2025 Healthcare Policy Predictions Recap

Send us a textAI, behavioral science and digital communications are transforming how patients interact with the healthcare system. But are they actually improving outcomes or just adding noise and costs?In this episode of the Health Biz Podcast, host David Williams speaks with Robert Farrell, CEO of mPulse, about how AI-driven personalization is transforming patient engagement. They discuss how conversational AI, behavioral science, and predictive analytics are helping healthcare organizations improve outcomes, boost health literacy, and engage patients more effectively.🎙️⚕️ABOUT HEALTHBIZ PODCASTHealthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams—president of the healthcare strategy consulting boutique Health Business Group is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.🎙️⚕️ ABOUT ROBERT FARRELLBob Farrell is a 4-time CEO with a proven track record of building high growth, profitable software and technology-enabled service companies backed by private equity and public markets. Bob currently serves as an outside Member on the Board of Directors at Worldwide Express, Recycle Track Systems, Transportation Impact, Meal Ticket, and Tenstreet.🎙️⚕️ ABOUT mPULSEmPulse combines predictive analytics and advanced digital experience technology to deliver business efficiencies and more equitable health outcomes at scale. That’s why 400+ healthcare organizations trust them to orchestrate personalized health journeys for their populations.GET IN TOUCHFollow CareTalk on LinkedInBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textWhole-person care is the gold standard for treating elderly patients by delivering care where they need it when they need it, but traditional healthcare models make it tough to scale.Can value-based care and home-based medicine change that?In this episode of CareTalk, host John Driscoll speaks with Jeffrey Kang, CEO of WellBe, to explore the challenges and opportunities of geriatric care, the evolution of Medicare risk adjustment, and why integrating whole-person care into value-based models is key to keeping vulnerable patients healthier.🎙️⚕️ABOUT CARETALKCareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. 🎙️⚕️ABOUT JEFFERY KANGDr. Jeffrey Kang, the founder of WellBe, was inspired by his personal experience caring for his mother during her battle with cancer. As both a physician and a son, he witnessed firsthand the importance of having a trusted medical guide to help navigate complex treatments and decisions. This experience led him to create WellBe, a service dedicated to providing personalized, compassionate care whenever and wherever patients need it. Under Dr. Kang’s leadership, WellBe is driven by the belief that everyone deserves access to a trusted doctor who understands their needs, supports them through every step of their health journey, and ensures they receive the best possible care.🎙️⚕️ABOUT WELLBE WellBe Senior Medical is transforming healthcare by delivering expert medical and mental health services directly to patients' homes, ensuring compassionate, personalized care at low or no cost. Collaborating with existing healthcare providers, WellBe's dedicated team offers in-home medical care, 24/7 provider access through a nurse hotline, and mental health support via telehealth and home visits. Currently serving patients across 10 states, WellBe continues to expand its reach, partnering with health plans nationwide to keep individuals healthy and comfortable in their own homes.GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textValue-based care is a great concept, providers get paid to keep patients healthy rather than just for treating them when they’re sick.But it’s not easy, and the results don’t always meet the potential.Can technology and AI help?In this episode of the HealthBiz Podcast, host David E. Williams speaks with Jay Ackerman, CEO of Reveleer on how AI can automate time-consuming tasks, streamline fragmented workflows, and consolidate critical risk adjustment to improve value-based care.🎙️⚕️ABOUT HEALTHBIZ PODCASTHealthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams—president of the healthcare strategy consulting boutique Health Business Group —is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.🎙️⚕️ ABOUT JAY ACKERMANJay is the President and CEO of Reveleer, leading the company’s growth and innovation in clinical data collection and analytics for health plans and providers. He focuses on scaling operations, driving business expansion, and advancing product innovation to enhance healthcare outcomes.With over 25 years of experience in software and services, Jay has held leadership roles at major organizations. He was Chief Revenue Officer at Guidance Software, led global sales and customer success at ServiceSource, and served as President and CEO of WNS North America. Throughout his career, he has successfully driven growth, expanded markets, and strengthened customer relationships.🎙️⚕️ ABOUT REVELEERReveleer is a leading healthcare technology company specializing in AI-driven solutions for clinical data collection, risk adjustment, and quality improvement. Designed for health plans and providers, Reveleer’s platform streamlines medical record retrieval, coding, and analytics to enhance compliance, optimize reimbursements, and improve patient outcomes. By leveraging advanced automation and machine learning, Reveleer empowers organizations to efficiently manage healthcare data while reducing administrative burdens.With a commitment to innovation and accuracy, Reveleer helps healthcare organizations navigate the complexities of value-based care. Its comprehensive SaaS platform delivers actionable insights, ensuring payers and providers can make data-driven decisions with confidence.GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textInteroperability has long been a buzzword in healthcare In an ideal world, our healthcare system would exchange timely, high-quality data to empower patients, improve clinical quality, and keep costs under control. How close are we to making this a reality?In this episode of the HealthBiz Podcast, host David E Williams talks with Dr. Donald Rucker, Chief Strategy Officer at 1upHealth, about how their health data management platform is transforming the way healthcare organizations access, share, and leverage patient data to improve outcomes, enhance efficiency, and drive more personalized care.TOPICS(0:25) Introduction(0:52) How Dr. Donald Rucker Got Into Healthcare(2:54) Rucker's Educational Path and Career(11:14) What Does 1upHealth Do?(21:13) Why Are CMS APIs So Important?(25:15) How Do APIs Affect Prior Authorization?(31:37) Book Recommendations from Dr. Donald Rucker🎙️⚕️ABOUT HEALTHBIZ PODCAST Healthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams — president of the healthcare strategy consulting boutique Health Business Group — is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.🎙️⚕️ ABOUT DR. DONALD RUCKERDr. Donald Rucker is the Chief Strategy Officer at 1upHealth and a nationally recognized leader in health IT. As National Coordinator of Health IT at HHS from 2017 to 2021, he led the development of the ONC’s 21st Century Cures Act Interoperability Rule, which standardized FHIR APIs and advanced patient access to electronic health data by enforcing the ban on information blocking.A board-certified physician with experience at Kaiser Permanente, Beth Israel Deaconess, and the University of Pennsylvania, Dr. Rucker has made significant contributions to clinical informatics. He co-developed the first Microsoft Windows-based electronic medical record and designed a computerized physician order entry module that won the 2003 HIMSS Nicholas Davies Award. He holds degrees from Harvard, the University of Pennsylvania, and Stanford.🎙️⚕️ ABOUT 1UPHEALTH1upHealth is revolutionizing healthcare data interoperability by enabling seamless access, exchange, and analytics through modern FHIR-based technology. Founded with a mission to bridge the gap between payers, providers, and app developers, 1upHealth empowers organizations to unlock the full potential of their health data, driving better outcomes and efficiency.With a focus on simplicity, scalability, and compliance, 1upHealth delivers cutting-edge solutions that transform healthcare operations. By leveraging standardized FHIR APIs, the company ensures secure and actionable data sharing, making healthcare more connected, patient-centric, and innovative.GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textA New York doctor has been indicted for prescribing abortion pills to a patient in Louisiana, sparking a legal showdown between the two states.Now, New York is striking back with a law to shield physicians. Which state will prevail?In this episode of CareTalk, hosts David E Williams and John Driscoll unpack the fight over abortion pill prescriptions and what it means for the future of reproductive rights across the country.TOPICS(0:20) Introduction(0:35) Why Did Louisiana Indict a Doctor from New York?(2:04) The Impact of Political Strategy on Healthcare(3:29) The State's Role in Abortion Policy(6:48) How New York and Abortion Advocates Are Striking Back(7:28) Understanding Laws Protecting Providers(10:09) How Trump Will Influence Abortion Policy(11:23) How Pharmacies Are Reacting to Conflicting Policies(13:22) Hope for the Future of Healthcare in America🎙️⚕️ABOUT CARETALKCareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textArtificial intelligence is destined to play a big role in the pharmaceutical industry in 2025.With this rapid growth, what specific changes can we expect in patient support and pharmaceutical marketing?And how will that impact healthcare costs and patient experience?In this episode of the HealthBiz Podcast, guest William Grambley, CEO of AllazoHealth, discusses how artificial intelligence and patient-level data can lower operating costs, improve medication adherence, and create tailored solutions for patients at every stage of their journey.TOPICS(0:23) Intro(1:02) Background on William Grambley(2:34) How Naval Service Shaped William Grambley(3:23) The Role of Experience and Work History(6:38) What Brought William to AllazoHealth(9:05) Understanding Compliance, Persistence, and Adherence(10:36) Examining Low Levels of Adherence(12:28) How Issues with Medication Adherence Have Changed Over Time(15:00) Distinguishing Between Adherence and Therapy Initiation(17:32) The Importance of Personalization(20:35) The Future of Pharma and AI in 2025(25:02) Dynamic Change and Personalization(27:36) GLP-1s and Adherence(30:30) Book Recommendations from William Grambley🎙️⚕️ABOUT HEALTHBIZ PODCAST Healthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams — president of the healthcare strategy consulting boutique Health Business Group — is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.🎙️⚕️ABOUT WILLIAM GRAMBLEYWilliam Grambley is the CEO of AllazoHealth, where he leads efforts to improve medication adherence and patient support programs, driven by his passion for personalizing the patient experience. He joined AllazoHealth as Chief Operating Officer before stepping into the CEO role as the organization expanded. Previously, William held leadership roles at CVS Health, including Vice President of Strategy and Product Management, where he delivered industry-leading clinical programs like the award-winning Pharmacy Advisor. A U.S. Navy veteran, William earned his MBA from Northwestern University’s Kellogg School of Management and held roles at Bain & Company and EMC before CVS Health.🎙️⚕️ABOUT ALLAZOHEALTHAllazoHealth is a pioneer in AI-powered personalization, dedicated to enhancing therapy initiation, medication adherence, and health outcomes. By leveraging advanced artificial intelligence, AllazoHealth delivers truly personalized communications based on identified patient data, utilizing over 500 behavioral predictors to determine the optimal content, channels, timing, and cadence for each individual. This approach enables pharmaceutical companies and patient support programs to create one-to-one patient health journeys, resulting in improved engagement and outcomes. Founded by experts from leading organizations such as CVS Health and Boston Consulting Group, AllazoHealth combines cutting-edge AI technology with deep industry knowledge to drive sustainable progress in healthcare. GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textNo doubt 2025 will be a wild year for healthcare.But what can we expect from AI, GLP-1s, and a second Trump administration?In this episode of HealthBiz Briefs, host David Williams dives into his predictions for 2025, looking at the coming changes to the biggest stories in healthcare. 🎙️⚕️ABOUT HEALTHBIZ BRIEFSHealthBiz Briefs is a short-form CareTalk podcast that features brief, focused one-on-one conversations with healthcare business leaders. Host David E. Williams—president of the healthcare strategy consulting boutique Health Business Group —is also a board member, investor in private healthcare companies, and author of the Health Business Blog. These quick episodes deliver bite-sized insights into the trends, innovations, and challenges shaping the industry.GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textOpioid makers and distributors are paying over $50 billion to settle lawsuits with states and cities.But how is this settlement money being spent?And is the opioid crisis nearing an end?In this episode of CareTalk, David E. Williams and John Driscoll explore the impacts of recent opioid lawsuits and whether they could finally put an end to the crisis.TOPICS(0:30) Examining the Opioid Settlement(2:50) The Difference Between the Opioid and Tobacco Settlements(4:47) What Are the Settlement Funds Being Used For?(7:09) What's the Impact of the Opioid Settlement?(8:40) What Should States Do With Their Settlement Money?(9:06) The Waves of the Opioid Epidemic(12:50) Combating Waves of Fentanyl and Stimulants(13:53) The Pitfalls in Opioid Addiction Treatment(16:08) Preventing Opioid Addiction(18:27) The Role of Mental Health in Opioid Addiction(20:44) Avoiding Fentanyl With Test Strips🎙️⚕️ABOUT CARETALKCareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a textHealth systems are constantly struggling with capacity constraints.But what if they already had all the capacity they needed and just needed to tap into it? In this episode of HealthBiz Briefs, Derek Streat, Co-Founder and CEO of DexCare, shares how health leaders can unlock hidden capacity by using data from patients, providers, and health systems to deliver care more efficiently.This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.🎙️⚕️ABOUT CARETALKCareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. 🎙️⚕️ABOUT DEREK STREATDerek Streat is the Founder, CEO, and Chairman of DexCare, a venture-backed Platform-as-a-Service company that intelligently orchestrates health system capacity and digital demand across all care lines. A seasoned healthcare technology entrepreneur, Derek has co-founded and led six venture-backed companies, including C-SATS (acquired by Johnson & Johnson), where he later served as Vice President of Digital Solutions. In that role, he transformed surgeon training into a digital program that improved patient outcomes and provider efficiency worldwide. Prior to commercializing DexCare as an Entrepreneur-in-Residence at Providence, Derek co-founded and served on the boards of national healthcare data transparency organizations like PEDSnet and IROC, advancing efforts to improve patient care through data sharing.🎙️⚕️ABOUT DEXCAREDexCare is a leading care orchestration platform that simplifies digital care logistics, enabling healthcare systems to manage care delivery more efficiently. By unifying complex datasets, DexCare enhances patient access, optimizes resource utilization, and forecasts demand to reduce operational costs. Since its spin-out from Providence in 2021, DexCare has partnered with top U.S. health systems, reaching over 57 million patients and significantly boosting new patient bookings and downstream revenue. Supported by $146 million in funding, including a $75 million Series C investment led by ICONIQ Growth, DexCare continues to transform healthcare access through innovative solutions like digital discovery, care navigation, and smart scheduling.GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

Send us a text2024 shook up the healthcare world, and 2025 is gearing up to be just as transformative.With big changes coming from the new Administration, the AI boom taking healthcare by storm, and the rapid rise of GLP-1s, next year is shaping up to be a wild ride.Join David E. Williams and John Driscoll on CareTalk as they dust off their crystal ball and explore what’s in store for healthcare in 2025!This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.TOPICS(0:30) Sponsorship(1:50) Thank You to Our Audience(2:47) Predictions for GLP-1s(8:28) The Rise of AI in Healthcare(12:12) How the New Administration Will Affect Public Health(15:05) Healthcare on the Defense(18:54) Boosting Primary and Value-Based Care(22:06) The Growth of the Healthcare Market🎙️⚕️ABOUT CARETALKCareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterSupport the showCareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.