The Change Healthcare Podcast
Change Healthcare
Subscribe
Change Healthcare is inspiring a better healthcare system.
Working alongside our customers and partners, we leverage our software and analytics, network solutions, and technology-enabled services to enable better patient care, choice, and outcomes at scale.
As a key catalyst of a value-based healthcare system, we are accelerating the journey toward improved lives and healthier communities. Learn more at www.changehealthcare.com.
The Change Healthcare Podcast is a production of ChangeHealthcare.com. Copyright © 2018-2020 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved.
Contact us at @Change_HC on Twitter or by writing to rich.levin@changehealthcare.com.
Available episodes
Newest first
Oldest first
1 day ago
Audiobook: How to Mitigate Revenue Cycle Risk During an EHR Implementation
Avoiding Common Financial Pitfalls While Seizing RCM Improvement Opportunities
Onboarding an electronic health record (EHR) is one of the most complex and disruptive implementations a healthcare organization can undertake. This type of initiative impacts, and in many cases, fundamentally changes every aspect of your clinical and financial operations. Given the size and scope of these projects, it’s not surprising that the revenue cycle implications are vast, and an unsuccessful implementation can pose significant financial risks to your organization.
By Elaine Dunn
Elaine Dunn is vice president of Revenue Integrity and Centralized Coding at Change Healthcare.
Episode Resources
* Elaine Dunn's bio
* Building a Culture of Revenue Integrity
* Strategies for Fine-Tuning Revenue Integrity
* Revenue integrity Solutions
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
4 days ago
The Policy Connection: Return to the Workplace, with Special Guest Dr. David Shulkin, 9th Secretary of the Department of Veterans Affairs
It’s evident to Dr. David Shulkin that the path to safely reopening businesses is not exclusively guided by local, state, and national government. Employers, together with government and health systems, play pivotal roles. On today’s show, Deanne Kasim joins Arien Malec to lead a compelling discussion with Dr. Shulkin, the 9th Secretary of the Department of Veterans Affairs. Dr. Shulkin draws on his deep experience in the public and private sectors to provide advice for employers working on their reopening plans.
Today’s episode features Deanne Kasim, Executive Director of Health Policy for Change Healthcare; Dr. David Shulkin, the Ninth Secretary of the US Department of Veterans Affairs, and Arien Malec, SVP of Research & Development for Change Healthcare.
They dissect:
* Lessons the U.S. has learned about managing COVID-19
* Challenges health systems must still address
* How employers can work with government and public health authorities to reopen businesses safely
* Predictions for the state of work over the next year
* Lasting changes in employment safety and workplace design
* Ways employers can prepare for future health emergencies
* How USHealthyWork is supporting employers
* How employers can navigate reopening offices across states with varying safety recommendations
* Why government, employers, and health systems must collaborate on a national strategy for reopening
Episode Resources
* Dr. David Shulkin’s bio
* Arien Malec’s bio
* Deanne Kasim’s bio
* USHealthyWork
* Change Healthcare Government Affairs
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jul 30, 2020
Audiobook: The Future of Revenue Cycle Innovation
Revenue cycle management (RCM) is a rapidly changing, multi-billion dollar market with a complex set of challenges. Care delivery organizations are starting to realize that the way they’ve traditionally managed the revenue cycle will not work going forward. New and emerging dynamics are fundamentally altering how healthcare is delivered and paid for. To navigate these shifting undercurrents, organizations must appreciate the factors driving change and develop innovative strategies to create a new paradigm.
By Thomas Laur
Thomas Laur is executive vice president of Change Healthcare and president of Technology Enabled Services.
Episode Resources
* Thomas Laur’s bio
* Artificial Intelligence Equals Real Transformation for Revenue Cycle Management
* Revenue Optimization Resource Library
* Revenue Cycle Optimization Webinar Series for Hospitals and Health Systems
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jul 27, 2020
Dispelling Myths About Capacity Management
Gone is the traditional understanding of capacity management. On today's how, Terri Epler connects with Duncan Campbell to give us an insider's view of how COVID-19 upended the healthcare industry’s historical view of capacity management. They dissect how COVID-19 impacted hospital capacity, and examine why capacity management is crucial for efficient operations during every level of patient demand.
Terri Epler, RN, MSN, product consultant for Change Healthcare, leads the conversation with special guest Duncan Campbell, principal of Craigavon Enterprises. Duncan spearheaded several healthcare turnaround and performance improvement initiatives throughout Canada, and is the former CFO of Vancouver Coastal Health.
Their conversation pulls back the curtain on:
* Capacity challenges providers face daily
* Initial and ongoing impact of COVID-19 on patient flow and hospital capacity in the U.S. and Canada
* How and why capacity management broke down when the pandemic started
* Ways in which providers coped
* What approaches worked and failed, and why
* Lessons providers learned to guide better capacity management
* Why capacity management is crucial at every level of demand
* The role of IT to help manage capacity
* How Change Healthcare customers are navigating capacity management today
* Factors that create urgency to forecast capacity highs and lows
* Benefits of accurately aligning demand to resources
Epsiode Resources
* Terri Epler’s bio
* Duncan Campbell’s bio
* Hospital Capacity Management Solutions
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jul 22, 2020
Audiobook: Five Strategies for Better Patient Access and Financial Engagement
With the rise of healthcare consumerism, people are looking to hospitals, health systems, and physician practices to deliver the same user-friendly, digital experiences they receive from other industries.
People want to easily make appointments, understand what their financial outlays will be, make payments, and set up payment plans if the estimated costs exceed their budgets—all via their mobile devices or tablets. Unfortunately, most healthcare organizations aren’t ready to provide this level of convenience. In part, this is because they have relied on patient portals as their main digital engagement tools to date.
By Bill Krause
Bill Krause is vice president and general manager of Digital Experience and Consumer Engagement for Change Healthcare.
Episode Resources
* Bill Krause's bio
* Change Healthcare - Harris Poll Research: Half of Consumers Avoid Seeking Care Because It’s Too Hard
* The Change Healthcare - Harris Poll 2020 Consumer Experience Index Report
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jul 20, 2020
The Policy Connection: COVID-19's Impact on Medicaid and Medicare
Medicaid and Medicare are seeing major changes in federal and state policies amid the global health emergency. Today’s panelists dive into new guidance for state Medicaid agencies, how COVID-19 affects those who are dual-eligible for Medicaid and Medicare, and how these changes impact health plans.
Stream now to hear from Angela Evatt, senior manager of State Healthcare Policy; Eric McAllister, Government Affairs specialist; Lisette Montesinos, manager of Government Relations; and Chad Wege, vice president of Program Management, all with Change Healthcare.
They dive into:
* The scope of federal assistance supporting state Medicaid agencies
* Criteria for states to obtain federal assistance
* State and federal guidance surrounding recertification of Medicaid beneficiaries
* COVID-19’s impact on people who are dual-eligible for Medicaid and Medicare
* Variance in COVID-19 response at the state level
* How state Medicaid agencies are adapting their policies in the COVID-19 era
* Steps Change Healthcare is taking to support health plans amid evolving COVID-19 challenges
* New ways health plans can support members
* Future impact of COVID-19 on health plans
Episode Resources
* Angela Evatt’s bio
* Chad Wege’s bio
* Lisette Montesinos’ bio
* CMS's COVID-19 FAQ
* How to Renew Dual Eligibles for Medicaid
* How to Optimize Dual Enrollments
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jul 16, 2020
Audiobook: Aligning the Lab with the Hospital’s Strategic Priorities
Stories of hospital lab early adopters that have successfully implemented third-party decision support
Current events highlight the critical role of the hospital
laboratory as the primary source of diagnostic information. But legislation such as PAMA (Protecting Access to Medicare Act)
can potentially reduce lab reimbursements when clinical decision support is not used to ensure appropriate care.
This audiobook provides front-line perspective and commentary from experts and physicians at Mayo Clinic Laboratory on the application of clinical decision support technology in the lab. It also includes data from early adopters in hospital laboratories that have successfully implemented third-party decision support to achieve their stewardship goals, including electronic health record (EHR) interventions, and ongoing monitoring of utilization.
By Ben Gold and Curtis Hanson, M.D.
Ben Gold leads CareSelect product strategy for Change Healthcare, to help providers transition to value-based care. Previously, he worked for Epic Systems managing enterprise EMR implementations for U.S. academic medical centers.
Curtis Hanson, M.D., is Professor of Laboratory Medicine and Pathology, Consultant in Hematopathology, Executive Physician for Healthcare Innovation, at Mayo Clinic Laboratories. He previously served as chair of the Department of Laboratory Medicine and Pathology, and is currently the executive physician for Healthcare Innovation at Mayo Clinic Laboratories. Hanson leads the government relation activities for Mayo Clinic Laboratories, and is the past chair of the board of directors for the American Clinical Laboratory Association.
Episode Resources
* Ben Gold's bio
* Dr. Curtis Hanson's bio
* Mayo Clinic
* CareSelect Lab
* Align Lab and the Hospital’s Strategic Priorities
* Reality Check: Buy Versus Build for Laboratory Decision Support
* Clinical Laboratories at a Crossroads
* Change Healthcare announces CareSelect Imaging Open Access
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jul 13, 2020
Reinventing Cardiovascular Workflows
As health system consolidation continues, cardiology HIT vendors are working to resolve interoperability and scalability challenges. With the influx of complex procedures and additional data points, clinical users are finding it more difficult to focus on their core mission: delivering excellent patient care.
On today’s show, Jessica Smith talks with Ori Garini, director of Product Management at Change Healthcare, about ongoing challenges within cardiology, how redundant data entry distracts from patient care, and the importance of anchoring system design to usability requirements.
Here’s what they covered:
* How interoperability challenges complicate a workflow
* Deriving actionable insights from cardiovascular workload data
* Reducing TCO as facilities consolidate cardiovascular systems
* The impact of confusing data entry requirements on clinician productivity
* Limits of departmental best practices on workflow optimization
* Technical advantages of a single database and single point of connectivity
* EMR interoperability as a guideline for cardiovascular product development
* How system design and infrastructure can drive operational efficiencies
* Querying structured data during the daily procedural workflow
* Benchmarking turnaround time data to isolate root causes of underperformance
* Using analytics to pinpoint inefficiencies and close gaps
* Anticipating emerging needs with an agile roadmap
Episode Resources
* Ori Garini’s bio
* Jessica Smith’s bio
* Enterprise Imaging Strategy
* Enterprise Imaging Cloud Strategy
* Change Healthcare Cardiology™
* Enterprise Medical Imaging Solutions
* Enterprise Imaging Community
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jul 6, 2020
How a Newly Minted CISO Approaches COVID-19 Security Risks
Responding to security and privacy challenges in the age of COVID-19 is a tall order—and it’s even more complicated if you’re just starting a new role as a chief information security officer (CISO). Meet Steven Ramirez, who became Chief Information Security Officer for University of Louisville Health in January. He met with John Zuziak to share his story of a COVID-era indoctrination by fire, discuss the changing risk management landscape, and reflect on cybersecurity issues facing every healthcare CISO.
Today's panelists are John Zuziak, Cyber Security Practice Director for Change Healthcare Consulting; and Steve Ramirez, CISO for University of Louisville Health.
They discuss:
* The career track that led to a CISO role
* Balancing regulation, cyber threats, and patient safety
* How COVID-19 changed Steve’s 90-day plan
* Ways to use resources, including existing security assessments, to define initial goals
* The pandemic's impact on the University of Louisville Health’s IT security
* New trends in threats and attacks targeted at remote employees
* Steps to drive a secure transition to a virtual workforce
* Using IT to speed employee onboarding when in-person engagement is not an option
* Goals to guide a CISO during a pandemic
* The secret sauce for communicating risks and incidents in the boardroom
Episode Resources
* John Zuziak’s bio
* Steven Ramirez’s bio
* The Essential Role of a Chief Information Security Officer
* How to Mitigate Risks with Virtual CISO Services
* Healthcare Consulting Services
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jun 29, 2020
Is COVID-19 Speeding or Stalling Value-Based Care?
Is the COVID-19 pandemic a wake-up call for value-based payment innovation and care delivery, or does it raise serious questions about value-based models’ ability to perform? Host Mark Moticik circles up with David Delaney, Cindy Garvin, and Andrei Gonzalez to explore the immediate and lasting impact of COVID-19 on value-based care, and review the steps payers can take to understand how alternative payment and care models performed throughout the crisis.
Today’s expert panel convened Mark Moticik, vice president of Payer BPaaS Services at Change Healthcare; David Delaney, MD, senior vice president and general manager of Payer Technology Enabled Services at Change Healthcare; Cindy Garvin, senior consulting manager at Change Healthcare; and Andrei Gonzalez, associate vice president, Product Management, Value-Based Payments at Change Healthcare.
Listen in for the panel’s insights on:
* How COVID-19 is influencing momentum around value-based care
* Whether the pandemic can accelerate the case for value-based care
* Potential changes to the relationship between primary care physicians and specialists
* New provider and payer perspectives on risk, capitation, and other alternative payment models
* Which innovations in care, such as telemedicine and drive-thru testing, will persist beyond the COVID-19 crisis
* How these innovations can impact the value equation long term
* Ways to create a more elastic healthcare system in the U.S.
* Why the healthcare industry’s experience fighting COVID-19 could change the definition of value-based care
* Predictions on how COVID-19 will impact the underlying economic model of care delivery
* Whether alternative payment models can co-exist with government-sponsored plans
* Latest lessons learned about social determinants of health (SDoH) beyond testing, treatments, and fatalities
* Steps payers can take to implement and sustain SDoH strategies
Episode Resources
* David Delaney’s bio
* Andrei Gonzalez’s bio
* Cindy Garvin’s bio
* Mark Moticik’s bio
* CMS COVID-19 FAQ
* Medicaid COVID-19 Portal
* Case Study: Value-Based Care Enablement
* Best Practices to Engage Providers in Value-Based Models
* How to Accelerate the Transition to Value through Episode Intelligence
* Value-Based Payments Resource Center
* HealthQx Value-Based Payment Analytics
* Value-Based Care Business Process Management Services
* Value-Based Care Enablement Solutions
* Value-Based Care Transformation Services
* Value-Based Payment Solutions
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jun 25, 2020
Audiobook: Building a Culture of Revenue Integrity
Organizations that don’t have strong revenue integrity leave money on the table and might experience compliance problems
If you ask 10 revenue cycle leaders what the primary focus of their revenue integrity efforts should be, you might get 10 different answers. Revenue integrity is not confined to one part of the revenue cycle, and it is not a stand-alone function. In the truest sense, revenue integrity is an outcome.
By Elaine Dunn and Vindali Vartak
Elaine Dunn is vice president of Revenue Integrity at Change Healthcare. Vindali Vartak is senior director of Advanced Analytics at Change Healthcare.
Episode Resources
* Elaine Dunn's bio
* Vindali Vartak's bio
* Strategies for Fine-Tuning Revenue Integrity
* Revenue Integrity Solutions
* COVID-19 Updates and Resources
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jun 22, 2020
Going Beyond Video: How to Enable Virtual Care
The pandemic left payers, providers, and regulators no choice but to fully embrace telehealth--finally. CMS, ONC, and payers expanded coverage. Providers flocked to telehealth to mitigate the risk of in-person visits and ensure care delivery. In the aftermath, the benefits and limitations of “telehealth,” and the promise of a true virtual care model, are now clear—as are the gaps that must be closed, such as enabling labs, e-prescriptions, remote imaging, expanded eligibility, claims management, and more.
On today’s show, G. Shah, VP of Platform and Marketplace, convenes a Change Healthcare expert panel to discuss how COVID-19 upended the telehealth trend, the trajectory of telehealth’s evolution into a true virtual care model, and what’s needed from a business and technology standpoint to get there. On the panel: Ian Ellis, VP and general manager of Clinical Exchange; Cindy Klain, VP of Medical Network; and Greg Jones, director of Product Management.
Here’s the deep di…
Jun 16, 2020
Audiobook: Why It’s So Important to Expand the Interoperability of Healthcare Systems
Interoperability improves patient outcomes, lowers cost, and can serve to meet evolving regulatory standards
Value-based care—and the regulatory push for transparency—expands the need for collaboration. Increasingly, that interoperability will expand from provider-to-provider systems to include patients and payers.
By Faisal Mushtaq
Faisal Mushtaq is SVP and General Manager of Clinical Networks at Change Healthcare.
Episode Resources
* Faisal Mushtaq's bio
* Change Healthcare Offers Free Connected Consumer Health™ Interoperability Solution for Health Plans to Meet CMS Deadline
* Change Healthcare Launches Suite of Solutions to Support and Accelerate the Adoption of Virtual Care
* Accelerate Healthcare Data Interoperability
* Interoperability Solutions for Healthcare
* Advancing the Use of APIs in Healthcare
* API & Services Connection™ for Healthcare
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podca…
Jun 15, 2020
Ten Security Control Objectives for Every Healthcare IT Contract, with Randall Frietzsche, CISO of Denver Health
Cybersecurity is only as strong as the security of an organization's vendors. Randall Frietzsche, chief information security officer (CISO) of Denver Health, a level one trauma center in Denver, has his organization's information security assessments down to a science. On today’s show, Randall joins Change Healthcare’s John Zuziak to share how Denver Health conducts security assessments, and how Randall's team assesses new vendors and monitors for vulnerabilities.
Today's panel: John Zuziak, Change Healthcare's Security and IT Risk Management Practice director; and Randall “Fritz” Frietzsche, MS, CISSP, CHPC, C|EH, C|HFI, ISSA distinguished fellow, and enterprise chief information security officer (CISO) at Denver Health, Denver, Colo.
Here’s what they talked about:
* Frameworks for building security programs and assessments
* Assessing security risk with third-party vendors
* Creating a risk management policy
* Conducting risk stratification analysis
* Assigning…
Jun 12, 2020
The Capitol Connection: A Quarterly Healthcare Policy Update with Special Guest Mary Grealy, President, Healthcare Leadership Council
Welcome to the Capitol Connection, a quarterly update on what's happening on Capitol Hill and in various state legislatures around healthcare policy. Our special guest today is Mary Grealy, President of the Healthcare Leadership Council. The HLC is a coalition of chief executives from all disciplines in U.S. healthcare. It’s the exclusive forum for healthcare leaders to develop policies, plans, and programs to achieve a 21st century system that makes affordable, quality care accessible to all Americans.
Your hosts for today’s show are Deanne Kasim, Executive Director of Health Policy at Change Healthcare, and Angela Evatt, Senior Manager of State Policy Strategy at Change Healthcare.
Here's what the panel included in this quarter’s Capitol Connection:
* Background on the HLC
* The latest information on federal and state policies in response to COVID-19
* The next relief package: thoughts and priorities
* What’s next for Congress this summer
* Will states’ relaxed…
Jun 8, 2020
ACHE CEO Deborah Bowen and Carrie Owen Plietz, FACHE, Share Healthcare Executives’ Perspectives on the Impact of COVID-19
The American College of Healthcare Executives (ACHE) has been advancing leaders and healthcare management excellence for 85 years. We invited ACHE President and CEO Deborah Bowen, FACHE, and Carrie Owen Plietz, FACHE, ACHE Chairman-Elect, EVP and COO, WellStar Health System, to give us their advice for how leaders can respond effectively to patient, community, and business concerns around the pandemic, from the standpoint of the industry’s preeminent professional society.
Today’s panel:
Host: Navesh Kandiyil, MD, MBA, FACHE, Change Healthcare
Guests: Deborah Bowen, FACHE, CAE, president and CEO of the ACHE; and Carrie Owen Plietz, FACHE, EVP and COO, WellStar Health System, and ACHE Chairman-Elect
Here’s how the conversation went.
* ACHE backgrounder
* Inside the hot spots
* Lessons providers are learning from inside the hot spots
* Inside the cold spots
* What’s working, what’s not
* How ACHE is responding
* The impact on payer-provider collaboration
* S…
Jun 4, 2020
The Policy Connection: Proposals to Reopen the U.S. Economy
Today’s show is an update on policy proposals to help improve the pandemic’s outcomes and reopen the U.S. economy.
Today’s panel is led by Deanne Kasim, executive director of Health Policy at Change Healthcare; and Arien Malec, SVP of product R&D at Change Healthcare, former ONC leader, and current HITAC member.
Here's what they covered:
* Proposals to reopen the economy
* Where we’re at today
* What’s changed since April
* What to consider and focus on
* A roadmap to reopen the recovery and beyond
* Policy, proposals, and infrastructure
* The phenomenon of the wizard’s apprentice
* Contact tracing technologies and implications
* Contact tracing security, privacy, and data rights
* Thoughts on digital immunity passports
* Scaling vaccine production and distribution, treatment cost, and reimbursement
* Playbook for the next pandemic
Episode Resources
* Arien Malec’s bio
* Deanne Kasim’s bio
* Reopening the Economy: How Fast is Too Fast?…
Jun 4, 2020
Audiobook: How APIs Promote Innovation in Healthcare
How Change Healthcare’s API and Services Connection™ marketplace helps payers, providers, and digital health companies deliver a more efficient, consistent experience
Learn how APIs sourced from a portfolio of integrations, workflow enablers, and intelligent advisors let payers, providers, and digital health companies create innovative ways to engage, care for, and manage patients.
By Gautam M. Shah
G. Shah is Vice President of Platform and Marketplace, Change Healthcare.
Episode Resources
* G. Shah's bio
* Enabling Efficiency in Telehealth
* Advancing the Use of APIs in Healthcare
* API & Services Connection™ for Healthcare
* COVID-19 Updates and Resources
* COVID-19 Updates Newsletter
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Jun 1, 2020
The Nexus of COVID-19, Telehealth, and High-Quality Care Delivery
The pandemic tipped telehealth from a disruptive technology into the mainstream, according to the AMA. We invited John Jesser, President of Clinical Solutions at Amwell, to tell us what the surge in telehealth looks like from the vantage point of a global telehealth leader; the implications for consumers, providers, payers, and digital health innovators; technical, operational, and regulatory barriers that remain; and what telehealth might look like and how it might change after the pandemic.
Joining Amwell’s Jesser is Jonathan Parks, VP of Business Development at Change Healthcare. Here’s what they discussed.
* Was the telehealth industry prepared for the pandemic?
* Positives, negatives, lessons learned by telehealth providers
* How well are telehealth vendors, health systems, employer groups, and health plans working together?
* A telehealth entry point for hospitals and health systems
* Opportunities to make telehealth a more seamless, omnichannel experience for pat…
May 27, 2020
CMS's Interoperability Deadline Looms for Payers
The CMS’s Interoperability and Patient Access rule, finalized in March, requires payers give members easy access to, and control over, their claims data. As payers face this looming deadline, they have a choice: comply with the basic requirement, or use the mandate as catalyst to modernize member engagement and improve their market advantage. On today’s show, Deanne Kasim, Bob Hoover, Ed Hafner, and German Scipioni discuss the CMS mandate and opportunities for payers to capitalize on it.
The Change Healthcare podcast panel:
Deanne Kasim, Executive Director of Health Policy
Bob Hoover, VP of Consulting
Ed Hafner, AVP of Payer Strategy Medical Network
German Scipioni, VP of Product Consumer Services
Here’s the path they took for today’s discussion:
* Quick recap: Intent and requirements of the Rule
* Assessing technical capabilities
* Data governance requirements
* What APIs must give payers and members
* A strategy for achieving a new level of member engagement…
May 26, 2020
HFMA CEO Joe Fifer Shares Provider Perspectives on the Impact of COVID-19
As CEO of the Healthcare Financial Management Association, Joe Fifer sits at the epicenter of COVID-19’s financial impact on providers. Many of the HFMA’s 56,000 members were hit hard by the pandemic, and the HFMA has been working overtime to support them through the crisis. On today’s show, Fifer joins Change Healthcare EVP Thomas Laur for a C-suite discussion on the unprecedented challenges revenue cycle professionals now face, how providers are coping, and what can be done to help foster a faster recovery.
They discussed:
* COVID-19’s one-two punch
* How HFMA members are taking on their top priorities
* A bright spot among the financial damage
* Will telehealth change workflows forever?
* How and when providers can get back to the office
* HFMA’s guidance to members
* HFMA’s financial outlook on U.S. healthcare
* Unemployment’s implications for healthcare
* The rapid increase of self-pay
* What the new normal will look like
* The indelible mark…
May 20, 2020
Audiobook: How to Support Patients and Help Protect the Bottom Line During the COVID-19 Crisis
Patient Collection Strategies in an Economic Downturn
Today many healthcare organizations are facing new levels of uncertainty as a result of the COVID-19 pandemic. While each organization is focused on caring for patients and keeping team members safe and healthy, providers cannot help but also be concerned about the impact this will have on other areas. This rapidly evolving pandemic has put pressure on all facets of healthcare, including clinical care, the revenue cycle, and personnel management.
With that said, it is imperative for providers to evaluate their communications and outreach programs to help ensure that all print, digital, and voice communications have a compassionate, empathetic, and respectful tone that acknowledges the patient’s new and often stressful situation. There are several steps providers can take now, and over the coming months, to help increase patient-collection outcomes and lower overall revenue risk.
By David Figueredo
David Figueredo is National V…
May 18, 2020
AHIP CEO Matt Eyles Shares Payer Perspectives on the Impact of COVID-19
From his vantage point as CEO of America’s Health Insurance Plans (AHIP), Matt Eyles has a unique perspective on myriad challenges payers, their members, and their provider networks face during the COVID-19 pandemic; and what our post-pandemic future might look like. In this episode, Carolyn Wukitch, SVP and GM of Network and Financial Management at Change Healthcare, talks with Eyles about these topics and more, including:
* Challenges health plans face during the pandemic
* Engaging members with underlying health issues
* Acceleration of telehealth––today and tomorrow
* Planning for 2021 amid immense uncertainty
* Supporting providers on the front line
* Helping the newly unemployed
* Removing cost barriers to treatment
* The impact of Medicaid member increase
* COVID-19's impact on provider networks
* COVID-19 testing and reopening the economy
Episode Resources
* Matt Eyles' bio
* Carolyn Wukitch's bio
* AHIP website
* AHIP COVID-19 FAQ
* AHIP…
May 11, 2020
Unifying D-SNP: What Health Plans Need to Know
Tougher requirements are coming for D-SNP, the dual-eligible special needs program for Medicare and Medicaid. On today’s show, Shelley Stevenson and Phillip Cardona discuss upcoming regulatory changes, what payers need to know to ensure compliance, and opportunities that arise for payers and members.
Shelley Stevenson leads the government programs practice at Change Healthcare Consulting. Phillip Cardona is a strategy executive with Change Healthcare’s Payer Growth Program. Here’s what they chatted about.
* D-SNP and eligibility
* States starting to require D-SNP plans
* Tougher requirements coming in 2021
* Timeline and roadmap for preparing for 2021 regulations
* How the new regulations impact providers
* What payers need to do to keep providers informed
* Mobilizing a clinical team
* Siloed Medicare and Medicaid patients and the shift to integrated plans
* The impact on long-term support services
* How to analyze where members will need support
* Moving…
May 5, 2020
The Policy Connection: COVID-19 Testing and Surveillance Policy Proposals
Government officials are weighing testing, tracing, and isolating the public while pondering how and when to restart the economy. As a former ONC leader and current HITAC member, Change Healthcare's SVP of product R&D Arien Malec is watching the COVID-19 policy proposals currently in play.
On today's episode, Arien is joined by Deanne Kasim, executive director of Health Policy at Change Healthcare, for a wide-ranging discussion of COVID-19 testing and surveillance policy proposals. Here’s what they hit upon.
* What American healthcare needs to accommodate effective COVID-19 surveillance
* Takeaways from the Duke-Margolis report on a national surveillance system
* Proposals for getting people back to work during COVID-19
* Social distancing and lockdowns while waiting for a vaccine
* Proposed strategies and global practices for controlling the spread of disease while reopening the economy
Episode Resources
* Arien Malec’s bio
* Deanne Kasim’s bio
* A New Strate…
May 4, 2020
Becker’s Editor-in-Chief Molly Gamble on the New Normal Facing Providers
Few people are better situated to help us understand the tangled web of issues facing providers today than Becker’s Hospital Review Editor-in-Chief Molly Gamble. Beyond the capacity and supply problems triggered by the pandemic, hospitals and health systems are peering over the edge at some very real existential threats.
On this episode, Kelley Blair, senior vice president and GM of Health System Services at Change Healthcare, connected with Gamble to talk about what she has seen, experienced, and reported for Becker's Healthcare readers over the past six weeks. Topics that they hit on:
* Takeaways from conversations with providers in the 10 hardest-hit states
* Novel challenges facing the healthcare system as it moves into recovery
* New ways in which health systems are communicating with patient populations
* How payers can support providers during the pandemic
* Managing solvency in the face of declining patient volumes
* The role of data in helping hospitals assess…
Apr 27, 2020
What Providers and Payers Can Do to Improve SDOH During the COVID-19 Crisis
COVID-19 lockdowns and the social isolation they can cause can have an outsized impact on the health of senior citizens and other vulnerable populations. Indeed, several studies associate social isolation and loneliness with increased mortality that's comparable to smoking 15 cigarettes a day.
Today's show features a conversation with Jeff Barkin, MD, associate medical director; Victoria Pham, DO, medical director, Clinical Development, Strategy, and Client Experience; Monique Yohanan, MD, MPH, senior medical director, Level of Care team, and director for Content Development; and Kelly Cavin, VP of Social Determinants of Health, all with Change Healthcare.
Our expert panel discusses what providers and health plans are doing now, and what more they can do, to mitigate the health effects of social isolation and improve other social determinants of health arising from the pandemic.
Here's what they talked about:
* The impact of social isolation on older adults
* How providers are…
Apr 20, 2020
Cybersecurity During and After a Pandemic
Healthcare IT teams had to move quickly when social distancing requirements shuttered offices, and large numbers of employees started working from home. Suddenly the question was: How does an organization safely continue operations during a pandemic? What are the new business continuity, cybersecurity, and privacy considerations? What immediate actions should be taken?
On today's show, John Zuziak, Change Healthcare's Security and IT Risk Management Practice Director, talks "cybersecurity in our new world" with Eric Decker, CIO; Peter Jabrucki, CISO; and LeMar Ward, Business Continuity and Disaster Recovery manager, all with Independent Health, a not-for-profit health plan headquartered in Buffalo, New York.
These IT leaders discuss how and why they've been preparing for a crisis such as this one, and what actions they've taken to manage the new requirements and new risks posed by having a substantial workforce rapidly "lift and shift" from on-site to remote teams.
Here's what they…
Apr 7, 2020
Claims Management During the COVID-19 Pandemic
The COVID-19 pandemic is putting unprecedented strain on the healthcare system. And while the challenges facing the front-line healthcare providers are most obvious and concerning, payers are not immune. They're facing hurdles driven by new codes, regulatory changes, and a surge in telehealth that challenges the ability to accurately process timely payments–a critical issue for providers.
On today’s episode, Dr. Frank Dubeck, chief medical officer for Payment Accuracy at Change Healthcare, joins Mike Boykin, value consultant; Tracy Mullen, manager of Clinical Development; and Kathleen Reid, product management leader for Clinical Claims Management to discuss claims code editing considerations during the global health emergency.
Here are the high points of their conversation:
* New codes developed to deal with COVID-19
* Editing to address the influx of telemedicine claims
* Demystifying CMS and CPC telemedicine coding conflicts
* COVID-19 diagnostic coding
* Reviewing r…
Mar 26, 2020
The Capitol Connection: A Quarterly Healthcare Policy Update
Welcome to the Capitol Connection, a quarterly update on what's happening on Capitol Hill and various state legislature sessions around healthcare policy. Your hosts are Deanne Kasim, Executive Director of Health Policy at Change Healthcare, and Angela Evatt, Senior Manager of State Policy Strategy at Change Healthcare.
Here's what's covered in this edition:
* CMS guidance regarding telemedicine waivers during the COVID-19 pandemic
* Suspended legislative sessions in 26 states (and counting)
* State-regulated insurance companies waive cost-sharing for COVID-19 testing
* State-directed Medicaid programs to cover COVID-19 testing/treatment
* Reopening of state-run insurance exchanges, demands for federal enrollment period
* Driving capacity with state-mandated suspensions of licensure requirements and elective procedures
* Health plan deadlines for CMS interoperability final rule and information blocking final rule
* ONC fact sheets, education regarding rule components…
Mar 23, 2020
Creating New Healthcare Solutions: Solving the Build vs. Buy Conundrum
Start-ups and mid-sized companies are innovating new IT solutions to solve challenges in the healthcare industry. One of the issues these development teams face is deciding whether to build all functionality in house, or focus on their strengths and integrate best-of-breed functionality where possible–speeding time to market in the process.
In this podcast, Aakarsh Sethi, product manager at INFINX Healthcare, walks us through his company’s thought process as they brought an innovative patient-access solution to fruition, solving their build vs. buy conundrum in the process.
Here’s what Aakarsh discusses with Gautam “G” Shah, vice president of Platform and Marketplace at Change Healthcare, on today's show.
* Questions to ask when developing out a new HIT solution
* Balancing product purpose with end-user needs
* The “build vs. buy” decision
* APIs as building blocks for innovation
* The difference between APIs and APIs with broad connectivity
* Understanding…
Mar 2, 2020
The 2020 Industry Pulse Report: Key Insights
For the past 10 years, Change Healthcare and the HealthCare Executive Group (HCEG) have commissioned the Industry Pulse Research Report, an annual effort to "take the pulse" of the healthcare industry. The insights gleaned from this year's research reflect responses from 445 payer and provider leaders, 80% of which are director level or above.
To dig into the results, show hosts Rich Levin and Grant Evans met with Ferris Taylor, executive director of the HCEG; market researcher Michael Brousseau, of Insight Dynamo; and David Gallegos, senior vice president of Consulting Services at Change Healthcare. Here's what the panel discussed:
* The history and purpose of the Industry Pulse
* Research methodology and respondent breakdown
* Industry maturity of consumer-centric strategies
* How provider fragmentation and a focus on acute patients limits insight into the full consumer population
* Payers or providers: Who should provide cost/quality data to consumers?
* Building the r…
Mar 1, 2020
One App to Manage All Your Medical Bills, and the APIs that Power It
Healthcare consumers are frustrated by the mix of medical bills they receive from multiple providers. Rachel Mertensmeyer started RexPay® to help consumers understand, manage, and pay all those medical bills in one place, through a simple smartphone app. But what consumers don't see when they use the app is something working behind the scenes: the Change Healthcare API & Services Connection, which helps power the solution.
On today's show, Serrah Linares, vice president of Partnerships at Change Healthcare, chats with Rachel about why she created the RexPay app, and how it’s helping consumers and providers make short work of managing their medical bills.
Here's what they talked about:
* The 36 medical bills that led to RexPay app
* Why the app is named after Rex the rescue dog
* How providers and consumers use RexPay
* The pressing need for a solution like RexPay
* Awards, accolades, and grants earned by RexPay to date
* How APIs bring RexPay and Change Healthcare tec…
Feb 26, 2020
Your PAMA Questions Answered
The Protecting Access to Medicare Act (PAMA) becomes mandatory in 2020. It promotes evidence-based medicine by requiring consultation of appropriate use criteria (AUC) when ordering Medicare part B advanced imaging, and evidence of such consultations in order for claims to be paid by the CMS.
On today's podcast, Change Healthcare's Bob Cooke discusses PAMA with Sean McCormick, MD, and Natasha Stjepanovic, Care Select Imaging team product manager. Here's what ground they covered.
* PAMA requirements
* Why PAMA legislation was needed
* Integrating decision support into the EHR workflow
* How to meet PAMA's AUC requirements
* Inside PAMA consultation requirements
Episode Resources
* Bob Cooke's bio
* Dr. Sean McCormick's bio
* Natasha Stjepanovic's bio
* PAMA regulations
* PAMA portal
* CareSelect Lab
* Change Healthcare announces CareSelect Imaging Open Access
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Get the iOS a…
Feb 25, 2020
Humanizing AI
Organizations around the world are hungry to capitalize on the immense potential of AI, machine learning, and deep learning. But sometimes in their haste to apply AI to solve problems, these well-meaning organizations overlook their end users.
What are the users' needs? After all, they're the people who need to interact with the AI model's output, and based on that output, might need to change behaviors, habits, workflows, or more as a result. Such "cognitive collaboration" is a new concept for most organizations to understand and apply so they can make the most of AI.
On today's show, Change Healthcare's Adam Sullivan, senior director of Artificial Intelligence, and Keith Roberts, vice president of Engagement, have a lively discussion about how AI works with humans in healthcare, and what organizations need to know to ensure cognitive collaboration works.
Here's what they hit on:
* How the precision of AI is helping reinvent engagement
* Thinking about the user and the idea of…
Feb 24, 2020
AI Disrupting Risk Adjustment
Artificial intelligence (AI) is transforming the business of risk adjustment—the science of predicting the level of disease burden of an individual. On today’s show, Adam Sullivan, Ph.D., senior director of AI at Change Healthcare, interviews Curt Vinyard, vice president of Product and Strategy at Change Healthcare, to dig into the impact AI is having in risk adjustment analytics, and what payers and providers need to know about this disruptive innovation.
Here's what Adam and Curt covered:
* Risk adjustment yesterday, today, and tomorrow
* The ah-ha moment that will change your thinking about AI and risk adjustment
* How AIs can reduce administrative overhead in risk adjustment
* Delivering risk adjustment information to physicians to help them improve compliance
* Helping physicians use AI analytics to make the right care decisions
Episode Resources
* Adam Sullivan's bio
* Curt Vinyard's bio
* Artificial Intelligence and Healthcare
Show Resources
* SUBSCR…
Feb 24, 2020
The Potential of Data to Transform U.S. Healthcare
"Data-driven insight" is becoming a driver of operational efficiency for payers, providers, and other healthcare stakeholders. But in most cases, the available data is limited to an individual organization or a region. What happens if we scale up the amount of data available for analysis by sourcing from across the country and from all major types of care and delivery models?
On today’s show, Tim Suther, Senior Vice President of Data Solutions at Change Healthcare, discusses how this economic healthcare data can be used to help improve the efficiency of the entire healthcare system, as well as the performance of individual organizations. As Tim says, “If you don’t have real-world healthcare data, then you just have an opinion.”
Here's what we talked about on today's show:
* Importance of unbiased, independent data collection and analysis
* Improving the cost-effectiveness of healthcare with data analytics
* Shifting the national focus from care coordination to the heal…
Feb 17, 2020
Audiobook: Reality Check–Buy vs. Build for Laboratory Decision Support
Hospital Laboratories Must Think Critically and Evaluate Carefully Before Launching Decision Support Projects
Practicing medicine today is more complex than ever. The menu of diagnostics, medications and treatments available to providers is continually expanding. Standards of care are shifting as guidelines grow and multiply. There are more options and more decisions for everyone–from practitioners to laboratory technicians to IT staff.
Second in a three-part series developed in collaboration with Mayo Clinic.
By Ben Gold and James Colbenson
Ben Gold is CareSelect™ Lab Product Manager at Change Healthcare. James Colbenson, MBA/MHA, is Director of Commercialization, Value-Based Medicine for Mayo Clinic Laboratories.
Episode Resources
* Ben Gold's bio
* James Colbenson's bio
* Mayo Clinic
* CareSelect Lab
* Align Lab and the Hospital’s Strategic Priorities
* Reality Check: Buy Versus Build for Laboratory Decision Support
* Clinical Laboratories at a Crossroad…
Feb 13, 2020
The Impact of Payment Audits on Payer-Provider Relationships
Payment integrity audits--the process of ensuring that payments to providers are accurate--can be a costly and time-consuming proposition for providers. Payers or their third-party vendors routinely audit claims to ensure providers applied appropriate care, utilization, and billing codes.
But how abrasive is the process? And are there any ways to minimize the impact on payer-provider relationships? Change Healthcare commissioned Frost & Sullivan to look into this issue. The results are eye opening and informative for both payers and providers.
On this episode of the Change Healthcare podcast, Dave Cardelle, vice president of Payment Integrity and Coding Advisor Solutions at Change Healthcare, shares what was learned from the research. Here's what was covered:
* What drove the research into DRG audits, and what was involved
* Top-line research takeaways
* How the payment audit process works
* Is potential damage from audits to provider relationships rooted in cost, administra…
Feb 9, 2020
The Capitol Connection: A Quarterly Healthcare Policy Update
Welcome to the Capitol Connection, a quarterly update on what's happening on Capitol Hill and various state legislature sessions around healthcare policy. Your hosts are Deanne Kasim, Executive Director of Health Policy at Change Healthcare; and Angela Evatt, Senior Manager, State Policy Strategy at Change Healthcare.
Here's what's covered in this quarter's report:
* The trend of state-based broad data privacy bills
* State vs. federal privacy provisions & the California Consumer Privacy Act
* Compliance challenges of juggling multiple state laws instead of one federal law
* How should health app data & other non-HIPAA regulated data be governed?
* Bringing transparency to how data is used without stifling innovation
* States testing public insurance options and addressing challenges to the ACA
* State approaches to Medicaid expansion, including the block grant system
* Petitions to CMS to add work requirements to state Medicaid programs
* CMS price cost transparenc…
Jan 12, 2020
How AI Can Help Solve Healthcare’s Most Costly Problems
What was once the realm of science fiction has become science fact. It's no exaggeration to say that artificial intelligence is now woven into the fabric of daily life. Voice assistants, image recognition, autonomous vehicles, customer support bots, robotics, e-commerce—the value of AI keeps growing across industries, including healthcare.
And the value for healthcare isn't limited to clinical pursuits. AI is now serious business in the clinical, financial, and engagement arenas. On today's show, Change Healthcare executives Nick Giannasi, Ph.D., EVP and Chief AI Officer, and Frederick Eliasson, EVP and CFO, provide a backgrounder on AI in healthcare, discuss AI's impact on healthcare's cost/quality curve, and explain how and why Change Healthcare embedding AI into our financial, clinical, and engagement solutions.
* How to explain artificial intelligence and machine learning to anyone (1:48)
* Why we need AI in healthcare (7:15)
* The “four enablers” that make AI relevan…
Jan 11, 2020
A Look Into the Future of Payer-Provider Data Sharing
Electronic claims submission is now the norm in healthcare. Yet claims attachments––the clinical and other supporting documentation submitted to payers––remain mired in fragmented manual workflows that still rely on phone calls, paper pushing, and fax machines.
But that's changing. On today's show, we discuss the rapid evolution of payer-provider data exchange that's happening right before our eyes. Our expert panel shares compelling insights on new HIT capabilities that can help providers pull the plug on the fax machine and go "all electronic" with virtually all clinical documentation they need to share with payers to support claims payment. The result can be a great increase in efficiency, error reduction, manageability, cost savings, and revcycle velocity.
Our Change Healthcare panelists: Mike Peresie, senior vice president and general manager of Medical Network; Sajid Khan, senior vice president and general manager of Dental Network; and Adam Sullivan, senior director of…
Jan 4, 2020
Audiobook: Clinical Laboratories at a Crossroads
Hospitals must choose best path forward amid major industry changes
Powerful forces are reshaping the clinical laboratory industry. Deep reimbursement cuts threaten to upend traditional business models. Ongoing commoditization continues to exert margin pressure. Capital requirements are rising as budgets erode. And uncertainty is widespread about how best to manage costly esoteric testing in a value-based world.
by Ben Gold and Don Flott
Ben Gold is CareSelect™ Lab Product Manager at Change Healthcare. Don Flott is Senior Director of Value-Based Medicine at Mayo Clinic Laboratories.
Episode Resources
* Ben Gold's bio
* Don Flott's bio
* Mayo Clinic
* CareSelect Lab
* Align Lab and the Hospital’s Strategic Priorities
* Reality Check: Buy Versus Build for Laboratory Decision Support
* Clinical Laboratories at a Crossroads
* Change Healthcare announces CareSelect Imaging Open Access
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS rea…
Dec 30, 2019
Audiobook: How to Realize True Transformation with an Enterprise Imaging Strategy
Collaboration, Coordination, Improved Workflows, and Reduced Patient Wait Times Can Result from Transformation
The effective collection, use and sharing of information to help streamline processes and deliver quality patient care is a persistent and overriding challenge for hospitals, radiology clinics, and physicians alike. Ultimately, the beneficiary is the patient as reduced wait times, report turnaround times and higher levels of service delivery become attainable goals for organizations. Key to achieving these goals is the consolidation of health information, better resource allocation and utilization, the harmonization of clinical and business processes, and a data-driven continuity program–a true service transformation.
Episode Resources
* Four Leading Providers Join Change Healthcare and Google Cloud in Next-Generation Enterprise Imaging Initiative
* Enterprise Medical Imaging Solutions
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader…
Dec 26, 2019
Audiobook: The New PAMA Math
Laboratory Data Key to Overcoming Medicare Cuts
Harnessing data can reduce waste, increase margins, and improve clinical outcomes
Based on a presentation from the 2019 Dark Report Executive War College benefactor session, featuring Don Flott, Senior Director of Value-Based Medicine at Mayo Clinic Laboratories; David Figueredo, National Vice President of Sales for Technology Enabled Services at Change Healthcare; Sarah Boyd Simonson, Director of Lab Client Management at Change Healthcare; and Ben Gold, Product Manager for CareSelect Lab at Change Healthcare
Episode Resources
* Mayo Clinic
* CareSelect Lab
* Change Healthcare announces CareSelect Imaging Open Access
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Download the audio and listen offline
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Dec 21, 2019
Minimizing Out-of-Network Risk
Unchecked out-of-network (OON) charges can result in high surprise bills for patients and high costs for payers. One reason: The cost for out-of-network care is often well above national averages and norms. It's crucial for payers to protect their members from larger deductibles and out-of-pocket limits by minimizing the risk associated with OON care. And in doing so, payers can also improve employer savings, administrative and medical cost savings, and appeals processes.
On today’s show, Mary Canobbio interviews Anna Bash, claims manager at third-party administrator Employee Plans, and discusses how a claims repricing network can help reduce excessive expenses and protect members by discounting OON claims in collaboration with providers.
Here's what they dug into:
* The impact of political instability on the healthcare market
* How a small percentage of OON claims can lead to increased premiums
* Generating savings through OON risk mitigation
* The impact of OON claims on…
Dec 20, 2019
Six Domains of Healthcare Waste and How to Address Them
A recent JAMA article identified six domains of healthcare that are responsible for $935 billion in wasted healthcare spend annually:
* Failure of Care Delivery
* Failure of Care Coordination
* Overtreatment/Low-Value Care
* Pricing Failure
* Fraud and Abuse
* Administrative Complexity
That accounts for a staggering 25% of all healthcare dollars. On today's show, Change Healthcare's Chrissy Finn, Laura Coughlin, and Dr. Sean McCormick evaluate how the industry can address JAMA's Six Domains of Healthcare Waste. These include:
* Evidence-based medicine, team-based care, and alternative payment models (02:40)
* The role and responsibilities of stakeholders in reducing waste (09:17)
* Effective care coordination and management, and better engaging patients in their care (12:33)
* The highest priorities in reducing administrative complexity (16:40)
* Personalizing medicine via pharmacogenetics, predictive modeling, and AI (21:50)
Episode Resources
* Chrissy Fin…
Nov 27, 2019
Medicare Advantage: Making Sense of the Audit Universe
Managing the highly regulated areas of Medicare Parts C and D can be a daunting challenge for health plans. Factor in a CMS audit, and the complexity and associated administrative burden can skyrocket.
On today's program, Change Healthcare Consulting's Phillip Cardona, Melissa Bailey, and Tim Gundlach explain CMS audit universes; managing the considerable amount of data they can require; and best practices for preparing for and facilitating the audit process.
Here's what they reviewed:
* CMS and the role of “audit universes” (00:34)
* What audit universes mean to health plans (01:55)
* Audit universes defined and how they're changing next year (04:18)
* Recommendations for providing “clean” universes to facilitate the audit process (09:39)
* Best practices for ensuring accurate data sources (11:43)
* Preparing for the data validation webinars with auditors (13:13)
* The need for periodic monitoring (14:32)
* How a Medicare audit tool can help reduce the admin…
Nov 27, 2019
Benefits of a Comprehensive Out-of-Network Strategy
While many out-of-network (OON) providers charge reasonable prices for their services, insurers must also cope with excessive OON charges, which undermine members’ financial security and fuel rising healthcare costs. What percentage of these claims should be paid, and how can insurers better protect their members from debilitating balances?
On today's show, Marcus James, Senior Vice President of Claims and Membership for Arkansas BlueCross BlueShield, joins Nanci Ziegler, Vice President of Strategic Clients at Change Healthcare, to discuss what goes into developing a successful OON strategy, how a comprehensive approach can benefit members and providers, and why payers should take a hard look at their current OON approach.
Here's what they covered:
* Non-par providers and what defines an out-of-network claim (01:18)
* Two growing problems: surprise balance billing and ER pricing at walk-in clinics (02:23)
* Why balance billing vs. paid-in-full OON claims is a lose/lose propo…
Nov 25, 2019
Everything You Dare to Ask About Healthcare Interoperability
Healthcare interoperability: Where is the industry at today, where is it going, what's new, what's coming, and most important–what do payers, providers, and vendors need to do in order to participate in healthcare's interoperational future?
These questions and more are fielded on today's show by Jitin Asnaani, former Executive Director of CommonWell Health Alliance; Kashif Rathore, VP of Interoperability at Cerner; and Nicole Antonson, VP of Identity and CommonWell Services at Change Healthcare.
Covered on today's broadcast:
* Why we're all students of interoperability (03:58)
* Meaningful Use Stage Two, the need for an interoperability alliance, and the birth of CommonWell (09:08)
* Promoting the free exchange of information: Why Cerner became a founding member of CommonWell (16:04)
* Interoperability: What's in it for providers? (21:40)
* The greatest barriers to interoperability for providers (26:54)
* How clinical interoperability exchange can help drive better out…
Nov 21, 2019
Reinventing Healthcare for the Digital Age
Using digital technology to attract, engage, and serve consumers; deliver exceptional experiences; and earn loyalty is old hat for many U.S. industries. Healthcare, however, remains woefully behind the times when it comes to delivering contemporary digital experiences to consumers.
But that’s changing, and fast. On today's show, experts from Adobe, Microsoft, MDSave, and Change Healthcare have a robust discussion about why healthcare lags behind, the impetus to move quickly, the risks of not doing so, what the personalized patient experience looks like, and much more. It's a must-hear for any payer or provider.
Here’s what the panel debated:
* The digital healthcare experience imperative (04:52)
* A new notion: the “Orchestrated Digital Journey” (21:27)
* Price transparency and its connection to patient satisfaction and collections (25:29)
* What a personalized patient experience looks like (31:44)
* How we can help patients improve their experience while lowering…
Nov 19, 2019
Enterprise Risk Management, HITRUST, SOC 2, and You
Not long ago healthcare IT systems were information silos, safely isolated inside a payer’s or provider’s data center. The greatest threat to IT security was the unlikely inside job. Fast forward to 2019, and HIT systems are increasingly enmeshed across corporate, government, vendor, and even consumer boundaries. Information is flowing between multiple on-premise and cloud data centers; among vendors, software services, and APIs; and often across the public Internet.
The threat landscape healthcare organizations must mitigate today is greater, more complex, and evolving faster than ever. But while the IT world we work in gets more challenging by the day, the disciplines and how to manage the environment have also improved dramatically. Practices such as HITRUST certification and SOC audits are helping IT teams evaluate their organizations and ensure adherence with the highest security protocols and standards.
On today’s show, Bob Hoover, Vice President of Change Healthcare Cons…
Nov 19, 2019
Audiobook: Analytics as the Answer to Coverage Identification
Advances in technology boost providers’ ability to screen the self-pay patient.
by Brian Andrews
Brian Andrews is Senior Vice President & General Manager of Revenue Optimization Solutions at Change Healthcare.
Episode Resources
* Brian Andrews' bio
* Coverage Insight
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Download the audio and listen offline
* Get the iOS app
* Get the Android app
* Suggest or become a guest
* Contact Change Healthcare
Nov 14, 2019
Leave the Paper Behind: Getting Providers to Accept E-Payments
Payers can reap profound cost savings by moving their provider networks from paper to electronic payment (e-payment). But after 20 years of encouraging various forms of e-payment, only 60% of medical providers are accepting them.¹
Imagine if only 60% of other forms of commerce accepted electronic payments. Why the snail’s pace in healthcare?
Listen in as Bill Barbato and Jason Koch share their answers to this question, and review how e-payment continues to challenge payers, and ways payers can break the logjam to boost e-payment adoption.
Here are the topics they touched on:
* The lingering impact of early industry missteps when introducing e-payment (02:40)
* New e-payment options that help overcome providers' reluctance (06:17)
* The e-payment approach smaller-volume providers often embrace first (08:39)
* Why offering multiple e-payment options is essential (10:57)
* Obstacles: Enrollment and the lack of EDI delivery (15:02)
* Electronic payment impact on the reco…
Nov 13, 2019
Unlocking the Potential of AI for Imaging
It's no secret that artificial intelligence (AI) is changing healthcare's approach to imaging. As AI algorithms are added to new and existing solutions, AI is helping clinicians make appropriate clinical decisions faster.
We interviewed Ran Rumianek, Executive Director of Artificial Intelligence and Growth at Change Healthcare, to dig into the rise of AI in imaging, its promise and apparent benefits, and advice for how providers can harness the potential of AI today and in the future.
Here's what was covered in the interview:
* How AI can help automate repetitive tasks for administrators and clinicians (01:30)
* Narrow vs. general AI, and the impact on productivity and patient care (04:34)
* Interpretation and the radiologist’s evolving role in an AI world (07:21)
* The psychological impact of AI on clinician job satisfaction (08:59)
* Obstacles to AI adoption and how to address them (10:41)
* AI's benefits: hype or reality? (13:00)
* The nexus of cloud-based service…
Nov 13, 2019
Imaging Archiving Yesterday, Today, and Tomorrow
Vendor-neutral archives (VNAs) have provided secure, consolidated data storage to providers for years. But the definition and capabilities of the VNA are changing. The VNA is moving to the cloud, and that's raising new questions for providers, because not all cloud VNAs are created equal. Some are rehosted legacy solutions, others are hybrids, and still others are built from the ground up for cloud computing—and those distinctions have implications for VNA implementations.
On today’s show, Todd Doherty, Director of Product Management and Data Services at Change Healthcare, reviews the evolution of VNAs, updates us on where the industry is at today and where it's heading, and what we can expect to see in the future.
Here's what we talked about.
* A brief history of VNAs (01:55)
* The difference between cloud-based, cloud-native, and on-premise (06:05)
* How SaaS (software as a service) impacts financial forecasting and budgeting (07:52)
* Supporting emerging use cases thr…
Nov 12, 2019
EHR Integration and Enterprise Imaging
Healthcare organizations increasingly see enterprise imaging as crucial to the development of a more comprehensive electronic health record. And as more providers consolidate their medical imaging infrastructure, they’re learning how integrating with the EHR can help increase the value of their existing HIT investments.
On today’s show, Steve Harrold, Senior Manager of Enterprise Imaging at Change Healthcare, talks about the potential advantages of multitenancy, the need for a cybersecurity infrastructure, and how telling the story of the patient’s condition through imaging can lead to better outcomes.
Here's what we discussed:
* How enterprise imaging can help reduce clinical variance and combat physician burnout (01:19)
* The C-suite’s focus on EHRs and enterprise imaging (02:43)
* How concentrated integration can improve information flow (03:37)
* Why role-based views of images and reports matter for results interpretation and patient consults (04:37)
* The tren…
Nov 12, 2019
Better Outcomes Through Care Team Coordination
As more organizations adopt enterprise imaging solutions that cross service lines, improvements in care team coordination are having a positive impact on throughput, clinical collaboration, and patient outcomes.
On today’s show, Steve Harrold, Senior Manager of Enterprise Imaging at Change Healthcare, talks about these improvements, including the importance of workflow engines, advancements in AI algorithms, and how to keep diagnosticians on the front lines of healthcare.
Here's what we covered:
* Improving patient throughput and intra-department communications (01:55)
* Incorporation of AI algorithms into workflow engines and the impact on clinicians (03:48)
* How intelligent views can reveal disease progression (06:03)
* Adjusting turnaround times around specific conditions to support better outcomes (07:57)
* How a mobile experience can make or break encounter-based capture (09:18)
Episode Resources
* Steve Harrold's bio
* Schedule a demo
* Enterprise Imaging…
Nov 4, 2019
The "Smart" Revenue Cycle: Transforming Revenue Cycle Management Through Innovation
Revenue cycle management (RCM) is more than simple claims management and bill processing. Today, RCM is a rapidly changing, multi-billion dollar market with a complex set of challenges and a growing roster of healthcare IT (HIT) vendors promising to solve them.
On today's show, Thomas Laur, executive vice president at Change Healthcare and president of the company’s Technology Enabled Services business, brings us inside this rapidly evolving space and talks about what’s driving change, the role of new technologies such as advanced analytics and artificial intelligence, and how forward-thinking providers can mix HIT and services to optimize RCM and engage patients more effectively.
Here's what's covered in today's show:
* How revenue cycle management is evolving
* Data analytics, arbitrage, and their role in increasing collections
* Key areas for RCM disruption in the next five years
* How providers can drive new payment paradigms and adoption of intelligent technologies…
Oct 19, 2019
Audiobook: Payment Accuracy the American Healthcare System
As America shifts to value-based care, it becomes ever more important to get reimbursement claims accurate from the get-go.
by Dave Cardelle and Amy Larsson
Dave Cardelle is VP of Payment Integrity Solution Management at Change Healthcare. Amy Larsson is VP of Clinical Claims Management Solutions at Change Healthcare.
Episode Resources
* Download the Ebook
* Contact Change Healthcare
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Download the audio and listen offline
* Get the iOS app
* Get the Android app
* Suggest or become a guest
Oct 19, 2019
Audiobook: How Payment Accuracy Enables the Transition to Value
Payment Accuracy is essential to reducing administrative costs, optimizing fee for service, and enabling the transition to value-based care.
by Amy Larsson, VP Clinical Claims Management Solutions, Change Healthcare.
This is part one of a two-part series, focused on trends and best practices in the payment accuracy industry. Part one focuses on How Payment Accuracy Enables the Transition to Value-Based Care. Part two focuses on How Pre-Submission Improves the Provider-Payer Relationship.
Episode Resources
* Download the Ebook
* Contact Change Healthcare
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Download the audio and listen offline
* Get the iOS app
* Get the Android app
* Suggest or become a guest
Oct 19, 2019
Audiobook: How Presubmission Notification Improves the Payer-Provider Relationship
Pre-submission of medical claims reduces friction and promotes collaboration between providers and payers.
By Dave Cardelle, VP of Payment Integrity Solution Management, Change Healthcare.
This is part two of a two-part series, focused on trends and best practices in the payment accuracy industry. Part one focuses on How Payment Accuracy Enables the Transition to Value-Based Care. Part two focuses on How Pre-Submission Improves the Provider-Payer Relationship.
Episode Resources
* Download the Ebook
* Contact Change Healthcare
Show Resources
* SUBSCRIBE to the podcast using any podcatcher or RSS reader
* Download the audio and listen offline
* Get the iOS app
* Get the Android app
* Suggest or become a guest
Sep 27, 2019
Characteristics of Successful Alternative Payment Models
Value-based care seeks to improve care quality while reducing cost, and does so, in large part, through the use of innovative alternative payment models. But for payers, transitioning from volume-based payment (i.e., fee-for-service) to value-based alternatives is easier said than done.
On today's show, Mark Berg of McKinsey & Company's Healthcare Innovation group join's Change Healthcare's Rob Capobianco to talk about the steps payers need to take to succeed with value-based care and APMs, and the seven characteristics of successful alternative payment models—the topic of a recent McKinsey report.
Here's what they covered:
* What does McKinsey & Company do and who are their clients (03:47)
* The importance of having organizational systems in place to scale value-based models (07:57)
* Value-based payment as a core strategy for medical cost control, and the role of primary care practices (11:16)
* Value-based care pain points and the importance of stakeholder engagement (1…
Aug 29, 2019
Getting A Second Opinion on Healthcare with Senator William Frist
Senator William Frist, a former U.S. Senate Majority Leader and nationally recognized heart and lung transplant surgeon, has launched a new podcast called A Second Opinion. The podcast's mission: rethinking American healthcare. We invited Sen. Frist to join Deanne Kasim, Senior Director of Federal Health Policy Strategy at Change Healthcare, to discuss healthcare innovation, policy, technology, leadership, medicine and, of course, the Senator's new podcast. Here's what they covered.
* Why use a podcast to tackle America’s healthcare problems? (00:56)
* The intersection of public policy, medicine, healthcare, innovation, and entrepreneurship (03:57)
* Defining social determinants of health: what they are and why they’re important (07:24)
* How the Nashville Health initiative determined the top three health issues for the city and how the community is tackling them (10:16)
* The most comprehensive set of data on social determinants of health in the U.S. (14:58)
* Four pr…
Jul 30, 2019
Alternative Payment Models and Value-Based Care: There’s a Framework for That
Aparna Higgins' career has been focused on value-based payment. More than ten years ago, while she was at Booz-Allen, she co-led the design of the Medicare Hospital Value-Based Purchasing report to Congress. It was one of the first programs recommended to the CMS that defined how hospitals could be assessed and rewarded for care quality. The report’s recommendations were implemented when the CMS was authorized under the Affordable Care Act to implement the program.
More recently, as an executive at AHIP (America’s Health Insurance Plans), Aparna led organizational efforts on payment and delivery system reform, included examining and identifying industry-wide best practices in the design and implementation of Alternative Payment Models (APMs), and the core quality measures collaborative. She’s spent most of her career thinking about incentives, incentive design, and how to assess and reward performance.
These days Aparna is the founder and CEO of Ananya Health Innovations. She…
Jul 17, 2019
Simplifying CMS's new Comprehensive Primary Cares Innovation Model
The Centers for Medicare and Medicaid Services recently launched a new innovation model known as the Comprehensive Primary Cares Initiative (CPCI). The goal of this voluntary multi-payer model is to strengthen the use of and reliance on primary care for all patients, while pushing forward in the progression from fee-for-service to a value-based healthcare system.
The CPCI comprises a new set of payment models designed to transform primary care to deliver higher value for patients throughout the U.S. healthcare system. CMS says the CPCI builds on lessons learned from previous models, and will reduce administrative burdens and empower primary care providers to spend more time caring for patients while reducing healthcare costs.
To help understand this complex but important new CMS program, we invited Dr. Andrei Gonzales, Change Healthcare’s AVP of Product Management for Value Based Payments, to talk about the initiative’s potentially transformative effect on payment and clinical m…
Jun 21, 2019
New Thinking for Providers to Reduce Bad Debt by Improving the Patient Experience
There’s no denying that reducing bad debt is at the top of revenue cycle leaders’ agendas. Patient liability has skyrocketed in recent years due to the rise in high-deductible health plans and erosion in coverage.
And many, if not most providers are being tripped up by these changes. The reason: Existing revenue cycle management practices are out of step with their patients’ new reality. They were never designed to accommodate sudden and dramatically higher patient liability.
The result is bad debt is rising, and the work required to collect it is damaging relationships with patients. But it doesn’t have to be this way. New thinking is emerging around contemporary patient liability management that pairs improvements to the patient experience with reducing denials and bad debt.
We invited two experts on the topic of advanced liability management to join us today on the Change Healthcare podcast: Raghu Bukkapatnam, Chief Strategist for Technology Enabled Services at Change Hea…
Jun 10, 2019
Inside the Hospital in the Home Trend
"Hospital in the Home" is emerging as a frequently discussed concept in the medical community. Programs that allow patients to receive hospital-level of care in their homes have shown to be safer, less costly, and result in better patient outcomes. As a result, Hospital in the Home programs are gaining traction as an alternative option to acute inpatient stays.
To better understand the opportunities, benefits, and challenges of Hospital in the Home programs, we invited two of the nation's pioneers and leading experts on the matter to join us on the Change Healthcare podcast: Dr. Bruce Leff, Director for The Center of Transformative Geriatric Research at Johns Hopkins University School of Medicine; and Dr. Allyson Kreshak, emergency medicine physician and Assistant Medical Director at UC San Diego Emergency Department.
Both helped innovate and steer Hospital in the Home programs for their respective hospital systems,and are optimistic that in-home hospital care can become the new sta…
Jun 4, 2019
Effective Strategies to Help Improve Medicaid Member Engagement
Effective Medicaid engagement strategies encourage member populations to take a more active role in their healthcare. Done well, member engagement can help payers improve population health and plan performance. But that's easier said than done. Indeed, member engagement is one of the biggest challenges faced by plans and providers.
While there's no silver bullet to maximizing enrollee engagement, there are several proven strategies and practices that can help address mitigating factors such as social determinants of health, wellness motivators, and ineffective member communications.
We invited Natalee Fowler, a nationally recognized expert on Medicaid member engagement, to share some of her favorite techniques for helping payers better engage members. Natalie covers the common challenges, unpacks the buzzwords, and provides a roadmap for a contemporary communication strategy that can help payers raise the bar for engagement.
On today’s show, we discuss:
* The biggest challenges…
May 29, 2019
Price Transparency is Coming for Payers, Providers, and Pharma. Are You Ready?
The Wall Street Journal and other leading publications are reporting that plans are afoot in Washington to issue a pricing transparency mandate that will affect how Americans shop for, receive, and pay for healthcare services in America. According to the reporting, the White House is developing a strategy aimed at bending the healthcare cost-curve by giving consumers greater access to healthcare pricing before they receive services.
The mandate is expected to require insurers to publicize the negotiated rates they pay for services, and require hospitals and physicians to provide patients with a "total price for care" before consumers receive services. It builds on a mandate that took effect in January, which required hospitals to post their prices online. The goal: bring greater transparency to the healthcare market for consumers, so they can make better choices.
We asked Bill Krause, VP of Experience Solutions, to help us understand Change Healthcare’s perspective on this news, an…
Apr 19, 2019
Digging into CMS’s Memo to Better Serve Dual Eligible Populations
Today, over 12 million individuals are enrolled in both Medicaid and Medicare. These “dual eligible” individuals typically have high rates of chronic illness, many with multiple chronic conditions and/or social risk factors.
In a recent letter to state Medicaid directors, the Centers for Medicare and Medicaid services (CMS) outlined ten opportunities to better serve dual eligible populations. These opportunities are the result of new developments in managed care, Medicare data sharing, and reducing administrative burden for dual-eligibles and their providers.
CMS is encouraging states to take advantage of these opportunities to create more seamless experiences for dual-eligibles and to improve how both the Medicare and Medicaid programs work together.
In this edition of Episode Intelligence, Vicki Jessup, director of government relations for Change Healthcare, shares insights into what the opportunities outlined by CMS mean to states, health plans, and their members with Keslie…
Feb 6, 2019
Change Healthcare Introduces Payment Blockchain Proof-of-Concept at HIMSS ’19
Blockchain offers significant potential for transforming healthcare processes, but few concepts have moved from just a vision to a stage where true benefits can be realized. That’s about to change. At HIMSS, Change Healthcare will be introducing a new Payments Blockchain proof-of-concept (PoC) which was developed by our provider payments team. The re-engineered payment process is powered by a distributed ledger, and is designed to reduce the disparate entries that exist in today’s disconnected and legacy payment processes. The Payments Blockchain PoC kicks open the door for a streamlined, smart, and secure payment process that payers and providers can only dream about today.
On today’s show, we interview the Change Healthcare and Digital Asset team that’s come together to build this new Payments Blockchain. On the panel: Gopi Devalcheruvu, the vice president of technology for Change Healthcare; Vinod Nair, the director of product management for Change Healthcare; and Dan O’P…
Feb 5, 2019
"CPR" for Healthcare
It’s no secret that healthcare costs are out of control for consumers. But what can get lost in the shuffle is how these costs affect employers, who want their employees to be covered with better healthcare.
Some could argue that healthcare cost-containment is one of the most important pillars of the healthcare equation, and that employers can be a key factor in bending this cost curve. Yet it’s worth noting that since 2013, premiums for employer-sponsored healthcare coverage for families have escalated more than 22%, to reach almost $20,000 per year on average.
This upward trend has renewed interest from employers in alternative payment models. The nonprofit Catalyst for Payment Reform (CPR), which provides guidance into the efforts of employers to drive increased healthcare value, is helping close that gap. And as some companies now opt to go directly to providers—bypassing health plans and cutting out the middleman—they certainly could benefit from an expert perspective.…
Dec 11, 2018
Mandatory Bundled Payment Models Are Coming: What You Need to Know
Representatives from CMS just announced a policy shift regarding mandated alternative payment models.
HHS Secretary Alex Azar said the administration would “revisit” mandatory models that it had previously abandoned in cardiac care, noting the time had come for “exploring new and improved episode-based models in other areas, including radiation oncology.”
To understand the impact this policy shift might have on payers and providers, Patrick McGuigan, Producer of Episode Intelligence, connected with Dr. Andrei Gonzales, who leads the product development efforts for Change Healthcare’s value-based payment solutions.
In this interview, they discuss:
* What CMS is introducing and why it’s generating so much news [00:23]
* What this means for commercial health plans [02:40]
* What health plans should be doing now to prepare for this change [04:46]
* How providers are reacting to this news, and how they can prepare for a future that includes mandatory payment models […
Oct 10, 2018
How Payers and HIT Analytics Can Help Primary Care Physicians Improve Care Quality
Primary care physicians (PCPs) are in the best position to coordinate patient care, because they understand their patients' unique needs. But knowing which specialists can deliver the most effective care when a referral is required can challenge even the most experienced PCP.
That's because PCPs rarely have insight into the costs and quality of care delivered by other providers. Lacking this evidence, they have no alternative but to base referrals on personal experience, professional recommendations, doctor ratings, and patient requests.
This is changing, however, thanks to a new approach called “episode intelligence.” Using HIT analytics, episodes of care are analyzed to identify physicians and facilities that can deliver the most effective care throughout a course of treatment.
One innovative organization using episode intelligence is Tandigm Health, a value-based healthcare company supporting primary care physicians. Heading Tandigm’s effort is Director of Informatics Tony…
Aug 31, 2018
AHIP CEO Matt Eyles on Value-Based Care and Evolving Healthcare IT
The rise of value-based care and the ongoing evolution of healthcare technology are just two of the many topics the new CEO of America’s Health Insurance Plans (AHIP) says are front and center on his upcoming agenda.
AHIP’s Matt Eyles takes a deep dive on those subjects and more while speaking with Rob Capobianco, the head of the Change Healthcare value-based-care analytics team, as part of the Change Healthcare Episode Intelligence podcast series.
Matt has more than two decades of healthcare experience in both the private sector and in government. Before joining AHIP, he held senior executive positions at Coventry Health Care, Inc., and Wyeth, and has been a consultant to some of the largest global and U.S. healthcare companies and organizations.
Matt began his career at the Congressional Budget Office where he worked on many issues, including healthcare, budget policy, and regulatory policy.
Rob and Matt cover a wide range of topics, including:
* The biggest differences in…