Bright Spots in Healthcare Podcast Por Eric Glazer arte de portada

Bright Spots in Healthcare

Bright Spots in Healthcare

De: Eric Glazer
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Each episode, I interview innovators in the healthcare industry to extract the strategies, tactics, tools, and/or routines they utilize to generate extraordinary, positive outcomes. We highlight and breakdown these bright spots so you can apply them at your organization. "See a bright spot .... and clone it!" Enfermedades Físicas Higiene y Vida Saludable
Episodios
  • Sidecar Health CEO Patrick Quigley: Fixing Health Insurance by Rewiring the Incentives

    Sidecar Health CEO Patrick Quigley: Fixing Health Insurance by Rewiring the Incentives
    Feb 24 2026

    What happens when a health plan stops trying to optimize a legacy system and instead rebuilds the model itself?

    In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Patrick Quigley, CEO and co-founder of Sidecar Health, for a candid conversation about redesigning health insurance around transparency, incentives, and consumer agency.

    Rather than focusing on incremental reform, this discussion explores what changes when members can see prices before they receive care, when benefits are structured around clear dollar amounts instead of opaque contracts, and when savings can be shared directly with the individual making the decision.

    Patrick walks through why traditional insurance design obscures cost and distorts behavior, how employers are responding to rising spend and limited visibility, and what it takes operationally to challenge long standing assumptions about how plans should work.

    Using examples from employer adoption, member purchasing behavior, and provider pricing dynamics, the conversation surfaces how transparency becomes more than a feature. It becomes the foundation for accountability and market discipline.

    This episode is designed for health plan leaders, employers, and innovators who are no longer asking whether affordability is a problem, but are questioning whether the current structure can solve it.

    In this episode, we cover:

    • Why price opacity persists in traditional insurance models

    • What changes when members see real time, upfront pricing

    • How defined benefit structures alter purchasing decisions

    • Why employers are increasingly open to alternative plan design

    • How financial alignment influences utilization patterns

    • The operational realities of building a new insurance model

    • What industry leaders must unlearn to create sustainable affordability

    About Patrick Quigley:

    Patrick Quigley is the CEO and co-founder of Sidecar Health, a health insurance company built on a transparency first model. Under his leadership, the organization has focused on creating plans that show members clear prices, allow them to choose providers freely, and share savings when care costs less than expected. His work centers on restoring consumer visibility and aligning incentives across members, providers, and employers to address the structural drivers of healthcare cost growth.
    Learn more about Patrick Quigley - https://www.linkedin.com/in/quigleyp/
    Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com.

    About Bright Spots Ventures:

    Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.

    Visit our website: www.brightspotsinhealthcare.com.

    Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect/
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    1 h y 1 m
  • Highmark, Healthfirst, Colorado Access & DarioHealth: Redesigning Care Between Visits

    Highmark, Healthfirst, Colorado Access & DarioHealth: Redesigning Care Between Visits
    Mar 4 2026
    In this Bright Spots in Healthcare episode, host Eric Glazer convenes health plan leaders who are focused on what happens beyond the clinic visit, the moments between care where behavior, adherence, and risk quietly take shape. The conversation centers on how plans are operationalizing care without proximity by extending support into daily life, redesigning benefit strategies, and moving from episodic measurement to longitudinal influence. This is a candid discussion for executives who are still building, still questioning assumptions, and still shaping what sustainable, whole-person care can become. Together, the panel explores how digitally enabled self-management, continuous insight, and targeted human support are changing how plans influence outcomes over time. Our guests include: Timothy Law, DO, MBA, Chief Medical Officer, Highmark Inc. Deborah Hammond, MD, Vice President, Medical Director, Healthfirst Jamie Zajac, Senior Director of Care Coordination, Colorado Access Omar Manejwala, MD, Chief Medical Officer, DarioHealth Together, they explore: How health plans are designing care models around daily life rather than visit cadence, closing visibility gaps that claims and labs fail to capture What actually works when continuous engagement, behavioral support, and real-time data are combined to influence adherence and sustained behavior change How home-based data capture, AI-driven personalization, and integrated human coaching are improving outcomes across cardiometabolic, behavioral health, and musculoskeletal populations How these capabilities are being embedded into care management, quality improvement, and benefit design, particularly in environments facing access barriers, workforce constraints, and geographic limitations This episode offers an honest look at the structural, operational, and cultural shifts required to manage what happens between visits, and why that interval is where outcomes are ultimately won. Panelist Bios: https://www.brightspotsinhealthcare.com/events/care-without-proximity-winning-the-moments-between-care/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://docs.google.com/document/d/1h6TzhQ4-ZlUMY09pBI4NvpqwY1FKkL9lMPOEEpftVHA/edit?tab=t.0 Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation. https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/03/Key-Takeaways_-Care-Without-Proximity-02-26-26.docx.pdf Resources: Report: Designing Benefits for Care Without Proximity and Sustained Outcomes This companion report examines how health plans can redesign benefits to address the most overlooked driver of outcomes: what happens in the time between clinical visits. Drawing on emerging evidence and real-world implementation, the report shows how continuous guidance, low-friction engagement, and integrated human support can influence daily behavior, preserve outcomes beyond treatment, and close the gap between what is authorized and what actually happens. Inside, you'll find insights on: Reframing benefit design from static access and eligibility rules to longitudinal accountability for sustained behavior Using data from daily life, behavioral, biometric, and contextual to move beyond lagging claims and EHR signals Applying operational personalization to intervene earlier and adapt support as member needs change Integrating targeted human support with technology to manage the transition after treatment and prevent backsliding Why investing in care without proximity is becoming urgent as workforce constraints and chronic disease prevalence continue to rise To request your copy from show producer, Vekonda Luangaphay at email vluangaphay@brightspotsventures.com. Thank You to Our Episode Partner, Dario: Dario is transforming how people manage their health through consumer-friendly digital solutions designed to drive lasting behavior change. By integrating comprehensive support across well-being and chronic condition management, Dario delivers highly personalized, adaptive experiences that help members stay engaged over time—resulting in meaningful clinical outcomes and measurable financial impact for health plans. Learn more at dariohealth.com. Schedule a Meeting with Omar Manejwala, MD, of Dario: To explore how Dario can support your organization in extending care beyond the clinic and driving sustained behavior change, reach outshow producer, Vekonda Luangaphay at email vluangaphay@brightspotsventures.com to schedule a meeting with Omar Manejwala, MD, Chief Medical Officer, Dario. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, ...
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  • How Highmark, Independent Health, Johns Hopkins Health Plan and MedOrion Are Rebuilding Member Engagement in Medicare Advantage

    How Highmark, Independent Health, Johns Hopkins Health Plan and MedOrion Are Rebuilding Member Engagement in Medicare Advantage
    Feb 17 2026
    In this Bright Spots in Healthcare episode, Medicare Advantage leaders confront a hard truth: high activity does not guarantee high impact. As Stars cut points rise and margins tighten, traditional segmentation and broad outreach strategies are no longer sufficient. This discussion explores how leading plans are shifting from static stratification to dynamic signal monitoring, identifying which members are realistically movable, and embedding behavioral intelligence directly into operational workflows. The focus is not on doing more. It is on doing what measurably drives lift. Our guests include: Amin Serehali, Chief Data and Analytics Officer, Independent Health Mike Leiper, Director of Government Quality Programs, Highmark Brendan Generelli, Director of Medicare Stars and Quality, Johns Hopkins Health Plans David Burianek, Chief Strategy Officer for Health Plans, MedOrion Together, they explore: How plans are distinguishing between theoretical risk and practical movability, concentrating outreach on members whose behavior can realistically change within a defined window. How leading organizations are integrating claims, pharmacy, grievance, complaint, and social drivers data with behavioral science modeling to move beyond rules based campaigns. Why simultaneous pressure across HEDIS, CAHPS, and Part D often reflects fragmentation in engagement strategy rather than isolated measure failures. How targeted pilots within defined populations create clarity before scaling enterprise wide changes. Why timing is emerging as a strategic lever, with continuous signal monitoring replacing annual segmentation refresh cycles. How embedding intelligence into frontline workflows improves alignment between engagement effort and measurable Stars influence. Panelist Bios: https://www.brightspotsinhealthcare.com/events/beyond-segmentation-how-medicare-advantage-engagement-is-being-rebuilt/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/02/Updated-Episode-Guide-Beyond-Segmentation.docx.pdf Key Insights Summary: Find the top six strategic insights from the discussion, including detailed speaker takeaways and moderator notes. https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/02/Key-Takeaways-Beyond-Segmentation-2.12.26.docx.pdf Resources: Companion Brief: From Segmentation to Signals This companion brief expands on the behavioral intelligence framework discussed in the episode, outlining how health plans can identify movable phenotypes, align engagement timing with readiness signals, and measure causal lift against specific Stars drivers. Inside you will find insights on: Shifting from annual risk stratification to continuous behavioral signal monitoring Identifying members whose behavior is realistically influenceable within a defined measurement window Reducing wasted outreach and improving ROI through precision targeting Embedding intelligence into operational workflows rather than post hoc reporting To request your copy, email nroberts@brightspotsventures.com. Thank You to Our Episode Partner, MedOrion: Medorion partners with Medicare Advantage plans to integrate behavioral science and advanced analytics into engagement strategy. By layering behavioral phenotyping onto clinical and utilization data, Medorion helps plans identify which members are movable, optimize outreach timing, and improve measurable Stars performance. Learn more at https://medorion.com/. Schedule a Conversation with MedOrion: To explore how behavioral intelligence can strengthen your engagement strategy and improve measurable lift across HEDIS, CAHPS, and Part D, reach out to nroberts@brightspotsventures.com to schedule a discussion with David Burianek and the Medorion team. About Bright Spots Ventures: Bright Spots Ventures helps healthcare leaders separate signal from noise and accelerate the adoption of what works. We bring health plan, provider, and innovation leaders together through curated content and high-trust convenings to build meaningful relationships and turn insight into action. Explore our podcast at www.brightspotsinhealthcare.com.
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This podcast consistently offers great information and ideas for healthcare improvement through interviews with people who work in different aspects of healthcare. I always learn something new.

great information and ideas

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