Navigating AI, Payer Challenges, and the Shift to Value-Based Care with Dr. Ryan Nicholas

Dr. Karen Cox, President of Chamberlain University, dives into the pressing issue of nursing workforce retention and the challenges of bringing qualified individuals into the nursing field. She sheds light on why so many talented professionals are leaving the profession and discusses the potential for virtual nursing innovations to reshape healthcare delivery. Dr. Cox also explores how these breakthroughs can enhance patient care and alleviate the strain on nursing staff, bringing a new era of support to the industry.

Angelo Giardino, Chair of the Department of Pediatrics at the University of Utah, shares how his role is evolving, especially in addressing pediatric mental health and other pressing healthcare areas. He discusses the transformative impact of AI in alleviating the documentation workload for healthcare providers, allowing for more focus on patient care. Angelo also emphasizes the critical role Medicaid plays in supporting underserved children, serving as an essential foundation for ensuring their access to health services.

This episode, recorded live at Becker’s Healthcare 12th Annual CEO + CFO Roundtable, features Amy Cooper Everett, COO of Mind Springs Health and West Springs Hospital. Amy delves into Mind Springs' efforts to bolster cybersecurity within budget constraints, enhance operational resilience through AI adoption, and explore integrated care partnerships. She shares insights into the growing focus on financial resiliency and fostering a growth mindset for community-based mental health in 2025.In collaboration with R1 (https://www.r1rcm.com/).

In this episode, Brian Blankenship, Vice President of Facility Development at Surgery Partners, Inc., joins Scott Becker to discuss key factors shaping the development of outpatient surgery centers, including inflation, supply chain challenges, and lease rate trends. Brian also shares his perspective on the continued growth in surgery center development and offers valuable advice for emerging leaders in the healthcare industry.

In this episode, Scott Becker highlights ten key healthcare stories, from the latest wave of hospital mergers and acquisitions to Ascension’s CEO addressing the UN on cybersecurity threats. He also covers updates on Medicare Advantage exits, Epic's growth, and financial challenges at Kaiser Permanente.

In this episode, Kathryn Beard, Senior Manager of Regulatory Compliance and Regulatory Affairs at R1 RCM, joins the Becker's Healthcare Podcast to discuss the evolving regulatory landscape in healthcare. She shares insights on recent Medicare payment changes, the implications of administrative transitions, and the pressing issues surrounding payer behavior in Medicare Advantage plans.In collaboration with R1 (https://www.r1rcm.com/)

This episode explores the challenges and solutions with Shelby Chapman, Director of Patient-Family Experience at Children's Hospital Colorado and Toya Gorley, Improvement Advisor at NRC Health. They discuss a human-centered framework and successful strategies to create a safer and more respectful environment for everyone.This episode is sponsored by NRC Health.

Dr. Greg Colbath, an Orthopaedic Surgeon with Spartanburg Regional Healthcare System, fellowship trained in sports medicine and shoulder reconstruction. discusses the challenges patients face with opioid management after surgery in an ASC setting. He explores the importance of proper at-home drug disposal for patient safety and satisfaction, particularly with Deterra's disposal pouch system. Dr. Colbath also shares his experience with implementing safe disposal practices and the role it plays in reducing opioid misuse.This episode is sponsored by Deterra.

In this episode, Dr. Ryan Nicholas, Chief Quality Officer at Mercy Medical Group, part of CommonSpirit Health, discusses how his team is integrating AI while safeguarding patient data, navigating payer-provider complexities, and preparing for a future focused on value-based care and workforce flexibility.In collaboration with R1 (https://www.r1rcm.com/)

In this episode, Dr. Jeremy Cauwels, Chief Physician at Sanford Health, shares his insights on delivering accessible, high-quality healthcare across vast rural areas. He discusses the innovative role of virtual care, the impact of AI on patient treatment, and essential leadership lessons learned in his nearly two-decade career at Sanford.