show episodes
 
Change Healthcare is inspiring a better healthcare system. Working alongside our customers and partners, we leverage our software and analytics, network solutions, and technology-enabled services to enable better patient care, choice, and outcomes at scale. As a key catalyst of a value-based healthcare system, we are accelerating the journey toward improved lives and healthier communities. Learn more at www.changehealthcare.com. The Change Healthcare Podcast is a production of ChangeHealthca ...
 
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show series
 
Price transparency remains in the crosshairs for both providers and regulators. On today’s show, Ann Gallagher and Corey Sturm review the latest news regarding the CMS’s Price Transparency Final Rule, and discuss what’s next for providers come the Jan 1, 2021 compliance deadline. They cover lessons learned about implementing price transparency at t…
 
Technology is only half the battle when it comes to cybersecurity measures for healthcare organizations. The remainder is awareness. Phil Alexander joins John Zuziak on today’s show to dig into common gaps in security awareness and their implications. Phil and John examine the elements of a successful security awareness program, including how to ga…
 
EDI turns 55 this year. Unlike other information technologies from 1965, EDI continues to play a crucial role in healthcare. Few can speak to EDI’s history, continual evolution, and contemporary relevance like Sheryl Miller, executive vice president for Advanced Data Systems. On today’s show, Sheryl shares the surprising role of EDI as a backbone f…
 
Victories and challenges abound across U.S. states in their efforts to overcome the pandemic. We invited two special guests from the National Conference of State Legislators to provide a deep dive into the current and emerging state policy trends around Medicare, Medicaid, and telehealth. Haley Nicholson and Emily Blanford field key questions from …
 
Parkland Community Health Plan’s 2020 priority: transition to value-based healthcare. But a pandemic wasn’t in the plan. On today’s show, Bob Hoover talks with Parkland’s CEO John Wendling and consultant Joe McIntire to learn how, despite one of the most disruptive healthcare events in history, Parkland has been able to stay on track and meet its s…
 
Finding, accessing, and paying for healthcare requires so much work that half of consumers have avoided seeking care, according to the 2020 Change Healthcare - Harris Poll Consumer Experience Index, a national study of 1,945 consumers. These findings and more—many of which should cause serious concern for healthcare stakeholders—are covered on toda…
 
When it comes to blockchain technology, most people have heard about crypto-currency and its application in finance. Less visible to the public are the advancements being made in other industries, from securing elections to tracing diamonds. Next up: Healthcare. By Emily Bailey Emily Bailey is product development director at Change Healthcare. Epis…
 
No event in recent history demands telehealth like the coronavirus pandemic. Today’s episode features one of the country’s leading telehealth experts, Ann Mond Johnson, CEO of the American Telemedicine Association (ATA). G. Shah and Carolyn Wukitch join Ann for a lively discussion on one of the hottest topics in healthcare IT today: telehealth—incl…
 
Avoiding Common Financial Pitfalls While Seizing RCM Improvement Opportunities Onboarding an electronic health record (EHR) is one of the most complex and disruptive implementations a healthcare organization can undertake. This type of initiative impacts, and in many cases, fundamentally changes every aspect of your clinical and financial operation…
 
It’s evident to Dr. David Shulkin that the path to safely reopening businesses is not exclusively guided by local, state, and national government. Employers, together with government and health systems, play pivotal roles. On today’s show, Deanne Kasim joins Arien Malec to lead a compelling discussion with Dr. Shulkin, the 9th Secretary of the Depa…
 
Revenue cycle management (RCM) is a rapidly changing, multi-billion dollar market with a complex set of challenges. Care delivery organizations are starting to realize that the way they’ve traditionally managed the revenue cycle will not work going forward. New and emerging dynamics are fundamentally altering how healthcare is delivered and paid fo…
 
Gone is the traditional understanding of capacity management. On today's how, Terri Epler connects with Duncan Campbell to give us an insider's view of how COVID-19 upended the healthcare industry’s historical view of capacity management. They dissect how COVID-19 impacted hospital capacity, and examine why capacity management is crucial for effici…
 
With the rise of healthcare consumerism, people are looking to hospitals, health systems, and physician practices to deliver the same user-friendly, digital experiences they receive from other industries. People want to easily make appointments, understand what their financial outlays will be, make payments, and set up payment plans if the estimate…
 
Medicaid and Medicare are seeing major changes in federal and state policies amid the global health emergency. Today’s panelists dive into new guidance for state Medicaid agencies, how COVID-19 affects those who are dual-eligible for Medicaid and Medicare, and how these changes impact health plans. Stream now to hear from Angela Evatt, senior manag…
 
Stories of hospital lab early adopters that have successfully implemented third-party decision support Current events highlight the critical role of the hospital laboratory as the primary source of diagnostic information. But legislation such as PAMA (Protecting Access to Medicare Act) can potentially reduce lab reimbursements when clinical decisio…
 
As health system consolidation continues, cardiology HIT vendors are working to resolve interoperability and scalability challenges. With the influx of complex procedures and additional data points, clinical users are finding it more difficult to focus on their core mission: delivering excellent patient care. On today’s show, Jessica Smith talks wi…
 
Responding to security and privacy challenges in the age of COVID-19 is a tall order—and it’s even more complicated if you’re just starting a new role as a chief information security officer (CISO). Meet Steven Ramirez, who became Chief Information Security Officer for University of Louisville Health in January. He met with John Zuziak to share his…
 
Is the COVID-19 pandemic a wake-up call for value-based payment innovation and care delivery, or does it raise serious questions about value-based models’ ability to perform? Host Mark Moticik circles up with David Delaney, Cindy Garvin, and Andrei Gonzalez to explore the immediate and lasting impact of COVID-19 on value-based care, and review the …
 
Organizations that don’t have strong revenue integrity leave money on the table and might experience compliance problems If you ask 10 revenue cycle leaders what the primary focus of their revenue integrity efforts should be, you might get 10 different answers. Revenue integrity is not confined to one part of the revenue cycle, and it is not a stan…
 
The pandemic left payers, providers, and regulators no choice but to fully embrace telehealth--finally. CMS, ONC, and payers expanded coverage. Providers flocked to telehealth to mitigate the risk of in-person visits and ensure care delivery. In the aftermath, the benefits and limitations of “telehealth,” and the promise of a true virtual care mode…
 
Interoperability improves patient outcomes, lowers cost, and can serve to meet evolving regulatory standards Value-based care—and the regulatory push for transparency—expands the need for collaboration. Increasingly, that interoperability will expand from provider-to-provider systems to include patients and payers. By Faisal Mushtaq Faisal Mushtaq …
 
Cybersecurity is only as strong as the security of an organization's vendors. Randall Frietzsche, chief information security officer (CISO) of Denver Health, a level one trauma center in Denver, has his organization's information security assessments down to a science. On today’s show, Randall joins Change Healthcare’s John Zuziak to share how Denv…
 
Welcome to the Capitol Connection, a quarterly update on what's happening on Capitol Hill and in various state legislatures around healthcare policy. Our special guest today is Mary Grealy, President of the Healthcare Leadership Council. The HLC is a coalition of chief executives from all disciplines in U.S. healthcare. It’s the exclusive forum for…
 
The American College of Healthcare Executives (ACHE) has been advancing leaders and healthcare management excellence for 85 years. We invited ACHE President and CEO Deborah Bowen, FACHE, and Carrie Owen Plietz, FACHE, ACHE Chairman-Elect, EVP and COO, WellStar Health System, to give us their advice for how leaders can respond effectively to patient…
 
Today’s show is an update on policy proposals to help improve the pandemic’s outcomes and reopen the U.S. economy. Today’s panel is led by Deanne Kasim, executive director of Health Policy at Change Healthcare; and Arien Malec, SVP of product R&D at Change Healthcare, former ONC leader, and current HITAC member. Here's what they covered: Proposals …
 
How Change Healthcare’s API and Services Connection™ marketplace helps payers, providers, and digital health companies deliver a more efficient, consistent experience Learn how APIs sourced from a portfolio of integrations, workflow enablers, and intelligent advisors let payers, providers, and digital health companies create innovative ways to enga…
 
The pandemic tipped telehealth from a disruptive technology into the mainstream, according to the AMA. We invited John Jesser, President of Clinical Solutions at Amwell, to tell us what the surge in telehealth looks like from the vantage point of a global telehealth leader; the implications for consumers, providers, payers, and digital health innov…
 
The CMS’s Interoperability and Patient Access rule, finalized in March, requires payers give members easy access to, and control over, their claims data. As payers face this looming deadline, they have a choice: comply with the basic requirement, or use the mandate as catalyst to modernize member engagement and improve their market advantage. On to…
 
As CEO of the Healthcare Financial Management Association, Joe Fifer sits at the epicenter of COVID-19’s financial impact on providers. Many of the HFMA’s 56,000 members were hit hard by the pandemic, and the HFMA has been working overtime to support them through the crisis. On today’s show, Fifer joins Change Healthcare EVP Thomas Laur for a C-sui…
 
Patient Collection Strategies in an Economic Downturn Today many healthcare organizations are facing new levels of uncertainty as a result of the COVID-19 pandemic. While each organization is focused on caring for patients and keeping team members safe and healthy, providers cannot help but also be concerned about the impact this will have on other…
 
From his vantage point as CEO of America’s Health Insurance Plans (AHIP), Matt Eyles has a unique perspective on myriad challenges payers, their members, and their provider networks face during the COVID-19 pandemic; and what our post-pandemic future might look like. In this episode, Carolyn Wukitch, SVP and GM of Network and Financial Management a…
 
Tougher requirements are coming for D-SNP, the dual-eligible special needs program for Medicare and Medicaid. On today’s show, Shelley Stevenson and Phillip Cardona discuss upcoming regulatory changes, what payers need to know to ensure compliance, and opportunities that arise for payers and members. Shelley Stevenson leads the government programs …
 
Government officials are weighing testing, tracing, and isolating the public while pondering how and when to restart the economy. As a former ONC leader and current HITAC member, Change Healthcare's SVP of product R&D Arien Malec is watching the COVID-19 policy proposals currently in play. On today's episode, Arien is joined by Deanne Kasim, execut…
 
Few people are better situated to help us understand the tangled web of issues facing providers today than Becker’s Hospital Review Editor-in-Chief Molly Gamble. Beyond the capacity and supply problems triggered by the pandemic, hospitals and health systems are peering over the edge at some very real existential threats. On this episode, Kelley Bla…
 
COVID-19 lockdowns and the social isolation they can cause can have an outsized impact on the health of senior citizens and other vulnerable populations. Indeed, several studies associate social isolation and loneliness with increased mortality that's comparable to smoking 15 cigarettes a day. Today's show features a conversation with Jeff Barkin, …
 
Healthcare IT teams had to move quickly when social distancing requirements shuttered offices, and large numbers of employees started working from home. Suddenly the question was: How does an organization safely continue operations during a pandemic? What are the new business continuity, cybersecurity, and privacy considerations? What immediate act…
 
The COVID-19 pandemic is putting unprecedented strain on the healthcare system. And while the challenges facing the front-line healthcare providers are most obvious and concerning, payers are not immune. They're facing hurdles driven by new codes, regulatory changes, and a surge in telehealth that challenges the ability to accurately process timely…
 
Welcome to the Capitol Connection, a quarterly update on what's happening on Capitol Hill and various state legislature sessions around healthcare policy. Your hosts are Deanne Kasim, Executive Director of Health Policy at Change Healthcare, and Angela Evatt, Senior Manager of State Policy Strategy at Change Healthcare. Here's what's covered in thi…
 
Start-ups and mid-sized companies are innovating new IT solutions to solve challenges in the healthcare industry. One of the issues these development teams face is deciding whether to build all functionality in house, or focus on their strengths and integrate best-of-breed functionality where possible–speeding time to market in the process. In this…
 
For the past 10 years, Change Healthcare and the HealthCare Executive Group (HCEG) have commissioned the Industry Pulse Research Report, an annual effort to "take the pulse" of the healthcare industry. The insights gleaned from this year's research reflect responses from 445 payer and provider leaders, 80% of which are director level or above. To d…
 
Healthcare consumers are frustrated by the mix of medical bills they receive from multiple providers. Rachel Mertensmeyer started RexPay® to help consumers understand, manage, and pay all those medical bills in one place, through a simple smartphone app. But what consumers don't see when they use the app is something working behind the scenes: the …
 
The Protecting Access to Medicare Act (PAMA) becomes mandatory in 2020. It promotes evidence-based medicine by requiring consultation of appropriate use criteria (AUC) when ordering Medicare part B advanced imaging, and evidence of such consultations in order for claims to be paid by the CMS. On today's podcast, Change Healthcare's Bob Cooke discus…
 
Hospital Laboratories Must Think Critically and Evaluate Carefully Before Launching Decision Support Projects Practicing medicine today is more complex than ever. The menu of diagnostics, medications and treatments available to providers is continually expanding. Standards of care are shifting as guidelines grow and multiply. There are more options…
 
Welcome to the Capitol Connection, a quarterly update on what's happening on Capitol Hill and various state legislature sessions around healthcare policy. Your hosts are Deanne Kasim, Executive Director of Health Policy at Change Healthcare; and Angela Evatt, Senior Manager, State Policy Strategy at Change Healthcare. Here's what's covered in this …
 
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