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
  • WellSense, CareSource & GroundGame.Health: Medicaid Work Requirements and the New Engagement Playbook

    WellSense, CareSource & GroundGame.Health: Medicaid Work Requirements and the New Engagement Playbook
    Dec 16 2025
    In this Bright Spots in Healthcare episode, host Eric Glazer brings together senior Medicaid health plan leaders to explore how organizations are rethinking communication strategies in response to redetermination and upcoming work requirements. The conversation dives into how plans are combining cultural competency, behavioral insights, and data-driven personalization to strengthen member connections, improve retention, and support equity-focused outcomes. Real-world examples and best practices provide actionable guidance for health plans navigating these sweeping policy changes. Our guests include: Molly Whittle, Vice President, Medicaid Fiscal Strategy, WellSense Health Plan Terrie Hottle, Director of Product Implementation and Deployment, CareSource Abner Mason, Chief Strategy and Transformation Officer, GroundGame.Health Together, they explore: How Medicaid health plans are adapting communication priorities in response to redetermination and evolving work requirements. Innovative strategies to reach and retain hard-to-contact populations through culturally responsive and personalized engagement. How to transform compliance-driven outreach into trust-based, member-focused communication that supports long-term retention and health outcomes. Practical examples of leveraging behavioral insights, life coaching, and personalized messaging to improve engagement, close care gaps, and support members' social and health needs. Panelist Bios: https://www.brightspotsinhealthcare.com/events/medicaids-communication-wake-up-call-how-redetermination-and-work-requirements-are-forcing-a-new-member-engagement-playbook/ 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/2025/12/Episode_Guide_121125.docx.pdf Download the Key Insights Summary: Find key insights from the discussion: https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/12/Key-Takeaways-Medicaids-Communication-Wake-Up-Call.docx.pdf Resources: HMA's new report on the CareSource JobConnect Program: https://www.healthmanagement.com/insights/briefs-reports/the-impact-of-the-caresource-jobconnect-program-a-benefit-cost-and-return-on-investment-roi-analysisthe-impact-of-the-caresource-jobconnect-program/ Report: How Medicaid Payers can Prepare for New Work Requirements Coming in Early 2027 The Reconciliation Act of 2025, signed on July 4th, introduces new Medicaid work requirements. Beginning in January 2027, states will be required to verify at both application and renewal that members of the Affordable Care Act (ACA) expansion group meet these requirements. A few highlights that stood out: The disruption will be significant: The CBO projects 10 million people could become uninsured by 2034 due to work requirements. Most losses aren't intentional: In Arkansas, 18,000 individuals lost coverage in seven months—largely because the reporting system was too complex to navigate. Waiting is the biggest risk: The report states plainly: "Payers need to act now… the biggest issue is waiting too long to engage." Five practical steps to start today: From identifying high-risk members early and communicating before the state does, to automating exemption processes and enabling consent-based data sharing. To request your copy, email show producer, Vekonda Luangaphay at vluangaphay@brightspotsventures.com Thank You to Our Episode Partner, GroundGame Health: GroundGame is a human impact company that helps Medicaid members stay covered and get care by removing the real-world barriers that stand in their way. They do this through human connection. Community-based engagement. Meeting members where they are and creating a culturally tailored experience at the level of the individual. Their Right Touch model blends personalized outreach with deep relationships across community organizations to close quality gaps, surface hidden needs, and actually solve them. Learn more at https://www.groundgame.health/ Schedule a Meeting with Abner Mason, Chief Strategy & Transformation Officer at GroundGame.Health. To explore how GroundGame.Health can help your organization reduce churn, build trust, and keep Medicaid members connected to care through human-to-human, community-based engagement, reach out to show producer, Vekonda Luangaphay, vluangaphay@brightspotsventures.com to schedule a meeting with Abner Mason, Chief Strategy & Transformation Officer, GroundGame.Health. 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 ...
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    1 h y 2 m
  • How CareFirst, Blue Shield CA and Vori Health Drive Success in the New MA Ratings Era

    How CareFirst, Blue Shield CA and Vori Health Drive Success in the New MA Ratings Era
    Dec 10 2025
    In this Bright Spots in Healthcare episode, host Eric Glazer brings together Medicare Advantage leaders who are rethinking how digital first and whole person strategies can meet rising Stars expectations. The conversation explores how plans are simplifying engagement, strengthening provider alignment, and integrating specialty and virtual care models to improve quality, experience, and overall performance in the new ratings era. Our guests include: Lisa Franklin, Director of Medicare Business, Product, and Marketing, Strategic Growth and Government Programs, Carefirst Christine McKinney, Vice President Customer Experience and Digital Transformation Blue Shield of California Mary O'Connor, MD, Chief Medical Officer & Co-Founder, Vori Health Together, they explore: How CareFirst reduced member friction by consolidating 175 touchpoints a year into a coordinated digital first experience built around scrolling content cards, real time click behavior, and simplified onboarding. How Vori Health is integrating whole person MSK care with payers through value based arrangements that support coaching, nutrition, behavioral health screening, and earlier risk identification. How Blue Shield of California built a continuous CAHPS simulation program to uncover pain points and used those insights to create the Care Navigation Desk for real time access help. How digital tools like online scheduling, integrated member health records, and proactive pharmacy cost transparency are reducing friction and helping seniors navigate the ecosystem more independently. How plans are using AI and preference based engagement to support new Medicare members, improve medication adherence, and scale outreach during market disruptions. Panelist Bios: https://www.brightspotsinhealthcare.com/events/falling-stars-rising-standards-how-digital-first-whole-person-care-is-fueling-success-in-the-new-ratings-era/ 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/2025/12/Episode_Guide_120425_Vori-Falling-Stars-Rising-Standards.docx.pdf 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/2025/12/Key-Takeaways-Erics-Notes-Falling-Stars-Rising-Standards.docx.pdf Resources: Report: How Physician Led MSK Care Supports Stars Improvement and Whole Person Outcomes This companion report highlights how Vori Health's physician-led, virtual first musculoskeletal care model helps Medicare Advantage plans strengthen performance in the new ratings environment. It includes data and real member stories showing how hybrid specialty access, early gap closure, and whole person support improve outcomes, reduce unnecessary MSK spend, and enhance member experience. Inside you will find insights on Improving access through forty eight hour specialty appointments Reducing opioid use and unnecessary surgeries Supporting preventive screenings and chronic condition management Elevating member satisfaction across measures tied to the 2026 Stars program To request your copy, email nroberts@brightspotsventures.com. Buyer's Guide: The Comprehensive Guide to MSK Care for Health Plans This companion report gives health plans a clear framework for improving MSK strategy, highlighting how fragmented, high cost pathways drive unnecessary imaging, procedures, and surgeries without resolving pain. It outlines four MSK care models and the key elements of a high value program such as physician led care, holistic support, non opioid management, strong engagement, and real claims based ROI. It also shows how solutions like Vori Health bring these components together through coordinated, hybrid access and measurable improvements in outcomes and cost. Inside you will find insights on Improving MSK access and coordination across care models Designing physician led, whole person programs that address root causes of pain Reducing unnecessary imaging, procedures, and surgeries Driving stronger engagement, better outcomes, and meaningful cost savings To request your copy, email nroberts@brightspotsventures.com. Thank You to Our Episode Partner, Vori Health: Vori Health is a physician-led musculoskeletal care practice that delivers fast, evidence-based hybrid care for back, neck, and joint pain. Their whole person approach improves outcomes, reduces unnecessary MSK costs, and supports stronger Medicare Advantage Star Ratings. Learn more at vorihealth.com. Schedule a Meeting with a Dr. Mary O'Connor of Vori Health: To explore how Vori Health can help your organization strengthen whole person MSK care and support better Stars performance, reach out to nroberts@brightspotsventures.com to schedule a meeting with Dr. Mary O'Connor, CMO and Co-founder, Vori Health. About Bright Spots Ventures: Bright ...
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    1 h
  • AMA & Health2047: Warren Templeton on Transforming Healthcare Through Venture Innovation

    AMA & Health2047: Warren Templeton on Transforming Healthcare Through Venture Innovation
    Dec 3 2025

    Recorded live at HLTH, this episode of Bright Spots in Healthcare takes you inside Health2047, the venture studio founded by the American Medical Association to tackle some of healthcare's gnarliest problems. Host Eric Glazer sits down with Warren Templeton, Managing Director at Health2047, to explore how the AMA is backing founders at the earliest stages to reshape physician workflows, chronic disease management, and data liquidity.

    Warren shares how Health2047 partners with science- and clinician-led startups at the pre-seed and seed stages, wrapping founders with commercial strategy, clinical and billing expertise, and an evergreen capital model that matches healthcare's longer time horizons. He also unpacks why humility and conviction are the two non-negotiable traits he looks for in founders.

    You'll hear real-world examples from Health2047's portfolio, including:

    • Zing Health – a Medicare Advantage plan built for underserved communities, rooted in social determinants of health and community-based design

    • Phenomics Health – an obesity phenotyping company born from a "failed" diabetes prevention bet, now helping match patients to the right GLP-1s, procedures, and care pathways

    • ScholarRx – a global medical education platform partnering with the WHO to enable high-quality "tertiary care in the wild" for clinicians around the world

    Warren and Eric also dig into:

    • Why traditional 5–7 year VC timelines often clash with healthcare reality

    • How to balance breakthrough science with practical workflow integration and commercial viability

    • The impact KPIs Health2047 tracks beyond IRR, including lives and care teams impacted

    If you're a founder, investor, or healthcare leader trying to build something that actually works in the real world—not just on a pitch deck—this conversation offers a candid look at what it takes to design, fund, and scale the next generation of healthcare companies.

    Bio:
    https://health2047.com/leadership/warrentempleton/

    References:

    Health2047's portfolio companies mentioned in the episode:

    • Zing Health - https://www.myzinghealth.com/

    • Phenomics Health - https://www.phenomicshealth.com/

    • ScholarRx - https://scholarrx.com/


    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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    25 m
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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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