Ambulatory Healthcare Today: Recent Episodes

The NextGen®️ Advisors

Welcome to the Ambulatory Healthcare Today podcast hosted by the NextGen®️ Advisors. Accelerate your success with insights from a multidisciplinary team of healthcare experts as they discuss topics ranging from strategy, regulatory affairs, population health, interoperability, patient engagement and more. These timely discussions can help you better navigate the challenges of running your ambulatory care practice.

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NextGen Healthcare’s Dr. Robert Murry, chief medical officer, and Katie Chaffee, chief client officer, are joined by Bob Jasa, director of healthcare information and technology for Pacific Cataract & Laser Institute, a NextGen Healthcare client. Bob shares how PCLI is leveraging technology in an award-winning way to transform patient education.

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Is your organization capturing far more data than it can meaningfully use? Dr. Roy Gill, vice president of clinical affairs and safety for NextGen Healthcare, and Dr. Dany Dominguez Perez, NextGen’s vice president of clinical analytics and population health, consider how to leverage data in ways that tangibly benefit your practice and your patients.

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How do patients expect to manage their care in a society filled with instant gratification? Dr. John Ellis, vice president of the regulatory and clinical affairs team, and Jenna Hagan, application specialist manager, answer this question and more in today’s episode. They explore how patient engagement solutions empower patients and boost practice revenues.

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Curious about how AI can make a meaningful difference at your organization? Dr. Robert (Bob) Murry, practicing family medicine doctor and chief medical officer for NextGen Healthcare, is joined in today’s episode by Jeremy Dixon, NextGen Healthcare’s vice president of product management. They discuss how AI-driven solutions like ambient listening technology are a promising defense against provider burnout.

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Author, board-certified pediatrician, and health industry leader Dr. Martin Lustick joins NextGen Advisor Graham Brown as this week’s guest to discuss Lustick’s recently released book “Health Plans Unmasked,” published by Johns Hopkins University Press. Dr. Lustick provides insights into how providers can navigate the current U.S. health insurance system. They explore the importance of understanding health plan roles, the challenges providers face managing multiple payers and the emergence of “payviders.” The podcast offers helpful takeaways on overcoming these challenges.

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Many policies were implemented in the way of the COVID-19 pandemic – and have become part of the new normal since 2020. On May 11, 2023, the government public health emergency will officially conclude. Graham Brown and Chris Emper explore what this means to physicians and delve into the imminent changes.

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NextGen® Advisor Graham Brown sits down with Chris Emper, NextGen Healthcare's Government Affairs Advisor, who gives providers his legislative 411 for the new year. 

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In his first podcast for the New Year, NextGen® Advisor Graham Brown is joined by Vytalize Health's CEO and CMO to discuss the growing benefits of participating in an ACO.

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NextGen Advisor Graham Brown is joined by NextGen Healthcare's Director of Clinical Informatics, Dr. Roy Gill, to discuss how integrating well-designed clinical dashboards can streamline–and elevate–provider workflows. 

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In the second segment of our two-part series, NextGen®️ Advisor Graham Brown is joined again by Carl Coyle, CEO of Liberty Resources, and Joshua Rubin, a principal with Health Management Associates, to spotlight how New York State's Medicaid Waiver Amendment is shaking up U.S. healthcare—for the better.

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In this first segment of a two-part series, NextGen®️ Advisor Graham Brown is joined by Carl Coyle, CEO of Liberty Resources, and Joshua Rubin, a principal with Health Management Associates, to examine New York State's transformative Medicaid Waiver Amendment.

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To mark another milestone National Health Center Week, NextGen® Advisor Graham Brown is joined by NextGen Healthcare's Chief Medical Officer, Dr. Robert Murry, who explains why everyone should love a CHC. 

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NextGen® Advisor Dr. Martin Lustick is joined by Javier Favela, NextGen Healthcare's VP, Solutions Behavioral Health & Integrated Care, to discuss the quickening evolution of integrated, value-based care models.

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In the second segment of our two-part series, the Advisors are joined again by NextGen Healthcare's Product Solution Manager, Travis West, who charts the challenges and opportunities as "interoperability" evolves with increasing complexity and speed from the turn of the 21st century to today. 

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In this first segment of a two-part series, the Advisors sit down with NextGen Healthcare's Product Solution Manager, Travis West, to chart the rise of "interoperability" from the not-so-swinging '60s to the roaring 2020s.

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To mark Mental Health Awareness Month, our Director of Behavioral Health Specialty Solutions, Melissa Giampietri, joins the NextGen Advisors to spotlight the opportunities and challenges of integrating mental/behavioral health with physical care services.

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Following NextGen Healthcare’s Cures Act certification, our legislative expert, Chris Emper, joins the NextGen Advisors to discuss how this milestone law impacts providers and patients alike. For more information, read the blog here.

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Following his presentation to the ONC Health IT Advisory Committee, NextGen Healthcare's CMO, Dr. Robert Murry, joins the NextGen Advisors to discuss how health information technology is vital to delivering health equity for everyone.

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In our latest podcast, the NextGen Advisors sit down with population health expert Dr. Jennifer Bolduc to discuss how pop health impacts providers and patients alike... and why we should care.

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NextGen Healthcare announced this week that the company is officially certified as meeting the requirements of the 21st Century Cures Act. This milestone is emblematic of our continuing efforts to support the improved efficiency and effectiveness of care delivered by our clients. We are confident that those improvements will result in better health outcomes for the patients and communities they serve. The core of this certification is significant enhancement in the realm of interoperability. In this week’s “Ambulatory Healthcare Today” podcast, the NextGen Advisors interview special guest Muhammad (Mo) Chebli to discuss the challenges and opportunities associated with this critically important issue.

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The 2020 AMA physician survey revealed that employed physicians surpassed the 50% mark for the first time. And that same survey reported a 12.5% drop since 2012 in the percent of physicians in small group practice.  Why does NextGen Advisor, Dr. Marty Lustick, believe we’ll see a resurgence of small practices in the U.S.? Listen to the podcast to find out more.

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The NextGen Advisors take us on a scientific roller coaster ride of discovery, failure, innovation and medical triumph in the search for COVID vaccines and treatments.

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The new year represents a significant transition for the NextGen Advisors with Dr. Betty’s retirement. Listen here for Dr. Betty Rabinowitz’s reflections on a career well spent and the Advisors predictions for 2022.

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The Affordable Care Act reaffirmed the centrality of primary care as the foundation supporting the entire American health care system. In today’s podcast, the NextGen Advisors discuss a report written in collaboration between the Robert Graham Center, the American Board of Family Medicine, and IBM Watson Health titled, "Primary care in the United States a Chartbook of Facts and Statistics". The Advisors provide their views on this interesting, updated snapshot of the state of primary care in the United States.

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Every October, several advocacy and research organizations focus their efforts on building awareness and engagement with the public regarding diseases and conditions which have a large impact on our population. In this episode, NextGen® Advisors Graham Brown and Dr. Betty Rabinowitz discuss national breast cancer awareness month and national depression and mental health screening month, as well as developments at the FDA regarding booster shots for COVID-19.

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In this podcast, the NextGen® Advisors discuss the role of Health Information Technology (HIT) in supporting patient engagement. Recently, NextGen Healthcare commissioned Xtelligent Healthcare Media to conduct a survey of leaders of ambulatory care provider organizations on this subject. Listen to this episode to hear the Advisors reflect on the survey results and discuss priorities for advancing patient engagement.

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Recently, the U.S. passed a grim milestone with deaths of Americans from COVID-19 surpassing American deaths from the Spanish flu, the deadly influenza pandemic that spanned about 2 years from 1918.  In today’s podcast, the NextGen Advisors reflect on this milestone and the impact that vaccines have had on the course of the pandemic.  The conversation sheds light on the underlying reasons for vaccine hesitancy and the special consideration for pediatric vaccines.

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Lack of adherence to a treatment regimen is estimated to cause approximately 125,000 annual deaths and cost the U.S. healthcare system between $100-289 billion per year. In this episode of the NextGen® Advisors podcast, we explore the many factors associated with non-adherence as well as strategies providers may consider to address this challenge.

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Alzheimer’s disease affects 6.2 million Americans each year so the recent approval by the FDA of Biogen’s drug Aduhelm was met with hope by many patients and their advocates. The approval process used by the FDA, the efficacy data compiled to date, and the expected annual cost of the drug have created a swirl of controversy around the decision.  In this episode of the NextGen Advisors podcast, Graham Brown and Dr. Betty Rabinowitz discuss the drug’s approval and the concerns, hopes and implications it has raised.

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In this episode, the NextGen® Advisors explore the unique characteristics of the SARS-COV2 Delta variant and the reasons that it is posing a challenge to health officials across the world.

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Ambulatory practices continue to advance the integration of physical and mental health services.  In this episode, NextGen® Advisors Graham Brown and Dr. Marty Lustick speak with NextGen Healthcare’s government affairs Advisor, Chris Emper to discuss the important role played by Certified Community Behavioral Health Centers and detail recently announced $3B in grant programs from Health and Human Services to advance the integration of these programs at the community level.

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In the wake of the pandemic that impacted the emotional and physical health of both those infected with COVID-19 and those who have so far escaped infection, the concept of whole person care seems to be gaining new momentum.  Over the next few months, the NextGen® Advisors will be publishing several articles on this topic.  Listen to their discussion of whole person care from historical, clinical and policy perspectives.

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There is growing interest in the use of multi-sourced data analytics to support practice’s success in value-based contracts, particularly the use of adjudicated insurance claims.

Analysis of adjudicated claims allows practices to gain cost and utilization insights essential for reducing the cost of care while enhancing its quality.  This week’s guest, Jamie Hayslip, senior director for population health solutions with NextGen Healthcare, shares his deep knowledge of adjudicated claims analytics as part of a comprehensive population health strategy.

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In this podcast, NextGen® Advisor, Dr. Marty Lustick speaks with Charles Smith, CEO of Comprehensive Eyecare Partners. They discuss the impact of the COVID-19 pandemic on ophthalmology and its allied fields, what they’ve learned in the past year, and what it means for the future of vision services.

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Recently, NextGen Healthcare commissioned Harris Poll to conduct a survey of 2,055 adults ages 18 and older in order to understand the impact COVID-19 has had on the ways they received their healthcare and communicated with providers, as well as to gain insights into their experiences and preferences related to telehealth and online healthcare tools. This Advisors podcast is devoted to reviewing the findings and possible implications of the survey results.

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With so much reported violence on the news, in this week’s podcast the NextGen Advisors discuss a public health perspective on this issue.  Listen to them explore the implications of Dr. Gary Slutkin’s theory that violence is actually a contagious disease, just like COVID-19.   Listen here to learn more about this challenging and fascinating topic.

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The Biden administration recently announced $6.1 billion in supplemental funding grants to the nation’s federally qualified community health centers (FQHCs). In this episode,Chris Emper, NextGen® Advisor and government affairs expert joins Advisors Graham Brown and Dr. Marty Lustick to discuss the implications and opportunities associated with this unprecedented funding.

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Listen to this week’s podcast as the NextGen® Advisors explore the foundations of success in Israel and the United Kingdom’s coronavirus vaccination programs, and identify the obstacles faced by Canada and the European Union which have prevented them from achieving similar results.

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Recently, NextGen Healthcare partnered with XtelligentMedia to conduct a national survey of provider organizations who offer behavioral health and primary care services.  Listen here as the NextGen® Advisors reflect on provider reported experiences and challenges in the journey to whole person care.

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In this episode, the NextGen Advisors discuss a recent policy paper published in the Annals of Internal Medicine written for the American College of Physicians.  The podcast explores the shift to value-based care and physician employment models and looks at how providers balance ethical principles and professional values about the patient-physician relationship.

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This week’s podcast is devoted to a conversation with NextGen® Advisor, Chris Emper about the $1.9 trillion COVID-19 aid bill, the “American Rescue Plan Act of 2021”, that was just passed into law. Emper provides deep expertise and a unique ability to simplify, summarize and analyze even the most complicated pieces of legislation. He reviews components of the bill that pertain directly to the healthcare system as a whole, with special emphasis on the provisions that will impact “safety net” practices like FQHCs, Tribal health clinics and rural health providers.

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In this episode, the Advisors discuss challenges in tracking who has been vaccinated and highlight some of the new guidance released this week from the Centers for Disease Control for those who have been vaccinated.

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On this podcast we host a special guest, Jo Ann Pugh, the founder and president of 50 Yard-Line Mom, who joins us to discuss the Harvard University Football Players Health study. Jo Ann is a registered nurse who is on the advisory board of the Harvard University Football Players Health study, and the board of directors of the professional football players mothers’ association. Jo Ann is the mother of Jordan Pugh who played in the NFL as a safety from 2010 to 2015. We invited Jo Ann to talk with us about the ways in which the results of the Harvard study help us understand and resolve the healthcare disparities in our healthcare system as a whole.

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In this week’s podcast, the NextGen® Advisors delve into the concept of herd immunity and its implications for getting us to a new normal. Their review and discussion of recent articles in the Lancet and the Wall Street Journal sheds light on our progress in combatting the COVID-19 pandemic.

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he COVID-19 pandemic discussion has often covered the implications and impact of this devastating pandemic.  In this episode, Dr. Betty Rabinowitz guides a conversation with the NextGen® Advisors to identify the silver linings that have come about as a result of the pandemic.

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In this episode, the NextGen Advisors discuss vaccine hesitancy related to the vaccines for SARS CoV-2, or COVID-19 and some of the strategies healthcare providers are using with their colleagues and patients to engage in an informed discussion about getting vaccinated.

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The last few months have seen the identification of a number of new variants of the SARS-CoV-2 coronavirus.  In this podcast, the NextGen Advisors discuss the status of vaccination campaigns, the implications of these new variants on efforts to control the pandemic and how pharmaceutical companies and researchers are responding to this challenge. 

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Over the past decade, growth in Medicaid enrollment has outpaced all other sectors.  In this week’s podcast, the NextGen® Advisors discuss the impact of Medicaid on health disparities. Listen here to learn more.

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In this week’s podcast, NextGen’s government policy expert, Chris Emper, joins the conversation to discuss the likely impacts of the Biden administration and the new Congress on the healthcare landscape. Listen now.

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With so many of today’s chronic health challenges driven by nutrition, physical activity, and stress, the need to effectively support behavior change with patients is greater than ever. As a prequel to a webinar on this topic on Jan. 27, the NextGen® Advisors will discuss various approaches used to help patients change their behaviors to improve their own health status.  Listen now. Register for the upcoming webinar here.

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In 2020 the COVID-19 pandemic had broad and deep impacts across the globe. In this podcast the NextGen Advisors discuss what we’re likely to see play out in the healthcare landscape for 2021. To learn more, listen here.

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Recent emergency use authorization of vaccines offer a light of hope to people around the globe as the phase of mass inoculation campaigns begin. Meanwhile, the COVID-19 pandemic continues to strain the resources of healthcare systems and puts thousands of frontline workers at risk under incredibly stressful, exhausting and disruptive circumstances. In this episode, the NextGen® Advisors discuss key challenges facing frontline staff and review measures to protect the mental health of staff who experience psychological injuries, to ensure they are provided with appropriate evidence-based support or care.

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Last week the NextGen Advisors and Executives met with healthcare leaders from provider groups across the country to hear about their strategic priorities, concerns and hopes for the future. In this podcast, the Advisors discuss strategic themes that emerged from those meetings.

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In this episode, the NextGen Advisors are joined by James Vesper, PhD, MPH, Director of Learning Solutions for ValSource, former President of LearningPlus and an advisor to the World Health Organization to discuss the anticipated distribution of COVID-19 vaccines. During the podcast, Dr. Vesper discusses some of the unique attributes of the vaccines, as well as the challenges that we will face as we get closer to production and distribution.

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In this episode, Graham Brown and his colleagues are joined by government affairs expert Advisor, Chris Emper to discuss the recent U.S. Elections and how those results may affect healthcare policy and regulatory matters in the months and years ahead.

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In this podcast, the Advisors discuss a recent Science magazine article which exposed how commonly used population health algorithms introduce racial bias into many clinical decisions. They review the underlying reasons for these algorithm shortcomings and discuss the ways in which these problems can be mitigated.

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In this podcast the NextGen® Advisors provide a sneak preview of topics they will be addressing during UGM: Nov. 10-12, 2020. Listen now!

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In this episode, NextGen Advisor Dr. Martin Lustick speaks with NextGen Healthcare’s oral health experts, Carlos Vallecillo and Brian Peterson about the division between oral health (dentistry) and medical health and how these healthcare services can become more integrated through technology and business practices. They discuss how interoperability, collaboration, communication and training for oral health and medical providers are key factors in mending this divide.

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In their October 12 blog, the NextGen Advisors discussed the CDC report that confirmed the beneficial impact of public health mitigation measures including social distancing and wearing masks. In this episode, the Advisors discuss the impact of the ongoing pandemic overlapping with flu season.

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Health plans employ a variety of incentive programs in an attempt to influence provider behavior. In this podcast, the NextGen® Advisors explore some of those approaches and offer thoughts on the pros and cons of these various strategies.

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A recent HIMSS article argues that HIEs have proven to be a critically important public health tool in the context of the COVID-19 pandemic, but in order to achieve their full potential, they need to be converted to state designated utilities. On this podcast, the NextGen® Advisors discuss the benefits and barriers to such an evolution.

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The Centers of Medicare & Medicaid Services (CMS) stated last year they want to have 100% of providers taking on some downside financial risk by 2025. Currently, less than 20% of Medicare spending is value-based. In this week’s podcast, the NextGen Advisors explore several value-based care and alternative payment models, discussing how the COVID-19 pandemic may serve as an accelerator in the shift to value-based care.

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September is Mental Health Awareness month, this week the NextGen® Advisors focus their discussion on mental health issues, and particularly depression, in the face of the COVID-19 pandemic. 

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PCR is the most widely used diagnostic to test coronavirus, providing a simple yes-no answer to the question of whether a patient is infected. Following on a recent blog explaining some of the statistical concepts behind testing for COVID-19, this week the NextGen Advisors delve into some issues regarding PCR testing and its value to support public health and policy decisions.

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In this episode, the NextGen® Advisors are joined by government affairs advisor, Chris Emper to discuss the potential game-changing impact of CMS’s proposed 2021 Physician Fee Schedule.  Tune in to learn more about how these payment changes could affect your practice’s staffing, workflow, documentation requirements and revenue.

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In this episode, the NextGen Advisors discuss a recent article from Annals of Internal Medicine on the role of medical students during the COVID pandemic and the recommendation by the American Association of Medical Colleges suggesting medical students should not be involved in any direct patient care activities during the pandemic. Listen to the podcast to hear the pros and cons.

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The COVID-19 pandemic has unmasked the critical interplay between mental and physical health, and reinforced the importance of integrating these services to meet the overall needs of patients.  In this podcast,  the NextGen Advisors discuss the opportunities and challenges of integrating behavioral health with physical medicine.

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Developing a vaccine for COVID-19 is critical to defeating the virus and ending this terrible pandemic. Unprecedented progress toward a potential vaccine has been made in record time, with many innovative approaches being deployed across the world to achieve this progress.  On this podcast, the NextGen Advisors discuss the significant scientific, logistical and ethical challenges this effort raises.

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The NextGen Advisors recently published a blog about the growing role of pharmacists in the practice of the future.  On this episode, the advisors discuss the evolving role of pharmacists in relation to ambulatory practice, an evolution that has sped up in certain aspects as a result of the COVID-19 pandemic this year.

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In this episode, the NextGen® Advisors discuss key takeaways from a recent webinar with leaders from various community health centers across the U.S. They discuss how CHCs are evolving to meet the needs of their communities and addressing changes in the national healthcare system, as well as rising to the challenges of the current COVID-19 health crisis.

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Prior to the COVID-19 pandemic, the opioid epidemic was exacting a phenomenal toll on U.S. citizens. Several recent articles in the Annals of Internal Medicine have highlighted the significant problem resulting from the collision of these two epidemics. In this episode, the NextGen® Advisors talk about how the healthcare system can best respond.

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Walgreens and VillageMD announced  that Walgreens will be the first national pharmacy chain to offer full-service doctor offices. On this episode, NextGen Advisors discuss the potential impact this disruptive development may have on primary care, FQHCs, and patient-provider relationships. Tune in now to listen.

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With the sudden emergence of virtual visits and the associated challenges, the NextGen Advisors continue to explore topics relevant to ambulatory care. In this episode, you will find out what all these changes may mean for the future of the medical practice team.

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With the pandemic shifting from front page headlines amidst worldwide demonstrations against racism, NextGen Advisors take a moment to reflect on COVID-19 related issues we are likely to encounter in the months ahead in the new podcast episode.

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This week’s podcast hosted by NextGen Healthcare’s CMO Dr. Betty Rabinowitz explores insights from recent discussions and polling conducted by NextGen® Advisors with leaders from large ambulatory practices across the United States.  Topics include the current and future role of virtual visits, shifts in practice revenue tied to fee for service, and the potential impact of disruptive market players.

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Hear our experts discuss the impact COVID-19 has had on routine care. With the volume of routine doctor visits still lingering at a 30% drop from previous months, things like yearly physicals, pediatric vaccines, and screenings have all seen a dramatic decrease. How will this affect the future care?

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The NextGen Advisor's podcast this week, hosted by Principal Graham Brown and featuring Dr. Marty Lustick and Dr. Betty Rabinowitz, focuses on the devastating impact that the COVID-19 pandemic has had on nursing homes across the country.

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Thus far, NextGen® Advisors blog articles have focused on the current COVID-19 pandemic, its impact, and implications for the future of healthcare.  In this week’s podcast, we will discuss how providers may need to reconsider their approach to various strategic themes as we emerge from the current crisis.

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Join today's host, Graham Brown, Senior Vice President with NextGen Advisors, and Christopher Emper, NextGen's Government Affairs Advisor as they discuss today's topic: the impact of legislative and regulatory changes in response to the COVID-19 crisis and the impact of those changes on healthcare providers.

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In this week’s podcast, Nextgen Advisors build on their April 29th blog, ”A Strategy Pivot for COVID-19?”, discussing the longer term implications of the COVID-19 pandemic for practices.  As providers have made rapid adaptations in response to the current crisis, many are already thinking about what the future may hold as we enter into the “new normal”.

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Join Graham Brown, Senior Vice President with NextGen Advisors, Dr. Martin Lustick, Senior Vice President with NextGen Advisors, and Dr. Betty Rabinowitz, Chief Medical Officer of NextGen Healthcare for an ongoing discussion about current healthcare topics and challenges. Today's topic: Quality Measurement in Healthcare.