The #HCBiz Show!

ChatGPT: Where (and Where Not) to Apply it in Healthcare

26 Jun 2023

Contributed by Lukas

On this episode, we talk with Matt Hollingsworth, CEO of Carta Healthcare, about ChatGPT.  If you've been reading the headlines, and maybe even ex...

Medicaid Transformation: Past, Present, and Future with Alan Weil of Health Affairs

12 Apr 2023

Contributed by Lukas

Medicaid Transformation. 1115 waivers. Delivery System Reform Incentive Payment (DSRIP) programs. Expansion. Contraction. We've been at this for a lon...

Should Patients Be Charged for Messages to their Doctors?

09 Feb 2023

Contributed by Lukas

Cleveland Clinic recently announced that they would begin charging for certain patient-initiated messages. This flies in the face of everything the in...

Take it All With a Grain of Salt

13 Jan 2023

Contributed by Lukas

Don and Shahid discuss NCQA's Health Innovation Summit (November 2022) and FHIR Dev Days (June 2022). They explore these events as examples of how to ...

The State of Blockchain and Web3 in Healthcare with Ray Dogum

16 Dec 2022

Contributed by Lukas

On this episode, we talk with Ray Dogum, MS, MBA about the state of blockchain and web3 technology in healthcare. Ray is the producer and host of the ...

Can I Buy You Lunch (and tell you about my product)?

20 Oct 2022

Contributed by Lukas

Some people tell doctors that anything more than a cup of coffee is a conflict of interest. What about executives? Is it ok to take them out to lunch?...

The Business Case for Being Patient-First with Brian Sanderson

05 Oct 2022

Contributed by Lukas

There's no business case for doing the right thing in healthcare. Fortunately, being patient-first is the right thing to do and can be good for busine...

Building an Innovation Lifecycle Ontology

16 Sep 2022

Contributed by Lukas

It's easy to experiment with new tech and produce products that look and sound innovative. It's much harder to tie your innovation efforts to strategi...

Episode 200!!! What's Next for the show?

08 Sep 2022

Contributed by Lukas

On this episode, Don Lee and Shahid Shah celebrate 200 episodes of The #HCBiz Show! We discuss what we've done over the past 6 years and tell you wher...

Putting Ambient Intelligence into the Clinical Workflow at Scale with Peter Durlach

25 Aug 2022

Contributed by Lukas

There's no shortage of development when it comes to AI and ML in healthcare. The technology is already powerful and continues to advance. The challeng...

Care Pays Back: Addressing the Social Determinants of Success in Healthcare Education with Dr. Rebecca Sarlo

10 Aug 2022

Contributed by Lukas

It is now widely accepted that socioeconomic issues like food, housing, transportation, and more, directly drive health outcomes in the U.S. These iss...

It's Time We Treat Medical Records Requests as a Critical Customer Service Issue with Grace Cordovano

13 Jul 2022

Contributed by Lukas

There are many areas where customer service is lacking in healthcare, but few are more egregious than the medical records request process. It's frustr...

Engineering to Your North Star with Satvik Gadamsetty

09 Jun 2022

Contributed by Lukas

Last year we learned how Nayya was using data to help employees pick the best health plan. Founder and CTO, Akash Magoon told us that they were "rest...

The Data Fundamentals that Enable Value-Based Care with C.K. Wang

01 Jun 2022

Contributed by Lukas

It's natural to reach for advanced analytics, machine learning, and other potentially transformational technologies in healthcare. That's especially t...

Privacy and Security by Design with John Giantsidis

20 May 2022

Contributed by Lukas

MedTech and Life Sciences commercialization expert, John Giantsidis of CyberActa, assesses the current regulatory environment around Medical Devices,...

Empower the Care Team to Empower the Patient with Omar Nagji

16 May 2022

Contributed by Lukas

There is a lot of attention being paid to the patient experience, and rightly so. However, we haven't paid enough attention to our clinicians and care...

Applying AI and ML to Help the Humans of Healthcare Achieve Better Outcomes - Prashant Natarajan

06 May 2022

Contributed by Lukas

Digitization means taking paper charts and putting them into EHRs. Digital transformation means leveraging the digital asset to do something we never ...

Do You Know Where Your Patients (and Money) Are Going? with Ray Deiotte and Sean O'Malley

28 Apr 2022

Contributed by Lukas

Most health systems don't understand their own referral networks or patient flows. From an overall fiscal standpoint, they may know who their best and...

Modernizing Medical Training with VR and AR - Dr. Ryan Ribeira

20 Apr 2022

Contributed by Lukas

We've been training medical personnel in the same way for decades, Virtual Reality (VR) and Augmented Reality (AR) are poised to change that. We talk ...

Escaping the Tyranny of Fee-For-Service Healthcare - François de Brantes

13 Apr 2022

Contributed by Lukas

The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is u...

Tokenization: Stop Sending All that PHI - Sequent at ViVE 2022

06 Apr 2022

Contributed by Lukas

Healthcare orgs share large amounts of PHI with 3rd party vendors. They share it for analytics, rev cycle management, call center services, and more. ...

How to Build Your Own Customer - Alex Yarijanian at ViVE 2022

30 Mar 2022

Contributed by Lukas

It's difficult for Digital Health startups to find alignment between their innovations and the complex business realities of healthcare. That is why t...

The Continued Push Towards Virtual First Healthcare - Karsten Russell-Wood at ViVE 2022

25 Mar 2022

Contributed by Lukas

Virtual-First thinking and telehealth adoption exploded during the pandemic. Since necessity was the driver there is some expectation that demand and ...

How to Be a Good Partner to Health Systems - Ed Marx at ViVE 2022

21 Mar 2022

Contributed by Lukas

There's a difference between being "just another vendor", and being a true partner to your customers. Ed Marx has thrived on both sides of this equati...

Selling Clinical Decision Support - Dr. Yair Saperstein at ViVE 2022

15 Mar 2022

Contributed by Lukas

AvoMD is a no-code platform that allows users to create clinical decision support apps that integrate directly into their workflows. We caught up with...

Empowering Healthy Aging in Place with Blooming Health

07 Mar 2022

Contributed by Lukas

Our population is aging. According to the Urban Institute: "The number of Americans ages 65 and older will more than double over the next 40 years, r...

How Healthcare Leaders Can Get Involved with Startups – Alan Pitt

11 Feb 2022

Contributed by Lukas

Whether you're an administrator, clinician, or executive, if you've built a career in the healthcare industry then you have skills, knowledge, and con...

Commercializing Physical Products in Healthcare - Jason Kang - Kinnos

28 Jan 2022

Contributed by Lukas

We tend to talk mostly with software startups about commercialization and sales. What do things look like for a startup selling a physical product? An...

Building the First FDA Approved Autonomous AI in Healthcare - Dr. Michael Abramoff and Seth Rainford

12 Jan 2022

Contributed by Lukas

Have you ever had an idea that you just had to make real? No matter what it took… no matter what obstacles were in your way… no matter how many ti...

Making Machine Learning Available to the Masses – Dr. Taha Kass-Hout – AWS

14 Dec 2021

Contributed by Lukas

We talk about ML and AI quite a bit on this show. Our angle is always to avoid the hype and help you find the practical applications that you can put ...

The No Surprises Act is Full of Surprises - VBP in 2022 with Gail Zahtz - Part 4

01 Dec 2021

Contributed by Lukas

The No Surprises Act intends to prevent patients from getting burned with huge, unexpected bills for medical services. It is a needed law – medical ...

Doctors Just Took a Pay Cut - VBP in 2022 with Gail Zahtz - Part 3

23 Nov 2021

Contributed by Lukas

The Centers for Medicare & Medicaid Services (CMS) released the 2022 Medicare Physician Fee Schedule and Quality Payment Program final rule on Novemb...

Are We Crying Wolf? VBP in 2022 with Gail Zahtz - Part 2

19 Nov 2021

Contributed by Lukas

We planned to discuss quality measures but shifted to address a very important piece of listener feedback after the preview and Episode 1. The comme...

Health Equity is Population Health - VBP in 2022 with Gail Zahtz - Part 1

04 Nov 2021

Contributed by Lukas

There's a lot of unknowns as we head into 2022, but one thing is certain: Health Equity will be a major focus for CMS and CMMI. Gail Zahtz, CEO of Pro...

Series Preview: Everything You Need to Know About Value-Based Payment Models to Prepare for 2022 with Gail Zahtz

22 Oct 2021

Contributed by Lukas

What is going on with Value-based payment models in healthcare? We've been talking about it for years and despite all the chatter and investment, upta...

Communicating Healthcare to Humans with Talya Miron-Shatz

01 Oct 2021

Contributed by Lukas

We're less rational, less logical, and less deliberate than we like to believe. We have biases and regularly use heuristics, or mental shortcuts, to m...

Spin-offs and Joint Ventures: Another way to Innovate with The Clinic by Cleveland Clinic

10 Sep 2021

Contributed by Lukas

There are many ways to innovate within an existing organization. However, it can be difficult to move as fast as you'd like within the constructs of a...

Office Hours: Does My Software Need FDA Clearance (SAMD)?

11 Aug 2021

Contributed by Lukas

On this edition of #HCBiz Office Hours, Don and Shahid talk with Yuma Nambu, Chief Strategy Officer (CSO) at CROSS SYNC. CROSS SYNC is a Japanese star...

Financial Advice for Early Stage Digital Health Startups w/ Kristian Marquez

16 Jul 2021

Contributed by Lukas

We spend a lot of time talking about how to align your startup's vision with the realities of the business of healthcare. You can have the best idea i...

The Art of the Possible: Doing Health System Innovation Right with Houston Methodist Center for Innovation

09 Jul 2021

Contributed by Lukas

Just about every health system has an innovation program, but how do they know if it's making a difference? That's the question we set out to explore ...

The AWS Diagnostic Development Initiative with Grace Kitzmiller

02 Jul 2021

Contributed by Lukas

Early in the pandemic, Amazon Web Services (AWS) launched the Diagnostic Development Initiative (DDI) to help organizations around the world accelera...

Multicultural Patient Engagement to Improve Clinical and Business Outcomes with Abner Mason

28 Jun 2021

Contributed by Lukas

A major driver of health disparities is that the system does not typically account for the differences in the culture, language, and experience of the...

Healthcare Costs, Pricing, and Consumerism w/ Steve Ambrose

09 Jun 2021

Contributed by Lukas

Price transparency and healthcare consumerism are top of mind for many operators and observers of the healthcare industry. On the surface, these topic...

The Moral and Business Case for Oral Health Integration with Dr. Myechia Minter-Jordan

28 May 2021

Contributed by Lukas

Poor oral health has a direct link to high risk of chronic diseases like diabetes and heart disease. It contributes to depression, poor maternal healt...

Using AI to Make the Provider's Job Easier with Abboud Chaballout

24 May 2021

Contributed by Lukas

When it comes to billing codes there are many processes and solutions that focus on the backend. They support the coders and help ensure the codes are...

What's your Early Adopter Strategy? with Dr. Roxie Mooney

11 May 2021

Contributed by Lukas

95% of innovations that are brought to market fail to reach an adequate level of customer adoption or financial ROI. It sounds scary, but it doesn't h...

What's up with IBM Watson Health? A Discussion on the State of AI in Healthcare with Paddy Padmanabhan

29 Apr 2021

Contributed by Lukas

IBM Watson Health came on the scene with swagger and promises. They were going to revolutionize healthcare! And now the unit may be for sale. We don'...

Using Data to Pick the Right Health Plan with Akash Magoon

14 Apr 2021

Contributed by Lukas

Picking a health plan can be the biggest crapshoot of anyone's year. It's confusing and tedious to compare the plan benefits, the provider directories...

The Role of Doctors at Digital Health Startups with Sven Jungmann

31 Mar 2021

Contributed by Lukas

What is the role of a doctor at a digital health startup? Why are they needed? What jobs will they do? How do you find one? And how can you tell if th...

A Practical Look at Machine Learning in Healthcare with Josh Miramant

19 Mar 2021

Contributed by Lukas

Machine Learning in healthcare (and Artificial Intelligence in the broader sense) is real and is being used today. The problem is, it's difficult to s...

Direct Contracting: A Physician's Perspective with Dr. Krishnan Narasimhan

07 Mar 2021

Contributed by Lukas

Direct Contracting is a new model from the Center for Medicare & Medicaid Innovation (CMMI, or the CMS Innovation Center) aimed at reducing expenditur...

Why Aren't We Using HIEs to Support Vaccination Efforts (and Everything Else)? w/ Niam Yaraghi

26 Feb 2021

Contributed by Lukas

As of 2015 the Office of the National Coordinator for Health IT had awarded $548 million in grants to states to establish health information exchange...

Direct Contracting: It's Coming Fast and Will Have a Big Impact on Medicare-fee-for-service w/ Gail Zahtz

10 Feb 2021

Contributed by Lukas

CMS Direct Contracting is coming fast, is very nuanced, and full of grey. In a nutshell, 50% of Medicare patients are in Medicare Advantage (i.e., v...

Reimagining Public Health Data w/ Prashant Natarajan

29 Jan 2021

Contributed by Lukas

The pandemic has exposed many weaknesses in our healthcare and public health systems, and our disjointed public health data infrastructure is certainl...

Deferred Care and Lower Risk Scores Could Reduce Medicare Advantage Payments in 2021 w/ Dr. Matt Lambert

22 Jan 2021

Contributed by Lukas

The pandemic has had a tremendous impact on the business of healthcare.  With states canceling elective procedures and people deferring care for fear...

How Will Patients Securely Connect 3rd Party Apps to Their Data Once Patient Access Rules Kick In? from Health Data Unbound

15 Jan 2021

Contributed by Lukas

The CMS Patient Access Rules are coming. And they're easy to cheer for. We're giving patients their data and that's a huge win! We all love that! Bu...

Selling to Health Plans from the Digital Health Growth Summit

07 Jan 2021

Contributed by Lukas

This podcast features the Selling to Health Plans panel discussion at the Digital Health Growth Summit, moderated by our very own Shahid Shah, with pa...

Shifting Healthcare's Culture Toward Openness and Experimentation with Red Hat's Paul Jones

11 Dec 2020

Contributed by Lukas

The business of healthcare is consensus-driven and permissions-based. As we've seen time and again on this show, this culture slows innovation, stret...

How to Turn on the Growth Engine in Your Digital Health Startup w/ Bryan Loomis

03 Dec 2020

Contributed by Lukas

Many digital health startups rely on sales prospecting to generate new leads. That works to a point but doesn't scale because each deal takes a long t...

How Health Systems Think with Neil Carpenter

24 Nov 2020

Contributed by Lukas

Get ready for a cold dose of reality. On this episode, we're talking with Neil Carpenter, VP of Strategic Planning at Array Advisors and former hea...

Partnering with Payers - Andrew Adrian-Karlin

17 Nov 2020

Contributed by Lukas

For many healthcare startups and established vendors, partnering with payers is a crucial part of their business plan. And as we know, selling in hea...

Applying Conversational AI to Reduce Provider Burnout from HealthIMPACT Live

10 Nov 2020

Contributed by Lukas

There's a lot of talk about addressing physician burnout, but little practical advice about what to do. The path to action lies first in understandin...

How Purpose-driven Interoperability and Data Quality Positioned Surescripts to Fill Communication Gaps During the Pandemic - Tom Skelton

29 Oct 2020

Contributed by Lukas

Many private organizations have stepped up to provide support as we deal with the pandemic. Surescripts, for their part, repurposed clinical direct me...

How Payers Can Master Core Administrative Transactions and Deliver a World-class Experience to their Members and Providers w/ Steve Krupa

16 Oct 2020

Contributed by Lukas

It may seem cliché to say payers need to be more like Amazon, but the analogy provides fundamental, and surprisingly actionable insights for the heal...

HealthIMPACT Fall Forum Preview Plus Tips on Running Virtual Events

24 Sep 2020

Contributed by Lukas

On this episode, we discuss the HealthIMPACT Fall Forum coming up September 30th – October 2nd, 2020. Shahid Shah, our co-host and the HealthIMPACT...

The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone w/ Dr. Vivian Lee

11 Sep 2020

Contributed by Lukas

On this episode we talk with Dr. Vivian Lee about her new book, The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Ev...

Patient Centricity: You're doing it wrong! w/ Matthew Zachary

02 Sep 2020

Contributed by Lukas

Patient Centricity is a buzzword that's easy to throw around, but difficult to realize. The notion itself is straightforward… build your product or ...

The State of Payer Data with Jordan Bazinsky

14 Aug 2020

Contributed by Lukas

Payers already face a formidable challenge when it comes to internal data management. After years of consolidation in the industry, many payers have a...

Getting to Know eHealth Exchange - The Largest Health Information Network in the Country - Jay Nakashima

30 Jul 2020

Contributed by Lukas

In a growing crowd of national health information networks, eHealth Exchange is one of the oldest and most connected in the U.S.. Notably, they are th...

Behavioral Economics Expert Explains How to Drive Massive Change with Minor Tweaks w/ Karen Horgan

10 Jul 2020

Contributed by Lukas

Everything you're trying to accomplish comes down to one thing… getting people to do stuff. Behavioral economics, in its simplest terms, is the stud...

Getting Ready to Go Back to Work and How Remote Patient Monitoring (RPM) Tools Can Help

01 Jul 2020

Contributed by Lukas

Public health vs. the economy is a dangerously false dichotomy. We can protect our people AND get back to work if we accept reality and embrace scienc...

The Novation Dynamic: 3 Pillars for Healthcare Innovation Success with Michael Ackerman

24 Jun 2020

Contributed by Lukas

Michael Ackerman, director of the Master in Healthcare Innovation Program at The Ohio State University, believes that every innovation program must ...

Marketing in a Post-COVID World with Jared Johnson

17 Jun 2020

Contributed by Lukas

The COVID-19 crisis has presented marketers with quite a challenge. Customers don't want to be sold to and no one wants to spend money. In fact, tradi...

Remote Work Environments: Much More than a COVID-19 Strategy w/ Jonathan Lieberman

10 Jun 2020

Contributed by Lukas

The COVID-19 crisis and the resulting lock-downs across the world forced many organizations to go virtual in an instant. Some of them had sound Busine...

Deploying Community Health Workers as a Front-line COVID-19 Solution (with a 2X ROI)

03 Jun 2020

Contributed by Lukas

We've talked a lot about the importance of addressing social determinants of health (SDOH) in healthcare, and why it may be the most critical factor w...

Keeping Your Innovation Engine Humming During the COVID-19 Crisis w/ Karen Murphy PhD RN

27 May 2020

Contributed by Lukas

Health Systems are being asked to make changes in 2 months that would have otherwise taken years. As some business lines come screeching to a halt, o...

Direct Pay, Telehealth, Parking Lot Visits and Other Strategies for Private Practices to Survive the Pandemic

20 May 2020

Contributed by Lukas

In our ongoing series around the COVID-19 crisis, we plan each episode with the specific aim of delivering you, the listener, actionable items you ca...

Serving Patients and Doing Business in Spite of COVID-19 w/ Tashfeen Ekram, MD

14 May 2020

Contributed by Lukas

Many doctor's offices have been closed for weeks and those that haven't have seen massive cancellations. This episode is for healthcare providers and...

Taking Friction Out of the Prescription Process with Surescripts Real-time Prescription Benefit - Dr. Andrew Mellin

06 May 2020

Contributed by Lukas

Surescripts is at the center of almost all prescriptions for medications in the US. In this era, when almost no other kind of prescriptions are being ...

What you need to Know About TEFCA Right Now w/ Mariann Yeager

15 Apr 2020

Contributed by Lukas

A year after Draft 2 of TEFCA, what has happened and where are we now? The ONC awarded a cooperative agreement to The Sequoia Project to serve as the...

COVID-19 Community Vulnerability Map w/ Dr. John Showalter

09 Apr 2020

Contributed by Lukas

There is an urgency to utilize social determinants in healthcare decision making, especially to meet the needs of underserved populations. Jvion laun...

Protecting and Extending the Life of PPE with Engineered Controls

31 Mar 2020

Contributed by Lukas

An #HCBiz Brief: Given the shortage of Personal Protective Equipment (PPE) in our hospitals due to COVID-19 and the elevated risks our medical profess...

Using Opportunity Zones to Drive Substantial Investment in SDOH w/ John Gorman

27 Mar 2020

Contributed by Lukas

The Opportunity Zones incentive is a new community investment tool to encourage long-term investments in low-income urban and rural communities natio...

Making Value-Based Care Work in Rural Health

19 Mar 2020

Contributed by Lukas

Today's episode is about how the Rural Risk-Free Solution helps rural hospitals and health systems take on risk faster to achieve value-based care. Th...

There Are No Drug Prices in the US w/ AJ Loiacono

05 Feb 2020

Contributed by Lukas

Drugs are way too expensive. It has got to be from someone in the middle taking up all the money. Blame the pharmacy benefits managers! Right? Not so...

Interoperability 2.0 with Niko Skievaski

15 Jan 2020

Contributed by Lukas

The interoperability promise of a shared, longitudinal medical record has so far focused on connecting health systems to each other. With the growing...

Headwinds Impacting the Shift to Value-Based Care with Kyle Swarts and Dr. Matt Lambert

09 Jan 2020

Contributed by Lukas

Health systems have been working hard to lay the foundation for taking on a larger case mix of value-based contracts. 75% of health systems surveyed ...

A Playbook for Social Care Providers with Juliette Price

18 Dec 2019

Contributed by Lukas

The quantification of how social determinants effect health has finally put enough pressure on healthcare organizations to force action. Finally disc...

Designing an Innovator Network for Hospitals with Amy Stevens

04 Dec 2019

Contributed by Lukas

For long time listeners of this show, you know we're in the business of helping entrepreneurs understand how to create use case alignment, how to get...

The State of Remote Patient Monitoring w/ Sam Liu of VivaLNK

27 Nov 2019

Contributed by Lukas

The design solutions from the consumer wearable market are making this next generation of remote patient monitoring devices ready for mass adoption. W...

Addressing SDOH in the Community: Baby Cafés with Rev. Diann Holt

26 Nov 2019

Contributed by Lukas

Maternal mortality rates are steadily on the rise in the U.S. – the only developed nation where that's true. The maternal mortality rate in 48 state...

Tying SDOH Factors to Clinical Outcomes with Erin Benson

13 Nov 2019

Contributed by Lukas

We've been talking about Social Determinants of Health for a couple of years now and I think we all got the basic concept: For the best health outcome...

Enhancing Diagnostic Accuracy with Art Papier of VisualDx

06 Nov 2019

Contributed by Lukas

It's said that 10-20% of all medical diagnoses are wrong. That's a bit scary, but it's not surprising. Medical diagnostics is inherently complex, the...

Environmental Services Optimization Playbook (ESOP) at HITS 2019

14 Oct 2019

Contributed by Lukas

If we've established anything on The #HCBiz Show, we've established that healthcare is complex. And with a million priorities, each with its own compl...

Who's Got the Patient's Back? with Patient Advocate Grace Cordovano

08 Oct 2019

Contributed by Lukas

The healthcare system is not designed to serve patients. It may have started out that way, but it's best we confront or current reality. That's not to...

Ultraviolet Disinfection for High-Touch Hospital Surfaces with Proximity at HITS 2019

24 Sep 2019

Contributed by Lukas

"Don't find customers for your products, find products for your customers." Seth Godin That's one of my favorite quotes and it's exactly what Proxim...

Environmental Infection Control with Sodexo at HITS 2019

18 Sep 2019

Contributed by Lukas

The costs and human impact of healthcare-associated infections (HAI) are well known and have been well documented on this show. And as we've seen th...

The Behavioral Side of Infection Prevention with Sanjay Saint at HITS 2019

16 Sep 2019

Contributed by Lukas

Usually, we know what we need to do. But doing it is hard and we struggle. This is true for individuals. It's true for organizations. And it's true in...

Pay for Success in Social Innovation w/ Ruth Ann Norton

12 Sep 2019

Contributed by Lukas

 The evidence is clear. Addressing the social determinants of health can dramatically improve health outcomes and reduce spending in healthcare, soci...

Driving Down Pharmacy Spending w/ David Henka

29 Aug 2019

Contributed by Lukas

Pharmacy Benefits Managers, better known as PBMs, are your classic middle-men. First, they buy medications from pharma manufacturers. Then they bundle...