For many healthcare professionals, Dr. Mary Naylor and her transformative Transitional Care Model (fondly referred to as the “Naylor Model”), have become synonymous with care transitions and readmission prevention. Adapted from a care transitions program for low birth weight infants, Dr. Naylor created one of the most influential models for caring for high-risk older adults. With amazing results in hundreds of healthcare organizations across the country, it has become one of the standards for managing a high-risk patient population. Now chair of the Care Culture and Decision-Making Collaborative through the National Academy of Medicine, Dr. Naylor continues to shape the future of healthcare through policy initiatives and research, including her recent 6-year term on MedPAC.
Case Managers play a significant role in the utilization and quality of the American healthcare system. In order to keep up with the rapid pace of change, they rely on organizations like the Case Management Society of America (CMSA) for education, resources and advocacy. PopHealth Podcast had a chance to sit down with CMSA President, Kathy Fraser, at their most recent national conference in Austin to discuss some of the challenges and opportunities they face. With topics including technology, end of life care and how the legalization of marijuana impacts case management, find out how case managers and CMSA are preparing for the future.
In 1979, Mission Hospice was established as San Mateo County’s first hospice program. In the decades that followed, hospice care was transformed. Dwight and Lisa take us through the history of hospice care, while sharing how Mission Hospice and Home Care has remained a community pillar in the Bay Area.
Dr. Jay Inuma is a high energy, leading physician with a wealth of experience in medical care, including overseeing care coordination and case management at Methodist Hospital of Southern California . Known as Dr. Jay to his patients, whom he gives his personal cell number to, he’s served in roles on both the insurance side with Aetna, and industry giant Kaiser Permanente. Dr. Jay sheds insight into some of the challenges of his work, as well as the future of healthcare.
It isn’t often that you come across a hospital executive who is an engineer by trade, and yet Rod Hanners began his career serving on nuclear submarines in the Navy. Following his tours of duty, he served as the COO of Kaiser Medical Center in LA and then Children’s Hospital Los Angeles, before moving into his current role as CEO of Keck Hospital of USC. Join us to find out how Rod’s time in the Navy prepared him for hospital leadership and hear his take on the challenges and opportunities of running one of Los Angeles’ most prolific academic medical centers in today’s environment.
When Erik Wexler was recently named CEO of Providence Health & Services in Southern CA, he took over 6 of the most prominent and integral medical centers in the region and their community engagement. He also played a major role in their recent merger with St. Joseph Health, which created one of the largest and most impactful health systems across Southern CA. In this engaging and insightful conversation, Erik talks with Gavin & Zac about the opportunities of population health, how he views the integration of technology into healthcare and what it is like to lead a large healthcare organization through times of politically-caused uncertainty.
We love Social Workers on this show and are consistently amazed by their capacity to care for those without champions. It isn’t very often, however, that we get to see the heartbreaking challenges and heart-warming success stories that these Social Workers face on a day-to-day basis from their point-of-view. Scott Ferguson is not only the Director of Social Work at Long Beach Memorial Hospital, but also the President of the Society for Social Work Leadership in Health Care, a national trade organization for the industry. With these unique perspectives, Scott takes us on a journey through the real world of Social Work, how it’s evolved over the years, it’s role in care transitions, the seemingly impossible miracles they conjure on a day-to-day basis and so much more.
With the CBO Scoring of the Senate healthcare bill due this week, and a vote scheduled before the July 4th break, confusion and frustration regarding the future of healthcare in America and here in California is at an all-time high. With this is mind, we present you with our timely and extremely topical interview with Secretary of the CA Department of Health & Human Services, Diana Dooley. Secretary Dooley oversees a myriad of health services in CA, but two in particular seem to be under attack- Covered California and Medi-Cal. However, unlike the doomsday predictions of many of the talking heads you’ll find on TV, Secretary Dooley (who describes herself as a ‘passionate moderate’) has remained calm in the face of extreme diversity and still believes that healthcare can be fixed. Join us as Secretary Dooley walks us through where we are, and where we go from here.
With over 300 member physician groups that practice capitated and coordinated care across 44 states, CAPG has been a long-time leader in advocacy for capitation, helping federal legislators transform the American healthcare system. Longtime CAPG President Don Crane joins the podcast to shed light on the forward-thinking efforts of CAPG, which has been advocating on behalf of providers that practice coordinated care and capitation for many decades.
When Dr. David Feinberg joined UCLA Health System many years ago as a psychiatrist, he wasn’t expecting to one day lead the organization. However, after becoming CEO during a period of cratering patient satisfaction scores, Dr. Feinberg helped engineer one of the most incredible and well-documented cultural transformations in healthcare, establishing UCLA as one of the top 3-5 hospitals in the nation in the process. While he’d quickly rebut that he was only a piece of the transformation, his ongoing routine of daily patient visits and emphasis on their satisfaction nevertheless inspired a book and a TEDTalk documenting UCLA’s success. Now President and CEO of Geisinger Health in Pennsylvania, Dr. Feinberg oversees innovative programs like refunds for unhappy patients and genetic testing for entire populations, continuing an opportunistic vision that has served so many for good.
When HomeHero broke onto the home care scene in 2013, their revolutionary approach and enormous venture capital backing took the healthcare world by storm. However, less than four years later in an article titled “There’s No Magic in Venture-Backed Home Care”, Kyle announced that HomeHero would be leaving home care for good. In this fascinating (if we do say so ourselves) conversation with PopHealth Podcast, Kyle talks about HomeHero’s meteoric rise and how it all ended almost as quickly as it began. We also discuss his thoughts on venture-backed home care and what is next for his team as they work to reimagine another segment of the healthcare market. *contains some brief, strong language*
Harry Nelson and his law firm, Nelson Hardiman, have established themselves as some of the leading healthcare attorneys in the United States. Following the passage of the Affordable Care Act, Harry and his team have worked nonstop to help their healthcare clients navigate the new realities of healthcare and the implications it involved. With the future of our nation’s healthcare system thrown into disarray after the election of Donald Trump, Harry and his team became frustrated with the misinformation and hyper-partisan rhetoric that followed. Given his deep knowledge of the healthcare system, he and fellow attorney Rob Fuller authored the best-selling book “From Obamacare to Trumpcare: Why YOU should care” to dispel myths being propagated by both sides of the aisle and provide some clarity of what we can expect moving forward. Together we explore the ideas in the book, from Medicare and Medicaid, to what individuals and organizations should prepare for, regardless of what comes out of Washington D.C.
The Visiting Nurse Associations of America, better known as VNAA, has long been one of the pillars of advocacy for care in the home. They’ve felt, however, that the industry overall remains too fragmented to work towards the common goals we all share. This led them to create an entirely new entity, the recently unveiled elevatingHOME, through which they intend to “re-envision healthcare delivery to place home at the center of care.” Gavin and Zac recently attended the kick-off ceremony during the Home Based Care conference in San Diego and spoke with the leadership of both organizations, and the thought leaders who are working to make this vision a reality. Explore this enormous undertaking and visions of what the future can hold with guests including Tracey Moorhead, President & CEO of VNAA AND elevatingHOME, Bob Fazzi, Founding Board Member of elevatingHOME, and Erik Wexler, Chief Executive of Providence St. Joseph Health Southern California.
Brookdale is the largest senior living provider in the country, with more than 1,100 communities nationwide providing a range of Independent Living, Assisted Living, Memory Care and Skilled Nursing services. Christian Lanham, VP of Business Development, sits down with Zac in beautiful Nashville, Tennessee to discuss what has made Brookdale so successful and why residential senior living is such an important option for individuals and their families throughout the aging process. Additionally, as the healthcare industry continues to change and the aging landscape shifts so dramatically, we also discuss how Christian sees these communities as an essential, albeit often overlooked, pieces of the care continuum which can have huge impacts on short and long-term success of hospital and patient outcomes.
PopHealth Podcast has been a longtime supporter of the American Case Management Association and all they do to both educate their members and provide ongoing support in their endeavors to innovate and improve case management. In this episode, Case Management Leaders from Arizona and Southern California join the podcast to discuss hot topics in case management while the show was onsite at the ACMA Arizona and So Cal conferences.
World Renowned Population Health and Care Transitions Program founder Dr. Eric Coleman joins PopHealth Podcast to share about his history, the formation of the Care Transitions Program, and the launch of a new program with the Care Transitions Program’s first Non-Medical Partner
PopHealth Podcast was at the Transformational Healthcare event in Arizona where both national and state leaders in transitional care shared about the present and future of healthcare. Hear from leaders like Dr. Eric Coleman, founder of the Care Transitions Program, and others from Dignity Health, HealthSouth, Plum Healthcare, Vi Senior Living, Innovation Health Partners, Silverado, as well as NaviHealth, a convener of bundled payments.
As Vice President of Care Management, Tory Starr oversees both inpatient and outpatient care management teams for one-half of all of Sutter Health System. This presents both enormous challenges and opportunities to improve care transitions in both the acute and ambulatory care settings. As CMS and the Federal Government continue to try to innovate and focus on costs and readmission penalties, more and more responsibility for the efficiency, throughput, and outcomes falls onto Tory and forces major innovation system-wide. Find out why he finds that sometimes the best new solutions are not new at all, and about the ground-breaking ways he is working to solve the clinical- and more importantly, social- challenges using new providers like home care and residential facilities on this episode of PopHealth Podcast!
Senator Ed Hernandez holds a distinct place in history as Chair of the Senate Health Committee during the passage and implementation of the Affordable Care Act. As a physician himself, he has seen first-hand the tragic results of living life without health insurance, and the amazing personal success stories that have followed the monumental change. Join Zac and PopHealth Podcast for this insightful and wide-ranging interview with the Senator as we explore why he thinks repeal without a replacement would “send us back to the stone ages” and why he thinks people should be “very, very concerned” with their future access to care. We also discuss potential GOP replacements, share real-life success stories of the ACA, and explore Senator Hernandez’s ‘Transparency in Drug Pricing’ bill SB-17.
As more and more health care services are pushed towards the home setting, ever-changing employment legislation, licensure, and fractured minimum wage ordinances are creating a legal minefield for home-based employers. Leading home care employment attorney, Bob King, joins Gavin and Zac to discuss why many home care providers are opting to leave the industry entirely and his surprising take on why litigation against home-based care is at an all-time high. As home-based care becomes a cornerstone of healthcare, where can the balance be found with care providers, their employers, state/federal government, and the seniors who need the care the most.
California has the largest insurance market in the nation, valued at about $259 Billion in premiums annually. CA Insurance Commissioner, Dave Jones, is the man in charge of protecting both consumers and insurers in that massive marketplace and he joins Zac to talk about the unique challenges (or as he calls them: opportunities) this creates. In a refreshingly open and wide-ranging conversation, we discuss why the state felt it was better off with its own health insurance exchange, the rising costs of premiums, why the current Affordable Care Act replacement suggestions from Republican leadership would be disastrous for CA, and why he fought vehemently against the recent mergers of Humana, Aetna, Anthem & Cigna. Be sure to subscribe so you don’t miss any of the important upcoming episodes with healthcare attorney, Bob King, and Senator Ed Hernandez!
Healthcare Futurist, Best-Selling Author & former Hospital CEO, Josh Luke, recently wrote that “Obamacare is D.O.A.” under the new administration. That is a scary thought for millions of Americans now living with health insurance, and he recently joined Gavin & Zac to discuss. Why does he think that an initial repeal could be largely ceremonial, how does he think most people will feel the impact of a repeal in 2017 and what do the nominations of Tom Price (Health & Human Services) and Seema Verma indicate about Trump’s vision of the future of the American healthcare system? All this and more on this episode PopHealth Podcast. Make sure to subscribe so you won’t miss upcoming episodes with CA Insurance Commissioner, Dave Jones, Chair of the Senate Health Committee, Dr. Ed Hernandez, and many more during these monumental changes!
Medicare Access and CHIP Re-Authorization Act (MACRA) is a mouthful and doesn’t necessarily jump off the page as a must-read, but in reality, it is about to change the way doctors can deliver (and bill for) better patient-centered care. For example, did you know that a physician and a specialist cannot both bill for a visit on the same patient on the same day, or that a doctor couldn’t bill Medicare for time spent making phone calls to patients? Gavin & Zac are joined by Dr. Ashby Wolff, Chief Medical Officer for the Center for Medicare & Medicaid Services (CMS) Region-9, to talk about innovations like MACRA, Accountable Health Communities and Bundled Payment Programs that are shifting the way we deliver and receive healthcare.
How much face time do you or your loved ones actually get with your Primary Care Physician during doctor appointments…maybe 5-10 minutes? Can you see your doctor whenever you need to, or do you need to book weeks in advance? If you feel that the current system and access to your doctor is woefully insufficient, you’re not alone. In fact, many primary care physicians would agree, and this is exact problem that Halcyon Health and Direct Primary Care are attempting to solve. Gavin and Zac are joined by Dr. Emilie Scott and Dr. James Gaor, co-founders of Halcyon Health, to discuss their revolutionary approach to primary care where patient membership fees allow the doctors to take on a realistic case load and focus on quality rather than volume, and ultimately deliver better care. Check us out on iTunes or online, and be sure to subscribe so you don’t miss any of our other exciting upcoming episodes!
As California’s Home Care Services Bureau approaches the end of it’s first full year in operation, PopHealth Podcast visits the Department of Social Services division to talk to the Program Directors. Find out about the Bureau’s ongoing efforts to root out home care agencies operating illegally without a license, and what licensed Home Care Organizations can expect as the state’s unannounced visits begin next year when Evon and MacAulie sit down with Zac to chat CA State policy, enforcement and what’s to come.