Healthcare Strategies

A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost. 

Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.

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Featured

Episode Date
S06E19

Episode S06E19: Reflecting on the Change Healthcare cyberattack, one year later

The Change Healthcare cyberattack had widespread, unprecedented impacts across the healthcare sector in February 2024 and beyond. What has the sector learned since, and are providers better equipped to handle a similar incident today?

Featuring: Errol Weiss, chief security officer at the Health Information Sharing and Analysis Center (Health-ISAC)

In this episode, we'll cover

  • Systemic security challenges that the Change Healthcare cyberattack exposed
  • Lessons learned in the year since the Change Healthcare cyberattack, and how the sector has improved its cybersecurity efforts
  • Ongoing cybersecurity risks to the healthcare supply chain

and more!

References

To learn more about healthcare cybersecurity, check out our Healthtech Security site.

To watch video clips from the conversation, subscribe to our YouTube channel, @HealthcareStrategies.

 

2/18/25
S06E18

Episode S06E18: Unpacking claim denials in light of public backlash against payers

The public outcry against health insurers intensified after the shooting of a UnitedHealthcare CEO. What trends are driving Americans' dissatisfaction with payers and can payers recover the public's trust?

Featuring: Jacqueline LaPointe, executive editor at Xtelligent Healthcare

In today’s episode, we’ll cover…

  • Trends in claim denials
  • The driving factors behind payers' denials
  • The role of artificial intelligence in claims management, for better and for worse...

and more!

 

To learn more about claims management, check out our Rev Cycle Management and Healthcare Payers sites!

To watch video clips from our podcast, subscribe to our YouTube channel, @HealthcareStrategies.

 

References

Breaking down claim denial rates by healthcare payer https://www.techtarget.com/revcyclemanagement/feature/Breaking-down-claim-denial-rates-by-healthcare-payer

KFF: Consumer Survey Highlights Problems with Denied Health Insurance Claims https://www.kff.org/affordable-care-act/issue-brief/consumer-survey-highlights-problems-with-denied-health-insurance-claims/

Trend Alert: Private Payers Retain Profits by Refusing or Delaying Legitimate Medical Claims https://premierinc.com/newsroom/blog/trend-alert-private-payers-retain-profits-by-refusing-or-delaying-legitimate-medical-claims

2/10/25
S06E17

Episode S06E17: Sharing early lessons on SDOH data integration across health plans

Social determinants of health (SDOH) play a critical role in health outcomes, but standardized SDOH data collection is lacking. How is NCQA driving standardization through national SDOH quality measures?

Featuring: Rachel Harrington, PhD, AVP of health equity sciences, NCQA

Adrianna Nava, PhD, MPA, applied research scientist, NCQA

In today’s episode, we’ll cover…

  • Updates to NCQA’s SDOH quality measures
  • Current SDOH data collection challenges
  • The role policy plays in driving SDOH data standardization...

and more!

 

To learn more about SDOH data collection, check out our Health IT and EHR site and our Patient Engagement site.

To watch video clips from our podcast, subscribe to our YouTube channel, @HealthcareStrategies.

 

References

2/3/25
S6E15

Episode S6E15: Prioritizing SOGI data collection to improve health equity

Sexual orientation and gender identity (SOGI) data is key for improving health outcomes among sexual
and gender minority (SGM) patients. How can healthcare organizations effectively navigate challenges --
like bias and discrimination -- to improve SOGI data collection?

Featuring: Carey Candrian, PhD, associate professor of medicine at the University of Colorado School of
Medicine and a 2024 Health and Aging Policy Fellow

In today's episode, we'll cover:

  • The implications of missing SOGI data on care delivery and quality
  • The challenges health systems face that prevent them from routinely collecting SOGI data
  • Strategies to improve SOGI data collection and health equity for LGBTQIA+ patients

And more!

To learn more about AI in healthcare, check out our site, Healthtech Analytics.

To watch video clips from our podcast, subscribe to our YouTube channel, @Healthcare Strategies.

References

1/13/25
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