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
HS|IP S3E8

Episode HS|IP S3E8: Industry Perspectives: Scaling Interoperability Efforts

The next big thing in interoperability may involve scaling data exchange efforts.

Guest: Terry Douglas, Product Marketing and Sales Enablement Director at Surescripts

In today's episode, we'll cover

  • The role of QHINs in interoperability's progress
  • Areas for improvement in payers' data exchange efforts
  • Opportunities for innovation in payers' interoperability strategies

To learn more about interoperability, check out our site Health IT and EHR. 

To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.

8/16/24
HS|IP S3E7

Episode HS|IP S3E7: Industry Perspectives: What quality measures mean to Medicare Advantage

Quality measures play an important role in the Medicare Advantage program. SCAN Health Plan's recent lawsuit against CMS revealed just how important.

Guest: Sachin Jain, MD, CEO of SCAN Health Plan

In today's episode, we'll cover

  • SCAN Health Plan's lawsuit against CMS
  • Improving the Medicare Advantage program and Medicare Advantage quality measures
  • Getting over toxic positivity in the health insurance industry

To learn more about Medicare Advantage, check out HealthPayerIntelligence.com

To watch video clips from AHIP 24, subscribe to our YouTube channel, @HealthcareStrategies.

8/9/24
HS|IP S3E6

Episode HS|IP S3E6: Industry Perspectives: Tracking employer sponsored health plan trends

Employer sponsored health plans cover six in ten non-elderly Americans, making successful collaboration between payers and employers crucial to many Americans' wellness. Todd Woodruff, Chief People Officer at Salt & Straw, and Todd Burton, President of the Commercial Market at Providence Health Plan, shared about trends in mental health, pharmacy spend, and health equity in the employer-sponsored health insurance space.

8/1/24
HS|IP S3E5

Episode HS|IP S3E5: Industry Perspectives: Standardizing provider data for health plans

Providers are expected to equip payers with information so that health plan members can find in-network care. But what if those demands from payers were consolidated from 20 separate requests into one? What if providers could enter their information one time in such a way that all of their payer partners could access it? Tyler Ford, Vice President, Strategy and Partnerships, CAQH, shares how that might be possible in today's episode.

7/25/24
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