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.
Zac is joined by Ruth Zaltsmann, Bundled Payment for Care Initiatives (BPCI) Coordinator for one of California’s most influential hospital systems and one of the foremost experts on readmission prevention and alternative payment models. Ruth and Zac discuss the monumental changes of healthcare payment models, from fee-for-service to voluntary and mandatory bundled payments and what it means for hospitals, health systems and patients.
Social work leaders in healthcare from around the country discuss SSWLHC’s 2016 conference and some of the latest topics facing social workers in the healthcare space.
Coalition for Compassionate Care of California’s Executive Director Judy Thomas, JD discusses the work of her organization throughout the state as her not-for-profit group works to ensure that everyone who is seriously ill or near the end of life receives the compassionate care that they need and wish for.
Mark Hedstrom, Sr. VP of Global Operations at the Movember foundation joins the podcast to discuss the upcoming month of November and Movember’s efforts to spread the word about men’s health, with a special focus this year on mental health and suicide prevention.
Hospital and Healthcare leaders from Northern California and Southern California Share Their Wisdom and future Expectations from bundled payment and readmissions conferences held in September and October by the NRPC/NBPC.
Motion Picture and Television Fund’s Chief Innovation Officer Scott Kaiser, MD, joins the show to talk about the vast history of MPTF and service to individuals that have served the industry. Dr. Kaiser discusses some of the innovative programs and services , including a large focus on wellness for the community served by MPTF.
Various case management leaders and attendees from throughout the country speak with PopHealth Podcast from the Case Management Society of America’s National Conference in Long Beach, California. Guests discuss the benefits of attending the conference and some of the hot topics in their various regions.
Case Management Society of America’s (CMSA’s) Executive Director Cheri Lattimer joins PopHealth Podcast to discuss the history of CMSA, the national CMSA conference, how CMSA is impacting case managers nationally, and the hot topics of case management around the country.
Senator Tony Mendoza joins PopHealth Podcast to discuss Senate Bill 648, a bill that would require senior living referral agencies to register with the California Department of Social Services, become mandated reporters of elder abuse, and disclose the financial relationship with communities that are referred.
SeniorServ’s CEO Holly Hagler and Sr. Director Susan Papiri share about the upcoming Senior Care Hero Awards and the work in the community of SeniorServ. CEO and Founder of Alignment Healthcare, John Kao, the Lifetime Achievement Award Winner for the Senior Care Hero Awards, joins as well and shares about how his lifelong passion to lead through a servant-like heart has led him to innovative efforts in population health efforts across California and the nation.
CEO of Alzheimer’s Greater Los Angeles Susan Galeas and CEO of Alzheimer’s Orange County Jim McAleer bring great energy as they join the podcast to share about the great efforts of their leading organizations. The discussion touches on their organizations’ efforts to advocate on behalf of those dealing with Alzheimer’s Disease and other forms of dementia, as well as how families and health care professionals can have access to utilize their tremendous resources.
As 2016 brings home care into regulation in California, Government leaders McCaulie Feusahrens, Chief of the Home Care Services Bureau, and Evon Leonard, Chief of the Community Care Licensing Division, return to PopHealth Podcast and give updates on where companies stand in the licensure process, how the healthcare community can verify that a company is licensed, and what families can do to ensure their caregivers are registered.
Leaders from Partners in Care, a leading community based organization based in Southern California, share about some of the great work they are completing in multiple counties in Southern California. June Simmons, CEO, and Karol Matson, Registered Dietician, touch on care transitions work including the diabetes self-management program that PIC is spearheading throughout the communities they serve.
Healthcare leaders Chris Van Gorder (Scripps CEO), Josh Luke, and Others from the USC C-Suite Event Discuss Issues Around Bundled Payment and Population Health.
Global Transitional Care Founder and CEO Rani Khetarpal as well as Chief Nursing Officer Kelly Carter share how their organization, the first third-party Medicare Approved Provider Group dedicated to providing comprehensive clinical transitional care, is making waves in Southern California and beyond.
David Sayen returns for an update from the Centers for Medicare and Medicaid Service with a focus on bundled payments and how CMS is allowing for innovation with regard to how non-traditional support services are playing a role in beneficiaries’ health.