“EP151: Employers say, “Show Me the Money I’m Spending on Health Care,” with Mike Dendy, Vice Chairman & CEO of Advanced Medical Pricing Solutions”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

Employers in the US spend billions of dollars paying for health care for their employees. To put this in perspective, Starbucks spends more on health care than they do on coffee beans. But many employers aren’t exactly sure how much they’re spending on health care… how is that possible when self-insured employers have a co-fiduciary […]

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“EP150: Is it Possible for a Payer to Improve Star Ratings using MTM (Medication Therapy Management), with Lisa Erwin, VP of Clinical Strategies at Aventria Health Group”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

Medicare plans in this country need to achieve star ratings. CMS uses these so called Star Ratings to measure how well Medicare Advantage and prescription drug (Part D) plans perform. There’s a few main categories, including quality of care and customer service. Then there’s MTM, Medication Therapy Management, which is part of the comprehensive medication management […]

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“AEE1: Defining Attribution with Dr. Michael Hunt, CEO and President of St. Vincent Health Partners & Chief Information Officer for St. Vincent Medical Center”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

Apparently nobody knew this until February 2017, but healthcare is really complicated. Besides all the normal kinds of complications you might expect in medicine and the business of medicine, there’s also an immensity of terms and jargon people only use in their own silos or that mean different things depending on who you talk to. Luckily, here at Relentless […]

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“INBW 14: What if Amazon Contracted Directly with Employers and Rebooted Healthcare Delivery?”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

I had lunch with Richard Steinhart (episode 149) last week and he said something that sparked my cantankerous streak – we were taking about incrementalism, the idea that we should move forward in baby steps, little experiments, fail fast, adjust, proceed forward from there. And Richard said, incrementalism, pshaw. We should just start over again. […]

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“EP149: Overpaying for Healthcare vs Full-Day Kindergarten & Raises for Teachers, with Richard Steinhart, Former School Board Officer”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

This is a great demonstration of a pretty key economic principle – if you have one dollar and you spend it on overly expensive healthcare, you do not have that dollar anymore to put toward more productive uses like paying teachers or funding education. Today I speak with Richard Steinhart, a former officer who endeavored […]

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“EP148: Does It Really Matter If The Pharma Industry Is Or Is Not Trustworthy, with Dr. Jennifer Miller, Founder of Bioethics International and Creator of Good Pharma Scorecard”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

It seems that Pharma has a reputation for putting profits over patients. I know, you’re floored by this newsflash so let’s move on to the more interesting question – why does this matter? Why does it matter to the Pharma industry itself, which has been doing just fine thank you very much, and why does […]

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“EP147: What It Really Takes to Manage Diabetes with David Weingard, Founder & CEO of Fit4D”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

An app can certainly help manage diabetes. But only in the exact circumstance that the patient already believes they need to use the app, and has the resources and wherewithal to do so. But for the multitude of other patients, an app by itself won’t work because patients who need it aren’t using it. And […]

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“EP146: Medication Adherence – What’s Happening Right Now, with Tom Kottler, CEO of HealthPrize”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

It’s rare you meet someone in this business who doesn’t realize that adherence is a wildly costly problem. And it’s also rare you meet someone who hasn’t been involved in some more or less unsuccessful attempt to improve it. But now might be the time to transform pessimism into optimism. First, we’re starting to understand non-adherence […]

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“EP 145: Engaging the Empowered Patient Unit, with Andrew Schorr, Founder of Patient Power”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

First of all, new lingo – patient unit. A patient unit consists of the patient and their family or otherwise who are actively engaged in a patient’s care. Some patient units are under-engaged. We talk a lot about these patients. Other patient units are motivated and empowered and could use our help to maximize the […]

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“EP144: Value-Based Agreements – The Future of Managing Our Healthcare Ecosystem with Julie Locklear, Vice President & Head of Health Economics & Outcomes Research at EMD Serono, Inc.”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

It’s game-on relative to value-based contracts. We’re getting to the place where not just the bleeding edge of the market is contracting based on outcomes instead of volume. If you were waiting for a sign to start thinking about rolling out an innovative contract pilot, now is probably the end of the window to get […]

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