The Evolution of Specialty Value Based Care
Bright Spots in Healthcare
by Eric Glazer
2w ago
Leaders from Humana, Blue Cross, and Blue Shield of Rhode Island delve into the dynamic landscape of specialty value-based care, sharing valuable insights and actionable strategies for navigating its complexities.    Show Guests: Alexander Ding, MD, MS, MBA, Associate Vice President for Physician Strategy and Medical Affairs, Humana  Nick Lefeber, Senior Vice President, Value-Based Care, Contracting, Data & Analytics, Blue Cross Blue Shield of Rhode Island Rachel Winokur, Chief Executive Officer, TailorCare   https://www.brightspotsinhealthcare.com/events/the-evolution ..read more
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Important and Innovative Approaches to Leveraging the Health Equity Index
Bright Spots in Healthcare
by Eric Glazer
1M ago
Melissa Newton Smith, Founder of Newton Smith, and Keslie Crichton, Chief Sales Officer of BeneLynk, join Eric to discuss the introduction of the CMS Health Equity Index, which will replace the reward factor within the Medicare Advantage Star Rating program measurement. The Health Equity Index will be a seismic change for Medicare Advantage plans and impact revenue associated with Star Ratings. Melissa and Keslie share success stories from plans preparing for the change.  Links "Associations Between Annual Medicare Part D Low-Income Subsidy Loss and Prescription Drug Spending and Use": ht ..read more
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Meeting Goals for Chronic Condition Management With Fewer Resources
Bright Spots in Healthcare
by Eric Glazer
1M ago
  Leaders from Independence Blue Cross, Banner| Aetna, and Scene Health share exclusive insights on successfully accomplishing chronic condition management success with fewer resources.    Our expert panel explores patient-centered and technology-enabled approaches that elevate chronic care management efficiency and effectiveness. Don't miss the opportunity to learn about strategic solutions tailored to the unique challenges of Medicaid and Medicare health plans.   Panelists: Robert Groves, MD, Chief Medical Officer & Executive Vice President, Banner| Aetna Reetika Kuma ..read more
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How Innovators Are Addressing GLP-1s, Obesity and MSK
Bright Spots in Healthcare
by Eric Glazer
2M ago
Leaders from Blue Cross and Blue Shield of Illinois, Independent Health, Evry Health and Vori Health discuss GP-1s and their role in addressing the global challenge of obesity. The panel shares innovative, multidisciplinary strategies you can implement to complement lifestyle interventions and other therapeutic approaches in your organization. * Improving outcomes by pairing GLP-1s with evidence-based behavior change * Considering musculoskeletal (MSK) health in obesity treatment * Understanding the role of GLP-1s in delivering value-based care   Panelists: Shelley Turk, Divisional Senior ..read more
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Supporting Innovation and AI in Healthcare
Bright Spots in Healthcare
by Eric Glazer
2M ago
Seema Kumar, CEO, Cure, an innovation campus in New York City, joins Eric to discuss how artificial intelligence can positively impact healthcare and lead to more innovation. She shares how AI has been used in healthcare and the promise it holds for the future.   The conversation also highlights the Cure Xchange Challenge: Health AI For Good, an initiative to incubate innovations by healthcare startups and entrepreneurs across disciplines and sectors to use artificial intelligence (AI) responsibly and equitably. Cure collaborated with MIT Solve for the Challenge and an independent board o ..read more
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Lifestyle Modification Strategies to Support Those Living with Obesity and Diabetes
Bright Spots in Healthcare
by Eric Glazer
3M ago
Blue Shield of California, Highmark, Intellihealth and NourishedRX discuss how they are mitigating the high costs of GLP-1s with lifestyle interventions such as behavior change, physical exercise, nutritional counseling, coaching to optimize outcomes for members living with obesity and diabetes.   Hear real-life examples and best practices to equip your members with the tools and strategies to achieve lasting success in managing obesity and diabetes beyond the limitations of GLP-1s.    PANELISTS Angie Kalousek Ebrahimi, Senior Director of Lifestyle Medicine, Blue Shield of Calif ..read more
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Lifestyle Modification Strategies to Support Those Living with Obesity and Diabetes
Bright Spots in Healthcare
by Eric Glazer
3M ago
Blue Shield of California, Highmark, Intellihealth and NourishedRX discuss how they are mitigating the high costs of GLP-1s with lifestyle interventions such as behavior change, physical exercise, nutritional counseling, coaching to optimize outcomes for members living with obesity and diabetes.   Hear real-life examples and best practices to equip your members with the tools and strategies to achieve lasting success in managing obesity and diabetes beyond the limitations of GLP-1s.    PANELISTS Angie Kalousek Ebrahimi, Senior Director of Lifestyle Medicine, Blue Shield of Calif ..read more
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Differentiating Your Health Plan: Reimagining Your Provider Network Strategy
Bright Spots in Healthcare
by Eric Glazer
3M ago
Leaders from Blue Cross Blue Shield of Michigan, Highmark and Quest Analytics discuss the importance of a network provider strategy for health plans. To stay competitive and meet the evolving needs of their members, health plans are examining and reimagining their provider strategies.    By focusing on areas such as compliance, network adequacy, data integrity, and performance metrics, plans are redefining their own roles and enhancing quality and affordability for their members.   Panelists include: Steve Anderson, Vice President, Hospital Contracting & Network Administrati ..read more
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Talking Bright Spots with Former Congressman Robert Andrews
Bright Spots in Healthcare
by Eric Glazer
4M ago
Former New Jersey Congressman and Health Transformation Alliance (HTA) CEO Robert Andrews joins Eric to discuss how HTA –  a cooperative of more than 60 of America’s leading employers –and its members employers are fixing our broken healthcare system by sharing data, challenging the status quo and implementing innovative solutions. Robert shares many bright spots from HTA, including initiatives in medication management and infant mortality. He explains how the cooperative has saved its member companies well over $2 billion in healthcare costs to date.   About Robert As CEO of the HTA ..read more
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Safe Babies Safe Moms: Rethinking Equitable Access and Maternity Care
Bright Spots in Healthcare
by Eric Glazer
5M ago
Angela D. Thomas, DrPH, MPH, MBA, Vice President, Healthcare Delivery Research, MedStar Health Research Institute, joins Eric to discuss D.C. Safe Babies Safe Moms, a community-driven collaborative launched in 2020 to improve the health and well-being of mothers and infants in Washington, D.C., and reduce racial disparities in maternal and infant health outcomes – one of the most urgent challenges facing the District of Columbia.   Combining the expertise of MedStar Health, evidence-based healthcare, and proven community-centric support services, Safe Babies Safe Moms offers services ..read more
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