, being patient-first is the right thing to do and can be good for business too. Today we talk with Brian Sanderson, national healthcare management leader at Crowe LLP and author of the new book, The Patient-First...
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Building an Innovation Lifecycle Ontology
It's easy to experiment with new tech and produce products that look and sound innovative. It's much harder to tie your innovation efforts to strategic objectives with measurable outcomes and then scale the solution across your organization. The former leads to "death by pilot". The latter makes…
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Episode 200!!! What's Next for the show?
On this episode, Don Lee and Shahid Shah celebrate 200 episodes of The #HCBiz Show! We discuss what we've done over the past 6 years and tell you where we're headed next. In a nutshell, we're going to work to codify what we've learned about innovation in healthcare over the past 200 episodes and…
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Putting Ambient Intelligence into the Clinical Workflow at Scale with Peter Durlach
There's no shortage of development when it comes to AI and ML in healthcare. The technology is already powerful and continues to advance. The challenge, as always, is getting things into the clinical workflow. And doing so at scale. Nuance has a plan to help innovators and health delivery...
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Care Pays Back: Addressing the Social Determinants of Success in Healthcare Education with Dr. Rebecca Sarlo
It is now widely accepted that socioeconomic issues like food, housing, transportation, and more, directly drive health outcomes in the U.S. These issues hinder access to quality healthcare, and create obstacles to education and stable employment. In the former context, they are often referred to...
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It's Time We Treat Medical Records Requests as a Critical Customer Service Issue with Grace Cordovano
There are many areas where customer service is lacking in healthcare, but few are more egregious than the medical records request process. It's frustratingly slow, needlessly opaque, and contributes to patient safety issues and staff burnout. And it's making most of our health systems look bad....
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Engineering to Your North Star with Satvik Gadamsetty
Last year we learned how Nayya was using data to help employees pick the best health plan. Founder and CTO, Akash Magoon told us that they were "restacking the financial odds in favor of American Families." We loved that mission, and apparently, the market did too. Nayya has grown tremendously...
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The Data Fundamentals that Enable Value-Based Care with C.K. Wang
It's natural to reach for advanced analytics, machine learning, and other potentially transformational technologies in healthcare. That's especially true in oncology where speed to diagnosis and speed to care are critical. However, there are fundamental data needs that must be mastered if we are...
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Privacy and Security by Design with John Giantsidis
MedTech and Life Sciences commercialization expert, John Giantsidis of CyberActa, assesses the current regulatory environment around Medical Devices, the Internet of Medical Things (IoMT), and wearables. John shares best practices on how to gain regulatory approval and how to make compliance part...
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Empower the Care Team to Empower the Patient with Omar Nagji
There is a lot of attention being paid to the patient experience, and rightly so. However, we haven't paid enough attention to our clinicians and caregivers and what they need to guide our patients thru that experience. Providers struggle to keep up with the increased touchpoints and questions...
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Applying AI and ML to Help the Humans of Healthcare Achieve Better Outcomes - Prashant Natarajan
Digitization means taking paper charts and putting them into EHRs. Digital transformation means leveraging the digital asset to do something we never could before. Applying AI/ML in healthcare will be one of the primary ways we carry out that digital transformation. Today we discuss all of this...
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Do You Know Where Your Patients (and Money) Are Going? with Ray Deiotte and Sean O'Malley
Most health systems don't understand their own referral networks or patient flows. From an overall fiscal standpoint, they may know who their best and worst physicians are but there's little clarity on what's happening in the middle. Where are patients going for procedures? Who is sending them...
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Modernizing Medical Training with VR and AR - Dr. Ryan Ribeira
We've been training medical personnel in the same way for decades, Virtual Reality (VR) and Augmented Reality (AR) are poised to change that. We talk with Dr. Ryan Ribeira, founder and CEO of SimX, about the opportunity to modernize and expand our approach to medical training. We discuss how that...
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Escaping the Tyranny of Fee-For-Service Healthcare - François de Brantes
The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is unclear. That couldn't be further from the truth. On this episode, we talk with François de Brantes, Senior Vice President of Episodes of Care at...
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Tokenization: Stop Sending All that PHI - Sequent at ViVE 2022
Healthcare orgs share large amounts of PHI with 3rd party vendors. They share it for analytics, rev cycle management, call center services, and more. It's a necessary part of the business. But you know what isn't necessary? Sharing everything! There is a very disrespected requirement in HIPAA...
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How to Build Your Own Customer - Alex Yarijanian at ViVE 2022
It's difficult for Digital Health startups to find alignment between their innovations and the complex business realities of healthcare. That is why this show exists. We discuss it in nearly every episode. Today's guest has a novel approach to solving that alignment problem. Alex Yarijanian and…
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The Continued Push Towards Virtual First Healthcare - Karsten Russell-Wood at ViVE 2022
Virtual-First thinking and telehealth adoption exploded during the pandemic. Since necessity was the driver there is some expectation that demand and use will scale back as the pandemic wanes. Yet today's guest tells us that is not what's happening in the field. We spoke with Karsten Russell-Wood...
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How to Be a Good Partner to Health Systems - Ed Marx at ViVE 2022
There's a difference between being "just another vendor", and being a true partner to your customers. Ed Marx has thrived on both sides of this equation, first as a health system executive and now as the Chief Digital Officer at Tech Mahindra / The HCI Group. We sat down with Ed at ViVE 2022 to...
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Selling Clinical Decision Support - Dr. Yair Saperstein at ViVE 2022
AvoMD is a no-code platform that allows users to create clinical decision support apps that integrate directly into their workflows. We caught up with Dr. Yair Saperstein, co-founder, and CEO to learn a bit about their platform and approach. Plus, we dig into the keys to gaining attention as an...
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Empowering Healthy Aging in Place with Blooming Health
Our population is aging. According to the Urban Institute: "The number of Americans ages 65 and older will more than double over the next 40 years, reaching 80 million in 2040. The number of adults ages 85 and older, the group most often needing help with basic personal care, will nearly…
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How Healthcare Leaders Can Get Involved with Startups – Alan Pitt
Whether you're an administrator, clinician, or executive, if you've built a career in the healthcare industry then you have skills, knowledge, and connections that most digital health startups lack. On this episode, we talk with Dr. Alan Pitt, a physician, entrepreneur, and investor, about how to...
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Commercializing Physical Products in Healthcare - Jason Kang - Kinnos
We tend to talk mostly with software startups about commercialization and sales. What do things look like for a startup selling a physical product? And a physical product that's very relevant during the pandemic at that? That's exactly what Jason Kang and the team at Kinnos are doing right now....
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Building the First FDA Approved Autonomous AI in Healthcare - Dr. Michael Abramoff and Seth Rainford
Have you ever had an idea that you just had to make real? No matter what it took… no matter what obstacles were in your way… no matter how many times people told you no… you just couldn't stop until it existed? Well, this is one of those stories. It begins with an idea in 1988 and leads to the...
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Making Machine Learning Available to the Masses – Dr. Taha Kass-Hout – AWS
We talk about ML and AI quite a bit on this show. Our angle is always to avoid the hype and help you find the practical applications that you can put to work right now. Today's episode is a great extension of this ongoing conversation. We talk with Dr. Taha Kass-Hout, Chief Medical Officer and...
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The No Surprises Act is Full of Surprises - VBP in 2022 with Gail Zahtz - Part 4
The No Surprises Act intends to prevent patients from getting burned with huge, unexpected bills for medical services. It is a needed law – medical bills are the #1 cause of bankruptcy in the U.S. And it's certainly noble in its intentions. However, the healthcare machine works in unexpected and...
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Doctors Just Took a Pay Cut - VBP in 2022 with Gail Zahtz - Part 3
The Centers for Medicare & Medicaid Services (CMS) released the 2022 Medicare Physician Fee Schedule and Quality Payment Program final rule on November 2, and there are big changes to physician payments. In particular, the Medicare conversion factor, which forms the basis for payments to...
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Are We Crying Wolf? VBP in 2022 with Gail Zahtz - Part 2
We planned to discuss quality measures but shifted to address a very important piece of listener feedback after the preview and Episode 1. The comments came from a doctor in the audience and I know there are many more doctors and healthcare administrators who feel the same way. The feedback, in...
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Health Equity is Population Health - VBP in 2022 with Gail Zahtz - Part 1
There's a lot of unknowns as we head into 2022, but one thing is certain: Health Equity will be a major focus for CMS and CMMI. Gail Zahtz, CEO of PropHealth, tells us that "value-based payment models have failed to deliver on the promise of health equity" and that is a major reason why CMMI…
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Series Preview: Everything You Need to Know About Value-Based Payment Models to Prepare for 2022 with Gail Zahtz
What is going on with Value-based payment models in healthcare? We've been talking about it for years and despite all the chatter and investment, uptake has been slow. Now, the CMS Innovation Center (CMMI) has put many of its models on hold including the Direct Contracting Geo model that we…
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Communicating Healthcare to Humans with Talya Miron-Shatz
We're less rational, less logical, and less deliberate than we like to believe. We have biases and regularly use heuristics, or mental shortcuts, to make our decisions. Most of the time we aren't even aware it's happening. Every actor in healthcare has these tendencies. Health systems have biases...
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Spin-offs and Joint Ventures: Another way to Innovate with The Clinic by Cleveland Clinic
There are many ways to innovate within an existing organization. However, it can be difficult to move as fast as you'd like within the constructs of an established business model and culture. For one, it's difficult for your team to innovate on top of their "day job". Second, it can be difficult…
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Office Hours: Does My Software Need FDA Clearance (SAMD)?
On this edition of #HCBiz Office Hours, Don and Shahid talk with Yuma Nambu, Chief Strategy Officer (CSO) at CROSS SYNC. CROSS SYNC is a Japanese startup whose medical data analytics software, "iBSEN", enables hospital ICU's to automate the monitoring of patient vitals and motions continuously to...
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Financial Advice for Early Stage Digital Health Startups w/ Kristian Marquez
We spend a lot of time talking about how to align your startup's vision with the realities of the business of healthcare. You can have the best idea in the world, but if you don't properly validate your offering with customers, clearly and concisely explain the value it will bring them, close...
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The Art of the Possible: Doing Health System Innovation Right with Houston Methodist Center for Innovation
Just about every health system has an innovation program, but how do they know if it's making a difference? That's the question we set out to explore with the team from Houston Methodist Center for Innovation. On this episode we talk with: Michelle Stansbury, Vice President of IT Innovation Brad...
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The AWS Diagnostic Development Initiative with Grace Kitzmiller
Early in the pandemic, Amazon Web Services (AWS) launched the Diagnostic Development Initiative (DDI) to help organizations around the world accelerate diagnostics research and development. In the first phase of the initiative, AWS awarded $8 million in computing credits and technical support to…
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Multicultural Patient Engagement to Improve Clinical and Business Outcomes with Abner Mason
A major driver of health disparities is that the system does not typically account for the differences in the culture, language, and experience of the patients it is charged to serve. Today we talk with Abner Mason, Founder, and CEO of ConsejoSano about the importance of customizing engagement to...
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Healthcare Costs, Pricing, and Consumerism w/ Steve Ambrose
Price transparency and healthcare consumerism are top of mind for many operators and observers of the healthcare industry. On the surface, these topics sound great. Of course, we want to enable patients to be good consumers of healthcare. However, as we've seen so often on this show, aligning the...
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The Moral and Business Case for Oral Health Integration with Dr. Myechia Minter-Jordan
Poor oral health has a direct link to high risk of chronic diseases like diabetes and heart disease. It contributes to depression, poor maternal health outcomes, and death. Research shows that it increased the risk associated with COVID-19. Yet we treat oral health as being separate from...
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Using AI to Make the Provider's Job Easier with Abboud Chaballout
When it comes to billing codes there are many processes and solutions that focus on the backend. They support the coders and help ensure the codes are "bill ready". However, as today's guest points out, there are very few solutions that exist solely to help providers put those codes in the EHR...
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What's your Early Adopter Strategy? with Dr. Roxie Mooney
95% of innovations that are brought to market fail to reach an adequate level of customer adoption or financial ROI. It sounds scary, but it doesn't have to be this way. Today we're talking with healthcare commercialization strategist and digital health advisor Dr. Roxie Mooney, about the steps...
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What's up with IBM Watson Health? A Discussion on the State of AI in Healthcare with Paddy Padmanabhan
IBM Watson Health came on the scene with swagger and promises. They were going to revolutionize healthcare! And now the unit may be for sale. We don't yet know what's really going on there, but the commentary surrounding this rumor provides some interesting points for discussion. What is the…
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Using Data to Pick the Right Health Plan with Akash Magoon
Picking a health plan can be the biggest crapshoot of anyone's year. It's confusing and tedious to compare the plan benefits, the provider directories are unreliable, and even if you can figure it out, there's no way to know how much you'll pay for a given service from one plan to the next. So…
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The Role of Doctors at Digital Health Startups with Sven Jungmann
What is the role of a doctor at a digital health startup? Why are they needed? What jobs will they do? How do you find one? And how can you tell if they will be a fit for your team? If you're a doctor considering this move, you may have similar questions in reverse. What will it be like to be a...
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A Practical Look at Machine Learning in Healthcare with Josh Miramant
Machine Learning in healthcare (and Artificial Intelligence in the broader sense) is real and is being used today. The problem is, it's difficult to sort out what's real and what's hype. Opinions on the matter range from "it's all hype and BS" to "AI is revolutionizing healthcare and replacing...
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ABOUT THIS SHOW
A practical podcast on the business of healthcare w/ hosts Don Lee and Shahid Shah. The premise behind #HCBiz is that we can't "just innovate". Sure, you may have a great idea, an all-star team and execute flawlessly, but if you don't understand the complex dynamics of the healthcare business you'll never get traction. We'll identify the issues that impede change, explain why they exist and find ways to work with them, through them, or around them. In short, we'll help you create space for innovation in healthcare through technology (HealthIT | HIT | Digital Health) and workflow. We'll also explore health policy, administration and the psychology behind it all. Finally, we help you align your ideas to business incentives, market them to healthcare leaders and get the sale.Check out all of our podcasts, videos and blog posts here: http://thehcbiz.com/Produced by Glide Health IT LLC in partnership with Netspective Media.
HOSTED BY
Don Lee and Shahid Shah
CATEGORIES
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Frequently Asked Questions
How many episodes does The #HCBiz Show! have?
The #HCBiz Show! currently has 208 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is The #HCBiz Show! about?
A practical podcast on the business of healthcare w/ hosts Don Lee and Shahid Shah. The premise behind #HCBiz is that we can't "just innovate". Sure, you may have a great idea, an all-star team and execute flawlessly, but if you don't understand the complex dynamics of the healthcare business...
How often does The #HCBiz Show! release new episodes?
The #HCBiz Show! publishes regularly with 208 episodes available. Check the episode list for the typical release schedule.
Where can I listen to The #HCBiz Show!?
You can listen to The #HCBiz Show! on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts The #HCBiz Show!?
The #HCBiz Show! is created and hosted by Don Lee and Shahid Shah.
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