Hospital Finances, Prime Healthcare's Big Move, and UnitedHealthcare's Prior Auth Cuts with Alan Condon

Dr. Lien Le, VP of Hospital Medicine and Associate Chief Medical Officer at Tampa General Hospital, shares how the hospital achieved its ranking as #1 in transplant surgeries. She discusses her plans for enhancing quality and efficiency in 2025, the challenges posed by the current financial climate, and the advantages AI brings to healthcare.

Steve Purves, President and CEO of Valleywise Health, discusses his commitment to patient safety and experience initiatives. He also shares insights on expanding healthcare services to better serve the community and addresses concerns about the evolving landscape of health insurance.

Dr. Bharat Magu, Senior Vice President and Chief Medical Officer at Yuma Regional Medical Center, discusses strategies for improving patient access and delivering high-quality care despite a limited number of providers. He also shares insights on maximizing resources to ensure patients receive the best possible care in challenging environments.

Pam Teufel, Senior Vice President and Chief Human Resources Officer at Main Line Health, discusses the impact of investing in the "pipeline program" to enhance customer relations and improve the quality of care. She also explores the benefits of a hybrid work environment and how a strong onboarding system lays the foundation for future growth and success.

In this episode, Dr. Annu Navani, Chief Medical Officer of Boomerang Healthcare and Founder of Le Reve, shares insights on the future of healthcare innovation. She discusses AI, regenerative medicine, digital health engagement, and her passion for integrating emerging technologies to improve patient outcomes and longevity.

In this episode, Mark Behl, President and CEO of NorthBay Health, shares his journey from community-based healthcare to leading a thriving health system in Northern California. He discusses the organization’s successes in 2024, including strategic expansions, financial improvements, and employee engagement, while outlining key goals for 2025 and his evolving leadership philosophy.

Lisa Hudnall, Executive Director of People Operations at UVA Physicians Group joins the podcast today to discuss how her organization is striving towards providing greater and more easily accessible care in their communities. In addition, Hudnall also provides her insight on the introduction of AI technology into the healthcare space and her thoughts on building a productive workforce aimed at value based care.

In this episode, we sit down with Franziska Jovin, Chief Experience Officer and Senior Vice President of Patient Access at Cooper University Healthcare. Here, she discusses advancements in patient experience and how her background in inpatient care has shaped her approach to ambulatory operations. Jovin also shares insights on creating seamless, patient-centered healthcare experiences.

In this episode, Jakob Emerson, Associate News Director at Becker’s Healthcare, joins Scott Becker to discuss the ongoing Medicare Advantage billing investigation into UnitedHealth, the financial struggles of smaller Blue Cross Blue Shield plans, and how these challenges are reshaping the healthcare landscape.

This episode features Jeff Zakem, CIF Program Director at Endeavor Health. Here, he discusses the importance of strengthening community organizations and resources to improve overall health outcomes. Zakem also highlights the role of capacity building and strategic funding in creating lasting impact within communities.