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There are 5 steps to prior authorization when looking at it from a best practice standpoint. These steps include demographics, eligibility, determination, submission, and status retrieval. Tune into this podcast as Paul and Blair dive deeper into each of these steps and discuss patient involvement in the process. This episode is sponsored by AccuRe…
 
In this episode, we are joined by Marissa Brittenham, Chief Strategy Officer for Surgery Partners, to discuss what the future holds for ASCs in 2023. Tune in to hear the ASC trends from 2022 and what is expected in 2023, the most successful growth strategies for Surgery Partners this past year (2022), and the new growth strategies that Surgery Part…
 
In this episode, we are joined by Linda Corley, Chief Compliance Officer at Xtend Healthcare, to discuss Behavioral Health. Tune in to learn about current utilization trends and what is predicted to come and how providers can reduce claims denials in this space. Hear insights on whether behavioral claims / denials processing should be outsourced, a…
 
Healthcare organizations nationwide are challenged to unlock the transformative potential of their data and analytics. Join this conversation with Huron Managing Director DJ Skalsky to learn best practices for establishing a holistic data management strategy. Listeners will be given key questions that will benchmark their organizational effectivene…
 
This episode features Dr. Scott Sigman, Founder, Chief Medical Officer & Founder, OrthoLazer & Host of “The Ortho Show” Podcast. Here, he discusses his work as an “opioid sparing orthopedic surgeon”, OrthoLazer Orthopedic Laser Centers - centers that offer patients and their orthopedic doctors alternative pain management options, his podcast “The O…
 
In this episode, we are rejoined by Jakob Emerson, Insurance Editor at Becker's Hospital Review. Here, he shares some thoughts on national reports accusing insurance companies of taking advantage of Medicare Advantage, and the rise of alternative online pharmacies partnering with major payers.Becker's Healthcare
 
This episode features John Svolos, Managing Director & Head of Cryptocurrency Research at SkyBridge Capital. Here, he shares an overview of what cryptocurrency is, how the FTX scandal has affected crypto confidence, how he looks at crypto longer term, and much more.Becker's Healthcare
 
In this episode, we are joined by Marissa Brittenham, Chief Strategy Officer for Surgery Partners, to discuss what the future holds for ASCs in 2023. Tune in to hear the ASC trends from 2022 and what is expected in 2023, the most successful growth strategies for Surgery Partners this past year (2022), and the new growth strategies that Surgery Part…
 
In this episode, we are joined again by Kristen McDermott Woodrum, Partner at McGuireWoods LLP. Here, she discusses September being the 9th straight month of negative margins for hospitals, how some health systems have made profits while others are struggling, the new rural emergency hospital designation, and more.…
 
In this episode, we are joined by Dr. Zenobia Brown, Senior Vice President & Associate Chief Medical Officer with Northwell Health, to discuss their automated care program strategy. Tune in to learn how Northwell identifies the right opportunities for between visit care, the types of automated care programs that Northwell has currently deployed and…
 
In this episode, we are joined by Julie Frantsve Hawley, Executive Director at The Aspen Group's Oral Care Center for Excellence, to discuss the Oral Care Center for Excellence and how it is changing lives across Illinois. This episode is sponsored by Aspen Dental.Becker's Healthcare
 
In this episode, Matt Guldin, Digital Health Portfolio Manager at Panda Health, the digital health marketplace, discusses why it’s so important for hospitals to embrace health-at-home initiatives, the biggest challenges associated with health-at-home, and how hospitals can create more successful health-at-home programs. Guldin also discusses how ho…
 
Robin Voss, RN, MHA, TNCC-I, Field Director for Disease-Specific Care at The Joint Commission discusses orthopedic care challenges and offers insights into how to address them. This episode is sponsored by The Joint Commission.Becker's Healthcare
 
In this episode, we are joined by Andrew Borgschulte, Principal Product Marketing Manager at Surescripts, to discuss CMS star ratings and HEDIS scores and why these measures are so meaningful. Tune in to learn how interoperability can support health plans in achieving higher star ratings and HEDIS scores, and how to improve access to patient health…
 
This episode features Jennifer Wilkerson, Chief Strategy Officer at Sheppard Pratt. Here, she discusses what led her to her current position, how Sheppard Pratt is addressing behavioral health as a whole continuum of care, and more.Becker's Healthcare
 
This episode features Heidi Chumley, MD, MBA, Dean of Ross University School of Medicine and Head of Adtalem Global Education’s Academic Council. Here, she discusses different ways to combat the underrepresentation of minorities preparing for MCATS & in medical school.Becker's Healthcare
 
This episode features Amy Lee, President of Nantucket Cottage Hospital. Here, she discusses shifting the way care was delivered throughout the pandemic, the importance of understanding & learning the community you serve in order to support them, and more.Becker's Healthcare
 
This episode features Dr. Steven E. Lipshultz, A. Conger Goodyear Professor and Chair, Department of Pediatrics and Voluntary Clinical Professor of Obstetrics and Gynecology, University at Buffalo Jacobs School of Medicine and Biomedical Sciences; Pediatric Chief-of-Service, Kaleida Health; Medical Director of Pediatric Services Business Developmen…
 
This episode features Dr. George Kourakin DMD, Dentist/Owner at My Dentist. Here, he discusses what led him to start his own practice, his focus on staff & culture, how he is looking at investments & growth, trends in dentistry that excites him, and more.Becker's Healthcare
 
This episode features Dr. Maxwell Cooper, Radiology Resident at Emory University School of Medicine. Here, he talks about his podcast, “The DaVinci Hour”, how residency looks today, where he thinks he will be in 10 years, and more.Becker's Healthcare
 
In this episode Thomas McGrath, Director of Planning at Joan & Sanford I. Weill Medical College of Cornell University, shares some of his rules to lead organizations & live by - what he calls “Tom-isms”.Becker's Healthcare
 
This episode features Dr. Eric Dickson, President and CEO at UMass Memorial Health. Here, he discusses how he is looking at investments & competition, different ways that UMM’s strategy is evolving, innovative data trends, and more.Becker's Healthcare
 
This episode features Dr. Peter Hahn, President and CEO at University of Michigan Health-West. Here, he discusses advice for physician leaders, UMH West pioneering ambient voice technology - tech that helps physicians create voice notes & allows them to focus more on the patient, and much more.Becker's Healthcare
 
In this episode, we are joined by Dr. Vijay Trisal, Chief Medical Officer at City of Hope, to discuss City of Hope’s mission & the numerous different roles he’s had there in the last 21 years, how he defines patient experience, his focus on health equity, and more.Becker's Healthcare
 
This episode features Charles Whipple, Senior Vice President & Deputy General Counsel at Tufts Medicine. Here, he discusses his transition into healthcare law & what made him stay in the field, the key to being able to work with the same system for 20+ years, his current focus on telebehavioral health, and more.…
 
In this episode, we are joined again by Alan Condon, Editor-in-Chief at Becker's Healthcare, to discuss Intermountain's income hitting $2.2B, Mayo reporting $157M Q3 income & their salaries & benefits increasing 3.5%, Providence closing all 27 retail clinics in Southern California, and Butler, Excela closing in on a merger.…
 
This episode features Giles Bruce, Assistant Editor at Becker’s Healthcare. Here, he discusses details surrounding some of the big tech disruptors trying to collaborate with - not compete against - health systems, trends in the EHR space, and more.Becker's Healthcare
 
This episode features Jennifer Houlihan, Vice President of Value Based Care and Population Health at Atrium Health Wake Forest Baptist. Here, she discusses her background, her focus on strengthening Wake Forest Baptist’s value proposition, how she is looking at growth & investments in the next 2 years, and more.…
 
In this episode, we are joined by Nick Hornsberry, Heartland Dental’s Diversity, Equity, and Inclusion Manager, to discuss why Diversity, Equity and Inclusion (DEI) work is so important in the dental industry. Tune in to learn about Heartland Dental's DEI work and how their core values keep the company on track, as well as their cross-functional DE…
 
This episode features Shannon Fernandez, Vice President of Billing, Yakima Valley Farm Workers Clinic. Here, she discusses her focus on challenges surrounding workforce shortages & access to staff education, the importance of having a culture that encourages creativity, and more.Becker's Healthcare
 
In this episode we are joined by Michael Rasbury, Senior Director, Client Solutions, at Phreesia, to discuss why healthcare organizations should prioritize high-quality service and support when evaluating technology vendors. Michael discusses the key considerations that leaders should keep in mind when evaluating vendor capabilities and what health…
 
Robin Voss, RN, MHA, TNCC-I, Field Director for Disease-Specific Care at The Joint Commission discusses orthopedic care challenges and offers insights into how to address them. This episode is sponsored by The Joint Commission.Becker's Healthcare
 
This episode features Andrew Goldfrach, Chief Operating Officer at Arrowhead Regional Medical Center. Here, he discusses the perseverance of Arrowhead in tough times, how he is looking at strategy & competition, the importance of engaging staff, and more.Becker's Healthcare
 
This episode features Charles Zasso, Chief Dental Officer at Great Lakes Dental Partners. Here, he discusses how he is looking at investments & growth in the next two years, specific AI technologies he is excited about, what dentists top priorities are when choosing to join a DSO, and more.Becker's Healthcare
 
This episode features Don Calcagno, SVP Population Health and Managed Care at Advocate Aurora Health. Here, he discusses Advocate Aurora’s integrated network & success with value-based care, what works & doesn't work with population health, the importance for leaders to have good intellectual curiosity, and more.…
 
In this episode, we are joined by Jonathan Wiik, Vice President Healthcare Insights at FinThrive, to share insights from his book “Healthcare Evolution: Helping Providers Get Paid in an Era of Uncertainty”, and more.Becker's Healthcare
 
This episode features Kathryn Carpenter, VP of Sourcing, Contracting, Clinical Strategy, Implementation, and Supply Chain at CommonSpirit Health. Here, she discusses her background, the steps CommonSpirit is taking in order to recover from pandemic disruptions, the importance of transparency between suppliers & providers, plus more.…
 
In this episode, we are joined by Arun Ramasubramanian, System SVP of IT & Digital at CommonSpirit Health, to discuss what responsibilities his current role entails, innovative healthcare technologies he is currently excited about, leveraging technology to prevent burnout, and more.Becker's Healthcare
 
This episode features Matthew Rish, Senior Director of Finance, Planning & Analytics at NC State Health Plan. Here, he discuss his background and current role with the NC State Health Plan, top issues he’s focused on, how he is looking at growth & investments in the next 2 years, and more.Becker's Healthcare
 
This episode features Dr. Elizabeth Fox, SVP Clinical Trials Research, St. Jude Children’s Research Hospital. Here, she discusses her focus on mentoring the next generation of clinicians, St. Jude Children’s research on innovative cellular therapies, how the pandemic has impacted clinical research, and more.…
 
In this episode, we are joined by Pat Keel, EVP, CFO, & CAO at St. Jude Children's Research Hospital, to discuss her background, how she is looking at investments & growth, what makes St. Jude Children’s unique from other healthcare organizations, and more.Becker's Healthcare
 
This episode features Laura Dyrda, Vice President & Editor in Chief at Becker's ASC Review and Becker’s Spine Review. Here, she discusses big health systems reporting operating losses, Google Cloud and Epic partnering with Hackensack being the first health system to migrate EHR, Meditech & Google Health partnering on clinician search tool, and more…
 
In this episode, we are joined again by Kristen McDermott Woodrum, Partner at McGuireWoods LLP, to discuss proposed legislation that will address CMS’ Medicare's physician fee schedule final rule that will reduce the physician pay conversion factor by 4.48 percent to $33.06.Becker's Healthcare
 
In this episode, we are joined again by Alan Condon, Editor-in-Chief at Becker's Healthcare, to discuss different mergers & acquisitions including - Illinois greenlighting the Atrium, Advocate Aurora merger, Yale New Haven’s proposed acquisition of 3 Connecticut hospitals, and more.Becker's Healthcare
 
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