『Bright Spots in Healthcare』のカバーアート

Bright Spots in Healthcare

Bright Spots in Healthcare

著者： Eric Glazer
無料で聴く

【Amazonプライム会員限定】今ならプレミアムプランが4か月 月額99円。

10月19日まで。※適用条件あり
Each episode, I interview innovators in the healthcare industry to extract the strategies, tactics, tools, and/or routines they utilize to generate extraordinary, positive outcomes. We highlight and breakdown these bright spots so you can apply them at your organization. "See a bright spot .... and clone it!" 衛生・健康的な生活 身体的病い・疾患
エピソード
  • AI + Healthcare: Improving Value-Based Care & Financial Resilience (RePost)

    AI + Healthcare: Improving Value-Based Care & Financial Resilience (RePost)
    2026/10/13

    Episode Description:
    In this episode, Atlantic Health System, Intermountain Health, and Navina explore how AI is transforming value-based care by boosting financial resilience and improving outcomes.

    Learn how these organizations are:

    • Enhancing risk adjustment and closing care gaps

    • Reducing administrative burden through AI-augmented workflows

    • Equipping teams with real-time insights to drive performance under VBC models

    From virtual medical assistants to smarter financial planning, this discussion offers actionable strategies for leaders across clinical, operational, and financial roles.

    Download the Episode Guide:
    Summarizing key insights and speaker highlights, this guide is your companion to the discussion. Download it to follow along and take away actionable strategies.

    Thank you to Navina for supporting this episode.
    Navina helps physicians thrive in value-based care with an AI-powered platform that turns data into actionable clinical insights. Learn how they're enabling smarter decisions, better care, and less burnout at www.navina.ai.

    How to Engage:

    • Chat with Us: Share your thoughts with Producer Vekonda Luangaphay at vluangaphay@brightspotsventures.com
    続きを読む 一部表示
    1 時間 2 分
  • From High Risk to Movable Risk: Where Health Plans Can Change the Cardiometabolic Trajectory

    From High Risk to Movable Risk: Where Health Plans Can Change the Cardiometabolic Trajectory
    2026/10/06
    In this Bright Spots in Healthcare episode, host Eric Glazer brings together health plan, provider, and cardiometabolic care leaders to examine a challenge becoming increasingly important to healthcare organizations: how to move beyond identifying high-risk members and determine which risks are actually movable. The discussion explores what it takes to turn cardiometabolic risk information into action. Across health plans, provider networks, and care models, the conversation looks at how organizations are thinking about clinical strategy, GLP-1s, individualized risk, provider performance, meaningful engagement, care delivery systems, and the operational integration needed to make effective interventions work at scale. This is a practical discussion for health plan and provider leaders navigating rising cardiometabolic risk, complex treatment decisions, evolving GLP-1 strategies, variable provider performance, and the growing need to demonstrate meaningful clinical and economic outcomes. Our guests include: Daniel Knecht, MD, Chief Medical Officer & SVP, EmblemHealth Thomas Graf, MD, Vice President & Chief Medical Officer, Health Services, Florida Blue Lisa Shah, MD, Chief Medical Officer, Twin Health Together, they explore: How health plans can move beyond identifying high-risk members to understand what is actually driving risk and what may be movable at the individual level How health plans are approaching GLP-1 strategy, including formulary decisions, clinical criteria, lifestyle support, and the need to keep clinical considerations at the center How provider networks can identify "pockets of excellence," co-create standards with physicians, and build systems of care that make better performance more reliable Why successful cardiometabolic programs need to fit into existing clinical, pharmacy, provider, and operational workflows rather than becoming another disconnected solution This episode offers an inside look at how leading organizations are rethinking cardiometabolic care by asking a more useful question: Where is risk actually movable, what can change it, and what does it take to make that change happen reliably at scale? Panelist Bios here: https://www.brightspotsinhealthcare.com/events/from-high-risk-to-movable-risk-can-health-plans-change-the-cardiometabolic-trajectory/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/10/Episode-Guide-Bright-Spots-in-Health-Care-10-01-26.pdf Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation. [Place PDF LINK HERE] Thank You to Our Episode Partner, Twin Health Twin Health is focused on helping people improve their metabolic health through a highly personalized approach that combines technology, clinical support, and individual health data. The company's approach reflects several themes explored throughout this episode, including the importance of understanding what is driving risk at the individual level, distinguishing meaningful engagement from activity, and measuring outcomes that go beyond a single clinical metric. The conversation also highlights a broader challenge for health plans: identifying the interventions most likely to change a member's trajectory and integrating those interventions into a model of care that can support sustained improvement over time. To learn more about Twin Health, visit TwinHealth.com Schedule a Meeting with Twin Health To explore how Twin Health can help your organization approach cardiometabolic health through a more personalized, data-driven model, reach out to show producer Vekonda Luangaphay at vluangaphay@brightspotsventures.com to schedule a conversation with the Twin Health team. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
    続きを読む 一部表示
    55 分
  • 2027 Medicare Advantage Strategy: What Plans Are Changing Now for 2029 Stars

    2027 Medicare Advantage Strategy: What Plans Are Changing Now for 2029 Stars
    2026/09/29
    What should Medicare Advantage plans change now to improve performance in 2027 and prepare for the 2029 Star Ratings? In this episode of Bright Spots in Healthcare, leaders from Zing Health, CDPHP, UPMC Health Plan and MedOrionshare how MA plans are acting earlier, prioritizing limited resources, improving Stars and quality performance, and reducing reliance on the traditional fourth-quarter scramble. The discussion gets practical: how plans are using existing data sooner, turning clinical insights into action, coordinating with providers, reaching harder-to-engage members, and deciding where limited engagement resources can have the greatest impact. Download the Episode Resources Episode Guide Key takeaways and practical lessons from the conversation: https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/09/Podcast-Episode-Guide-Bright-Spots-in-Health-Care-Medorion-09-24-26.pdf Key Insights Summary Guest takeaways, discussion highlights and Eric Glazer's moderator notes: https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/09/Key-Insights-Summary-Bright-Spots-09-24-26.pdf Request MedOrion's report: Removing the Blindspot: Making HOS and CAHPS the Advantage Contact Nicole Roberts at nroberts@brightspotsventures.com. Featured Medicare Advantage Leaders Daniel Weaver, Senior Vice President, Stars and Quality, Zing Health Michael Farina, Vice President, Healthcare Quality, CDPHP Mariah Osborn, Director, Medicare Stars, UPMC Health Plan David Burianek, Chief Strategy Officer, MedOrion What You'll Learn This conversation explores how Medicare Advantage plans are rethinking the operating model behind Stars, quality and member engagement for 2027 and beyond, including: How existing knowledge about returning members can support action before the first HEDIS results arrive How CDPHP uses natural language processing to reduce clinical review time while expanding the number of measures reviewed What it takes to identify time-sensitive member events, coordinate follow-up and reduce duplicate outreach Why addressing a member's immediate need can build the trust required for future engagement How community relationships and member feedback help plans understand why care is not happening How benefit communications can help resolve questions before changes disrupt care or increase service demand Featured Resource: Removing the Blindspot MedOrion's report, Removing the Blindspot: Making HOS and CAHPS the Advantage, explores how Medicare Advantage plans can build a more coordinated approach to member engagement across the year. The report examines: HOS and CAHPS strategy Harder-to-engage Medicare Advantage members Earlier clinical information Member barriers including access, transportation, confusion and trust Annual Notices of Change Annual wellness visits Next-best-action strategies Governance across Stars, quality and member engagement How plans can make limited resources go further To request a copy, contact Nicole Roberts at nroberts@brightspotsventures.com. About MedOrion MedOrion combines technology with hands-on expertise to help health plans improve Medicare Advantage, Stars, HEDIS and quality performance with limited resources. Its approach helps plans determine where additional engagement can make a difference, where it may not be needed, and how to turn those decisions into action. Learn more: https://medorion.com/ Connect With MedOrion To explore how MedOrion can help your team prioritize engagement resources and build a more coordinated approach to Stars and quality performance, contact Nicole Roberts at nroberts@brightspotsventures.com to schedule a conversation with a senior MedOrion leader. Panelist Bios https://www.brightspotsinhealthcare.com/events/from-chart-chase-to-competitive-advantage-the-2027-medicare-advantage-playbook/ About Bright Spots in Healthcare Bright Spots in Healthcare brings together health plan, health system and healthcare innovation leaders to share practical examples of what is working — and how others can apply and scale those ideas. Bright Spots Ventures creates healthcare content, executive communities, private peer discussions and go-to-market programs designed to accelerate meaningful change. Learn more: https://www.brightspotsinhealthcare.com/ Subscribe for more conversations with Medicare Advantage, Stars, quality, health plan and healthcare leaders.
    続きを読む 一部表示
    1 時間 1 分
adbl_web_anon_alc_button_suppression_t1
まだレビューはありません