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What drives a person to commit an unimaginable act? With the shocking and tragic murder of UnitedHealthcare’s CEO dominating headlines, we shift the lens to probe deeper into the healthcare industry’s brewing tensions. As AI reshapes denial management, we wonder: Is technology fueling discontent among healthcare professionals & the public? Did UnitedHealthcare’s use of an AI claims evaluator, which denied 90% of claims without human intervention, drive us towards this contentious intersection of technology and patient care?
The conversation doesn’t end there. We tackle the pressing issue of workplace violence that has gained momentum since the onset of the COVID pandemic, questioning its role in this incident. As AI continues to gain a foothold in healthcare, we ponder its impact on denial rates and the broader industry ramifications. Join us for a thoughtful exploration of these urgent topics and the future path of denial management in healthcare. This episode is a must-listen for those seeking to understand the shifting dynamics at play in today’s healthcare landscape.
In this episode, Aaron sits down with our very own Jason Crosby to talk about CINs, how they work, how to start or join one, the keys to a successful CIN, the potential for legal pitfalls, and how CINs may fit the greater goal of providing value-based care.
Unlock the secrets to mastering your digital marketing efforts with insights from Jeremy Miller, our trusted marketing expert from Boost by Design. Ever faced the headache of losing access to critical digital channels due to employee turnover? Discover how to safeguard your business from such pitfalls by maintaining control over your social media, website, and hosting logins. Jeremy shares invaluable real-world experiences and practical strategies to ensure your marketing campaigns run smoothly, without unnecessary delays or obstacles.
But it doesn’t stop there. Grasp the power of data to propel your business forward. Jeremy explains why understanding your analytics is crucial for measuring ROI and refining your strategies. Whether you’re running email campaigns or engaging on social media, learn how often to review your metrics and how to leverage them to fuel growth. This episode is a treasure trove of actionable advice, designed to guide you through the complexities of digital marketing and put your small business on the fast track to success.
Thanksgiving is a time for reflection and gratitude, and we’ve got plenty to be thankful for at Strategic Healthcare Partners (SHP) this year. Did you ever think a small team in Savannah could expand globally, adapting to a remote-work world and broadening our reach to navigate the ever-evolving healthcare landscape? Join us as we share stories of growth, evolution, and the milestones that have marked our journey over the years. From welcoming new team members to partnering with stellar firms like Sliced Health and notable individuals like Joe Eberwine from Corstrada, our gratitude extends to those who have played pivotal roles in our success.
This episode is both a heartfelt celebration and a candid discussion of how SHP has adapted to shifting market dynamics and how our podcast came to be a platform for sharing these insights. As we recount our transformation from three physical offices to a team of over 40 members spread worldwide, we also offer a glimpse into the changing tides of the healthcare industry, with big players making waves—and sometimes disappearing altogether. Whether you’re a dedicated listener or tuning in for the first time, discover the passion and commitment that drive us to keep you informed and engaged with the dynamic world of healthcare.
Unlock the intricacies of the 2025 CMS final ruling on the Quality Payment Program with insights from Aaron Higgins of Strategic Healthcare Partners. Get ahead of the curve with the crucial performance threshold of 75 points needed to dodge penalties and the revamped scoring system allowing up to 10 points for full compliance on topped-out measures. As the MIPS program evolves into the more streamlined and specialty-specific MIPS Value Pathways, discover how this shift can benefit your practice with the introduction of new MVPs and modifications, especially in cancer and heart disease care. Through our conversation, you’ll gain clarity on the 75% data completeness requirements extending through 2028, the addition of seven new quality measures, and the removal of ten measures, providing a comprehensive view of the changes that await healthcare professionals.
As we close the episode, we shine a light on the collective efforts of our committed team behind “Beyond the Stethoscope: Vital Conversations with SHP.” Experience the meticulous work of our executive producers, Mike Scribner and John Crew, our editor, Nyla Weave, and our social media strategist, Jeremy Miller. Discover our transcription process that blends cutting-edge technology with human expertise to bring precision to every episode. Don’t miss out on delving deeper into our podcast archives at shpllc.com/podcast, and join the ongoing conversation by connecting with us on Facebook and LinkedIn. We invite your questions and comments to further enrich our discussions and explore the ever-evolving landscape of healthcare together.
Join us for a compelling conversation with Jeremy Miller from Boost by Design, who lends his expertise on the evolving role of AI in marketing. Jeremy draws our attention to the crucial importance of integrating a human touch amidst the rise of AI tools like ChatGPT and Google’s AI-driven search capabilities. He provides a thoughtful perspective on the potential pitfalls of AI learning from AI—what he terms the “dark force problem”—which can result in content lacking in warmth and personal connection. With AI becoming an integral part of our marketing strategies, Jeremy emphasizes the need for human insight to bridge the gap between technology and authenticity, ensuring businesses maintain trust and relatability with their clients.
As we navigate the intersection of AI and healthcare marketing, Jeremy illustrates how AI can be a powerful tool for data collation and strategy development, provided that human experts play a central role in the process. He draws parallels between using AI in healthcare and marketing, advocating for AI as an aid rather than a replacement for human intuition and expertise. By ‘filing off the edges,’ or refining AI-generated content, businesses can ensure the messaging remains authentic and reliable. This episode is essential listening for those striving to harness AI’s potential while safeguarding the irreplaceable value of the human element in digital marketing.
After a long summer break and unexpected curveballs, we’re back with a special edition marking the transition into season 4.5! Join us as we share personal stories that have influenced our podcast’s new direction and learn how we juggle our roles at Strategic Healthcare Partners with our passion for delivering insightful content. This mini-season promises engaging conversations, a sprinkle of news, and a few surprises along the way as we look ahead to a full-fledged season five launch in early 2025.
We’re also deeply aware of the recent challenges faced by our southeastern communities due to Hurricane Helene and Milton. As we regroup, our thoughts are with those affected, and we’re committed to bringing you concise and informative discussions throughout this mini-season. Expect guest experts to join us, sharing tips and insights across various fields to ensure you leave each episode with something valuable. So, grab your headphones and join us on this re-energized journey as we offer a mix of quick conversations, topical discussions, and valuable insights.
On today’s episode you’ll hear our interview with Mike Scribner and John Crew. We covered a variety of topics, such the No Suprises Act and other regulatory and legislative trends, and the role of Medicare Advantage in Ambulatory Care. We also talked about the impact of traditional Medicare to independent ASC’s and the managed care strategies independent ASC’s can take and utilize in 2023.
On today’s episode, join us as we dive into the world of Value Based trends in primary care markets with guests Mike Scribner, John Crew, and Kelly Mooney. They share their expertise and discuss how independent PCPs will be impacted by these trends in healthcare. They will highlight both Commercial and Medicare arrangements in the marketplace, how practices are impacted by such, as well as how best to thrive and incorporate into an overall managed care strategy.
Step into the world of healthcare reform with the unique perspective of Congressman Earl “Buddy” Carter, a pharmacist serving in Congress, whose career has taken him from the quaint town of Pooler’s mayoral office to the halls of the U.S. Capitol as Georgia’s 1st District Representative. Delve into a conversation that traverses the landscape of healthcare legislation, as we dissect Carter’s contributions on the Energy and Commerce and Budget Committees, and the transformative bills he passionately supports. The Lower Cost, More Cures Act and the Saving Our Students in Schools Act take center stage, revealing a behind-the-scenes look at their implications and the legislative journey from conception to enactment.
Hear how the government shapes the trajectory of healthcare services through the levers of Medicare and Medicaid, alongside the burgeoning telehealth revolution that promises to redefine rural healthcare access. Congressman Carter sheds light on the imperative for high-speed internet to support telehealth innovations and the legislative efforts in motion to combat maternal mortality through the Healthy Moms and Babies Act. As we unravel the threads of bipartisan legislation, such as the Emergency Medical Services for Children Reauthorization Act, it becomes clear how collective efforts across the aisle can forge pathways to superior emergency care for our youngest citizens. Join us for an episode that not only informs but ignites a dialogue on the future of healthcare policy.
Unlock the strategies that are shaping the future of independent physician practices, with our esteemed guests, Sherry Roussarie and Kelly Macken-Marble. Their insights promise to guide you through the maze of leadership challenges, collaboration necessities, and the incisive market strategies that are vital for anyone invested in healthcare’s evolution. Drawing from Sherry’s prowess in marketing and payer relations and Kelly’s transition from hands-on nursing to administration, their conversation is a beacon for those navigating the industry, revealing the importance of visionary partnerships like the one at Integrative Care Partners network in fortifying independent practices.
Ready to see how technology is sparking a revolution in healthcare? We’ve got the conversation that maps out the terrain where AI and advanced technology intersect with the day-to-day operations of medical practice. Sherry and Kelly analyze the role of AI in patient care and administrative efficiency, and they dissect the emerging models that are redefining physician practice and hospital administration. This discussion is an invaluable resource for grasping the transformations that tech is driving in healthcare, and how these advancements are creating both challenges and opportunities for providers.
We round off our journey with a deep dive into market trends and the core metrics that healthcare CEOs must prioritize. The dialogue transitions from the effects of private equity to how healthcare market dynamics vary across different states, offering a nuanced look at the interplay between health systems and independent practices. We highlight the importance of financial health, employee satisfaction, and innovation as critical success indicators for leaders in the healthcare industry, offering a masterclass in navigating the competitive and ever-changing landscape of providing quality care. Join us for these enlightening revelations that could redefine your approach to healthcare leadership and strategy.
Sherry & Kelly co-authored “Two Rivers: The Power of Collaboration”. You can buy a copy of your own from any of these fine retailers:
Unlock the secrets behind the impact of Certificate of Need (CON) laws on healthcare providers, especially in rural areas, with our special guest, Tom Campanella. Drawing from his extensive experience at Blue Cross and Blue Shield of Ohio, Tom sheds light on the frustrations and inefficacies associated with these regulations. We delve into the critical balance between maintaining an optimal number of healthcare providers and fostering a competitive marketplace. Tom passionately argues that competition is key to driving value-based care and discusses how government regulations can sometimes be more of a hindrance than a help.
Ever wondered how non-compete clauses and NDAs are stifling innovation and patient care in the healthcare sector? Join us as we examine the Federal Trade Commission’s (FTC) recent ruling against non-competes, exploring its potential to drive innovation, enhance patient choices, and reduce unnecessary legal expenses for practices. We also tackle the pressing issue of cybersecurity, emphasizing the urgent need for a national strategy to combat ransomware attacks and data breaches. The growing demand for cybersecurity consultants across industries is also highlighted, underscoring the evolving landscape of healthcare security.
To wrap up our enlightening discussion, we shift gears to the complexities of value-based care and its intricate relationship with value-based reimbursement. Drawing parallels to outdated but still prevalent communication methods in healthcare, we scrutinize different reimbursement methodologies and the challenges faced by hospital CFOs in transitioning to value-based care. Don’t miss this engaging and thought-provoking episode.
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