Claim OwnershipModern Healthcare's Healthcare Insider Podcast
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Modern Healthcare's Healthcare Insider Podcast is a sponsored podcast series from Modern Healthcare Custom Media. In this series, we'll interview healthcare's most accomplished leaders to learn how they're addressing the industry's most pressing challenges, taking an inside look at the innovations that are moving the industry forward.
91 Episodes
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The transition from hospital to home is one of the most critical—and complex—points in a patient's care journey. As demand for home-based and post-acute services grows, healthcare organizations face mounting pressure to coordinate across settings, reduce readmissions and deliver better outcomes at lower cost. In this episode of Healthcare Insider, Kirk Allen, CEO of OneHome, shares strategies for advancing value-based care models in the post-acute space. He discusses what's needed to align financial incentives, improve data integration and strengthen partnerships between payers and providers to drive sustainable change. Listeners will gain insights on how healthcare leaders can: Break down care silos and strengthen continuity across post-acute settings Align incentives around quality and outcomes rather than volume Use data and technology to identify high-risk patients and intervene earlier
Healthcare facilities are under growing pressure to balance safety, sustainability, patient experience and budgets —all while meeting rising expectations for smarter, more flexible care environments. In this episode, Jennifer Michalski, Business Development Manager at Construction Specialties, shares how healthcare design priorities are evolving as organizations look to: Strengthen infection control through durable, easy-to-clean materials that maintain long-term performance Create holistic spaces that support patient comfort, staff workflow and intuitive wayfinding Adapt construction strategies for fast-growing care settings such as behavioral health, senior living and children's hospitals Align cost efficiency with long-term value without compromising safety or design goals Tune in to learn how hospitals, health systems and senior living providers are rethinking construction and design to support the next generation of care delivery.
Operating rooms drive both patient care and hospital finances, but they're also a major source of clinical and financial waste. Each day, U.S. ORs generate up to 2,000 tons of waste, with variations in surgical practice adding unnecessary costs. In this episode, Dr. William Payne, orthopedic spine surgeon and the president of the medical staff at Franciscan Health - Olympia Fields, and Courtney Kleeb, senior director at HealthTrust Performance Group, share strategies to reduce surgical waste, including: Defining the biggest drivers of waste in surgery Leveraging physician leadership to improve consistency and outcomes Using data and analytics to capture savings without compromising care Tune in to learn how organizations can cut waste in the OR while strengthening outcomes and financial performance.
The No Surprises Act and Good Faith Estimates were designed to protect patients, but they've also created new operational challenges for providers, particularly around patient credits and managing refunds. In this episode of Healthcare Insider, Jessica Lemoine, AVP and Healthcare Success Manager at Fifth Third Bank, shares her insights on how health systems can navigate these complexities and modernize the patient financial experience. Listeners will learn: How financial transparency rules are increasing patient credits and what that means for providers The biggest operational and patient experience challenges in refund management Innovative tools and workflows that streamline refunds and improve consumer trust Tune in to hear how health systems can embrace automation, flexible payment solutions and financial partnerships to create a more seamless and consumer-centric patient payment journey.
Is your organization thinking about revenue cycle management (RCM) the right way? In this episode of Healthcare Insider, Garett Kreitz, co-president of Med-Metrix, explains how to elevate RCM from a transactional function into a true strategic asset. Listeners will learn: What end-to-end RCM really means in practice How providers can uncover hidden EBITDA and strengthen their bottom line Real-world strategies Med-Metrix uses to help health systems maximize reimbursement and reduce revenue leakage Tune in to hear how aligning leadership, technology and execution can transform the revenue cycle into a powerful driver of financial health.
In this episode of Healthcare Insider, Modern Healthcare's Maria Castellucci speaks with August Boehnlein, associate marketing manager at Midmark Corporation. Boehnlein unpacks the 2024 standards, explains the significance of the newly established 17-inch low seat height requirement and shares how thoughtful equipment design can drive better outcomes for both patients and providers.
At the intersection of medical innovation and compassionate, community-centered care, Driscoll Children's Hospital has emerged as a national leader in pediatric heart care and health equity. In this episode of Healthcare Insider, Dr. Stephen M. Langley, medical director and chief of pediatric cardiac surgery at Driscoll Children's Hospital, shares powerful insights into how the hospital is elevating care for complex and underserved pediatric populations across south Texas. From groundbreaking outcomes in congenital heart surgeries to culturally informed, family-centered care models, Dr. Langley outlines how Driscoll is redefining "best care" for children and what other healthcare leaders can learn from their approach.
Surprise bills and opaque healthcare costs continue to frustrate consumers. Health plans must do more to address these concerns or risk losing members. In this episode of Healthcare Insider, Jay Deady, president of price optimization at Zelis, joins Modern Healthcare to explore how payers can evolve beyond call centers and generic outreach to offer personalized, transparent billing support. Learn how new tools and approaches are helping health plans build trust, improve member satisfaction and reduce financial stress—one interaction at a time.
The payment process in healthcare is often slow, fragmented and paper-based, creating frustration for providers and patients, inefficiencies for payers and rising costs across the system. In this episode of Healthcare Insider, Yusuf Qasim, president of payments optimization at Zelis, shares how digital innovation can meaningfully change the healthcare payment ecosystem. From reducing friction to improving cash flow, Qasim outlines what it takes to transform outdated systems into streamlined, digital-first operations.
Managing specialty drug inventory is exceedingly complex as pharmacy leaders contend with rising costs, unpredictable demand and labor shortages. In this episode of Healthcare Insider, Cardinal Health's James Roof, director of strategic distribution services, and Diana Castillo, national consignment executive, share how modern consignment models, combined with innovative RFID technology, can dramatically reduce waste, improve medication accessibility and relieve workflow burdens on pharmacy staff. The episode also breaks down best practices for evaluating inventory carrying costs, reducing human error and scaling innovative solutions in facilities with space constraints. Listen now to discover how your organization can adopt a flexible, tech-enabled consignment strategy.
No one is better equipped to support patients than providers. But do health systems have the power required to improve the healthcare system? In this episode of Healthcare Insider, Premier Inc. President and CEO Mike Alkire explains why a provider-led model—not one led by payers or legacy tech vendors—is the only viable path forward. He outlines how hospitals can take back control and lead transformation by focusing on high-value partnerships, smarter use of data and AI-driven solutions. Listen to learn how health systems can: Shift power from payers to providers through strategic partnerships Leverage data and AI to reduce costs and improve outcomes Incentivize innovation to build a more sustainable system
Hospitals today face rising drug costs, workforce shortages, supply chain disruptions and tightening reimbursement, making financial sustainability increasingly difficult to achieve. In this episode of Healthcare Insider, Cardinal Health's Mike Brown, R.Ph, vice president of managed services, and Michelle Dalton, PharmD, regional director of account management and operations, discuss how a strategic approach to pharmacy management can help hospitals of all sizes reduce costs, optimize operations and unlock new revenue streams. They also share how one Southeastern health system kept $3 million in clinical savings in one year by transforming pharmacy operations. Listen to learn how your organization can tap into the pharmacy's full potential to drive financial resilience and growth across your system.
Health plans are under mounting pressure to comply with federal price transparency regulations. But compliance isn't easy due to vast and complex data sets. In this episode of Healthcare Insider, Heather Cox, president of Insights and Empowerment at Zelis, breaks down the top challenges health plans are facing and offers insightful strategies for achieving compliance. Cox also explores how transparency requirements can be more than a regulatory requirement, but a catalyst to improve member engagement and experience.
As hospitals prepare for CMS's upcoming Transforming Episode Accountability Model (TEAM), embracing data and analytics will be crucial for success under the mandatory bundled payment program. In this episode of Healthcare Insider, we sat down with Scott Driskell, Clinical Director of Medical Device Management, and Kim Wright, Assistant Vice President of Clinical Services—both of HealthTrust Performance Group—to explore how health systems are using data analytics to: Prepare for TEAM and future value-based care models Drive physician engagement through transparency Reduce variation and cost in surgical procedures Identify and implement strategies that boost care value Looking for more insights on navigating value-based care? Register now for the upcoming webinar: Controlling Medical Device Spend in a TEAM, Tariffs and Value-Based Care Environment.
Specialty medication spending is projected to rise sharply through 2026, intensifying pressure on health systems to control costs while improving patient outcomes. In this episode of Healthcare Insider, Cardinal Health's Mike Brown, vice president of managed services, and Naveen Mansukhani, director of specialty and ambulatory pharmacy solutions, break down the critical role specialty pharmacies play in managing spend, capturing revenue and retaining patients within the care continuum. They share real-world examples of how hospitals large and small are benefiting from tailored pharmacy models and discuss how to overcome common challenges such as labor shortages, compliance and ongoing accreditation requirements. Listen to learn how your organization can build a scalable, compliant specialty pharmacy strategy that supports value-based care and long-term success.
As healthcare regulations continue to evolve, organizations must stay ahead of complex compliance requirements to remain competitive and protect patients. In this episode of Healthcare Insider, Ann Phillips, Senior Director of Regulatory and Standards at PurpleLab, unpacks the current landscape of price transparency rules –including updates to the No Surprises Act and the Transparency in Coverage rule – and what they mean for providers, payers and patients alike. She dives into the latest regulatory guidance, enforcement challenges and how technology and industry collaboration can bridge data gaps and support compliance. Listen to learn how your organization can navigate shifting regulations and leverage data to support compliance, inform strategy and improve decision-making.
As healthcare organizations face mounting financial and operational pressures, investing in the right technology is critical to staying competitive. In this episode of Healthcare Insider, Wes Cronkite, Chief Technology and Innovation Officer at TruBridge, breaks down the "triple threat" of automation in revenue cycle management—reducing costs, accelerating revenue velocity and improving employee satisfaction. He explores how AI and automation are transforming RCM, and how a strategic approach to innovation can drive faster claim payments and stronger financial health. Listen to learn how your health system can harness automation to optimize revenue cycle performance without adding complexity.
Robotics and navigation systems have the potential to drastically change how surgical procedures are conducted across the country, offering greater precision, faster recovery times and new possibilities for complex procedures. As this technology evolves, providers face critical decisions such as how to invest wisely, train staff and integrate robotics into existing surgical workflows. In this episode, Brent Ford, senior clinical director of medical device management at HealthTrust Performance Group, and Dr. Michael Gallizzi, a leading spine surgeon at the Steadman Clinic, discuss the impact of robotics and navigation systems on healthcare organizations and patient care. Our featured experts discuss the costs, benefits and challenges hospitals should consider, share success stories from the field, and look ahead to where surgical robotics may go in the future.
When identifying and prioritizing investment opportunities, today's healthcare leaders must balance immediate needs with long-term growth. In this episode of Healthcare Insider, Mary Jo Williamson, chief administrative officer of Mayo Clinic Laboratories, shares her approach to ensuring teams are equipped to meet future demands while managing risks associated with uncertainty. She discusses the challenges of predicting investment outcomes amid an increasingly rapid pace of change in healthcare. Listen to learn how your health system can make more strategic investment decisions.
There's plenty of buzz around AI's potential to reshape healthcare, but how are provider organizations actually integrating the technology into operations? In this episode, David Higginson, executive vice president and chief innovation officer at Phoenix Children's, breaks down the system's AI strategy. From the importance of gathering clinician feedback to embracing the build-versus-buy outlook when appropriate, Higginson offers a look inside how Phoenix Children's is using AI to enhance pediatric care and drive meaningful change.
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