Red Hot Healthcare

Health plan care managers are putting down the phone, and picking up the mobile. Leading this effort is Boston-based Wellframe. A technology company partnering with leading health plans and providers to drive down costs, improve care outcomes, and take healthcare management to the next level. Today, Steve talks with CEO of Wellframe Jacob Sattelmair. They both discuss patient engagement & friction, Wellframe's victory with BCBS, and Jacob's unique view on A.I.

  He spent 20 years at Aetna, building and leading teams that sold health coverage to the largest employers in the U.S. Then transformation happened, and his heart led him to start a new type of TPA to do it better. Today - Jeff Bernhard, CEO of Super TPA Continental Benefits. On this episode, Steve and Jeff discuss: Big mistakes of health payers The growth of Super TPAs Continental's offering to large businesses Being 'Remarkable' Jeff's foray as YouTube Executive Gardner

Do you know the term ‘BUCA’? How about a ‘Smart’ Provider Network? This isn’t your mamma’s traditional health plan…its innovation for healthcare coverage. Today, Steve interviews Daniel Wells, EVP of Business Development for Endeavor Plus - a patented and revolutionary new model in healthcare coverage.  In this episode, Steve and Daniel discuss: the uniqueness of Endeavor's model, monetizing hospital receivables in 48 hours, going after the BUCAs, and protecting members and companies from runaway health costs...in a unique way. 

Faith Regional Health System serves a rural Northeastern community in Nebraska. But don’t let their size fool you – they’ve won the prestigious MOST WIRED award from The American Hospital Association – for 4 straight years! Today Steve interviews CIO leader Brian Sterud. A maverick helping to drive strong value and prudent enough to do it without wasting IT dollars: In this episode, Steve and Brian discuss: What makes a great hospital CIO today (and the mistakes) Strategies for physician buy-in of EHR Excellent insight on patient engagement (a great exchange) Data security - especially email phishing today Winning the MOST WIRED award - why it is so important

“When you can’t beat ‘em – LEAVE ‘EM. That’s the rallying cry and actions, taken by a frustrated, growing group of primary care physicians.  Today we welcome Dr. Samir Qamar, CEO of MedLion and Michael Tetreault, Editor for the DPC Journal. They’re talking about the emerging movement and benefits of Direct Primary Care.  Steve has an ear-opening talk with both men about: The basics of a growing movement into the good 'ol days of doctoring Dr. Qamar's unique history The challenges of marketing a DPC practice A growing movement made real with MedLion Providers who fight for patient costs 

Dr. John Glaser is the SVP of population health management at Cerner. Prior to this, he was the CEO of Siemens Health Services and the longtime CIO for Partners Healthcare. He's had more than 33 years in healthcare information technology. And there's more... He is a founding chair of the College of Healthcare Information Management Executives (CHIME) as well as the past-president for HIMSS, Dr. Glaser has published more than 150 articles on health IT, many of which have been compiled into a book called "Glaser on Health Care IT” On this powerhouse episode, Steve and John discuss: Roundup on telehealth  From 'transactional' to 'intelligent' EHR Reducing physician burnout & 'Pajama Time' A frank discussion on healthcare and A.I. Cerner's broadening into services HealthEIntent population health technology And much more...

Dr. Josh Luke is The Voice of American Healthcare. He was the youngest hospital CEO at the age of only 32. Luke is a highly innovative, a thought-leader on population management, coordinated care, and readmission prevention — as well as a “futurist” on the Affordable Care Act. He is a sought-after global speaker and healthcare futurist; and a best-selling author. In 2016, he wrote an incredible expose on the insider's perspective with American senior care called EX-ACUTE. In this engaging epsiode, Steve and Josh discuss: An life-changing private plane ride with baseball superstar Mark McGwire His fast-tracked 'plunge' into the world of healthcare and leadership A grandson's special pledge How Millenials fit into the future of the healthcare system

Sumit Nagpal is one of the premier health technology leaders, as named from Modern Healthcare and Computer World. HEY...the guy advised Steve Jobs - AND STEVE LISTENED!  In this episode, Steve and Sumit Discuss: His initial work with Steve Jobs at NEXT The new and unique of Lumira DX Technology to identify, assess risk, and intervene  Integration with Virgin Care & the National Health Service Building healthcare for the City of Manchester Collaborating with competitors Data access & supportive self-care for consumerism 

He's had an accomplished career, spanning twenty years in hospital leadership, operations and strategy. He's worked with giants such as HCA and Tenet, receiving his first major break when he became a hospital CEO in his mid-30's. Dan Jones recognizes the importance of leading with authenticity, and accumulating physician and team buy-in, especially at the large hospital and health system level.  In this episode, Steve and Dan discuss: Dan's middle-school beginnings in hospital operations Mentors, opening doors, and recognizing those that support your growth. Authenticity and being 'employee-visible' in successsful hospital leadership A possible two-tier Discretionary + Emergent consumer care model coming to health care. 

  Steve interviews a powerhouse humanitarian and accomplished renaissance man, Dr. Chris Stout. He founded the Center for Global Initiatives - a worldwide collaboration helping others in creating self-sustaining programs that improve access to healthcare in underserved communities throughout the world.  He's published over 35 books and presented more than 300 papers in more than 20 countries. Dr. Stout holds the distinction of being one of only 100 worldwide leaders appointed to the World Economic Forums Global Leaders of Tomorrow. He has been presented with five international humanitarian awards and four honorary doctorates. Dr. Stout has also appeared as an expert on CNBC, CNN, NBC, PBS, NPR, and Oprah. Steve and Dr. Stout (Chris) discuss: Staying wide AND relevant The 'Mercenary' aspect of giving CGI and Open-Sourcing Humanitarianism The 'Pox of the Untils' 10 Days in a Bolivian Prison

Today, Steve interviews of CEO of Vivio Health Pramod John. This company is re-inventing the supply side of the specialty drug industry. Out of control healthcare costs are the single biggest threat to the US Economy, set to rise by $70 Million dollars PER DAY! Steve and Pramod discuss: The political process and healthcare consumerism Health insurance vs. Health Drug pricing...is where you 'pick it up' Major misunderstandings of the FDAs true role A disruptive model (without a PBM) to get consumers and companies the most effective drugs at the best prices.

Lab and pathology services often average only 3% of hospital and health system costs. Big Surprise! The data they carry contributes to 70% of all EHR actionable information. Enter the power of leveraging 'FAB LAB' data to drive down cost. Today, Steve interviews Dr. Eleanor Herriman. She's a healthcare disruptor and disciple of legendary strategist of Michael Porter.  Steve and Dr. Herriman discuss: The untapped power of lab data Viewics and its unique ETL technology Where CIOs are missing it Why under-utilization is many time more costly and dangerous than overutilization New money and new growth in 2017

  Today Steve talks with Brenda Schmidt, CEO of Solera Health. A chronic care prevention and management network that covers the lives of 30 million health plan members nationwide.  In this episode: Why Solera is NOT the 'Usual Suspect' in chronic disease management The disruptive use of community players as part of coordinating care Strategies for engaging health plan members The power of its unique platform and matching technology Measuring and integrating more than 13 digital partners and thousands of wellness company members The future of chronic care prevention & management in the Trump Presidency

Two words – HUMANIZING HEALTHCARE. That’s the mission and passion of Jamey Edwards, CEO of Cloudbreak health. A unique telehealth platform in more than 650 hospitals nationwide, with nearly 2 million encounters. The word is out…its growing fast…and he’s with us today on Red Hot Healthcare. In this episode, Steve and Jamey discuss: From Wall Street financier to "I've got an uncle in healthcare" Becoming a transforming force in telehealth The value of unifying language, translation, data and security 30 seconds to activate a major cost reduction resource The rationale for Cloudbreak's amazing growth nationally And much more....

Health Data Management’s named her as one of “The Most Powerful Women in Healthcare IT”. Health 2.0 awarded her their prestigious “Ten Year Industry Leader” One of the most widely accomplished healthcare technology leaders today, Helen Figge personifies disruption, diversity, and the surging need for growth of female leadership in healthcare IT. In this riveting episode, Steve and Helen discuss: A personal story of challenge, growth, and perserverence Disproportionality in female lhealthcare leadership stats What makes women different and unique as leaders The importance of education and learning what you "don't know" The best revenge is your own success

An absolutely incredible and insightful interview. Known as the “Godfather” of the Patient Centered Medical Home. Dr. Paul Grundy is on the leading edge of A.I. and transformation in healthcare and life sciences. He’s one of only 85 individuals selected to IBMs Senior leadership forum. His work and thoughts are   reported frequently in the New York Times, BusinessWeek, Forbes, the Economist, The New England Journal of Medicine, and at TED talks. In this episode Steve speaks with Dr. Grundy about: His days with Shirley Temple to IBM "Godfatherly" sage discussion on the Patient-Centered Medical Home (PCMH) IBM and Watson - how it came into health care A tech view on patient engagement Artificial Intelligence and transformation in life sciences

Brian Ahier is an award-winning digital evangelist and nationally known expert on health information technology. He received the 2016 Digital Health Evangelist award by Rock Health, Goldman Sachs, Square 1 Bank, and Fenwick & West. He has written numerous articles for a wide variety of industry leading publications including Healthcare IT News, Health Data Management, Executive Insights, and O’Reilly media. Steve and Brian discuss: Data acquisition & sharing courtesy of Medicity/Aetna  EMR interoperability Patient engagement Trumpcare A.I. and Blockchain technology Replacing human workers with machines

Xerox Healthcare has been rebranded as Conduent. It is perhaps the quietest $2B healthcare company today – but that hasn’t stopped its acquisitions, innovation, and growth. This is NOT your father’s copying company anymore. Today Steve meets with VP of Health Strategy Rohan Kulkarni. They discuss: The 2017 transition from Xerox Healthcare to Conduent Innovation and patient engagement solutions What Rohan brings to the company per engagement Medicaid management with population health Telehealth Balancing commodity-product and service market-share efforts with disruptive innovation

Chief Strategy Officer Joanne Burns is an executive powerhouse, who advances Cerner's strategic initiatives and direction. She carries major team leadership responsibility for a $4.5B company in 35 countries. Today Joanne and Steve discuss: Shifting EHR and the company vision into the new era of healthcare EHR interoperability and the next-generation of patient record Cerner's focus on engagement by 'acting within' Strategic partnering with American Well & Telehealth Joanne goes after my 'wild hair' idea Cerner's strategy with President Trump 

Today we talk about the powerful reshaping, occurring in the pharmaceutical industry worldwide. Disruptive changes in business models, true innovation, as well as forecasting what’s on the horizon for the pharma industry. And who better to do than our guest today. Voted one of Top 10 Innovators in Pharma by PharmaPhorum and one of the top 100 Most Inspiring People in Healthcare in 2011, 2013 and 2015 by the industry-leading PharmaVoice. Mike Rea is the CEO of IDEA Pharma – and he’s worked in global pharma strategy for over 25 years. Regarded as an industry thought leader in innovation, Mike has helped lead the strategic direction of over 100 pharmaceutical brands, including the top two launches of 2015, and over half of the 50 fastest growing drugs in the 2010-15 window. Discussion Includes: The changing pressures and ecosystem of pharma Proving the value of medicines, starting in Europe and now coming into the U.S. Designing the landscape into the drug value lifecycle Replacing human capital in drug develop