Category: Podcast

How does COVID-19 change Medicare Advantage?

published date
June 29th, 2020 by

Medicare eligible Americans have borne the brunt of coronavirus. Some of the immediate impact on Medicare Advantage plans is obvious. They are covering telehealth and paying for acute hospital stays.

But there are longer term implications, too. Their risk adjustment scores are thrown off by the lack of visits. Certain supplemental benefits (think gym membership!) no longer sound so healthy, while others (meal delivery) become super valuable.

In this episode of #CareTalk, CareCentrix CEO John Driscoll and I lay it all out,

Adaptive Clinical’s Tope Keyes on clinical trials in the COVID-19 era (podcast)

published date
June 25th, 2020 by
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Temitope Keyes

Thanks to COVID-19, the era of decentralized trials is now upon us. In this podcast interview, Adaptive Clinical SystemsTemitope Keyes and I discuss how trials are changing and what clinical data infrastructure is needed to make them flow smoothly.

Questions include:

  • Changes are underway in clinical trials right now as a result of COVID-19
  • The imperative for “frictionless clinical data.”
  • Ensure optimal performance in the new environment
  • New data sources and endpoints that will be employed
  • Technological innovations that we can expect

Tope will be a panelist on a webinar I’m moderating on July 8: Moving Clinical Trials Forward with Digital Innovation in the COVID Era. We’ll be joined by Mark Mann of The Oxenham Group and Bob O’Hara of ResultWorks. Please register –the webinar is complimentary.


By healthcare business consultant David E. Williams, president of Health Business Group.

Interoperability for health plans. Interview with WK’s Karen Kobelski

published date
June 5th, 2020 by
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Karen Kobelski of Wolters Kluwer Health

The 21st Century Cures Act (signed by President Obama in 2016) set out to make healthcare more patient-centric and increase patient access to medical records held by health plans. Implementation is occurring this year and health insurers need to improve interoperability in order to meet the requirements.

In this podcast interview, Karen Kobelski, who runs Wolters Kluwer Health’s Clinical Surveillance, Compliance & Data Solutions business unit explains what plans are doing and how her organization is helping.

Here are some of the topics we covered:

  • What are some of the key challenges health plans face in gathering and managing data?
  • There has been talk of interoperability for many years —but seemingly little progress. What does interoperability mean in the context of health plans?
  • The 21st Century Cures Act addressed interoperability. What was the aim? How are the rules being implemented?
  • COVID-19 is affecting everything in healthcare and in society more broadly. How does the interoperability imperative for payers change when viewed through the lens of the pandemic?
  • What role does Wolters Kluwer Health play in interoperability for health plans? Can you give me an example of a client success story?

By healthcare business consultant David E. Williams, president of Health Business Group.

Should meat plants reopen? #CareTalk tackles this meaty topic

published date
May 4th, 2020 by

In the latest episode of #CareTalk, CareCentrix CEO John Driscoll and I talk about whether it’s right to make meat plants reopen. We also ponder  whether public health after #COVID19 will look like security after 9/11. As if that wasn’t enough for one episode, we tacked on a debate on why emergency room use has plummeted and whether telehealth is here to stay.

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