Welcome to "Healthcare Upside Down," a podcast by Becker's Healthcare and ECG Management Consultants. Join Molly Gamble, along with Nick Barcellona, CFO at WVU Medicine, Dan Harrison, partner with ECG, and Malita Scott, partner with ECG, as they explore the upsides and downsides of healthcare and the industry's current trends. In this episode, the focus is on Physician Enterprise Return on Investments, diving into the evolving dynamics of hospital-physician relationships. Nick shares insights from WVU Medicine's perspective, emphasizing the shift towards value-based contracting and the impact on margins. The conversation explores the challenges health systems face in extracting value from physician enterprises and the importance of strategic alignment, transparency, and metrics beyond financials. Tune in to gain valuable perspectives on navigating the changing landscape of healthcare partnerships and optimizing physician enterprise performance. This episode is sponsored by ECG Management Consultants.

This episode features Amber Walsh, & Kayla McCann Marty, both Partners at McGuireWoods LLP. Here, they discuss what is driving interest in the payer services market, what types of businesses in this sector are getting the most attention, what they expect to see in this space in 2024, and more.

This episode features Alisa Starbuck, President of Brenner Children's Hospital, Atrium Health Wake Forest Baptist. Here she discusses her career journey, key insights about the hospital, potential roadblocks that leaders may encounter while striving for the best outcomes for children, and more.

This episode features Sylvia Radziszewski, COO and Hospital President of University Hospital of Cleveland. Here, she provides a glimpse into the world of UH Samaritan Medical Center. Sylvia shares key insights into the challenges faced by community hospitals in 2023 and highlights the innovation, agility, and grassroots leadership that define her hospital's approach.

In this episode, join us for an insightful conversation with Jim Gilligan, Vice President of Health System Partnerships at the American Medical Association (AMA). Jim delves into his extensive professional background and provides a glimpse into his current role at the AMA. As someone deeply engaged with healthcare leaders, Jim shares valuable insights into their primary concerns and elucidates on how the AMA supports them in navigating the dynamic landscape of healthcare. Discover how the AMA opens doors for its partners to actively engage in crucial healthcare policy discussions, fostering collaboration and shaping the future of the industry. Jim also sheds light on what currently excites him the most, offering a compelling glimpse into the evolving world of healthcare. Tune in for a compelling exploration of the intersections between healthcare leadership, policy, and innovation.This episode is sponsored by American Medical Association.

Discover the forefront of digital specialty care for cardiometabolic conditions in this engaging podcast hosted by Erika Spicer Mason from Becker’s Healthcare. Joining the conversation is Dr. David Houghton, MD, MPH, the Medical Director of Digital Medicine and System Chair of Telemedicine at Ochsner Health. Together, they explore the critical distinction between managing and monitoring, shedding light on the declining rates of optimal cardiometabolic health in the U.S. Dr. Houghton shares insights into current healthcare approaches for early-stage chronic diseases, emphasizing opportunities for innovation, especially for payers. Delve into the role of technology in treatment, featuring successful case studies, and gain a visionary perspective on the future of digital care and its impact on payer organizations. Don't miss out on this enlightening discussion with a healthcare expert. Special thanks to our sponsor, Ochsner Health. Tune in for more insightful podcasts and virtual events at beckershospitalreview.com.This episode is sponsored by Ochsner Connected Health.

This episode features Roger Caplinger, Medical Director at The Milwaukee Brewers. Here, he discusses key insights into his career journey & The Milwaukee Brewers, load management & recovery, advice for leaders looking to have a fulfilling career, and more!

  Systemness thinking identifies clinical and operational patterns and interconnectedness to optimize processes, protocols, locations, operations, scheduling, and more. While systemness is critically important at a larger health system, this concept is applicable even within a single facility. Today we discuss how systemness can help healthcare organizations deliver patient-centric, value-based services, drive profitability, and support growth.

In this episode, Scott discusses the possible merger between Cigna Healthcare & Humana.

In this two-part conversation, Brian Zimmerman of Becker's Healthcare talks with Aaron Paul, CEO of Locumsmart, about the importance of data-driven decision-making in healthcare. Paul discusses the challenges of implementing a data-driven strategy and offers advice on how to overcome those challenges and turn data into actionable insights.   This episode is sponsored by CHG Healthcare.

This episode recorded live at the 8th Annual Becker's HIT + DH + RCM Conference in Chicago features Dr. Paul Testa, Chief Medical Information Officer at NYU Langone Health. Here, he discusses key insights into his role & organization, advice for leaders, excitement around new technological innovations, and more!In collaboration with Philips.

In this episode, we are joined by Dr. Betsy Winga, VP/CMIO Medical Informatics at Advocate Health, to discuss need to bring breast cancer risk assessment to patients in primary care, the role of technology in streamlining workflows, screening and prevention recommendations, and more.This episode is sponsored by Volpara Health.

In this episode, Scott highlights 12 Becker’s Healthcare stories from this week.

This episode features Alan Condon, Editor-in-Chief at Becker's Healthcare. Here, he discusses some potential good news for hospitals & health systems coming from Kaufman Hall’s most recent report & The American Hospital Association throwing support behind the Assistance for Rural Community Hospitals Act.

This episode features Dr. Maulik. Purohit, SVP and Chief Health Information Officer at Lehigh Valley Health Network. Here, he discusses the importance of having the right digital tools to reduce burnout, increase efficiency and ease the process of recruiting, retaining & onboarding workforce.

This episode features Jakob Emerson, Associate News Director at Becker's Healthcare. Here, he discusses UnitedHealth Group is facing a lawsuit alleging it used an artificial intelligence algorithm to wrongfully deny coverage to older patients for care under its Medicare Advantage health policies and an update on Medicaid redeterminations.

In this episode, we are joined by Elia Mears, Laboratory Field Surveyor and Associate Field Director of the Laboratory Accreditation Program at The Joint Commission, to discuss instrument training in the laboratory, timeline for competency assessments, common challenges or pitfalls competency assessors face and a lot more. This episode is sponsored by The Joint Commission.

This episode features Molly Gamble, Vice President of Editorial at Becker’s Healthcare. Here, she discusses Mount Sinai naming Dr. Brendan Carr as their next CEO while highlighting the accomplishments of his soon to be predecessor Dr. Kenneth Daivs and some key takeaways from the Becker’s 11th Annual CEO + CFO Roundtable.

In this episode of Becker's Healthcare Podcast, join our host as they sit down with Chris Severn, the CEO of a prominent healthcare organization, to delve into the pressing issues surrounding price transparency and contract negotiations in the healthcare system. Chris provides insights into the challenges faced by both payers and providers and how these negotiations are playing out in the public eye. The conversation explores the broader landscape of healthcare contracting, shedding light on areas ripe for innovation and efficiency amid current staff and resource shortages. Discover the crucial role of technology, particularly artificial intelligence, in transforming contracting processes, with practical examples and case studies shared by Chris. Whether you're a payer or health system looking to enhance your negotiation strategies, this episode offers valuable best practices and a roadmap for taking that crucial first step. A special thanks to our sponsor, Turquoise Health, for making this episode possible. For more engaging healthcare discussions, visit our podcasts page at beckershospitalreview.com.This episode is sponsored by Turquoise Health.

This episode recorded live at the 8th Annual Becker's HIT + DH + RCM Conference in Chicago features Daniel Barchi, Senior Executive Vice President and Chief Information Officer at CommonSpirit Health. Here, he discusses current innovative technologies he is excited about, current top priorities in his role, advice for leaders regarding innovation, and more.This episode is sponsored by Philips.