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  • Our early experiences as kids have a lasting impact on our health and wellbeing. From facing adverse childhood experiences to various social needs, kids are especially vulnerable to their environment, as their brains are still developing.

    Schools play a crucial role in helping to support kids. However, our education system today does not do enough to equip children to understand their mental wellbeing and emotions. So argues Jessica Gomez, Psy.D., a bilingual psychologist in Texas. Gomez is executive director of Momentous Institute, a nonprofit offering mental health services and operating an elementary school in Dallas. 

    In this week's episode of "Podnosis," Gomez walks Fierce Healthcare's Anastassia Gliadkovskaya through the importance of integrating social-emotional learning into education and how doing so early on can have lifelong benefits.  

    To learn more about the topics in this episode: 

    California is funding managed care plans to bring mental healthcare to schools. Here's how it's going Experts weigh in on how to tackle growing teen mental health crisis Evernorth: How employers can take the lead on addressing youth mental health Cigna taps first 22 awardees in grant program targeted for youth mental health

    See omnystudio.com/listener for privacy information.

  • Join us for an insightful conversation with Dr. Heather Bassett, Chief Medical Officer at Xsolis, as she shares her unique journey from practicing hospitalist to healthcare technology innovator.

    With over 20 years of healthcare experience, Dr. Bassett discusses how AI is transforming healthcare administration and reducing clinician burden. Drawing from her background in both medicine and technology, Dr. Bassett offers practical insights on AI implementation, navigating the generative AI hype cycle and the regulatory landscape ahead.

    She also shares her vision for a healthcare system where technology enhances rather than hinders the patient-provider relationship, and provides valuable perspective on maximizing ROI from AI investments in healthcare.

    Elsewhere, Dr. Bassett delves into Xsolis' approach to AI adoption since 2015, discussing how the company has moved beyond traditional machine learning to embrace generative AI responsibly. Here, she shares important considerations for healthcare organizations looking to invest in AI, emphasizing the need for strong leadership, comprehensive change management and patience in achieving results.

    Whether you're a healthcare professional, technology leader or interested in the future of healthcare, this podcast offers essential insights into the responsible adoption of AI in clinical settings.

    Tune in now!

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  • Interoperability has been a major focus in healthcare for the past decade. It is crucial for systems to be able to talk to one another. A patchwork of laws allow for health data sharing today through electronic health record systems and health information exchanges.

    But some states believe there are situations where sharing sensitive health data may actually do more harm than good. Since the overturning of Roe v. Wade, Maryland has been thinking deeply such scenarios and to that end, passed a law to protect reproductive health data. To understand it, Anastassia Gliadkovskaya speaks to Nichole Sweeney, general counsel and chief privacy officer of the state’s designated HIE, CRISP Shared Services.  

     

    See omnystudio.com/listener for privacy information.

  • American Specialty Health Incorporated's ASH Care fall prevention program offers virtual assessments and exercise regimens to address falls among older adults. The program combines remote physical therapist evaluations, personalized exercise plans and coaching to improve balance and strength while reducing fall risks. Initial results show 60% to 75% of participants experienced improvements in outcome measures, with statistically significant gains in balance, strength and reduced fear of falling. ASH Care aims to enhance older adults' health and independence while potentially lowering healthcare costs associated with fall-related injuries.

    See omnystudio.com/listener for privacy information.

  • The National Committee for Quality Assurance (NCQA) has long prioritized quality in healthcare, but the COVID-19 pandemic underscored the critical role of equity as a cornerstone of quality. In recent years, NCQA has refined its HEDIS measures to be more inclusive and to better address sociodemographic factors that influence health outcomes.

    In this week's episode of "Podnosis," Rachel Harrington, Ph.D., assistant vice president of health equity sciences at NCQA, shares insights into the organization’s efforts to measure and improve health equity. She discusses the importance of collecting race and ethnicity data to identify and address disparities, the challenges and progress in data collection and upcoming changes to HEDIS measures in 2025.

    To learn more about the topics in this episode:

    NCQA released its annual health plan ratings. Here's how payers fared How incentives engage and keep patients healthy How providers are leveraging patient engagement tools to close gaps in cancer screenings

    See omnystudio.com/listener for privacy information.

  • Cyberattacks against healthcare organizations are becoming increasingly sophisticated, with new threats constantly emerging.

    In this week's episode of "Podnosis," we dive into one of the latest tactics: voice phishing, or vishing. This form of cyberattack uses AI to impersonate voices over the phone to gain unauthorized access to sensitive information.

    Fierce Healthcare's Anastassia Gliadkovskaya interviews Nametag CEO Aaron Painter, who explains what vishing is, why it's a growing concern, and how organizations—especially in healthcare—can protect themselves.

    To learn more about the topics in this episode:

    Disruptive cyberattacks against healthcare on the rise, with increasing impacts to patient care, survey finds 100M people impacted by massive Change Healthcare cyberattack: OCR Providers and payers ramp up investments in cybersecurity, AI in 2024 Change Healthcare begins breach notifications to firms with impacted members, patients Cybersecurity lessons from the Change Healthcare hack

    See omnystudio.com/listener for privacy information.

  • In this week’s episode of “Podnosis,” we’re diving deep into the current landscape of clinical trials in the U.S.

    Various stakeholders face a complicated web of challenges in the system. Many patients, particularly from marginalized groups, struggle to find and get into trials. Meanwhile, with the acceleration of decentralized trial sites throughout the COVID-19 pandemic, some research programs are struggling to keep up financially. Between specialized technology, staffing and compliance measures, there’s a lot that goes into ensuring success. And unfortunately, these hardships are enough to turn some physicians away from clinical research.

    Alexander Saint-Amand is the co-founder and CEO of Topography Health, a company focused on helping medical practices and health systems conduct trials at scale. In this episode, he chats with Fierce Healthcare’s Anastassia Gliadkovskaya about what he sees as lacking in the industry today and what it will take to build out trust and capacity for the future.

    To learn more about the topics in this episode:

    HLTH24: Atropos Health unveils chat-based AI co-pilot for real-world evidence Dandelion Health launches AI marketplace for model validation, use in clinical trials Walgreens eyes 'tremendous growth' for clinical trials as part of transformation strategy

    See omnystudio.com/listener for privacy information.

  • Introducing new technology in the healthcare sector can be a challenge, especially when trying to balance innovation and practical application.

    Startups developing products for a complex ecosystem, like a hospital, may not fully understand the needs of providers on the frontlines and all the dynamics at play. A successful tool should not only address a need but also make it possible for providers to integrate into their workflow seamlessly.

    To help unpack this, Fierce Healthcare’s Anastassia Gliadkovskaya spoke to Kevin Baumlin, M.D., at the University City Science Center, where he helps founders refine their products and find the right fit within health systems. Baumlin knows firsthand that a meaningful development and implementation process includes providers from the get-go. He breaks down what this type of partnership ideally looks like and gives examples of collaboration in action.

    To learn more about the topics in this episode:

    ViVE 2024: Health systems are making big bets on AI. Here's how Mount Sinai launches health tech incubator, names clinical decision support startup avoMD as its first participant Taking a page from consumer-facing tech, Providence launches startup to modernize patient engagement

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  • More than one million women reach menopause each year in the U.S. Menopause can bring on many unwanted symptoms and increase the risk of chronic conditions, affecting a woman’s health and quality of life. Yet many report feeling uncomfortable talking about this challenging transition in the workplace and with their healthcare providers. Many also struggle to find relief for their symptoms. Experts say employers and providers should be doing more to care for women in midlife.

    To close out October, Menopause Awareness Month, Fierce Healthcare’s Anastassia Gliadkovskaya sat down with Kathleen Green, M.D., an OBGYN at Maven Clinic. Like many other physicians, Green did not get formal training on menopause in medical school. She had to learn how to help women through this natural part of aging. In the episode, they discuss why the status quo is not working and what it will take to improve the system.

    To learn more about the topics in this episode:

    HLTH24 Day 2: Halle Berry wants to change the dialogue on menopause HLTH24: Jill Biden announces $110M ARPA-H funding award, prods industry to invest in women's health Menopause care is still a largely untapped market. Here's why investors and startups should dive in Industry Voices—Menopause is making headlines. Are healthcare workers keeping up?

    See omnystudio.com/listener for privacy information.

  • In healthcare, the best solutions come from bringing different perspectives to the table.

    That’s the core idea behind Inlightened, a platform connecting innovators with a network of vetted experts, including clinicians, industry leaders, policymakers and more.

    In this week's episode of "Podnosis," Fierce Healthcare’s Emma Beavins chats with Inlightened CEO Shelli Pavone. She explains why diverse viewpoints are essential for tackling the industry’s toughest challenges and how building real engagement is the bedrock for innovation that fills gaps in the industry and can endure.

    See omnystudio.com/listener for privacy information.

  • In the last 30 years, HIV rates have gone down, in large part because of the game-changing prescription drug pre-exposure prophylaxis (PrEP), which reduces the risk of contracting HIV through sex by 99%. Since the FDA approved the drug in 2012, more people have started to use it, and HIV rates have steadily decreased. However, not everyone sees the same results.

    The South had 53% of new HIV diagnoses in 2022 but represented only 39% of PrEP users in 2023. Regionally, Black people made up 48% of new HIV diagnoses in 2022, but only 22% of PrEP users in 2023.

    In a recent collaboration between Fierce Healthcare and new investigative LGBTQ-focused news outlet Uncloseted Media, Anastassia Gliadkovskaya and Sam Donndelinger dive into the HIV epidemic and how it disproportionately affects at-risk individuals in the South. Barriers like a lack of awareness, insurance coverage, and stigma contribute to inequitable access.

    Read the full story at FierceHealthcare.com or UnclosetedMedia.com.

    In this week’s episode of “Podnosis,” Gliadkovskaya and Donndelinger discuss the reporting process and introduce three patients impacted by the HIV epidemic who share their personal experiences.

    To learn more about the topics in this episode:

    'I'm another statistic. I feel let down': How HIV prevention stays out of reach for many

    CMS proposes risk adjustment changes, broker fraud crackdown for 2026 plan year

    ‘A mixed bag’: Fifth Circuit rules on ACA preventive services legal case

    Blue Cross NC removes HIV drugs from costly price tiers

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  • There are many complexities and challenges that can lead to inefficiencies and friction among payers, providers, and healthcare consumers in the payments landscape.

    In this podcast episode, we sit down with Dylan Papa and Michael Bernabe to discuss fresh perspectives for healthcare payers on how to improve claims payments operations, meet digital demands, and enhance the healthcare payments experience for all.

    Zelis built Zelis Advanced Payments Platform to cleverly address these challenges by managing all payments and communications in one intelligent hub, unlocking efficiencies, ensuring compliance, and delivering the modern and customized payments experience that providers need and members demand – now, and in the future.

    In this interview, Papa and Bernabe discuss the significance of combining the fusion of centralizing all payment modalities, plus communications and additional advice to payers on how to effectively modernize for the future.

    To find out more, tune in to the full episode or visit Zelis.com.

    See omnystudio.com/listener for privacy information.

  • Chronic kidney disease is a silent threat. It is one of the leading causes of death in the U.S., yet 90% of those affected are unaware they have it. The lack of widespread testing means many, particularly in the Black community, face rapid health deterioration, often landing in dialysis without warning.

    In this episode, Geoff Martin, CEO of Healthy.io, joins Fierce Healthcare’s Emma Beavins to explore how his company is tackling this hidden crisis and changing the future of chronic kidney disease care.

    To learn more about the topics in this episode:

    Healthy.io, National Kidney Foundation team up to promote early disease detection, using tech to reach at-risk people More than half of Americans are unfamiliar with chronic kidney disease, survey finds 'Podnosis': Changing the game on kidney care Humana finds value-based care leads to fewer hospital admissions for kidney patients

    See omnystudio.com/listener for privacy information.

  • With just a month left until the Nov. 5 presidential election, Fierce Healthcare's Heather Landi spoke with David Shulkin, M.D., to gain his insights on the future of healthcare policy.

    Shulkin, a healthcare executive, served as the ninth Secretary of Veterans Affairs under the Trump administration. Notably, he was the only cabinet member retained from the Obama administration, after serving 18 months as the VA’s Under Secretary for Health.

    In their conversation, Shulkin also reflected on his time as VA Secretary, including his decision to award Cerner a $10 billion, no-bid contract to replace the VA’s outdated medical records system.

    To learn more about the topics in this episode:

    VA extends EHR modernization contract with Oracle Health for 11 months VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout Former VA secretary's latest venture, Override, emerges out of stealth to tackle chronic pain

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  • Certain cancer rates are on the rise, and outcome inequities remain a major public health concern. Getting into clinical trials is difficult, care is fragmented and treatments can be prohibitively expensive. Meanwhile, research for many cancers is underfunded.

    The American Cancer Society is on a mission to end cancer as we know it. Its venture capital and impact investment arm, BrightEdge, invests in early-stage companies developing therapeutics, diagnostics, devices and technologies that share in this goal.

    In this week’s episode of “Podnosis,” Fierce Healthcare’s Anastassia Gliadkovskaya chats with BrightEdge’s managing director Alice Pomponio about how the organization leans into its expertise in research, patient support and advocacy when working with entrepreneurs, what it looks for in emerging companies and how it measures their impact.

    To learn more about the topics in this episode:

    What will it take to improve the future of cancer care? Clinicians, patients stress better collaboration and reimbursement American Cancer Society, Color Health team up to boost cancer screenings for employees American Cancer Society, ASCO join forces to create 'credible' online cancer information under one roof

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  • Employers hold significant power in the healthcare industry. About 60% of people under the age of 65 received insurance coverage through their employer last year, according to KFF.

    Kim Thiboldeaux stepped into the role of CEO at the Northeast Business Group on Health in early 2024. The organization's members provide coverage for millions of lives.

    In this week's episode of "Podnosis," Thiboldeaux sits down with Fierce Healthcare Senior Writer Paige Minemyer to discuss her goals at the helm of NEBGH and the healthcare topics employers are watching most closely.

    To learn more about the topics in this episode:

    NEBGH: Here's how employers can support cancer patients in the workplace Employers seek guidance on mental health benefits: survey New NEBGH guide aims to help employers tackle social determinants of health Emergency preparedness lessons for employers from COVID-19

    See omnystudio.com/listener for privacy information.

  • Healthcare worker burnout is a critical issue. Bill Charnetski, EVP of Health System Solutions at PointClickCare, reveals how burnout impacts both patient care and operational efficiency, sharing personal insights from his wife’s experience in skilled nursing administration. He advocates for leveraging health information technology to reduce administrative burdens, enhance job satisfaction, and minimize manual errors. The importance of thoughtful policy-making in supporting healthcare workers and ensuring technology adoption effectively addresses their needs without adding to their workload cannot be underscored enough. A shift in tone towards valuing frontline healthcare heroes and implementing flexible, targeted regulations to improve care and operational outcomes is needed.

    See omnystudio.com/listener for privacy information.

  • Healthcare providers of all sizes are feeling the impact of burnout, time constraints, and burdensome administrative requirements. This is especially challenging for private practices, which often experience resource and time constraints. Managing these challenges can be overwhelming.

    How are practice management companies meeting the evolving needs of healthcare providers?

    Practice Better is an electronic health record and practice management software that serves independent health and wellness practitioners. In this week’s episode of “Podnosis,” CEO Kim Walsh shares how the company prioritizes value and the different approaches it takes to best serve its customer base.

    To learn more about the topics in this episode:

    Practice Better adds new tools, billing integration for mental health practitioners Elation Health rolls out AI scribing tool embedded in its EHR for primary care docs SimplePractice expands into psychiatry with prescription management tool 2024 Outlook: How tech, incentives could push measurement-based care in behavioral health

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  • Specialty drugs bring new hope to patients with complex conditions, but they also present unique challenges.

    In this episode of Podnosis, Heath Clendening speaks with Peter Demogenes, Senior Vice President of Product at Optum, about how health plans are adapting to the rapidly changing specialty care sector.

    Demogenes explains two common strategies health plans use.

    First, individualized management typically sees issues managed on a case-by-case basis, focusing on medical benefits, and utilizing tools to manage costs independently.

    Second, holistic management takes a broader view, recognizing the interconnectedness of patients, providers, payers, and stakeholders.

    The conversation also highlights the role of innovation, featuring Optum’s Specialty Fusion program. Designed to simplify care for patients with complex conditions, this program not only lowers the cost of expensive specialty drugs but also streamlines treatment decision-making for health plans, helping patients start their therapies sooner.

    For further insights into how these innovations are shaping the future of specialty care, listen to the full episode.

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  • Microplastics are everywhere, including our bodies. Research suggests that ingested microplastics can reduce fertility and increase the risk of cancer and other diseases. However, the full effects of their chemical makeup on human health are not yet known.

    Plastic has been used in the healthcare setting since the 1900s. The material does have some benefits, like hygiene and lower cost. At the same time, single-use plastics contribute enormously to healthcare waste and pollute the environment, in addition to the body.

    In this week's episode of "Podnosis," two experts break down the history of plastics use in the healthcare sector and what it would take for an organization to phase them out.

    To learn more about the topics in this episode:

    Breathing better: Hospitals begin to phase out major pollutants in patient care Industry Voices—Collective action is the key to decarbonizing healthcare Hackensack Meridian hospitals first to attain Joint Commission's new sustainability certification Most clinicians believe hospitals should address climate change, Commonwealth Fund survey finds

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