Episodes

  • The Power of Payer Partnerships In Behavioral Health with Solome Tibebu, founder and CEO of Behavioral Health Tech

    The Power of Payer Partnerships In Behavioral Health with Solome Tibebu, founder and CEO of Behavioral Health Tech
    Jul 19 2024
    The demand for mental health and substance use services is growing, requiring more clinicians and alternative support roles like coaches and peers. In this episode of the AHIP 2024 series, Solome Tibebu, founder and CEO of Behavioral Health Tech, discusses the importance of payer partnerships with digital health innovators in behavioral health. She emphasizes the need for collaboration to ensure members are directed to the right services, particularly for specialized conditions like eating disorders and OCD, while also highlighting the role of technology, health equity, and innovation in expanding access to mental health, substance use, and IDD care. Solome underscores the success of pioneering plans like NovaWell in reaching underserved populations, including young people and people of color, but notes the ongoing challenges with payment codes and reimbursement. She also stresses the need for more clinicians to meet the rising demand for mental health services and suggests that coaches and peers can help fill this gap, though many payers are not yet reimbursing for these roles. Tune in and learn how collaboration and innovation are shaping the future of behavioral health! Resources: Watch the entire interview here. Follow and connect with Solome Tibebu on LinkedIn. Learn more about Behavioral Health Tech on their LinkedIn and website. Subscribe to the Behavioral Health Tech newsletter here. Book a ticket to the Annual Behavioral Health Conference here.
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    8 mins
  • Empowering Employers as Changemakers: Transforming Healthcare Through Direct Partnerships with Nick Stefanizzi, CEO of Northwell Direct

    Empowering Employers as Changemakers: Transforming Healthcare Through Direct Partnerships with Nick Stefanizzi, CEO of Northwell Direct
    Jul 18 2024
    How can integrated delivery systems leverage emerging technologies like data analytics, AI, and machine learning without losing the human touch in patient-provider relationships? In this groundbreaking episode, Nick Stefanizzi explores how employers can drive healthcare system change, emphasizing data analytics, AI, and maintaining human touch in patient care. He highlights employers' pivotal role in healthcare transformation through data-driven strategies and innovative partnerships with providers, reshaping health plans to enhance care access, quality, and affordability. Join us as we uncover the untapped potential of employer-led initiatives and their ability to reshape the future of healthcare delivery! Resources: Connect with and follow Nick Stefanizzi on LinkedIn. Learn more about Northwell Health on their LinkedIn and website. Check out healthcare-specific sources of information mentioned by Nick Stefanizzi, like Modern Healthcare, Becker’s Hospital Review, Fierce Healthcare, SIIA, and Dr. Eric Bricker’s LinkedIn.
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    39 mins
  • Discover the Future of Dentistry with Innovative AI Technology with Dr. Miguel Stanley, dentist and director of the White Clinic in Lisbon, and CEO and founder of Missing Link AI

    Discover the Future of Dentistry with Innovative AI Technology with Dr. Miguel Stanley, dentist and director of the White Clinic in Lisbon, and CEO and founder of Missing Link AI
    Jul 18 2024
    No chronic inflammation in the body is the foundation of longevity. In this episode, Dr. Miguel Stanley discusses the critical connection between dentistry and overall health, stressing the need for better communication between doctors and dentists, integrating medical and dental records, and understanding the systemic impact of oral health. Highlighting his innovative approach to interdisciplinary dental practices and Missing Link AI's ability to identify hidden dental diseases through X-ray scans, he shares his mission to revolutionize dentistry with a focus on patient well-being and advanced diagnostics. Tune in and learn why bridging the gap between medicine and dentistry can improve patient outcomes by addressing systemic health issues related to oral health! Resources: Connect with and follow Dr. Miguel Stanley on LinkedIn and Instagram. Visit Dr. Stanley’s website! Follow the White Clinic on LinkedIn and discover their website! Follow Missing Link AI on LinkedIn and visit their website! Watch the entire episode on YouTube and get more details at Think Oral Health.
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    37 mins
  • Reducing Administrative Waste in Healthcare Systems with Eric Demers, CEO of Madaket Health

    Reducing Administrative Waste in Healthcare Systems with Eric Demers, CEO of Madaket Health
    Jul 16 2024
    Synchronizing provider data between health organizations and insurance companies ensures accurate information and reduces costs. In this episode of the AHIP 2024 series, Eric Demers, CEO of Madaket Health, discusses his company’s role in benefitting patients through reducing administrative waste and enhancing efficiencies for providers and payers. By streamlining and automating functions, Madaket Health helps synchronize provider data between health organizations and insurance companies, ensuring accurate information flow and reducing costs. Eric stresses the importance of accurate provider data managed by organizations like insurance companies, which supports initiatives like the No Surprises Act and enhances provider network management, member satisfaction, and quality. He highlights the challenges of misinformation in healthcare and the need for accurate directories, emphasizing that improving provider directories can enhance quality, reduce costs, and increase revenues. He also explains that using platforms like Madaket Health can prevent revenue loss and create business opportunities. Tune in and learn how to navigate the complexities of the healthcare industry and improve your organization's operations! Resources: Watch the entire interview here. Connect and follow Eric Demers on LinkedIn. Learn more about Madaket Health on their LinkedIn and website. Listen to Eric’s previous episode on our podcast here.
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    8 mins
  • Improving Accessibility And Transparency In Home-Based Services with Ashish Shah, Co-Founder and CEO of Dina Care

    Improving Accessibility And Transparency In Home-Based Services with Ashish Shah, Co-Founder and CEO of Dina Care
    Jul 15 2024
    Care delivery is shifting towards home and community settings to improve accessibility and reliability. In this episode of the AHIP 2024 series, Ashish Shah, Co-Founder and CEO of Dina Care, centers the discussion on the shift in care delivery to the home and community, focusing on improving accessibility, reliability, and transparency. Ashish highlights organizing care logistics for services like skilled nursing and physical therapy at home and emphasizes the need for health plans and providers to improve access to essential services suitable for home and community delivery. He discusses the benefits of Dina's technology in quickly confirming requests and establishing strong connectivity, reducing friction, and enhancing well-being, especially for Medicare Advantage members, while also addressing health equity challenges and the value of nonmedical benefits. Additionally, he emphasizes the importance of collaboration among providers, payers, solution providers, and vendors, mentioning how Dina Care’s platform ensures members get the necessary services, positively impacting outcomes Tune in and learn how home-based care is transforming healthcare and why collaboration among providers, payers, solution providers, and vendors is essential for this initiative’s success. Resources: Watch the entire interview here. Connect and follow Ashish Shah on LinkedIn. Learn more about Dina Care on their LinkedIn, X, and website.
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    9 mins
  • Building Relationships For Better Healthcare Outcomes with Tanya Little, Chief Commercial Officer of Vitality Group

    Building Relationships For Better Healthcare Outcomes with Tanya Little, Chief Commercial Officer of Vitality Group
    Jul 12 2024
    Organizations like Vitality Group are driving momentum for change and innovation in the healthcare system in a unique way. In this episode of the AHIP 2024 series, Tanya Little, Chief Commercial Officer of Vitality Group, explains how the company combines behavioral science, actuarial science, technology, and incentives to help healthcare payers engage their members. Vitality operates as a risk bearer and insurer in South Africa and the UK, partnering with insurers in 38 other markets and serving 35 million members. Tanya highlights the challenges in the healthcare system, such as lack of collaboration and rising costs, and discusses innovations like GLP-1s and AI, emphasizing the importance of engagement in healthcare to drive quality, close care gaps, and build relationships with members. She also advocates for a village-like approach to establish principles and expectations for payers, urging the audience to consider their own behavioral biases and engage more meaningfully in their health. Tune in and learn about the power of engagement in transforming healthcare outcomes and reducing costs! Resources: Watch the entire interview here. Connect and follow Tanya Little on LinkedIn. Learn more about Vitality Group on their LinkedIn and website. Listen to Stephen Mitchley’s, CSO of Vitality Group, interview on our podcast here.
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    8 mins
  • Creating a Culture of Entrepreneurship in Dentistry with Dr. Jason Auerbach, founder of Riverside Oral Surgery, and founder and Co-CEO of MAX-SSM

    Creating a Culture of Entrepreneurship in Dentistry with Dr. Jason Auerbach, founder of Riverside Oral Surgery, and founder and Co-CEO of MAX-SSM
    Jul 11 2024
    Expanding dental practices with a focus on specialty care can create high-quality patient experiences and scalable business models. In this episode, Dr. Jason Auerbach, Founder of Riverside Oral Surgery, and founder and Co-CEO of MAX-SSM, discusses expanding his business to 22 locations with a focus on high-level specialty care and a hospitality-based approach, emphasizing comprehensive oral health care, patient education, and reducing future care needs. He underscores integrating technology and expertise to improve dental care equality alongside the importance of a brilliant team, care coordination, and setting a compelling vision, purpose, and values to attract and retain talented individuals. Tune in and learn about the transformative strategies shaping the future of oral health care! Resources: Connect with and follow Dr. Jason Auerbach on LinkedIn and Instagram. Follow Riverside Oral Surgery on LinkedIn and Instagram and discover their website! Learn more about MAX Surgical Specialty Management on their LinkedIn and website. Check out the Glo Good Foundation on their Instagram and website! Watch the entire episode on YouTube and get more details at Think Oral Health.
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    35 mins
  • Achieving Advanced Fertility Care Through Innovation with Dr. Eduardo Hariton, VP of Strategic Initiatives and Managing Director of Innovation Fund at US Fertility

    Achieving Advanced Fertility Care Through Innovation with Dr. Eduardo Hariton, VP of Strategic Initiatives and Managing Director of Innovation Fund at US Fertility
    Jul 11 2024
    The future of IVF will focus on making clinics more patient-friendly and accessible, especially for those who can't afford it or live far away. In this episode, Dr. Eduardo Hariton discusses how his dual training in medicine and business has shaped his innovative approach to enhancing patient engagement, efficiency, and cost reduction in fertility care through technology like AI. He also addresses challenges in IVF accessibility, patient education, task automation, and outcome measurement for improved patient-centric care. Tune in and learn how innovative approaches and technology can transform healthcare delivery, particularly in fertility care! Resources: Connect and follow Dr. Eduardo Hariton on LinkedIn. Follow US Fertility on LinkedIn. Discover US Fertility’s Website! About Memora Health: Memora Health, the leading intelligent care enablement platform, helps clinicians focus on top-of-license practice while proactively engaging patients along complex care journeys. Memora partners with leading health systems, health plans, and digital health companies to transform the care delivery process for care teams and patients. The company’s platform digitizes and automates high-touch clinical workflows, supercharging care teams by intelligently triaging patient-reported concerns and data to appropriate care team members and providing patients with proactive, two-way communication and support.
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    25 mins