Using AI to Make the Provider's Job Easier with Abboud Chaballout
The #HCBiz Show
by Don Lee
8h ago
When it comes to billing codes there are many processes and solutions that focus on the backend. They support the coders and help ensure the codes are “bill ready”. However, as today’s guest points out, there are very few solutions that exist solely to help providers put those codes in the EHR accurately and efficiently in the first place. Abboud Chaballout created Diagnoss to untether the clinician from a clunky EHR interface when it comes to coding. Chaballout describes it as a provider assistant that reads the free-text clinical narrative as they record it and uses AI to suggest the appropr ..read more
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Reimagining Public Health Data w/ Prashant Natarajan
The #HCBiz Show
by Don Lee
4d ago
The pandemic has exposed many weaknesses in our healthcare and public health systems, and our disjointed public health data infrastructure is certainly one of them. Like much of our healthcare data, public health data tends to be manually compiled, Excel-reliant, and lacking in critical detail needed to make good decisions. Today we talk with Prashant Natarajan, VP of Healthcare Life Sciences and Health Insurance at H2O.ai about reimagining the collection and use of public health data.   Public Health Data Topics Discussed   The current state of our public health data infrastructure ..read more
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Are We Crying Wolf? VBP in 2022 with Gail Zahtz - Part 2
The #HCBiz Show
by Don Lee
5d ago
We planned to discuss quality measures but shifted to address a very important piece of listener feedback after the preview and Episode 1. The comments came from a doctor in the audience and I know there are many more doctors and healthcare administrators who feel the same way. The feedback, in short, is that we’ve been hearing about the move to value for 10 years. We’ve invested in it through several evolutions and it still hasn’t come to fruition. The key is to rebuild trust between the government and those delivering the care- whether hospitals, payers, providers, or innovators. Otherwise ..read more
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Health Equity is Population Health - VBP in 2022 with Gail Zahtz - Part 1
The #HCBiz Show
by Don Lee
2w ago
There’s a lot of unknowns as we head into 2022, but one thing is certain: Health Equity will be a major focus for CMS and CMMI. Gail Zahtz, CEO of PropHealth, tells us that “value-based payment models have failed to deliver on the promise of health equity” and that is a major reason why CMMI paused so many models earlier this year. When the next iteration of value-based payment arrives, you can bet that health equity will be front and center. And for that, we prepare. “Fee-for-service says you get paid to fix a broken arm. Value-based care says everybody's tripping on the sidewalk and breaking ..read more
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Direct Contracting: A Physician's Perspective with Dr. Krishnan Narasimhan
The #HCBiz Show
by Don Lee
2w ago
Direct Contracting is a new model from the Center for Medicare & Medicaid Innovation (CMMI, or the CMS Innovation Center) aimed at reducing expenditures and preserving or enhancing quality of care for beneficiaries in Medicare fee-for-service (FFS). At a minimum, it’s an opportunity for providers to change the way they care for Medicare FFS patients. And if the Geographic Direct Contracting Model is launched (it’s currently under review by CMS), it will be a sea change in the 10 targeted “Geo” regions. Either way, it’s worth paying attention to. We covered the Direct Contracting model and ..read more
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Tokenization: Stop Sending All that PHI - Sequent at ViVE 2022
The #HCBiz Show
by Don Lee
2w ago
Healthcare orgs share large amounts of PHI with 3rd party vendors. They share it for analytics, rev cycle management, call center services, and more. It's a necessary part of the business. But you know what isn't necessary? Sharing everything!  There is a very disrespected requirement in HIPAA called minimum necessary. It means exactly what it says... you should share only that which is needed to do the job (typically under treatment, payment, or operations). In my experience, the default is to just send everything. It's lazy. It's wrong. It's risky. And it's completely unnecessary.  ..read more
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The AWS Diagnostic Development Initiative with Grace Kitzmiller
The #HCBiz Show
by Don Lee
2w ago
Early in the pandemic, Amazon Web Services (AWS) launched the Diagnostic Development Initiative (DDI) to help organizations around the world accelerate diagnostics research and development. In the first phase of the initiative, AWS awarded $8 million in computing credits and technical support to 87 organizations in 17 countries. Some of the highlights include:   Stanford University School of Medicine’s smartwatch app that detects early signs of COVID-19 Ilumina’s identification of viral mutations through next-gen sequencing Chan-Zuckerberg Biohub used Machine Learning to estimate the num ..read more
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Partnering with Payers - Andrew Adrian-Karlin
The #HCBiz Show
by Don Lee
2w ago
For many healthcare startups and established vendors, partnering with payers is a crucial part of their business plan. And as we know, selling in healthcare is hard. It’s even harder when you don’t understand how these large corporations work. What do they want? How do they set priorities? How do they make purchasing decisions? How long does that process take? The list goes on, and if you’re strategizing without this knowledge you’re going to struggle. That’s where this episode comes in. Today we’re talking with Andrew Adrian-Karlin, Director of Business Platform Product at  ..read more
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Privacy and Security by Design with John Giantsidis
The #HCBiz Show
by Don Lee
2w ago
MedTech and Life Sciences commercialization expert, John Giantsidis of CyberActa, assesses the current regulatory environment around Medical Devices, the Internet of Medical Things (IoMT), and wearables. John shares best practices on how to gain regulatory approval and how to make compliance part of your company’s culture. Plus, he provides actionable advice on how to generate evidence and provide your prospects with quantifiable proof of value. If you’re developing a new medical device, IoMT, or wearable solution, then this episode is for you.   The Summit on Embedding Privacy in Digital ..read more
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Do You Know Where Your Patients (and Money) Are Going? with Ray Deiotte and Sean O'Malley
The #HCBiz Show
by Don Lee
2w ago
Most health systems don’t understand their own referral networks or patient flows. From an overall fiscal standpoint, they may know who their best and worst physicians are but there’s little clarity on what’s happening in the middle. Where are patients going for procedures? Who is sending them there? And what’s the financial impact to the health system? Not knowing makes it difficult to make sound strategic decisions. The good news is that the data exist. The bad news is that few health systems have figured out how to harness it. Today we talk with Ray Deiotte and Sean O’Malley, co-founders of ..read more
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