Revenue Cycle Optimized: Standardizing Prior Authorization Workflows

PayerTalkCE Presents: Interpreting A Complex Puzzle: US Commercial Payer Coverage of Atopic Dermatitis (AD) Treatments Varies Widely On this episode Dr. Steve Kheloussi (Highmark) engages in a fascinating discussion with Dr. James Chambers (Tufts Medical Center). They explore the intricate world of commercial health plans' coverage decisions for atopic dermatitis treatments in the US. Dr. Chambers provides insights from his extensive research into how various payers are navigating the rapidly evolving treatment landscape for AD, particularly with the advent of specialty therapies like biologics. This conversation sheds light on the significant variability in coverage policies, the evolution of these policies over time, and the impact on patient access to critical treatments. Health plan professionals will gain a deeper understanding of the challenges and considerations in formulating coverage policies for AD treatments, emphasizing the need for evidence-based decision-making and the potential implications for patient care and outcomes. This activity is certified for CME/CNE/CPE credit. To participate and earn credit, visit us at https://www.impactedu.net/atopicdermtreatments/. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

A Decision-Maker’s Guide to RPA and AI in Healthcare Explore the myths and realities of automation in healthcare with our webinar on RPA, AI, and best practices for patient access and AR denials management. Gain insights into key considerations, and real-world examples to make the right decisions for optimizing your processes. Brought to you by www.infinx.com. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

On this episode host Carol Flagg chats with Kriste Goad, Founder and Chief Firestarter at Fuoco, an innovative, boutique marketing and PR agency in the healthcare space. Fuoco means "fire" in Italian and the two talk about a hot topic: the use of generative AI tools to create markeing content. The two also chat about Kriste's terrific podcast show, How It's Done: A Podcast for Curious Marketers. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Episode 24: Primary Care Summary: Early Detection and Diagnosis of Alzheimer's Disease Hosts Dr. Eukesh Ranjit and Dr. Raj Shah, talk about what they learned through the conduct of the Brain Trust podcasts to date and share some potential avenues that diagnosis may take in the near future. Learning Objectives: - Provide one key lesson learned about ADRD early diagnosis and detection in primary care from the Brain Trust series. - Provide one potential future development that may alter early diagnosis and detection in primary care. Earn 1-Hour State of Illinois Mandated Dementia Education CME iafp.mclms.net/en/ Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Host Ericka Adler she sits down with special guest David Adler from the Adler Law Group to discuss choosing a memorable and protectable name for your healthcare practice. In this episode, they dive into the considerations when selecting a practice name, including the importance of finding a distinctive and memorable name, as well as how to protect your branding through trademark clearance searches and legal assistance. The episode also sheds light on common issues faced by small businesses in receiving cease-and-desist letters and offers valuable insights on navigating trademark-related challenges. Tune in to discover why investing in trademark rights early on can save you time and money in the long run. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Episode 115: Adam Okada speaks with Charlie Webb about the Sterile Aware Awards for sterile processing and device packaging. Do you know a superstar tech, supervisor, or manager that deserves recognition? Tune in to learn how you can nominate a deserving industry professional for a Sterile Aware Award! Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

On this episode host Fred Goldstein Invites Erica Klinger, VP of Marketing at AMCP. Erica Discusses AMCPs Markeing efforts including the We are MCPs initiative. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Patient-Centric, Value-Based Digital Health Innovation Host: Megan Antonelli Guest: Nzinga Lowe In this interview, Nzinga Lowe, a healthcare leader with extensive experience in value-based care and digital health, will discuss the challenges and opportunities in driving value-based care adoption among providers and payers. She will share insights on how digital health innovations can support the transition to value-based care models, improve health outcomes, and address health equity. Nzinga will also provide examples of successful digital health implementations and discuss the importance of engaging providers, patients, and community resources in the process. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Episode 47: Healing Through The Power Language: Addressing Bias and Building Trust in Healthcare for Communities of Color On this episode host Raj Sundar & his guests delve into the power of language in healthcare, focusing on how language shapes patient experiences and trust. Reflecting on biases, especially in physician notes, they examine studies revealing how negative language disproportionately affects black and Latino patients, and the resulting implicit biases among medical students. They emphasize the significance of cultural humility and respectful language, including self-identification, and we advocate for systemic policy changes over individual blame. Highlighting the need for inclusive healthcare environments, they discuss the tools to raise clinician awareness of their biases and the importance of community partnerships. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Marketing and Consumer Experience Are Converging! Jenny Bristow, CEO and Founder of Hedy & Hopp, speaks with a lot of healthcare organizations about the intersection of marketing, digital, and consumer engagement. As we champion leaders in this field, it’s more important than ever to seek out inspiration and education. You’ll love Jenny’s enthusiasm and passion for working in this field, her insights on what’s coming around the corner for consumer experience, and how sharing our own healthcare encounters leads us to build a better system for tomorrow.  All that, plus the Flava of the Week about the third and final trend in McKinsey’s latest consumer insights report. Are consumers still shopping their healthcare, and how can we orchestrate experiences by connecting to a holistic health ecosystem?  Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/