In this episode, Jill Piazza shares how personal experiences shaped her passion for preventative care and whole-person health. She explores the shift to value-based care, the power of addressing social determinants of health, and the importance of staying grounded, embracing growth, and leading with purpose.

Tune in and learn how Jill Piazza is reshaping care at AdventHealth through real stories, bold strategies, and a deep focus on prevention, equity, and whole-person health!

In this episode, Eric Demers discusses how inaccurate provider data is causing nearly half of Americans, especially millennials, to delay or avoid medical care despite having insurance. Demers explains that outdated and unsynchronized data between payers and providers leads to major access issues, and Madaket is working to fix this by connecting and updating data systems to improve accuracy and care access.

Tune in to learn how broken provider data is quietly undermining healthcare access and what’s being done to fix it!

In this episode, Mark Miller draws on 30 years of experience to explain how early planning around evidence, coding, economics, and advocacy is critical for medtech success. He shares how Lumicell is tackling market access for a novel cancer detection technology. He outlines six essential elements that drive adoption and reimbursement, including the need for policy evolution to support AI in healthcare.

Tune in as Mark Miller shares hard-earned insights on market access strategy, reimbursement, and the power of starting early to drive adoption in healthcare!

In this episode, Shahid Shah shares takeaways from a recent AI conference in Dubai, contrasting the region’s culture of experimentation with the U.S. healthcare system’s regulatory caution. He urges healthcare leaders to treat AI not as just another tool, but as a team member requiring ethical oversight, cultural alignment, and risk management integrated into existing decision-making frameworks.

Tune in for powerful insights on how we can responsibly and effectively integrate AI into healthcare systems without stifling innovation!

In this episode, Dr. Lisa Schaffner explains how AI can drive healthcare transformation when viewed as augmented intelligence that supports caregivers, not replaces them. She emphasizes that clean, high-quality data and strong leadership buy-in are critical. She shares how her three-phase “Jumpstart” program helps organizations quickly align data with business goals to deliver actionable insights, often without added costs.

Tune in to hear Dr. Lisa Schaffner share how healthcare organizations can finally unlock the real value of their data and make faster, smarter decisions with AI!

In this episode, Toni Pergolin discusses her journey turning a near-bankrupt nonprofit into a thriving organization serving individuals with autism and intellectual disabilities. She addresses funding challenges, advocating for a more coordinated, lifetime care approach rather than piecemeal funding, and the importance of workforce development to ensure continued quality care for a growing population in need. Toni also touches upon the importance of merging the business mindset with the care of individuals and giving employees a livable wage.

Tune in and learn how a strategic business approach can save vital organizations and improve lives!

In this episode, Tom Policelli discusses how his company is simplifying the complex world of healthcare insurance and patient financing to improve access to care. Tom explains that the company acts as an intermediary, consolidating financial information, reconciling bills, and providing a simple monthly statement for consumers. He also touches upon the importance of addressing the fact that many insured individuals are avoiding care due to cost concerns, leading to more expensive and severe health issues. Finally, Tom emphasizes that PPO networks need to deliver greater value. He shares his early career journey from a history major to a healthcare leader, and the need for focused self-delusion in entrepreneurship. 

Tune in and learn how simplification and financing can revolutionize healthcare access and improve patient outcomes!

In this episode, Joshua Boynton shares how CareSource, founded over 35 years ago by a social worker, focuses on Medicaid, marketplace, and military healthcare programs while addressing social determinants of health like housing and food security. As a growing national organization, CareSource emphasizes evidence-based, person-centered care for vulnerable populations, prioritizes partnerships with states seeking innovative solutions, and advocates for long-term community investments to drive meaningful change in the healthcare system.

Tune in as Joshua Boynton shares how CareSource transforms healthcare by focusing on people, not just policies!

In this episode, Sarah Cevallos explains the three stages of RCM and the importance of each step in ensuring accurate payments to providers. She also discusses the challenges of outsourcing RCM and the need for patient education in the evolving landscape of value-based care.

Tune in as Sarah Cevallos unpacks the hidden challenges of RCM, shares insider tips, and reveals why patient education is key to fixing a broken system!

In this episode, Mike Kramer discusses the evolution of the CMIO role and the importance of emotional intelligence and management skills for physicians in leadership positions. He emphasizes the need to build trust and bidirectional communication with clinicians, addressing their concerns and providing ongoing support during system changes. Mike also points out that true change is only validated through consistent measurement of usage and outcomes and stresses the need for strategic alignment when initiating change.

Tune in and learn how to develop a culture of continuous improvement within your healthcare organization!

In this episode, Dr. Farzad Mostashari explains Aledade's mission as a public benefit corporation to improve care and reduce costs, focusing on value-based care models, specifically Accountable Care Organizations (ACOs). Dr. Mostashari also shares how Aledade works with primary care practices, taking on downside risk while sharing in the upside, and the importance of gradual, consistent improvement over time. Finally, he emphasizes the need for robust evidence and rigorous evaluation of partnerships.

Tune in and learn how Aledade leverages technology and data to drive better outcomes and significant cost savings within healthcare!

In this episode, Mary Sunahara discusses her company’s unique approach to community-based healthcare and the importance of caregiver investment. She emphasizes the necessity of employee engagement, including "rounding" with team members for feedback, especially when transitioning to virtual work environments. Mary also underscores the value of communication, trust, and leadership training, advocating for continuous improvement and recognizing employee accomplishments authentically. Finally, she dives into the challenges of managing remote teams, maintaining engagement, and the importance of balancing technical innovation with employee empowerment to combat fears of job displacement. 

Tune in and learn how to foster a supportive, innovative environment within your healthcare organization!

In this episode, Ryan Bengtson discusses the challenges of decision-making as a CEO, emphasizing the need to stay mission-focused and empower teams while addressing inefficiencies in healthcare. Panda Health supports health systems by streamlining decision-making and technology renewals, fostering collaboration, and driving innovation to create meaningful change.

Don't miss Ryan Bengston's insights on leadership, innovation, and how Panda Health is cutting through the noise to help health systems make faster, smarter decisions!

In this episode, Sudipto Srivastava emphasizes the transformative potential of digital health to deliver faster, better, and more cost-effective solutions. He believes that leadership, operational efficiency, and a focus on reducing costs and improving workflows are crucial for driving meaningful change in the healthcare industry, and sees a bright future with startups and integrated strategies leveraging AI and digital tools to address persistent challenges.

Tune in to explore how technology, trust, and innovation are shaping the future of healthcare!

In this episode, Stanley Nachimson shares his experience working on Medicaid quality control, the pivotal role he played in implementing HIPAA standards, and his insights into the effectiveness of government incentives and penalties in driving change within the healthcare industry. Stanley also touches upon the interoperability and patient knowledge challenges, offering valuable perspectives on improving the healthcare system. Finally, he emphasizes the importance of pursuing a career you're passionate about, even amidst adversity and unexpected shifts. 

Tune in and learn from Stanely’s vast experience in navigating the complexities of healthcare policy and find inspiration for your career journey!

In this special holiday edition of The Edge of Healthcare, host Martin Cody shares top soundbites from nine standout episodes, showcasing insights from 20 diverse healthcare leaders to help listeners thrive in this challenging industry. He thanks guests, listeners, and supporters while inviting nominations for future leaders who can share their wisdom and expertise.

The Edge of Healthcare is just beginning its journey to elevate knowledge, skills, and success in the healthcare field, promising even more valuable content in the year ahead!

In this episode, John McCluskey discusses the challenges of building and innovating within the healthcare system, focusing on virtual primary care solutions. He emphasizes the importance of access to care, addressing healthcare disparities, and the need for collaboration and adaptability to drive meaningful change.

Tune in for an eye-opening conversation about reimagining healthcare through innovation, addressing access disparities, and building solutions that put people first!

In this episode, Scott Warner discusses the importance of using AI and decentralized semantics to enable early detection of cognitive impairments. He highlights the growing dementia crisis and emphasizes the need for preventative measures, AI-driven solutions, and robotics in caregiving. He explains how Secours.ai prioritizes data ownership and consent through decentralized systems and consent management protocols.

Tune in and explore how innovative technologies are reshaping the future of dementia care and early detection!

In this episode, Dr. Stacie Pinderhughes reflects on her healthcare journey, inspired by her grandfather's battle with cancer, and highlights her training at Robert Wood Johnson University Hospital and Mount Sinai. After building a successful multi-system palliative care program at Banner Health and transitioning to UnitedHealthcare, she took time for self-reflection. She ultimately formed Rise Up Keynotes and Consulting LLC, where she empowers others to achieve their goals while sharing her experiences as a woman of color in medicine.

Listen to this episode and explore the heart of palliative care and the transformative power of mentorship in medicine!

In this episode, Aparna Ananth discusses her transition from physician to leadership role, emphasizing that qualities like accountability and influence are inherent in the medical profession. She highlights the importance of embracing resistance as a signal for improvement and advocates for reducing threats in leadership to foster curiosity, open-ended questioning, and a focus on patient care, ultimately aiming to enhance healthcare leadership and outcomes.

Tune in as Aparna Ananth shares her insights on embracing resistance as a catalyst for growth in healthcare leadership and the importance of prioritizing patient care in a rapidly evolving industry!

In this episode, Stuart Hanson, CEO of Avaneer Health, focuses on the leadership and strategies of key healthcare leaders in addressing data interoperability challenges. He delves into the industry's technology debt and the need for innovative solutions to update provider data promptly. Stuart emphasizes the importance of scaling healthcare and stakeholder collaboration to reduce administrative costs and improve member experiences. He also highlights the similarities between healthcare and financial services in data management and the necessity of leadership and legislative support. Finally, he urges bold thinking and preparation to tackle healthcare challenges. 

Tune in and learn how innovative leadership and collaborative efforts can transform healthcare!

In this episode, Jared Johnson, Chief Marketing Officer of Praia Health, discusses the evolving digital front door in healthcare and the need for an engaging digital experience for patients, members, and providers. Jared covers the challenges of navigating complex healthcare systems, the importance of standardizing terms, and the role of technology in improving patient engagement. He explores how marketing leaders increasingly take on patient experience roles, emphasizing the significance of understanding and designing for consumers. Jared highlights the importance of building “digital muscles” to adapt to the changing healthcare landscape and address capacity issues in service lines. 

Tune in and learn how to navigate the digital front door in healthcare, enhance patient engagement, and push the industry's innovation boundaries!

In this episode, Kim Lynch shares her extraordinary journey and sheds light on the intricacies of healthcare systems, policy, innovation, and visions for the future of healthcare. Kim discusses her skepticism about Medicare Advantage plans and her thoughts on the responsible use of artificial intelligence in medicine. She explores her fascinating journey—from local policy work in Michigan to founding Aledade and Metis—interspersed with invaluable insights into healthcare infrastructure, consulting, and entrepreneurship. 

Stay tuned for a thought-provoking conversation that aims to inspire healthcare professionals and entrepreneurs alike!

In this episode, Kim Hodgkinson discusses the evolving role of CFOs, emphasizing the blend of technical expertise and empathetic leadership required in today's healthcare landscape and the significance of mentorship, self-awareness, and overcoming personal adversities.

Tune in and learn about the intricate balance between finance, technology, and human-centric care in the ever-evolving world of healthcare!

In this episode, Dr. Scott Ellner, a national speaker and a healthcare expert, shares his incredible journey from a traumatic car accident to becoming a healthcare leader. Scott’s path shifted from environmental law to healthcare after being saved by a stranger following an accident. He emphasizes the importance of reflecting on mistakes, finding mentors, and embracing the antifragility concept, which means learning from difficulties. Scott also discusses his challenging transition from surgeon to healthcare executive, highlighting the value of personal coaching and leadership development. Finally, he suggests simplifying healthcare payments and improving transparency and underscores the importance of putting patients first and learning from adversity to build resilience. 

Tune in and learn valuable lessons on leadership, patient care, and the evolving healthcare landscape!

In this episode, Sri Velamoor, President and Chief Operating Officer at NextGen Healthcare, shares insights from his global upbringing and experiences in various countries, highlighting the importance of mentorship and learning from knowledgeable individuals. He emphasizes the value of community sites, forums, and industry events for young professionals. He talks about his role in NextGen's growth and the company's focus on leveraging data, improving service responsiveness, and reducing physician workflow friction. Sri also touches on challenges like information asymmetry in healthcare and the impact of telehealth, cloud adoption, and AI. Finally, Sri underscores the importance of supporting health information exchanges and adapting to changes, such as the company's acquisition by private equity. 

Tune in and learn about Sri Velamoor's strategies for driving transformation and success in the healthcare industry!

In this episode, Matt Zubiller dives into his philosophy of embracing change, the importance of accurate documentation in healthcare, and the challenges of merging different businesses.

From his early fascination with technology and business to his experiences living abroad and working in Austin's thriving tech community, Matt's story is one of persistence and innovation. 

Whether you're interested in healthcare, entrepreneurship, or the blend of technology and human collaboration, this episode is packed with valuable lessons and inspiring anecdotes. 

In this episode, James Hereford highlights the importance of understanding revenue and costs, advocating for Electronic Medical Records, and recognizing the complexity of healthcare systems. James delves into the potential of generative AI in healthcare, warning against the pitfalls of past technology implementations like EMRs. He also stresses the need for thoughtful use of AI to improve patient care and reduce administrative waste. As a CEO, James describes the challenges of managing a large organization, the importance of coaching, and the necessity of building a strong, integrated team. Additionally, he shares insights on balancing revenues with costs, managing relationships with payers, and addressing financial challenges in the healthcare system. 

Tune in and learn about the intricacies of healthcare leadership and innovation!

In this episode, Ed Marx, a healthcare professional with a diverse background and currently CEO of Marx Advisory, shares his journey from growing up in New Jersey to serving as a Combat Medic in the Army Reserve. Marx's journey from a janitor at a medical clinic to becoming a CIO at Cleveland Clinic is a testament to hard work and determination. He emphasizes the importance of having a clear plan and strategy in one's life, as it helps achieve goals and outmaneuver challenges. Marx also highlights the significance of service to others, humility, and letting go of negative energy. Finally, Marx stresses the value of curiosity, inclusivity, and volunteering in healthcare organizations to bring about positive change.

Tune in and learn how to foster these qualities in your lives and careers, ultimately contributing to a more compassionate and successful society!

In this episode, Martin and Ed cover many topics, including the evolving landscape of healthcare costs, the challenges of managing high-cost medications like GLP ones, and the critical role of integrating electronic medical records to streamline prior authorizations. Ed shares his insights on the importance of a customer-centric approach, the impact of legislative changes on the healthcare industry, and his vision for CVS as it adapts to customer feedback and market demands. 

Join this episode, packed with valuable insights for healthcare professionals, employers, and anyone interested in the future of healthcare.

In this episode, Eric Bricker discusses the intricacies of the healthcare industry, highlighting personal experiences and systemic challenges, as well as potential solutions such as integrating premium collection, risk assumption, and care delivery to improve financial models. He emphasizes patient-centric approaches and proposes solutions to promote competition and regulatory reform. Additionally, Dr. Bricker shares insights about Coupe Health, a navigation firm he co-founded, aiming to simplify the healthcare experience by integrating services directly into insurance plans and eliminating surprise bills.

Strap in for a candid conversation with Eric Bricker as he uncovers the healthcare system's hidden complexities and potential pitfalls.

In this episode, Tina Joros, Vice President of Policy and Innovation at Veradigm, shares her journey from law to healthcare technology, highlighting the industry's rapid evolution. Tina emphasizes the importance of lifelong learning and maintaining work-life balance, especially in remote work settings. Leadership in healthcare, Tina underscores, requires advocating for stakeholders, embracing change, and listening to diverse perspectives. She stresses the need for balance in decision-making, offering baseline services while catering to different budget needs. Mentors like Siddhartha Mukherjee and Micky Tripathi have influenced her, emphasizing the value of knowledge and curiosity. 

Tune in and learn why effective leadership in healthcare entails advocating for stakeholders, embracing change, and listening to diverse perspectives!

In this episode, Joy Rios, a podcast host, founder, and CEO of Like a Girl Media, shares her journey to healthcare, driven by her passion for women's empowerment and sustainability. From her experience in the solar industry, Joy emphasizes the stability and potential for impact in healthcare. Joy also touches on the importance of incentives in motivating providers to improve the system and addresses the need for cultural shifts to promote inclusivity and systemic change. Furthermore, Joy discusses the significance of community and relationships and challenges conventional narratives of fear, advocating for rewriting stories to create a better future. 

Tune in and learn how resilience, determination, and community can drive positive change in healthcare and beyond!

In this episode, Israel Krush explores the frustration that comes with customer service encounters and the incredible potential and complexities behind making conversational AI that can truly understand and respond to us in natural language. He talks about Responsible AI in practice, delves into the upcoming regulations, and considers how Hyro addresses the pressing need for efficiency and improved patient experiences in healthcare call centers.

So, whether you're a healthcare professional, tech enthusiast, or just intrigued by the seamless blend of AI and everyday life, you won't miss this conversation. 

In this episode, John Lynn, Founder of HealthcareScene, discusses his unexpected journey into healthcare administration and his mission to blend technology with marketing for improved patient care efficiency. He shares insights on community building, the impact of humor in content, and effective marketing strategies, including SEO, social media, and AI's potential in the healthcare revolution.

Join the discussion on contributing to a more efficient and patient-centered healthcare system!

In this episode, Ron Urwongse, co-founder of Defacto Health, delves into the complexities of healthcare interoperability, emphasizing the importance of accurate provider data and the need for streamlined processes. He discusses the challenges paid payers and providers face in maintaining up-to-date directories and highlights potential solutions, including leveraging existing data repositories and enforcing existing regulations. Ron underscores the significance of collaboration and knowledge-sharing in the healthcare sector throughout the conversation. 

Tune in and learn how advancements in interoperability and accurate provider data can revolutionize the healthcare industry!