Shows
Health Care RoundsHow Health Systems Win in Specialty Pharmacy w/ Dr. Tim AffeldtSpecialty pharmacy is big business. And while PBMs and big pharma dominate the spotlight, health systems are quietly carving out their own advantage. In this episode of Health Care Rounds, host, John Marchica, sits down with Tim Affeldt, PharmD, Vice President, Specialty/Infusion Operations, Fairview Pharmacy Services, to unpack why health systems don’t just belong in specialty pharmacy - they may be unqiuely positioned to lead it. From tighter care integration and faster clinical decisions to improved outcomes and patient experience, Dr. Affeldt lays out a clear case: when pharmacists are embedded in the care...2025-07-2435 min
Health Care RoundsBetter Health Policy Starts with Better Data w/ David C. Radley, Ph.D., M.P.H.What happens when state health policymakers lose access to the very data they rely on?In this episode of Health Care Rounds, John Marchica talks with David C. Radley, Ph.D., M.P.H., Director of Data and Analytics at The Center for Evidence-Based Policy and Senior Scientist at the Commonwealth Fund. They explore how states use administrative data to make informed Medicaid decisions, and why recent threats to public data infrastructure could undermine that progress.Dr. Radley breaks down how his team turns raw data into actionable insights, how states are planning for the...2025-06-0556 min
Health Care RoundsBuilding Sustainable Primary Care for Seniors w/ Tom Yackel, MD, MPH, MS, MBAValue-based care isn’t a new idea—but making it work in today’s fragmented system is anything but simple. In this episode of Health Care Rounds, John Marchica talks with Dr. Tom Yackel, Chief Clinical Excellence Officer at CenterWell Senior Primary Care, about what it really takes to deliver high-quality, cost-effective care to Medicare patients.Dr. Yackel shares insights from his decades-long career in primary care, informatics, and practice leadership, explaining how CenterWell is scaling value-based care models in communities that need it most. From the business realities of Medicare Advantage to why primary care must be run...2025-05-0841 min
Health Care RoundsHow Patient-Reported Outcomes Create Value and Improve Health w/ Trafford Crump, Ph.DValue-based care is more than just a buzzword - it’s a fundamental shift in how we measure success in health care. In this episode of Health Care Rounds, John Marchica sits down with Dr. Trafford Crump, Associate Professor at McGill University, to discuss how patient-reported outcomes (PROs) can help us better understand the value of care from the patient’s perspective. Trafford explains where PROs fit into clinical trials, delivery systems, and the broader goals of value-based care and why measuring what actually matters to patients is harder (and more important) than it looks. 🎙ABOUT DR. TRAFF...2025-05-0147 min
Health Care RoundsThe Hidden Cost of Health Care Data Silos w/ Jason Bryll, Principal, Parable AssociatesIn this episode of Health Care Rounds, Host John Marchica sits down with Jason Bryll, Principal at Parable Associates, to unpack why health care organizations struggle with managing financial and patient data. They discuss the challenges of revenue cycle management, the headache of disconnected systems, and how better data practices can lead to better care. Jason also breaks down where AI and automation can help - and where they fall short.🎙 ABOUT JASON BRYLLJason has specialized in the health care industry for over a decade with his core focus on Revenue Cycle performance improvement, Information Sys...2025-03-2542 min
Health Care RoundsThe Intersection of Pharma, Business and Patient Care w/ Jon Brown, MHA, DPLAIn another installment of our Pharma Series, we sit down with Jon Brown, MHA, DPLA, Director of Pharmacy-System Operations and Logistics at IU Health, to explore how his team is transforming pharmacy services. From launching one of the most advanced centralized pharmacy facilities in the country to navigating drug shortages and cutting costs, Jon shares how IU Health is rethinking the role of pharmacy in patient care.We discuss:✅ The shift from pharmacy as a cost center to a value driver✅ How centralized operations improve efficiency and safety✅ The role of automa...2025-03-0649 min
Health Care RoundsHCR Matt Porch EncoreIn this encore episode of Health Care Rounds, Matt Portch, Consultant at MPC&R LLC, joins host John Marchica to explore the evolving collaboration between pharmaceutical companies and Integrated Delivery Networks (IDNs).Additionally, Matt sheds light on how both have adapted to new technologies and market shifts.Matt is a seasoned pharmaceutical executive with successful leadership experience at Sunovion Pharmaceuticals, Pfizer, and Bristol Myers Squibb. TOPICS(0:19) Introduction(0:45) Meet John Driscoll(2:40) The Future of Pharma(8:28) How Pharmacies Can Put Patients First(12:25) Key T...2025-02-201h 12
Health Care Rounds2025 Health Care Trends and Policy Predictions with John DriscollWhat does it take to transform health care and address its most pressing challenges? Few individuals are as uniquely positioned to answer as John Driscoll. With a storied career as an author, chairman, investor, CEO, and host of the CareTalk podcast, John has had an impact on nearly every facet of the health care industry.Drawing from decades of leadership, John joins Health Care Rounds to share his thoughts on prescription drug pricing models, health care policies under Trump 2.0, the areas of health care ripe for AI disruption and much more. TOPICS...2025-02-0440 min
Health Care RoundsExpanding Health Care Access with Portable Care Solutions w/ OnMed CEO Karthik GaneshHealth care access, especially rural health care, has long been defined by systemic challenges, including limited access to specialists, provider shortages, and geographic barriers hindering patient care.These obstacles continue to strain health systems and impact outcomes in underserved communities.But what if new technologies could address these challenges by combining the convenience of telemedicine with the familiarity and comfort of an in-person doctor’s office?In this episode of Health Care Rounds, Karthik Ganesh, CEO of OnMed, shares insights on how their OnMed Care Stations transform health care access and deploy tech-enable hy...2025-01-2344 min
Health Care RoundsIncreasing Transparency with Cost-Plus Drug Pricing w/ MakoRx Founder Vinay PatelEvery year, medication prices keep going up, putting even more strain on Americans’ budgets.To make it worse, the price you see online often doesn’t match what you’re charged at the pharmacy counter.So why the lack of transparency?And equally important, what can be done to ease the pressure of these rising costs?Join Vinay Patel, founder of MakoRx, as he unpacks the complexities of prescription drug pricing and reveals how MakoRx is disrupting traditional models with cost-plus pricing to make medications more affordable and accessible for everyone.T...2025-01-161h 02
Health Care RoundsEmpowering In-home Care With Private-Duty Nursing, with Jasmine BhattiValue-based care has rapidly gained momentum in recent years, but challenges persist — particularly when care is delivered in the home. Our guest, Jasmine Bhatti, Founder and CEO of Navi Nurses, explains how private-duty nursing can deliver better clinical and financial outcomes for providers while offering compassionate at-home care to patients in need. TOPICS(0:20) Introduction(1:05) What Led Jasmine Bhatti to Healthcare(4:00) Going from Nurse to Business Owner(7:58) Looking at the Success of Care Transitions(12:38) The Difference in Home Care Coverage(15:40) The Complexities of Home Care...2024-11-2139 min
Health Care RoundsAdvancing Health Care Policies to Meet People's Needs w/ Natalie DavisIt’s no secret that the health care for millions of Americans isn’t working, with many in dire need of immediate action.The demand for bipartisan solutions, new policies, and technological advancements for the health care system has never been greater.Our guest, Natalie Davis, co-founder and CEO of United States of Care, joins us to share her thoughts on the current state of health care, AI’s growing role in it, and how she’s advocating for policy changes that could shape the future of health. TOPICS(0:16) Intro2024-11-0742 min
Health Care RoundsEasing Cancer Treatment with Personalized Nutrition with Dr. Erika Ebbel AngleFact: 80 percent of cancer patients face significant side effects throughout their treatment, potentially worsening outcomes and making a difficult journey even more challenging for patients fighting for their lives.In this episode, we’re joined by Dr. Erika Ebbel Angle, CEO of Ixcela, to discuss her personalized approach to improving cancer patient treatment outcomes by prioritizing gut health, nutritional therapy, and lifestyle adjustments. 🎙 ABOUT HEALTH CARE ROUNDSHealth Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join D...2024-10-2440 min
Health Care RoundsAchieving Health Equity Through All-Payer Models with Dr. Trudy HallTackling rising healthcare costs while improving quality is no small task, and many states are left struggling.But one state might have the solution.In this episode, we explore Maryland’s All-Payer system with Dr. Trudy Hall, Vice President of Medical Affairs and Chief Medical Officer at TidalHealth, discussing how this innovative approach is changing the game by streamlining healthcare costs while keeping patient care at the forefront. 🎙 ABOUT DR. TRUDY HALLDr. Trudy R. Hall has been the Vice President of Medical Affairs and Chief Medical Officer at TidalH...2024-10-1049 min
Health Care RoundsRepairing Fragmented Care with Value-Based Strategies with Dr. Kamal GollaWhile demand for specialty care has never been higher, this demand hasn't resulted in better coordination among PCPs.Can value-based care bridge the gap? Our guest Dr. Kamal Golla thinks so.In this episode explore the importance of value-based care and how it can create exceptional patient experiences and better outcomes. 🎙 ABOUT DR VISHNUKAMAL GOLLADr. Vishnukamal Golla is the medical director for value transformation at Evolent, a specialty and primary care management company. In this role, Dr. Golla leads the implementation of innovative value-based care models in specialty care...2024-09-1946 min
Health Care RoundsAdvancing Medicine With Placenta-Derived Cells with Dr. Robert HaririJoin us as we delve into the groundbreaking world of cellular therapies with Dr. Robert Hariri, CEO of Celularity.In this episode, Dr. Hariri takes us on a journey through the cutting-edge innovations that are reshaping the future of medicine.Discover how harnessing the power of the body’s own cells is not just a promise for the future, but a reality today—transforming hope into tangible results across a wide spectrum of diseases. Don’t miss this insightful conversation on the therapies that are revolutionizing healthcare. 🎙ABOUT DR. ROBERT HARIRI: Dr. Bo...2024-08-151h 00
Health Care RoundsDriving Better Outcomes with Ambulatory Surgical CentersAmbulatory Surgery Centers (ASC) specialize in providing surgical, diagnostic, and preventive procedures without lengthy and costly hospital stays.As the demand for convenient, accessible, and affordable care grows, ASCs have become an increasingly popular alternative.Joins us as Aric Burke, President and CEO of Atlas Healthcare Partners explores ASCs' role in everything from lowering out-of-pocket expenses and reducing the surgical burden on hospitals to expanding care access and creating jobs. ABOUT ARIC BURKE Aric brings over eighteen years of experience in ASC consulting, development, and operations. He oversees the st...2024-08-0854 min
Health Care RoundsWorking with IDNs: The Pharma PerspectiveIn this episode of Health Care Rounds, Matt Portch, Consultant at MPC&R LLC, joins host John Marchica to explore the evolving collaboration between pharmaceutical companies and Integrated Delivery Networks (IDNs).Additionally, Matt sheds light on how both have adapted to new technologies and market shifts.Matt is a seasoned pharmaceutical executive with successful leadership experience at Sunovion Pharmaceuticals, Pfizer, and Bristol Myers Squibb. ABOUT HEALTH CARE ROUNDSHealth Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery a...2024-06-201h 12
Health Care RoundsWhy Accountable Care Models Are So Important w/ Bill LaneHaving equal access to quality health care across the United States shouldn't be a privilege, but a reality. Yet, seniors battling multiple chronic conditions often face disparities. The challenges are significant, from struggling to reach appointments to affording basic needs.Enter Accountable Care Organizations (ACOs). Are they the answer to improving coordinated care and reducing costs for seniors?In this episode of Health Care Rounds, Bill Lane joins John to explore how Accountable Care Organizations (ACOs) are transforming health care delivery, particularly for seniors. ABOUT HEALTH CARE ROUNDS Health Car...2024-05-0951 min
Health Care RoundsHow AI is Reshaping the Future of Medicine w/ Dr. Robert PearlWe have all been exposed to some form of AI, but how is it positioned to enhance the future of medicine? In this episode of Health Care Rounds, Dr. Robert Pearl joins John to delve into the exciting potential of AI, particularly large language models, to revolutionize medicine, healthcare access, analysis, and treatment. Topics:(2:12) Dr. Pearl’s initial experience with Chat GPT(4:17) The potential benefits of AI and medical information for patients (9:43) What makes large language models different when it comes to analyzing clinical data?(13:30) What are the...2024-04-1843 min
Health Care RoundsRevolutionizing Pharmacy Care w/ Alison LumTopics:(11:00) Pharmacy benefit management basics(15:28) Rebates and pricing benchmarks(18:34) Blue Shield of California’s pharmacy care reimagined initiative(21:25) Capturing real-world evidence to asses new medications(23:52) Transforming the pharmacy benefits industry with partnerships and alliances(29:32) Baseline drug prices and innovative contracting approaches(33:52) Shifting to a value-based model to make drug pricing more cost-effective(37:13) The need for systemic change and holistic health in the pharmacy benefit industry About Health Care RoundsHealth Care Rounds is a podcast developed for health care lea...2024-04-0439 min
Health Care RoundsPodcast #164: Insights into Sepsis Management with Dr. Robert ScogginsDr. Robert Scoggins, Chief Medical Officer, CytovaleRobert Scoggins, MD, PhD is a seasoned pulmonary and critical care physician and the Chief Medical Officer (CMO) at Cytovale. He began his career in science with an undergraduate degree in Molecular Biology from Vanderbilt University and completed a PhD in Microbiology at the University of Virginia as part of a combined MD, and PhD program. Dr. Scoggins completed his residency in Internal Medicine and fellowship in Pulmonary and Critical Care at Vanderbilt University. Over the last 15 years, he has held a variety of clinical and leadership positions within several...2024-02-1129 minHealth Care RoundsPodcast #163: Navigating Leadership Polarities to Foster a Resilient Work Environment with Dr. Tracy Christopherson and Michelle TrosethDr. Tracy Christopherson and Michelle Troseth, Co-Founders of MissingLogic®Dr. Tracy Christopherson and Michelle Troseth are co-founders of MissingLogic®. The core of their work is to help leaders to overcome leadership norms that cause suffering, achieve work life balance, create healthy work cultures and environments by leveraging Polarity IntelligenceTM.Tracy and Michelle are co-authors of the book Polarity Intelligence: The Missing Logic in Leadership and co-hosts of The TRU Leader Podcast (previously known as Healthcare’s MissingLogic Podcast). The dynamic duo is known for helping leaders balance leading and living so they can be TRU lead...2024-02-0547 minHealth Care RoundsPodcast #162: Revolutionizing Health Care: A Disruptive Approach to Primary Care and Employer Partnerships with Dr. Jeff WellsJeff Wells, MD, CEO & Co-Founder, Marathon HealthJeff Wells, MD, is the CEO and co-founder of Marathon, a modern health company that partners with employers, benefit consultants and unions to deliver a health care experience that focuses on driving real behavior change, resulting in better employee health and financial savings. Marathon Health’s model consists of onsite health centers, Network health centers and virtual advanced primary care. Wells, who earned his MD in internal medicine from Indiana University, was president and co-founder of OurHealth, which merged with Marathon Health in January 2020. He is the former director of In...2024-01-1449 minHealth Care Rounds#161: Guiding Health Care Organizations with a Targeted Leadership Approach, with Laurie Lee SmithHolding more than 20 years of experience in healthcare leadership, Laurie Lee Smith is the founder of Laurie Lee Leadership and former system CNO of Billings Clinic. Her expertise lies in supporting healthcare professionals to overcome challenges, shift mindsets, uncover blind spots, and sustain progress by incorporating the neuroscience of human behaviors. She has developed the Elevating Healthcare Leadership Impact program and the STAR methodology, both of which have proven to be instrumental in transforming teams and driving tangible results. Laurie holds a BSN from the University of Alaska aAnchorage, a masters of science in nursing administration from the University...2023-08-1851 minHealth Care Rounds#160: Closing Care Gaps With Data in the Right Place, at the Right Time, with Ruth Krystopolski, MBARuth Krystopolski is President of Ayin Health Solutions at Providence Health Systems. In her role as President, Ruth leads the development of population health capabilities across Providence’s ministries and extends them externally to reach additional communities.Ruth joined Ayin in November 2021 after serving as the Senior Vice President of Population Health at Atrium Health, where she was responsible for the development and implementation of value-based care models across the organization. Ruth also led the system-level Care Management, Employer Solutions and other Value-Based Programs and provided oversight of the Poison Control Center in Charlotte, NC.Ru...2023-06-2329 minHealth Care Rounds#159: Organizational Performance and Physician Engagement, with John Neil, MDDr. John Neil is the Executive Vice President and Chief Physician Executive and Network Strategy Officer for HonorHealth in Scottsdale, Arizona. Dr. Neil drives physician engagement throughout HonorHealth, working to ensure that physicians have input and involvement in the decision-making processes of the healthcare system. His work with clinical teams focuses on strategic initiatives, operations, clinical services and the continuum of patient care.An interventional radiologist by clinical training, he joined HonorHealth as the organization’s senior physician leader in 2015 and has since held leadership roles with the organization's medical staff, Scottsdale Health Partners, and the HonorHealth Bo...2023-05-0532 minHealth Care Rounds#158: Leading with Purpose and Finding a ‘Why’, with Chanda ChaconChanda Chacón is the president and CEO of Children’s Hospital and Medical Center in Omaha, Nebraska. Chacón came to Children’s from Arkansas Children’s, where she served as Executive Vice President and System Chief Operating Officer. In Arkansas, she oversaw the system operations of two hospital campuses, clinical services, human resources and support services. Prior to leading in Arkansas, she served as the President for Texas Children’s Hospital West Campus, Houston’s first community hospital designed exclusively for children. Chacón spent 14 years at Texas Children’s Hospital—one of the nation’s top pediatric health ca...2023-04-1436 minHealth Care Rounds#157: Delivering Health Care On An International Scale, with Heitham Hassoun, MDHeitham Hassoun, MD, Vice President & Medical Director, Cedars-Sinai InternationalDr. Heitham Hassoun is the Vice President & Medical Director for Cedars-Sinai International in Los Angeles, California. He previously served as Global Medical Director for Johns Hopkins Medicine and was an Associate Professor in the Department of Surgery at The Johns Hopkins University School of Medicine.Dr. Hassoun has a wealth of experience in international patient services, global collaborations and health system development. He was instrumental in the creation of Johns Hopkins Aramco Healthcare, a joint venture between Saudi Aramco and Johns Hopkins Medicine, as well as...2022-12-1629 minHealth Care Rounds#156: Maximizing Value by Meeting People Where They Are, with Rob Allen, FACHERob Allen, FACHE, President and Chief Executive Officer, Intermountain HealthcareRob Allen, FACHE, was named as the new president and chief executive officer of Intermountain Healthcare and began serving in that role on December 1, 2022. Previously, Rob served as the organization's senior vice president and chief operating officer. In addition to Rob’s 25-plus years of executive leadership at Intermountain, he has also held CEO roles at hospitals and health systems in Wyoming, New Jersey, and Massachusetts.A fellow of the American College of Healthcare Executives, Rob has served on many foundation, chamber, and service boards. Ro...2022-12-0235 minHealth Care Rounds#155: Complex Population Health Management and Comprehensive Value-Based Models for High-Risk Patients, with Dr. Robert JarveDr. Robert Jarve is the Associate Chief Medical Officer for Population Health at Corewell Health West. In this role, he leads the strategy and development of population health analytics capabilities for the system, as well as the implementation of a value-based care model for underserved, high-risk patients. He is also leading a pilot to help house at-risk patients who are experiencing homelessness.In addition to his administrative responsibilities, Dr. Jarve practices as an internal medicine and pediatrics physician, providing primary care to high-risk patients one day a week. He has diverse experience in population health management, including...2022-11-1844 minHealth Care Rounds#154: Reimagining a High-Touch, Whole-Person Care Model for Kidney Disease, with Jackson BrasherIn his role as Strive Health’s Vice President of Strategy & Development, Jackson Brasher draws on more than 15 years of experience to lead Strive Health's system team in their company mission to transform kidney care.Before joining the leadership team at Strive, Jackson held corporate strategy and business development roles at The Advisory Board Company, Trilliant Health, and Cardinal Health – working with hospitals, health systems, and provider practices across the country on various innovation and growth initiatives. Jackson holds a B.A. from the University of Virginia and an M.B.A. from Duke. A Nashvi...2022-11-0436 minHealth Care Rounds#153: Overcoming the Costly Roadblocks to Developing Novel Cancer Therapies, with Dr. David StewartDavid Stewart, MD; Head, Division of Medical Oncology, University of Ottawa; Author, A Short Primer on Why Cancer Still SucksDr. Stewart received his MD degree from Queen’s University, Kingston, followed by training in internal medicine at McGill University and in medical oncology in the Department of Developmental Therapeutics at the UT MD Anderson Cancer Center. He first moved from MD Anderson to the University of Ottawa in 1980, and served as Chief of Medical Oncology at the Ottawa Civic Hospital from 1989 to 1999. He returned to the Department of Thoracic/Head and Neck Medical Oncology at MD An...2022-10-2127 minHealth Care Rounds#152: Tracking the Ever-Changing Life Science Landscape with BioPharmGuy's Adam WilsonAdam Wilson founded BioPharmGuy in 2008 after gaining engineering and government experience in biotech. Professional stops prior to BioPharmGuy include Biopure (Cambridge, MA), FDA (Detroit, MI) & Henry Ford Hospital (Detroit, MI). His formal educational background consists of a Chemical Engineering Bachelors ('02) and Pharmaceutical Engineering Masters ('06) both from the University of Michigan. BioPharmGuy currently operates out of West Lafayette, IN. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group. He is leading ongoing, in-depth research initiatives on integrated health systems, accountable care o...2022-10-0728 minHealth Care Rounds#151: Defragmenting and Rethinking Care Delivery For America’s Aging AdultsChris is the Chief Executive Officer (CEO) of Landmark Health. Chris joined Landmark in 2017 as Vice President and General Manager responsible for launching the New England market. Most recently, Chris has served as Landmark’s Head of Corporate Development responsible for the company’s growth strategy, strategic partnerships, mergers and acquisitions, and public policy. In this position, Chris played an integral role in spearheading Landmark’s merger with Optum and leading the company’s integration into Optum’s Home and Community platform.Prior to Landmark, Chris was a Principal at Innosight, a healthcare focused growth strategy consultancy and Co-fou...2022-09-2332 minHealth Care Rounds#150: ENCORE Investing in Social Determinants of Health with John GormanJohn Gorman is the founder and Chairman of Nightingale Partners, the first Opportunity Zone fund to invest in social determinants of health interventions with health insurers, states, and provider organizations. He also founded and is the former Executive Chairman of Gorman Health Group. John’s work focuses on Medicare, Medicaid, and Affordable Care Act strategy, governance, and turnaround of distressed health plans. Prior to founding his firm, John served as Assistant to the Director of Health Care Financing Administration’s (HCFA, now CMS) Office of Managed Care, where he provided day-to-day management and served as the external liaison for the...2022-09-0934 minHealth Care Rounds#149: ENCORE Reinventing the PBM Model with A.J. LoiaconoA.J. LoiaconoAJ is a successful entrepreneur, with 20 years of experience in pharmacy benefits and software development. As the CEO of Capital Rx, his mission is to change the way pharmacy benefits are priced and administrated in the US. Prior to Capital Rx, AJ was a co-founder of Truveris, where he served for eight years as CEO, Chief Innovation Officer, and Board Member, leading the company to record growth (Deloitte FAST 500 and Crain’s Fast50). Prior to Truveris, AJ co-founded SMS Partners, a joint venture with Realogy (RLGY), and in 2010 exited the partnership with a buyout. In...2022-08-0551 minHealth Care Rounds#148: ENCORE What’s Wrong with American Health Care, and How Do We Fix It? with Dr. Robert PearlDr. Robert PearlNamed one of Modern Healthcare’s 50 most influential physician leaders, Dr. Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery.He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy.Dr. Pearl is the author of “Mistreated: Why We think We’re Getting Good Healthcare—And Why We’re Usually Wr...2022-07-2237 minHealth Care Rounds#147: The Virtual-First Health Care Movement with Teladoc CEO Jason GorevicJason Gorevic is chief executive officer and a member of Teladoc Health's board of directors. Since taking the reins in 2009, he has led Teladoc Health to its position today as the world leader in virtual care, achieving significant growth in revenue, membership, and telehealth utilization. Under his leadership the company has established a proven track record of successfully shaping the market and driving healthcare transformation by executing on the strategic vision, delivering award-winning innovation, and effectively integrating each corporate acquisition. Nationally recognized as a thought leader and trailblazer in the virtual delivery of healthcare, Mr. G...2022-06-1731 minHealth Care Rounds#146: Championing Patient Centricity with Tzvia BaderTzvia Bader, CEO and Co-Founder of TrialJectory is a savvy and experienced entrepreneur, with decades of experience in business development, product marketing, and strategy. Prior to co-founding TrialJectory, Tzvia headed the global business unit at Amdocs where she was responsible for building a new product growth strategy, as well as for global sales and marketing. Tzvia has held different business development and marketing positions in several tech companies, both B2B and B2C. She holds a Master of Science degree from the University of Nottingham, in Nottingham, UK. John Marchica, CEO, Darwin Research Group...2022-06-0334 minHealth Care Rounds#145: Addressing America’s Nursing Crisis with Nurse AliceAlice Benjamin, MSN, APRN, ACNS-BC, FNP-C, CCRN, CEN, CV-BC, also known as 'Nurse Alice', is a cardiac clinical nurse specialist and family nurse practitioner with over 23 years of healthcare experience. Alice is Nurse.org's Chief Nursing Officer and Correspondent and is a regular contributor to NBC Los Angeles. She hosts the popular 'Ask Nurse Alice' podcast that reached #9 in the Apple Podcasts medical category. Nurse Alice is passionate about empowering nurses to use their voices on a grander scale. She has spoken on the subject of Nurses Using Media as a Form of Advocacy at several nursing s...2022-05-2030 minHealth Care Rounds#144: Fighting Burnout in Healthcare with Michelle Troseth and Tracy ChristophersonMichelle Troseth and Tracy Christopherson are co-founders of MissingLogic®. They help healthcare organizations and healthcare leaders combat burnout through the power of a framework driven approach founded on Polarity Intelligence™. The core of their work is leading healthcare organizations through transformational change that results in the best place to give and receive care, and for leaders to live their best lives both personally and professionally.Michelle and Tracy have been interprofessional leaders, friends and colleagues for over 30 years. They are co-hosts of a top healthcare leadership podcast, Healthcare’s MissingLogic. Michelle and Tracy have a combin...2022-05-0632 minHealth Care Rounds#143: Proactive Care Management with Linda HandLinda Hand brings 35 years of experience to her role as CEO of Prealize Health, with an emphasis in organizational leadership, product development, solutions delivery and go-to-market strategies across a diverse portfolio of industries. Before joining Prealize, Linda led the Clinical Trial Optimization Solutions division at IQVIA, where she was responsible for creating and delivering a suite of innovative clinical technology products, fueled by predictive analytics and machine learning algorithms, to drug development organizations worldwide.Linda is a past President and CEO of the San Francisco-based DecisionView, the leading provider of clinical trial enrollment optimization solutions. S...2022-04-2231 minHealth Care Rounds#142: Humanizing Health Care With Dr. Summer KnightSummer Knight, MD, MBA, a former firefighter/paramedic-turned primary care and emergency room doctor, is a Managing Director in Deloitte Consulting’s Life Sciences & Health Care practice. She is a passionate advocate for humanizing healthcare, an innovative leader in digital and virtual health, and a pragmatic futurist who helps clients act upon today’s rapid changes in healthcare.Dr. Knight maintains an active physician license, is board certified in family medicine and was Chief of Staff of a 4-hospital healthcare system and Emergency and Urgent Care Department Chair. She is an accomplished leader having held key executive posit...2022-04-0831 minHealth Care Rounds#141: Oncology Super-Networks, Payers, And Their Impact On Patient Care with Robin ShahRobin Shah is the Founder and CEO of Thyme Care, an oncology care management solution providing high-touch, tech-enabled cancer care navigation. Thyme Care was founded with the mission to radically improve the journey for every person diagnosed with cancer. At the heart of it all is the belief that providing patients with access to the right team at the right time will lead to better quality, outcomes, costs, and ultimately patient experience. Before launching Thyme Care, Robin was a founding member of OneOncology, where he served as the Chief Development and Marketing Officer. Robin’s passion for buil...2022-03-2539 minHealth Care Rounds#140: The Rise of Consumerism-based Healthcare with Dr. John ShufeldtDr. John Shufeldt founded NextCare Inc. in 1993 and served as the CEO and Chairman of the Board until 2010. He now serves as the business manager and one of the founding partners of Empower Emergency Physicians and continues to practice emergency medicine at St. Joseph’s Hospital and Medical Center. Dr. Shufeldt also founded MeMD, LLC, a platform used by more than 300 medical and mental health providers in 50 states to virtually treat patients on-demand and in the comfort of their home or place of work. Dr. Shufeldt has authored 11 books on leadership, self-improvement, business, entrepreneurism, urgent care management and urgent ca...2021-06-1832 minHealth Care Rounds#139: Building A Platform to Match the Demands of Healthcare Transportation with Josh Komenda Josh Komenda is co-founder, CEO and president of healthcare logistics leader, Veyo, a full service NEMT broker using technology to better manage NEMT benefits for Medicaid and Medicare programs, state governments, and Managed Care Organizations.While focusing on the technology platform, Josh and his team recognized the need for Non-emergency Medical Transportation (NEMT) in the industry and created Veyo. Combined with the healthcare logistics and transportation division of Total Transit, Veyo is a full-service transportation brokerage designed specifically to provide access to healthcare for people who need assistance getting to and from medical appointments. Veyo’s new tec...2021-06-1139 minHealth Care Rounds#138: An Honest Conversation on the State of Current Medicine with Dr. Robert PearlDr. Robert Pearl is the former CEO of The Permanente Medical Group and former president of The Mid-Atlantic Permanente Medical Group. In these roles was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Named one of Modern Healthcare’s 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery.He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Bus...2021-06-0441 minHealth Care Rounds#137: The Stigmas within Healthcare Regarding Behavioral Health with Spencer HutchinsSpencer Hutchins is the CEO and co-founder of Concert Health, America’s leading behavioral health medical group with a turnkey solution designed for primary care and women’s health physicians. Concert Health’s exceptional team of clinicians deliver Collaborative Care Management, an evidenced-based model proven to treat anxiety, depression, and other behavioral health conditions. Prior to Concert, Spencer co-founded Reflexion Health, where he served as CEO for three years. Spencer also previously served as Senior Director at West Health, where he helped source and support investments in innovative companies such as Humedica, Change Healthcare, and goBalto...2021-05-2831 minHealth Care Rounds#136: A Modern Solution to One of Medicine’s Oldest Problems with Dr. Noam EmanuelDr. Emanuel has over 26 years of research and development, marketing and management experience in biotechnology projects, including development of drug delivery systems and immunology. His extensive expertise includes immunotherapy, vaccines, immunodiagnostics, systemic and local drug-delivery, and medical devices. Dr. Emanuel has a number of approved patents in the field of drug delivery and diagnostics. Dr. Emanuel is a co-founder of PolyPid and served as its CEO during the company’s first three years. He received his Ph.D. from the Faculty of Medicine at the Hebrew University of Jerusalem. John Marchica, CEO, Darwin Research Group2021-05-2137 minHealth Care Rounds#135: ENCORE Rethinking the ‘Moral Hazard’ Approach to Structuring Health Insurance, with Christopher RobertsonChristopher Robertson joined the Boston University law school faculty in 2020 as a tenured professor and an N. Neal Pike Scholar in health and disability law. Prior to that, he served as associate dean for research and innovation and professor of law at the University of Arizona. He is also a principal at Hugo Analytics, a firm that provides scientific services to litigators. In 2019, Harvard University Press published his book, Exposed: Why Our Health Insurance Is Incomplete and What Can Be Done About It. Chris has also co-edited three books, Nudging Health: Behavioral Economics and Health Law (2016,) Blinding as a S...2021-05-1433 minHealth Care Rounds#134: ENCORE Shifting the PBM Paradigm From Volume and Cost Savings to Customer Alignment, with Karthik GaneshKarthik Ganesh is the CEO of EmpiRx Health, the industry’s only value-based PBM, with a clinically focused, technology-enabled approach to bending the Rx cost curve. Prior to EmpiRx Health, Karthik was the founding operations leader of CareAllies. He is a senior health care executive with a solid track record of comprehensively scaling, transforming, and maximizing value at tech-enabled health service companies while driving dramatic before-and-after results across all facets of the organization. Karthik is recognized as a thought leader on health care, leadership, and resilience. He is a published author and has been featured in leading industry journals....2021-05-0743 minHealth Care Rounds133: Challenges to, and Solutions for, Better Integrating Behavioral Health and Primary Care, with Dr. Tom YoungDr. Thomas Young is a board-certified family physician with more than 35 years of medical experience. He is recognized as an innovator and thought leader in the fields of consumer-directed health care and population health care management. Dr. Young is the founder and chief medical officer of nView Health, an innovative software company that helps providers better identify, treat, and monitor patients with behavioral health conditions. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care market intelligence firm specializing in h...2021-04-3037 minHealth Care Rounds#132: Pairing AI and Virtual Technology with a Patient-Centered Delivery Model to Transform Health Care, with Dr. Thomas HaleDr. Hale is the chief medical officer at VirtuSense Technologies, a health care company that uses proprietary technology and artificial intelligence to reduce adverse events within hospitals, skilled nursing facilities, and senior living communities. He previously was the senior vice president for care solutions at Navvis Healthcare, after a 37-year career at Mercy Health, where he was the leader and clinical architect of the world’s first virtual care center. As the executive medical director of Mercy Virtual, Dr. Hale led the development of new ways to effectively and efficiently deliver health care to Mercy communities. P...2021-04-2341 minHealth Care Rounds#131: Post-COVID Partnerships Between Pharma and Integrated Delivery Networks, with Sean BruskySean Brusky, health care entrepreneur, executive advisor, strategist, and former head of health care delivery innovation at Genentech/RocheSean’s career has developed around a central theme: How can we innovate to help Pharma become true partners in value-based care? Over the course of 15 years in various leadership roles with Genentech/Roche, Sean has lived experience attempting to solve the problems at the core of this challenge, directly engaging key market stakeholders from the seat of one of the world’s largest integrated health care companies, focused on both innovative new medicines and novel diagnostics, and real...2021-04-1652 minHealth Care Rounds#130: How the Pandemic Has Accelerated the Role of Home Health Care, with Paul VerHoevePaul VerHoeve is CEO and a board member for Mission Healthcare. With more than 20 years of health care leadership experience, he has been recognized as a driver of healthy workplace culture. Prior to his involvement with Mission Healthcare, Paul was president of the west region with Louisville, Ky.-based Kindred Healthcare, one of the largest post-acute care systems in the country. Before joining Kindred Healthcare, he served in several leadership positions with Gentiva Health Services (now part of Kindred Healthcare), Haven Healthcare, and VITAS Healthcare. John Marchica, CEO, Darwin Research GroupJohn Marchica is a ve...2021-04-0948 minHealth Care Rounds#129: Successfully Growing an Independent Physician Practice, with Dr. Kyle GuytonDr. Kyle Guyton is a pediatrician, CFO and co-founder of SouthernMED Pediatrics, a multi-site pediatric and counseling practice with 10 locations throughout South Carolina. In addition to caring for his patients, he serves his local community as a member of the Lexington County School District One School Board. Dr. Guyton attended the Medical University of South Carolina, where he earned his medical degree, and furthered his training at the University of South Carolina in pediatric residency. Dr. Guyton has a passion to see that regions with a need for accessible, exceptional pediatric care are provided for. Jo...2021-04-0230 minHealth Care Rounds#128: Transforming the Delivery of Care with Dr. Daniel DurandDaniel J. Durand, M.D. serves as the chief innovation officer and chairman of radiology for LifeBridge Health. He led the LifeBridge Health ACO, LLC, and previously served as the first director of accountable care for Johns Hopkins Medicine. Prior to Hopkins, Dr. Durand was a vice president and member of the executive leadership team at Evolent Health, a health care IT startup. He also worked as an associate with McKinsey & Co. out of the firm's Washington, D.C., office. Dr. Durand earned his medical degree at The Johns Hopkins University School of Medicine and has more than 20 years...2021-03-2651 minHealth Care Rounds# 127: Improving the Patient Experience with Compassionate Communication in Medicine with Dr. Anthony OrsiniDr. Anthony Orsini is a practicing physician, author and frequent speaker on the topic of compassionate communication in medicine. He is a Level II Medical Director at one of the largest Neonatal Intensive Care Units in the world. He also serves as Chief of Patient Experience and Palliative Care Liaison for his neonatal practice, and is a frequent keynote speaker at various medical and business events, including an upcoming TEDx presentation entitled-Improving Healthcare Starts with a Single Conversation.In 2011, he founded The Orsini Way, a company that provides communication training to healthcare and business professionals. Dr. Orsini...2021-03-1928 minHealth Care Rounds#126: Using Technology to Advance Care for an Aging Population, with Jon WarnerJon Warner, CEO and Board Chair Decision-support Architect for Innovation, Technology, DigitalHealth, Aging populationsFive-time company CEO Jon Warner is a widely respected entrepreneurship expert. His career started in the corporate world with Air Products, working in the US and across Europe before joining Exxon-Mobil. At Exxon, Jon worked in the UK, the US, Australia, and Nigeria, ending his career there as deputy CEO. He is the founder of The Worldwide Center for Organizational Development, a management consulting business, and CEO of Silver Moonshots, a research organization and “virtual incubator” for startups focused on health technology and inno...2021-03-1230 minHealth Care Rounds#125: Discussing the Past, Present, and Future with Scott Becker2:07 - 2:13 Scott: “It was originally sort of a hobby and a marketing effort to develop a brand in health care.” 16:22 - 16:25 Scott: “So I understood the niche marketing concept, being in a niche within health care.”19:10 - 19:18 Scott: “It wasn’t until 7-8 years ago when we started, you know, really thinking about this as a serious business, where somebody said, ‘Oh, you’re in business-to-business media.’” 24:28 - 24:51 John: “I just get the sense that there’s still this antagonistic relationship between pharmacy and Pharma. … Pharma has not been able to demonstrate the value that they bring to the...2021-03-0539 minHealth Care Rounds#124: Powering Precision Health with Kevin HrusovskyKevin Hrusovsky, Precision Health Visionary, Chairman & CEO, QuanterixKevin Hrusovsky is a biotech entrepreneur and healthcare visionary who has dedicated his career to transforming medicine into preventative and personalized healthcare. Hrusovsky currently serves as the President, Chairman and CEO of Quanterix, a company digitizing biomarker analysis to advance Precision Health, and is the founder of Powering Precision Health (PPH). He holds an M.B.A. from Ohio University and a B.S. in Mechanical Engineering from The Ohio State University. He received an Honorary Doctorate from Framingham State University and helped build the competitive strategy curriculum at...2021-02-2638 minHealth Care Rounds#123: Exploring the Future of Health Care Delivery with Dr. Elliott FisherElliott S. Fisher, M.D., M.P.H., is director of the Dartmouth Institute for Health Policy & Clinical Practice and Professor of Medicine, Community and Family Medicine and Health Policy at Dartmouth University’s Geisel School of Medicine. As a recognized leading health care researcher and advocate for improving health system performance, Dr. Fisher previously contributed to the concept of the “accountable care organizations” (ACOs) and has influenced research within the development of the Affordable Care Act. His research areas of expertise focus on Medicare, payment reform, and community health with an overall goal to deliver health care value. In his...2020-11-1357 minHealth Care Rounds#122: Investing in Social Determinants of Health with John GormanJohn Gorman is the founder and Chairman of Nightingale Partners, the first Opportunity Zone fund to invest in social determinants of health interventions with health insurers, states, and provider organizations. He is the Founder and former Executive Chairman of Gorman Health Group. John’s work focuses on Medicare, Medicaid, and Affordable Care Act strategy, governance, and turnaround of distressed health plans. Prior to founding his firm, John served as Assistant to the Director of Health Care Financing Administration’s (HCFA, now CMS) Office of Managed Care, where he provided day-to-day management and served as the external liaison for the Medi...2020-10-3035 minHealth Care Rounds#121: Value Creation in Health Care with Dr. Bill WeeksWilliam B. Weeks, MD, PhD, MBA, is a Principal Researcher at Microsoft Healthcare NExT. Dr. Weeks has published a book and over 200 peer-reviewed manuscripts examining economic and business aspects of health care services utilization and delivery, physicians’ return on educational investment, health care delivery science, and healthcare value. Dr. Weeks has been honored with the 2009 National Rural Health Association Outstanding Researcher Award, the 2016 Jerome F McAndrews award for excellence in research from the National Chiropractic Medical Insurance Corporation Group, and the 2016 Fulbright-Tocqueville Distinguished Chair at Aix-Marseille University.Dr. Weeks’ research that has been funded by CMMI, NIH, the C...2020-10-2333 minHealth Care Rounds#120: Integrating Patient-Centered Care with Dan PelinoDan Pelino is an innovator, thought leader and author. He is a regular contributor to the discussion on healthcare, citizen-based services and Smarter Cities having appeared on CNN, Bloomberg, the BBC and other media outlets. He serves as a moderator and host to the current healthcare debate and is an adjunct professor lecturing on Leadership at Western Kentucky University. He has worked for IBM for 36 years, leading its global Healthcare and Life Sciences Business for 10 years. On behalf of IBM, Dan and Dr. Paul Grundy both accepted the 2012 National Committee for Quality Assurance (NCQA) award for Leadership in Healthcare.2020-10-1641 minHealth Care Rounds#119: Improving Health Care Affordability Through PBM Optimization with Eric LevinEric Levin is CEO of Scripta Insights. Eric is a seasoned executive and serial entrepreneur who has created and managed products that have sold well in excess of $5 billion. He has been involved in more than 32 mergers and acquisitions and helped to grow several companies from startup through large-scale global success. After beginning his career at a market-leading consumer electronics retailer, Eric joined Kevin O’Leary (of TV’s Shark Tank fame) in the consumer technology business as part of the executive management team responsible for growing The Learning Company from $60m to over $1.2 billion in sa...2020-10-0947 minHealth Care Rounds#118: The Developing World of Wound Care with John SoryJohn Sory is the President of Vohra Wound Physicians. Sory has been an integral part of Vohra since March 2018 and brings 25 years of extensive expertise in healthcare management. Today, he is responsible for managing Vohra’s core operations and key strategic initiatives.Formerly, he served as the Chief Executive, UHealth Regional Alliance for the University of Miami Health System (UHealth) where he oversaw affiliations and expansion, health plan relationships, and new reimbursement models. He also led the organization’s entry into population health and the transformational steps from fee for service to value-based health outcomes. Sory expanded the h...2020-10-0231 minHealth Care Rounds#116: Digital Success in Health Care with Stewart GandolfStewart Gandolf, MBAStewart Gandolf, is Chief Executive Officer of Healthcare Success, one of the nation’s leading healthcare and digital marketing agencies. Over the past 20 years, Stewart has marketed and consulted for over 1,000 healthcare clients, ranging from practices and hospitals to multi-billion dollar corporations. A frequent speaker, Stewart has shared his expertise at over 200 venues nationwide. As an author and expert resource, Stewart has also written for many leading industry publications, including the 21,000 subscriber Healthcare Success Insight blog. Stewart also co-authored, “Cash-Pay Healthcare: Start, Grow & Perfect Your Cash-Pay Healthcare Business.” Stewart began his career with leading advert...2020-09-1840 minHealth Care Rounds#115: Dissecting the PBM Model with Karthik GaneshKarthik Ganesh is the CEO at EmpiRx Health, the industry’s only value-based PBM, with a clinically- focused and tech-enabled approach to bending the Rx cost curve. Prior to EmpiRx Health, Karthik was the founding operations leader of CareAllies. Karthik is a senior health care executive with a solid track record of comprehensively scaling, transforming and maximizing value at tech-enabled health service companies while driving dramatic before-and-after results across all facets of the organization. Karthik is recognized as a thought leader on healthcare, leadership, and resilience. He is a published author and has been featured in leading industry journals....2020-09-1142 minHealth Care Rounds#114: Building a Stronger Future for Health Care with Stefan BehrensStefan Behrens the CEO and co-founder of GYANT. GYANT creates digital assistant for healthcare – the software helps triage, navigate, and inform patients along the continuum of care. Prior to GYANT, Stefan has had great success as an entrepreneur. As Co-Founder and COO of Invincible Brands, he oversaw the launch and development of two lifestyle brands (Natural Mojo and Hello Body) in the healthy living space. Stefan also spent a decade in strategy consulting, driving large-scale transformation programs for international telco companies. Stefan guided multiplayer gaming company Aeria Games from humble beginnings to acquisition by ProSiebenSat.1, Europe's leading media company....2020-09-0429 minHealth Care Rounds#113 : A New Perspective in Health Care with Twila BraseTwila Brase is President and Co-Founder of Citizens’ Council for Health Freedom (CCHF), anational patient-centered nonprofit established 25 years ago in Minnesota to support health care choices, individualized patient care and medical and genetic privacy. She is author of the eight-time award-winning book Big Brother in the Exam Room: The Dangerous Truth About Electronic Health Records, which was published in July 2018.Modern Healthcare named her #75 on their 2009 “100 Most Powerful People in Healthcare”list. Last year, Twila Brase was selected as one of 18 leaders to participate in the U.S.Department of Health...2020-08-2843 minHealth Care Rounds#112: The Growing Role of the Health System Specialty Pharmacy with Ameet Wattamwar, PharmDAmeet Wattamwar, PharmD, is the Director of Specialty Pharmacy for the NYU Langone Hospitals System. Prior to this role, he was Vice President of Client Strategies for PHS, AmerisourceBergen’s health system facing consulting arm where he specialized in specialty & ambulatory pharmacy development, 340b optimization, and other pharmacy centric cost savings, and efficiency-focused initiatives. Ameet has also consulted for pharmaceutical manufacturers in addition to practicing pharmacy across various care settings. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care mar...2020-08-2135 minHealth Care Rounds#111: Redesigning Value in Health Care with Brian ParadisBrian Paradis is a senior partner with CSuite Solutions, a national strategic advisory firm. CSuite Solutions is led by former healthcare industry CEOs focused on the transition and practical strategies to move healthcare industry from “volume to value.” Previously, Paradis was president of Florida Hospital’s Central Region, a $4billion enterprise with over 25,000 employees and 2,000 physicians. Under his leadership, Florida Hospital was the #1 ranked hospital in Florida by the US News and World Report for three years. Paradis’s understanding of the role of immigration in organizational leadership helped develop a creative, results-oriented team based on a shar...2020-08-1449 minHealth Care Rounds#110: ENCORE LifeBridge Health’s Focus on the Community with Neil MeltzerNeil Meltzer, President and CEO of LifeBridge Health since 2013. Meltzer joined Sinai Hospital of Baltimore as Vice President of Operations in 1988, and a decade later became Sinai’s President and Chief Operating Officer.Meltzer has a background in public health and brings a community-focused approach to every health care decision. He serves on the boards of the Greater Baltimore Committee, Notre Dame of Maryland University, the Maryland Hospital Association, the Hippodrome Foundation and Everyman Theatre. Additionally, Meltzer serves on the advisory board of the University of Maryland School of Public Health. On the national level, he continues to...2020-08-0730 minHealth Care Rounds#108: ENCORE The Aging Population with Bob RothBob Roth founded Cypress with his family in 1994 and has been at the helm as Managing Partner since December 2003. Experienced in consumer products, healthcare and software since 1984, Bob is considered an innovator of technologies used to enhance communication and effectively support customers and peers in the health and home care industries. Bob was a finalist for the 2015 Phoenix Business Journal’s prestigious Healthcare Heroes award. In 2013 Cypress was awarded the Better Business Bureau’s Business Ethics Award, the only home care agency to be nominated let along win this coveted award. His community involvement includes hosti...2020-07-2445 minHealth Care Rounds#107: ENCORE Three Dartmouth Guys Talk Health CareDavid RadleyDavid Radley is a senior scientist for The Commonwealth Fund’s Tracking Health System Performance program. Dr. Radley and his team develop national, state, and substate regional analyses on health care system performance and related insurance and care system market structure analyses. He is also a senior study director at Westat, a research firm that supports the Scorecard project. He joined the Commonwealth Fund in July 2010 from Abt Associates where he was associate in Domestic Health Policy with responsibility over a number of projects related to measuring long term care quality and evaluation of various He...2020-07-1746 minHealth Care Rounds#105: ENCORE Partnering with IDNs and ACOs, with Scott HyllaScott Hylla, Director; Health Systems Scott Hylla is the Director of Health Systems for Sunovion Pharmaceuticals Inc. He has served in various roles spanning a 28 year career in the pharmaceutical industry, most recently in leading the Sunovion Health Systems team in the development and execution of collaborative strategies in the transformational IDN marketplace.Scott has a BS in Biology from St. John’s University and an MBA in Healthcare Management from the Opus College of Business, University of St. Thomas. He is a member of American College of Healthcare Executives and is a corporate participant in...2020-06-2629 minHealth Care Rounds#103: ENCORE Functional Wellbeing with Sean SullivanSean Sullivan, JDSean Sullivan is the Co-Founder, President and CEO of the Institute for Health and Productivity Management, as well as the WorkPlace Wellness Alliance which was created by the World Economic Forum, now managed and sustained by the Institute. Founded in 1997, the Institute is a global enterprise that serves as a catalyst and champion for a growing international movement to establish health as the new “human capital asset” and source of competitive workforce advantage for the 21st century economy.Sean speaks regularly at Forums in Europe and the United Kingdom and has held trai...2020-06-121h 09Health Care Rounds#100: A Recap of Our Last 3 SeasonsThis week on Health Care Rounds, as we wrap up our third season, we are celebrating our 100th episode! Tune in as John and podcast producer Kim Ascuitto share highlights from some of our best episodes, covering topics like Big Pharma, our aging population, care management, value-based care, and the changing health care delivery environment.In this episode, we include clips from the following guests:Ramon Soto, Chief Marketing and Communications Officer, Northwell HealthDr. Curtis Page, CEO, Commonwealth Primary Care ACOScott Hylla, Director, Health Systems - Market Access, Sunovion PharmaceuticalsA.J. Loicano, CEO, Capital RxDr. David...2020-05-0853 minHealth Care Rounds#72: Reinventing the PBM Model with A.J. LoiaconoSeveral weeks ago we reported on Capital Rx, a new PBM with a “clearinghouse model” designed to eliminate spread pricing and price variability — and promote greater transparency. This week, John sits down with A.J. Loiacono, a veteran entrepreneur and CEO of Capital Rx. Listen in and learn about what’s wrong with pharmaceutical pricing and how A.J. intends to fix it.Speaker BiosA.J. Loiacono, CEO, Capital RxA.J. is a successful entrepreneur, with 20 years of experience in pharmacy benefits and software development. As the CEO of Capital Rx, his mission is to ch...2019-09-2751 minHealth Care Rounds#67: Our Aging Crisis with Bob RothThis week, Bob Roth returns to Our Take to discuss America’s growing aging population and implications for ignoring what he calls the Aging Crisis. Bob’s passion for caring for the elderly stems from his personal experience with his own mother, which led to the creation of Cypress HomeCare Solutions, the Roth family business. Listen to the elder care issues Bob is calling out—and what we need to do about it.
Speaker Bios
Bob Roth, Managing Partner, Cypress HomeCare Solutions
Bob Roth founded Cypress with his family in 1994 and has been at the helm a...2019-08-221h 03Health Care Rounds#62: Behavioral Health & Mobile Apps with Dr. Julie KinnIn this week’s episode, John sits with military psychologist Dr. Julie Kinn to talk about the latest behavioral health mobile apps and online resources developed by the Defense Health Agency (DHA). Dr. Kinn discusses how DHA’s technology combats the stigma present around behavioral health issues so that both veterans and civilians are more inclined to seek care. Check out some of their free mobile apps: Virtual Hope Box, Breathe2Relax, and T2 Mood Tracker. For more resources, go to www.health.mil/connectedhealth.
Speaker Bios
Dr. Julie Kinn is a licensed clinical psychologist with over...2019-07-2530 minHealth Care Rounds#59: Improving Healthcare Through Grassroots Initiatives with Craig BrammerCMS’ Innovation Center has, through federal grants, helped states address specific population health needs. But what happens when entrepreneurs take healthcare improvement seriously, and are able to find innovative ways to align partnerships to effect change? This week, John sits down with Craig Brammer, CEO of The Health Collaborative and President & CEO of the Network for Regional Healthcare Improvement. Craig is an inspirational leader—helping to create change at the national level driven by grassroots efforts of local healthcare leaders.
Speaker Bios
Craig Brammer serves as President & CEO of the Network for Regional Healthcare Improvement (NRHI) & The...2019-07-1130 minHealth Care Rounds#57: Frontiers in International Medicine with Dr. Heitham HassounWhy are integrated health systems and academic medical centers increasing their focus on international medicine? What lessons can we learn from our colleagues abroad? Find out this week as John sits down with Dr. Heitham Hassoun, vice president and medical director for Cedars-Sinai International Health and Telemedicine.
Speaker Bios
Heitham Hassoun, MD, a leading international health expert, is vice president and medical director of Cedars-Sinai's Center for International Health and Telemedicine. Dr. Hassoun was previously medical director for Global Healthcare at Johns Hopkins Medicine International and an associate professor in the Department of Surgery at Johns...2019-06-2734 minHealth Care Rounds#51: Three Dartmouth Guys Talk Health CareThis week, John sits down with Dr. David Radley, senior scientist for The Commonwealth Fund, and Dr. Trafford Crump, assistant professor at the University of Calgary. Trafford and Dave welcomed John to Dartmouth’s PhD program in health economics and clinical epidemiology back in 2005, and have remained good friends ever since.
In this episode, they talk about the politicization of health care, health system performance, what's driving healh care cotsts, patient-reported outcomes, and more.
Speaker Bios
David Radley is a senior scientist for The Commonwealth Fund’s Tracking Health System Performance program. Dr. Radley and...2019-05-3046 minHealth Care Rounds#42: JeffConnect, On-Demand Telehealth with Frank SitesIn today’s podcast, John Marchica sites down with the Director of Telehealth and of JeffConnect at the Thomas Jefferson University Hospitals, Mr. Frank Sites. Frank has decades of experience in this space and shares with us just what it took to get JeffConnect to become the robust telehealth program that it is today.
Here are some of the interview highlights:
Specifics about Jefferson Health’s telehealth program, JeffConnect, and the “buckets” it fills for the end users.
Adoption by Jefferson providers, successes and challenges with that, as well as how reimbursement plays out.
Frank’s advice to...2019-03-2834 minHealth Care Rounds#40: Partnering with IDNs and ACOs, with Scott Hylla, Sunovion PharmaceuticalsWelcome to Season 2 of Health Care Rounds. In this episode, John Marchica speaks with Scott Hylla, Director of Health Systems and Managed Markets with Sunovion Pharmaceuticals. Scott and John discuss the state of pharma-IDN partnerships, pharma attitudes toward ACOs, and the future of industry-provider relations.
Key questions include:
How does pharma align with integrated health systems (IDNs), and what are IDNs looking for in a partnership?
Should pharma partner with ACOs, and if so, why?
What are the key trends in health care delivery that drive pharma toward higher-level partnerships?
Speaker Bios
Scott Hylla...2019-03-1429 min
Health Care Rounds#30: Northwell Health’s Successful Rebranding with Mr. Ramon SotoIn this episode, John Marchica speaks with Mr. Ramon Soto, Northwell Health’s Chief Marketing and Communications Officer. Mr. Soto came to what was formerly known as the North Shore-Long Island Jewish Health System after several years of unsuccessful deliberations on how to rebrand the system. In the interview, he touches upon how marketing is much more than “what looks good” and how to use market analytics as a driver to a more consumer-centric health system.
Here are some of the interview highlights:
The thought behind Northwell Health’s recent rebranding strategy
How Northwell Health uses marketing analytic...2018-10-1832 min
Health Care Rounds#26: Medumo, a Novel Patient Portal, with Dr. Adeel YangIn this podcast, John Marchica has Dr. Adeel Yang at the table to discuss his newest venture, Medumo. Medumo’s CareTours™ are digital "instructional pathways" that healthcare providers can rapidly customize to guide patients throughout treatments and procedures in the most effective, scalable way possible. Medumo was highlighted at the Connected Health Conference in 2017, looking at “Digital Health Startups Working with Large Health Systems - Lessons Learned.”
Here are some of the interview highlights:
What is Medumo and how does it help both the patients and their providers?
Current key gaps in health care along the patient’...2018-09-2027 min
Health Care Rounds#22: Insights into Canadian Health Care with Trafford Crump, PhD and Dr. Paul WoodsIn this podcast, John Marchica discusses the intricacies of Canadian health care with his old colleagues, Trafford Crump, PhD and Paul Woods, MD, MS. Canada’s health care system is about 70% federally funded and is experiencing the same health care trends of an aging population and attempts to move towards a value-based care model.
Here are some of the interview highlights:
How health care is structured in Canada, and its similarities and differences to health care in the U.S.
The increasing costs of health care in Canada, and delving into why this is becoming a tr...2018-08-2343 min
Health Care Rounds#19: Functional Wellbeing with Sean SullivanIn this podcast, John Marchica has a conversation with Sean Sullivan, JD on the need to address not just physical wellness in the workforce, but also its wellbeing. Sean and John speak on the growing trend of value-based care, not just in the United States, but also internationally.
Here are some of the interview highlights:
What are the definitions of wellness and wellbeing in the workforce, and where are we currently?
How do companies measure and address wellness? How do they tackle the harder task of workforce wellbeing?
The changing outlook of seeing employees as human...2018-08-021h 09
Health Care Rounds#17: Social Determinants of Health with Dr. Joshua LenchusIn this podcast, John Marchica discusses with Dr. Joshua Lenchus the challenges that come with running a safety net hospital, and the role that social determinants of health play in managing population health initiatives.
Topics include:
Managing population health in a safety net system
Social determinants of health and medical compliance
Why we should avoid integrating social determinants of health into the EMR.
Speaker Bios
Joshua Lenchus, DO, RPh, FACP, SFHM, holds a pharmacy degree from the University of Florida, and graduated from Nova Southeastern University College of Osteopathic Medicine in 2000. He currently works...2018-07-1931 min
Health Care Rounds#13: Advantages of Telehealth with Dr. Suzanne ShuggIn this podcast, John Marchica speaks with the CEO and Co-Founder of Teleplus Healthcare, Dr. Suzanne Shugg Teleplus is a medical information technology company that combines comprehensive telemedicine and tele-educational services with the leading treatment technology, focusing on the areas of Sleep Apnea, Congestive Heart Failure, Obesity, Chronic Care, and COPD. Teleplus has an exclusive global partnership with the University of Pennsylvania called the UPENN Sleep Disorder Certificate program that distributes sleep disorder education. Here are some of the interview highlights:
What do telehealth and telemedicine mean, and what are their differences?
The advantages of bringing telehealth for...2018-06-2132 min
Health Care Rounds#11: The Aging Population with Bob RothIn this podcast, John Marchica speaks with Cypress HomeCare Solutions’ Managing Partner, Bob Roth. The Better Business Bureau serving Central, Northern and Western Arizona (BBB) announced on May 16, 2018 that Cypress HomeCare Solutions was the winner of its 2018 BBB Torch Awards for Ethics for companies with more than 150 employees. This is the first time a home care company has been nominated regionally, let alone won this award. Here are some of the highlights we cover:
The differences between the terms of home health care, home care, and private duty, and how Cypress HomeCare Solutions fits in with them.
The di...2018-06-0845 min
Health Care Rounds#7: Behavioral Economics with Dr. Allen Weiss–Part 2In this two-part podcast, John Marchica speaks with NCH Healthcare System’s president and CEO, Dr. Allen Weiss. Dr. Weiss breaks down how they have changed the mindset of community health at the health system level with astounding statistics and fruitful outcomes. Here are some of the highlights we cover:
Part 1 - 17 min.
Present day history of NCH Healthcare System
Focus on community health with Blue Zones project
Behavioral economics for reducing health care costs
Part 2 - 13 min.
Health System trends
Other health care systems going the same path as NCH Healthcare
Advice to ne...2018-05-1713 min
Health Care Rounds#6: Behavioral Economics with Dr. Allen Weiss–Part 1In this two-part podcast, John Marchica speaks with NCH Healthcare System’s president and CEO, Dr. Allen Weiss. Dr. Weiss breaks down how they have changed the mindset of community health at the health system level with astounding statistics and fruitful outcomes. Here are some of the highlights we cover:
Part 1 - 17 min.
Present day history of NCH Healthcare System
Focus on community health with Blue Zones project
Behavioral economics for reducing health care costs
Part 2 - 13 min.
Health System trends
Other health care systems going the same path as NCH Healthcare
Advice to ne...2018-05-1716 min
Health Care Rounds#3: Commonwealth Primary Care ACO with Dr. Curtis Page & Lance Donkerbrook–Part 3In this three-part podcast, John Marchica speaks with Commonwealth Primary Care ACO president and CEO, Dr. Curtis Page, and Lance Donkerbrook, chief information officer. Last year, Commonwealth Primary Care ACO was Darwin's Western Region ACO of the Year. Here are some of the highlights we cover:
Part 1 - 20 min. (Page)
Accountable Care Organizations defined
How to deliver high-quality patient care
Origins and growth of the Commonwealth Primary Care ACO
Part 2 - 20 min. (Donkerbrook)
Impact of policy changes on ACOs
Lessons from the 2018 HIMMS conference
Patient attribution and self-selection
Application of quality metrics
How to...2018-05-0417 min
Health Care Rounds#2: Commonwealth Primary Care ACO with Dr. Curtis Page & Lance Donkerbrook–Part 2In this three-part podcast, John Marchica speaks with Commonwealth Primary Care ACO president and CEO, Dr. Curtis Page, and Lance Donkerbrook, chief information officer. Last year, Commonwealth Primary Care ACO was Darwin's Western Region ACO of the Year. Here are some of the highlights we cover:
Part 1 - 20 min. (Page)
Accountable Care Organizations defined
How to deliver high-quality patient care
Origins and growth of the Commonwealth Primary Care ACO
Part 2 - 20 min. (Donkerbrook)
Impact of policy changes on ACOs
Lessons from the 2018 HIMMS conference
Patient attribution and self-selection
Application of quality metrics
How to...2018-05-0419 min
Health Care Rounds#1: Commonwealth Primary Care ACO with Dr. Curtis Page & Lance Donkerbrook–Part 1In this three-part podcast, John Marchica speaks with Commonwealth Primary Care ACO president and CEO, Dr. Curtis Page, and Lance Donkerbrook, chief information officer. Last year, Commonwealth Primary Care ACO was Darwin's Western Region ACO of the Year. Here are some of the highlights we cover:
Part 1 - 20 min. (Page)
Accountable Care Organizations defined
How to deliver high-quality patient care
Origins and growth of the Commonwealth Primary Care ACO
Part 2 - 20 min. (Donkerbrook)
Impact of policy changes on ACOs
Lessons from the 2018 HIMMS conference
Patient attribution and self-selection
Application of quality metrics
How to...2018-05-0419 min