Category: Podcast

What gets measured gets done. So be careful what you measure!

published date
October 21st, 2019 by

When I read ‘Fear of Falling’: How Hospitals Do Even More Harm By Keeping Patients in Bed I was reminded of the old adage, ‘What gets measured gets done.’

In this video I lay out three solutions to the problem of overzealous pursuit of fall reduction:

  1. Keep the measure but change the target so we’re not aiming for zero falls
  2. Add a new measure of how much patients are getting up and walking
  3. Reduce the penalties for excessive falls

What do you think?

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

Blockbuster Medicare Innovations: AHIP panel recap

published date
September 27th, 2019 by

I enjoyed moderating the Blockbuster Medicare Innovations panel at the AHIP conference on Medicare, Medicaid and Dual Eligibles. In this video recap, I summarize the panelists’ key takeaways on supplemental benefits, home dialysis, and telemedicine.

Thanks to Dr. Michael Cantor of CareCentrix, Bruce Greenstein of LHC Group and Mary Hsieh PharmD MPH of Health Management Associates for doing a great job with it.


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

#CareTalk August 2019: Reimportation scares Canada

published date
August 28th, 2019 by

 

In this edition of #CareTalk, CareCentrix CEO John Driscoll and I have a little fun at the expense of our neighbors to the North. Will Canada build a wall along its Southern border to keep out US patients?

Overview:

(0:43) Are Canadians right to worry that Americans are going to clean out their pharmacies, leaving nothing for the locals?

(1:43) What are “authorized generics” and are they a good idea?

(3:22) Are skilled nursing facilities a piggybank for accountable care organizations?

(5:05) Should everyone be screened for drug use?

(6:40) A Montana man was stuck with a $500,000 dialysis bill. Would you have paid it?

(7:16) What should happen to the person who manipulated the Novartis gene therapy data?

(7:39) Is Tom Brady too old to play in the NFL?

Life Image CTO Janak Joshi discusses real world evidence (RWE) –podcast

published date
August 12th, 2019 by
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Real world evidence?

Real World Evidence (RWE) is becoming more important in US healthcare, but the fragmented system and lack of interoperability makes it hard to collect and analyze. In this podcast, Life Image CTO Janak Joshi discusses  the state of the field and how it’s evolving.

Overview:

  • (0:12) How would you describe the evolution of medical data?
  • (2:36) Real world evidence and real world data are becoming more prominent in healthcare –and for good reason. What are some of the challenges in assembling RWD and RWE? How can they be overcome?
  • (6:36) Is it really true that unstructured notes are becoming quantifiable and useful?
  • (9:46) There are major efforts by the US government and private sector to improve interoperability and end data blocking. You have groups like CommonWell and Carequality –now working together. What’s the current state of play and how are things changing?
  • (13:56) You talk about data brokers like Datavant and HealthVerity. How much of their success is because the US system is so broken? Do you see them having the same success elsewhere?
  • (17:31) Promoters of AI and Machine Learning –including Life Image—tout the opportunity to revolution healthcare with these new techniques. Is it for real or overhyped? And how does interoperability tie in?
  • (22:20) What are you most excited about over the next few years?

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

#CareTalk July 2019. Democrats and HealthCare -The Great Debate

published date
July 23rd, 2019 by

In this edition of #CareTalk, CareCentrix CEO John Driscoll and I discuss the impact of healthcare on the Democratic presidential race.

(0:36) What impact are the TV debates on healthcare having on the Democratic presidential race?
(2:30) Arkansas has been testing out a Medicaid work requirement. What do the results tell us?
(4:30) What should be made of the OpenNotes initiative in Massachusetts, which allows patients to access their doctors’ clinical notes about them?
(7:12) New doctors continue to avoid primary care. Does that matter?
(9:20) Did David avoid getting bit by a shark during his Cape Cod vacation?
(10:16) A judge struck down Trump’s rule to make drug makers disclose prices in TV ads. Does it matter?
(11:01) Is Alexa bad for healthcare?
(11:30) Co-design is a new healthcare buzzword – but how important is it?
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