『The Other 80』のカバーアート

The Other 80

The Other 80

著者： Claudia Williams
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The Other 80 podcast — brought to you by Claudia Williams at UC Berkeley School of Public Health — hosts real, honest dialogue about the things that help keep people healthy beyond traditional medical care, like housing, social connections and food, and the cutting edge policies, research and programs supporting whole person health. Join former White House advisor, entrepreneur and host Claudia Williams for deep conversations with the innovators, implementers, researchers and policymakers bringing these new models to life. We’ll talk about what’s working, what’s not and how to move towards whole person health rapidly and equitably across the US.Copyright 2026 Claudia Williams 政治・政府 政治学 衛生・健康的な生活 身体的病い・疾患
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  • Can states build a healthier health system? Maryland is trying with Meena Seshamani

    Can states build a healthier health system? Maryland is trying with Meena Seshamani
    2026/08/12
    Today’s guest, Dr. Meena Seshamani, ran Medicare at CMS and is now Secretary of Health in Maryland. She is leading one of the country’s most ambitious health reform efforts: evolving Maryland’s all-payer model, expanding investment in primary care, and using data infrastructure to strengthen coverage and population health—all while navigating the implementation of HR1. In this conversation, recorded at Aspen Ideas Health, Meena makes the case that policy design matters, but implementation is where its promise is realized or lost.Meena and Claudia discuss:How Maryland saved $1.6 billion for MedicareNew primary care investment strategiesHow the state is leveraging CRISP, the state’s HIE, to implement HR1 and streamline enrollment in public programsMeena shares how Maryland is strengthening food systems using rural health transformation funding:“We are also taking rural health transformation dollars and investing in cold storage, food aggregators, and distribution hubs for our local Maryland farms, so that when we are doing outreach on healthy eating and providing nutritious food to people, that's actually coming from our local Maryland farms. So it's boosting the local economy in our rural areas as well.“Relevant LinksMaryland’s Total Cost of Care Model: Evaluation of the First Four YearsArticle on the impact of Maryland’s modelHow CRISP supports Medicaid redeterminationThe state’s Rural Health Transformation planAbout Our GuestMeena Seshamani, MD, PhD serves as the Secretary of Health for Maryland in the Moore-Miller Administration, where she stewards a $20 billion health system that encompasses public health, Medicaid, disability, behavioral health, and 11 state-run hospitals. She leads the state’s mission to improve the health and well-being of all Marylanders through a focus on accessibility, affordability, and equity.Under her leadership, Maryland has emerged as a national laboratory for healthcare innovation. Dr. Seshamani successfully negotiated a first-of-its-kind, multi-billion dollar healthcare payment model with federal partners and secured $168 million in inaugural funding to transform rural health delivery. Her tenure is also marked by a proactive approach to public health, exemplified by ensuring broad vaccine access in the state through the creation of a landmark program providing free vaccines to uninsured and underinsured residents—codifying health security as a statewide priority.Prior to her cabinet appointment, Dr. Seshamani served as Deputy Administrator and Director of the Center for Medicare at CMS. There, she executed the most significant pharmaceutical reform in decades: the Medicare Drug Price Negotiation program, achieving $6 billion in first-year savings. Her work at CMS fundamentally shifted the Medicare model to value-based care by introducing payments for community health services, caregiver training, and navigating patient care, while simultaneously tightening accountability and oversight.A board-certified head and neck surgeon and an Oxford-trained health economist, Dr. Seshamani’s perspective is grounded in how health care policy and operations impact the real lives of patients. She previously served as Vice President of Clinical Care Transformation at MedStar Health, maintaining a surgical practice while leading large-scale system changes.A widely published author in the New England Journal of Medicine and JAMA, her insights are frequently sought by The New York Times, The Wall Street Journal, and major news networks. Dr. Seshamani holds her MD from Johns Hopkins University and her PhD from the University of Oxford, where she was a Marshall Scholar.SourceConnect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedInSubscribe to The Other 80 on YouTube so you never miss our video extras or special video episodes!
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    36 分
  • The CMS Innovation Center at 15: What worked, what didn’t, and the next big bets with Abe Sutton

    The CMS Innovation Center at 15: What worked, what didn’t, and the next big bets with Abe Sutton
    2026/07/29
    Fifteen years ago Congress created the CMS Innovation Center to test new ways of delivering quality care at lower costs. Since then, the Innovation Center has tested dozens of models - some have been successes, and many have not. Director Abe Sutton joins The Other 80 for a candid conversation about the Innovation Center’s record, its next chapter, and the big bets ahead. Abe identifies three features of successful models:Mandatory participation to avoid cherry pickingDownside risk to drive provider attention and engagementMinimal gaps between first- and second-generation models to maintain momentum Abe says success should not be measured by how many models work, but by overall return on investment:“If we are taking bold bets, if we're trying to say, all right, let's back the next thing that could really transform care in a country and put the country on a more solid fiscal foundation while improving care and the affordability of care. Well, one thing that really was transformative and did that well may be worth the cost of running 20 things.”Relevant LinksRead the CMS Accountable Communities EvaluationAccess the GAO report evaluating the CMMI model from 2011-2024Read the CMMI’s most recent Strategic PlanAbout Our GuestAbe Sutton serves as the Director of the Center for Medicare and Medicaid Innovation and Deputy Administrator for the Centers for Medicare and Medicaid Services (CMS). Before assuming this role in January of 2025, he co-founded two health service companies; Honest Health, which focuses on enabling primary care physicians, and Evergreen Nephrology, which focuses on enabling nephrologists. Sutton focused on health policy with the federal government from 2017 to 2019, serving at the National Economic Council, Domestic Policy Council and Department of Health and Human Services. In these roles, he coordinated health policy across the federal government, with a focus on the shift to paying-for-value within Medicare, increasing choice and competition in health care markets, and updating the federal government’s approach to kidney care.He holds a law degree from Harvard Law School and undergraduate degrees in political science, management, and health care management and policy from the Wharton School and the College at the University of Pennsylvania.SourceConnect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedInSubscribe to The Other 80 on YouTube so you never miss our video extras or special video episodes!
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    36 分
  • Rebuilding Primary Care with Rushika Fernandopulle

    Rebuilding Primary Care with Rushika Fernandopulle
    2026/06/17
    Healthcare pioneer Rushika Fernandopulle joins us to discuss his new venture Liza and why this is the perfect moment to build new primary care models from the bottom up. Rushika argues that “shareholder value” has usurped the needs of patients in US healthcare, and that fundamental rethinking, not optimizing or tweaking at the edges, is needed. Rushika shares the ‘build principles’ for Liza:Backload constraints - don’t frontload them. First show that a new approach works, then figure out the business modelTake cues from conscious capitalism: the purpose of a business is to create good in the world, not to optimize shareholder value Figure out the right thing to do, not a business that fits how healthcare is brokenRushika argues that AI invites us to rethink healthcare based on abundance, not scarcity:“We've built our whole economy, all our processes with this assumption of scarcity, that there were a scarce number of human brains who could do things, right? Doctors, teachers, et cetera. And now all of a sudden that assumption has gone away. So we need to rethink from scratch how we build these systems. So that's what we're trying to do at Liza. Like, what if we started from scratch?”Relevant LinksMore information on LIZA HealthThe book Conscious Capitalism by John Mackey et alPodcast episode where Tim Ferris and Jerry Colonna talk about sabbaticalsArticle by Sara Riggare about living with Parkinson's and her image of blue and red dotsAbout Our GuestRushika Fernandopulle is a practicing physician who is the CEO of Liza Health, a startup building a new AI-enabled platform for Primary Care. He was the co-founder and CEO of Iora Health, an early innovator in Primary Care redesign which was acquired by Amazon in 2023. Prior to this, Rushika was the first Executive Director of the Harvard Interfaculty Program for Health Systems Improvement and Managing Director of the Clinical Initiatives Center at the Advisory Board Company. He is a member of the Schweitzer, Ashoka, Aspen, and Salzburg Global Fellowships, on faculty at Harvard Medical School. He serves on the boards of the Asian American Foundation, Families USA, and Premera Blue Cross, and is a member of the Lancet Commission for Person Centered Care. He earned his A.B., M.D., and M.P.P. from Harvard University, and completed his clinical training at the University of Pennsylvania and the Massachusetts General Hospital.SourceConnect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedInSubscribe to The Other 80 on YouTube so you never miss our video extras or special video episodes!
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    43 分
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