Healthcare Rap: How Blue Shield of California Ripped Up the PBM Playbook

S1E3: Host Don Hardwick, Sr. VP of Client Relations, interviews Moira Washington, Sr. VP of Client Operations at MRO. Together they discuss operational management, remote workforces, and strategies for training, monitoring, and retaining staff. 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 Ramesh Kumar, welcomes Oliver Ayres, President Key Family, Key Benefit Administrators, to discuss the Direct-to-Employer (DTE) approach to improve health care cost containment. Oliver simplifies the complexities of DTE, empowering both employers and employees to navigate the health care benefits maze more effectively. Oliver breaks down the intricacies of DTE and shares how it can both cut costs and boost access for self-funded employers and their teams. He will also share real-world examples of how it outperforms the Reference-Based Pricing model for employers and employees. Finally, he'll share valuable advice for brokers, employers, and TPAs considering DTE adoption.This episode was sponsored by Valenz Health. 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/

Standardizing Prior Authorization Workflows Break down common bottlenecks in prior authorization processes and learn tactics to standardize workflows across various locations and practices. Hear examples of how technology is improving workflow efficiency with Senior Customer Success Manager, Stephanie Cheng. 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/

Empowering Patients and Transforming Healthcare: Practical Strategies from Rebel Health Host: Megan Antonelli & Janae Sharp Guest: Susannah Fox They will explore the key insights and strategies from her groundbreaking book, Rebel Health: A Field Guide to the Patient-Led Revolution in Medical Care. Throughout the interview, Susannah will share her expertise and insights on how listeners can become active participants in the patient-led revolution, whether they are patients, caregivers, or healthcare professionals. Listeners will come away with a renewed sense of empowerment and a clear roadmap for driving meaningful change in healthcare. 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 Dr. Joshua Liu, Co-founder & CEO of SeamlessMD, and marketing colleague, Alan Sardana, chat with Dr. Deepti Pandita, CMIO at UCI Health, about "Evaluating ROI for Ambient, Identifying Root Causes for Clinician Burnout, Talking to Users Before Building, and more." 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/

Preparing the Healthcare Workforce for AITime to Build Culture, Upskill and Invest Host Beth Friedman talks with TruBridge's Chief People Officer, Amaris McComas. They discuss upskilling the healthcare workforce to prepare for AI. 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/

Form Health CEO on Eli Lilly Partnership & Metabolic Health Evan Richardson, CEO and Founder of Form Health, dives into the current state of metabolic health in America, GLP-1’s, Form Health’s newly announced partnership with Eli Lilly, and how it all impacts everyday people on their health and wellness journeys.  All that, plus the Flava of the Week about the second trend in McKinsey’s latest consumer insights report. Knowing that consumers are more willing to trust us with their data than we once thought, can we use that data to improve their experience before, during AND after patient encounters? And what does that require from provider organizations and the health tech partners that serve them?  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 Tom Foley invites Noosheen Hashemi, Founder & CEO, January AI, a metabolic health company that gives people the tools to live healthier, longer lives. Now in version 3, their groundbreaking predictive glucose monitor utilizes predictive AI based so you can see your glucose curve without expensive and invasive hardware. Hear how this consumer based innovation can help in better outcomes. 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

Host Matt Fisher talks to Lynn Carroll, Chief Operating Officer, HSBlox, about measured pace of value-based care adoption; growing VBC experience in the commercial word; importance of enabling collaboration and coordination with community organizations; risk adoption as driver for change; increasing applicability of AI tools; how to develop trust in AI tools. 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

May News You Can Use 1) Paging Dr. Malware 2) Ransomware Crisis in Healthcare - Major health systems like Ascension facing increasing ransomware attacks, leaving patients stranded 3) Despite Change Healthcare breach serving as a wake-up call, healthcare organizations continue to struggle with complex tech infiltrations. 4) AI Consent Controversy: ChatGPT's new voice model is under fire for allegedly using an actor's voice without approval 5) Study reveals patients prefer video consultations with professional backdrops over home settings 6) Honoring the late Marshall Allen, an advocate against medical billing injustices 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