Solving Healthcare: Recent Episodes
Solving Healthcare
How nurse navigation changed the life of this 30 year benefits broker and his bride. Our Interview today is with Bill Fisher, former executive and employee benefits broker. Bill reached out to me when he learned of my and my wife’s experience with a nurse navigator for her surgery and how we’re using nurse navigation to help employers and individuals find the right care. He wanted to know how to find the best surgeons and hospitals using quality outcomes versus the information that’s on the internet and through traditional insurance carriers websites. What he learned was shocking and more than that, life saving. You see he did some research on his own and what he learned very likely saved his wife from unnecessary complications and to help her find the best surgeons for her. The lesson here is that everyone can benefit from having access to transparent quality information to make a more informed health decisions.
The post Finding Fisher’s Physician appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade, Casey Macpherson, COO with Global Rx Manage and Bill Hepscher, Head of Sales for RxManage. We Cover the following topics during our discussion: What their program is and what it isn't. Financial difference between US pricing and International prescription pricing [...]
The post RxManage | International Prescription Drug Program appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Henry Perlowski. Henry is a practicing attorney specializing in Employment Law with Arnall, Golden, Gregory LLP (AGG) and is the leader of his Employment Law practice has been a practicing lawyer since 1993. Our conversation today is not [...]
The post Henry Perlowski | HR Pearls from Perlowski appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and two practicing surgeons, Dr. Ethel Guinto, Chief Medical Officer and Dr. David Ancona, Co-Founder of MDee. Dr. Guinto – Medical Director Primary Role as Medical Director is to make sure MDee has the right mix of quality providers [...]
The post MDee | Destination Health appeared first on Solving Healthcare.
Our podcast discussion today between Michael Andrade and Douglas Aldeen, Esq. If you don't know Doug that doesn't mean he hasn't helped you. Doug is an ERISA attorney and has been in the healthcare space for more than two decades. If you've not considered value based provider payment and some form of direct contracting, [...]
The post Douglas Aldeen, Esq | The MVP of Cost Containment appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Shawn Rutledge, Chief Strategy Officer & Managing Partner of Edison Healthcare. In our discussion we review the focus of Edison and how they're constructed to help Fortune 100 companies all the way down to their smallest client [...]
The post Edison Health | Shawn Rutledge | High Cost Claim Management appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Carl Schuessler of Mitigate Partners and the Fair Co$t Health Plan. We start off the discussion with a bit about Carl and his mission. How going to the doctor as a kid and getting a physical lead [...]
The post Fair Co$t Healthplan | Carl Schuessler | We are the Healthcare Champions My Friends appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade, David Kwasny, Chief Revenue Officer, and Bill Miller, CEO of Drexi David’s background is in the PBM space as a pharmacist and former executive of a PBM that was eventually acquired by Optum. This is important because David knows first [...]
The post Drexi | Bill Miller & David Kwasny | I Want a New Drug (Benefit Manager) appeared first on Solving Healthcare.
Podcast Show Notes A man playing guitar and singing for us all. Will you help him change the world? Can you dig it (yes, I can). We've been waiting such a long time for pratterday! Our podcast discussion today between Michael Andrade and Bill Hennessey, CEO of Pratter. Bill [...]
The post Pratter | Bill Hennessey | Pratterday in the Park, You’ll Think it is the 4th of July appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Henry Perlowski of Arnall Golden Gregory, LLP. Henry is a partner in the Litigation practice, chair of the Employment Practice, co-chair of the Oil & Gas industry team, and a member of the Background Screening and Hospitals & Health [...]
The post AGG LLP | Henry Perlowski | Taking Care of Business appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and James Millaway of The Zero Card. The Zero Card is a unique breed of companies that's creating a marketplace for services that have a huge variation in cost and quality. They focus on specific portion, 25% of [...]
The post Zero Card | James Millaway | Zero too! Hero appeared first on Solving Healthcare.
Notes On May 7th, we hosted a webinar with two industry experts, Rob Johnson and Alexis Clark with Sabre Financial Group, specifically about the PPP loan program to specifically cover the rules for PPP forgiveness? We initially surveyed the audience to find out where they were in [...]
The post Are you down with PPP? – Recorded Webinar & Q&A Document appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade, Al Lewis, and Doug Aldeen, esq. This podcast is meant to educate employers, plan sponsors, and individuals about some of the well-intended elements of the CARES act and the impact it could have on healthcare costs and more importantly [...]
The post Protect Yourself | Doug Aldeen & Al Lewis | Surprise Billing – The COVID Edition – How to protect your employees & plan from extraordinary and unreasonable charges. appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Andy Dunham, Attorney. Andy and I have been friends for a little over 3 years. He and I work in the same community and have served together. He and I both were trying to come up with [...]
The post Dunham Law | Andy Dunham | When there’s a will, you do it your way. appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and James Napoli, CEO of MedLiminal. During this time of unprecedented financial uncertainty it's more important than ever that Plan Sponsors have more fiscal control over their payment integrity process. New legislation is emerging on how to process [...]
The post What’s your Carrier doing to assure payment integrity process for COVID 19 Claims? | Jim Napoli appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Chris Fisher, Head of Sales and Strategic Partnerships. Healthcare premiums for families have risen consistently over the past 20 years. As a result deductibles have increased as well. With the increase in deductibles many individuals and families [...]
The post Paytient | Full Webinar appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Chris Fisher, Head of Sales and Strategic Partnerships. Healthcare premiums for families have risen consistently over the past 20 years. As a result deductibles have increased as well. With the increase in deductibles many individuals and families [...]
The post Paytient | Chris Fisher | Money Changes Everything appeared first on Solving Healthcare.
Podcast Show Notes "Unstable condition, A symptom of life, In mental and environmental change, Atmospheric disturbance, The feverish flux, Of human interface, And interchange.” – Rush, Vital Signs Many of you that follow my podcast know that I like to associate the message with a song (typically from [...]
The post Allergychoices | Jeff Kessler | Vital Signs from Today’s Allergy Tom Sawyer appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Shomari Scott Director of Business Development, Marketing, Sales and Communications at Health City Cayman Islands. In our interview we discuss Health City founding, the philosophy of their care delivery, and the amazing outcomes they're able to deliver. [...]
The post Health City Cayman Islands | Shomari Scott | Destination Health appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Al Lewis, CEO of Quizzify. Some of you may have listened to the podcast interview of Quizzify and remember that his company seeks to improve health literacy through an interactive and fun quiz that’s delivered directly to [...]
The post Surprise Emergency Room Bills | Al Lewis | appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today is between Michael Andrade and Edward Day, CEO of HST. Welcome to Solving Healthcare. In this episode, we talk with Ed Day, CEO of HST. His company is focused on dramatically reducing the cost of healthcare by leveraging purchasing strategies that [...]
The post HST | Edward Day | RBP: It’s in the way that you use it! appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Ralph Weber, CEO of MediBid. In this podcast we discuss how employers can offer a service that dramatically improves the cost and quality of medical services from MRI, Lab, to surgeries. What’s the problem? There’s tremendous variability [...]
The post MediBid | Ralph Weber | Money for nothing and your healthcare services for a much lower fee! appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Cristin Dickerson, CEO of Green Imaging. In our interview today we discuss how Green Imaging is changing the way Imaging services are rendered. Your total imaging spend is likely around 10% of your medical costs. By publishing her [...]
The post Green Imaging | Cristin Dickerson | It’s the end of the imaging world as we know it, I feel fine! appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Chad Gray, CEO of IMC. Integrated Musculskeletal Care. As the CEO of Integrated Mechanical Care (IMC), Mr. Gray is best known for his work helping Self-Insured Employers, Accountable Care Organizations (ACOs), and Community Care Organizations (CCOs) improve outcomes [...]
The post IMC | Chad Gray | I’m All Right, Nobody Worry About Me and My Musculoskeletal Conditions appeared first on Solving Healthcare.
It's a beautiful day in this medical neighborhood A beautiful day for a medical neighbor Would you be mine if you maintain quality? Could you be mine if you will accept cash payment up front? I have always wanted to have a neighbor just like you, I just didn’t know how to find you. [...]
The post Shane Wolverton | Mr. Wolverton’s Neighborhood | Would you be? Could you be? Won’t you be my medical neighbor based on your quality outcomes and appropriateness of care?? appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Shane Wolverton of Quantros Health. Next time your doctor refers you to a surgeon ask them: What is their risk adjusted complications rate? You may be surprised by the look you get from your doctor. When you [...]
The post Quantros | Shane Wolverton | Shout! Shout! Let them all out! These are the doctors and hospitals I can do without! appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and RD Whitney, CEO of the Validation Institute. Have you ever gotten a phone call from a vendor or service provider that made an extraordinary claim for savings or engagement and thought to yourself, "Is this for real?" Well [...]
The post Validation Institute | RD Whitney | Certified Health Value Professional – Get Up, Stand Up! Stand up for your cost savings rights! appeared first on Solving Healthcare.
Podcast Show Notes Our podcast discussion today between Michael Andrade and Pramod John, CEO of Vivio Health. We discuss what Vivio Health does to deliver Precision Care in specialty medication compliance versus the traditional prior authorization process. You may be surprised to learn some things that are contrary [...]
The post Vivio Health | Pramod John | This spoonful of sugar will help the medicine go down! appeared first on Solving Healthcare.
Podcast Show Notes As an employer you always need to be mindful of solutions that can help you manage your spend and ability to retain your employees. As frustration grows on the ever more costly area of healthcare, and area you should consider as a payment methodology is [...]
The post Payer Compass | Kellie Jackson | Are you down with RBP? (Yeah you know me!) appeared first on Solving Healthcare.
Podcast Show Notes During our call today we interview Steven Garrish, SVP of Safety and Regulatory Compliance for SleepSafe. Today we answer the question for why you should have a fatigue management program within your employee benefit program. Why have a fatigue management program. Here are a few [...]
The post SleepSafe | Steven Garrish | Dream a little dream of cPAP! appeared first on Solving Healthcare.
Podcast Show Notes What if you had a cost containment firm on your side that could not only help you make sure you have a compliant and defensible Plan Document but also help you create a benefit that could lower cost while improving benefits? Sound too good to [...]
The post Phia Group | Adam Russo | You gotta fight! For your right! To save money! appeared first on Solving Healthcare.
Download copies of these books for free by clicking the links or images below. Download Download In this interview with Dave Chase, we discuss the foundation of his organization Health Rosetta, and how they are helping to shape [...]
The post Health Rosetta | Dave Chase | Whisper words of healthcare wisdom. appeared first on Solving Healthcare.
Welcome to the Solving Healthcare Podcast. Our guest today is James Napoli, CEO of MedLiminal. Did you know there's an estimated $67 Billion Dollars in claim overpayment and that 90% of hospital claims have billing errors? How much money is your healthplan overpaying for medical claims? Medliminal has historically [...]
The post Medliminal | Jim Napoli | My Hero! This guy is a real Foo Fighter! appeared first on Solving Healthcare.
Welcome to the Solving Healthcare Podcast. In this episode we interview Al Lewis, CEO of Quizzify. Al is a Harvard Educated, former economics professor, former Bain Capital consultant, Author, Wellness Antagonist, consumate quizmaster, turned CEO. Quizzify aims to improve health literacy for individuals and employers. You might be wondering [...]
The post Quizzify | Al Lewis | How “I didn’t know that” could cost you $14,548 per person. appeared first on Solving Healthcare.
iHeart (coming soon) iTunes Google Spotify Welcome to the Solving Healthcare Podcast. In this inteview we discuss Apostrophe Health with the CEO, Cheryl Kellond. Cheryl is an incredibly gifted and passionate leader who is on a personal mission to fix healthcare in America. [...]
The post Apostrophe Health | Cheryl Kellond | What’s Love got to do with saving 15%-25% on your health insurance? appeared first on Solving Healthcare.
https://www.ted.com/talks/jeanne_pinder_what_if_all_us_health_care_costs_were_transparent Taken from Clear Health Costs website, the information below is a link to their site. Clear Health Costs is a site started by Jeanne Pinder, a journalist who was curious as to why there was so much variability in healthcare costs for the same procedures. Turns out this [...]
The post What if healthcare costs were transparent? appeared first on Solving Healthcare.