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
  • BCBSM, Healthfirst, CareFirst Community Health Plan, & Drips: MA Strategy Playbook

    BCBSM, Healthfirst, CareFirst Community Health Plan, & Drips: MA Strategy Playbook
    Apr 15 2026
    In this Bright Spots in Healthcare episode, host Eric Glazer brings together payer leaders to explore a fundamental challenge in Medicare Advantage: why strong strategies often fail to translate into sustained performance. This conversation focuses on the gap between intention and execution, where plans invest heavily in programs, outreach, and data, yet still struggle to drive the member actions that ultimately determine cost, quality, and experience. This is a candid discussion for executives navigating rising pressure on margins, increasing complexity in member populations, and the growing need to prove performance beyond activity alone. Our guests include: Mike Rapach, President & CEO, CareFirst Community Health Plan Maryland Joshua Meeks, Vice President, Medicare Advantage Individual Business, Blue Cross Blue Shield of Michigan Jen Cohen-Smith, SVP Medicare, Healthfirst Kathleen Faulk, Chief Strategy Officer, Drips Together, they explore: Where Medicare Advantage strategies break down, not in design, but in execution Why member engagement alone is no longer sufficient to drive outcomes How leading plans are shifting from outreach to activation by addressing barriers to action in real time What it takes to align product design, pharmacy strategy, and operational workflows to support long-term sustainability How organizations are translating insight into action to improve adherence, reduce avoidable utilization, and drive measurable ROI This episode offers a practical look at how leading plans are redefining performance in Medicare Advantage, and what it takes to ensure that strategy actually delivers results at scale. Panelist Bios: https://www.brightspotsinhealthcare.com/events/ma-strategy-session-what-actually-drives-long-term-viability/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download guide here: https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/04/Episode-Guide-MA-Strategy-Session-04-09-26.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/2026/04/04-09-26-KIS-MA-Strategy-Session_-What-Actually-Drives-Long-Term-Viability-Drips.docx.pdf Resources: Report: Stop Engaging, Start Activating; The New Architecture of Medicare Advantage Performance This companion report examines how health plans can close the gap between strategy and execution by focusing on what actually drives performance: whether members take action. Drawing on real-world implementation and emerging activation models, the report shows how identifying friction, understanding barriers, and guiding behavior in real time can improve adherence, reduce avoidable utilization, and strengthen outcomes across cost, quality, and experience. Inside, you'll find insights on: Identifying where outreach breaks down and why engagement alone fails to drive meaningful outcomes Understanding the root causes of non-adherence, including confusion, access barriers, competing priorities, and system design gaps Shifting from one-way communication to two-way, real-time conversations that surface and resolve barriers to action Designing activation models that guide members through next steps and increase completion of key actions Aligning engagement strategies with operational workflows to reduce friction and improve performance at scale Why moving from activity-based metrics to action-based outcomes is critical as financial pressure, regulatory changes, and member complexity increase The broader lesson is operational: the strongest Medicare Advantage models are not defined by how much outreach occurs, but by how effectively plans convert insight into action and ensure follow-through on the moments that matter most. To request your copy of the report, please contact show producer Jessica Tenzer at jtenzer@brightspotsventures.com. Thank You to Our Episode Partner, Drips: Drips helps health plans and providers drive meaningful member action through AI-powered, two-way communication at scale. By engaging members through familiar channels like text and phone, Drips enables real-time conversations that surface barriers, guide next steps, and improve adherence. Its approach shifts organizations from outreach to activation, helping close care gaps, reduce friction, and deliver more consistent performance across cost, quality, and experience. Learn more at drips.com. Schedule a Meeting with a Senior Leader at Drips: To explore how Drips can support your organization in moving from engagement to activation and improving member follow-through, reach out to show producer Jessica Tenzer at jtenzer@brightspotsventures.com to schedule a conversation with a member of the Drips leadership team. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company ...
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    1 h y 1 m
  • CommonSpirit Health ACO, Mount Sinai, Bloom Healthcare, White-Wilson Medical Center, & NightingaleMD: Reclaiming Time & Value in Chronic Care

    CommonSpirit Health ACO, Mount Sinai, Bloom Healthcare, White-Wilson Medical Center, & NightingaleMD: Reclaiming Time & Value in Chronic Care
    Apr 7 2026

    Chronic care isn't failing because of strategy. It's breaking down in execution.

    In this episode of Bright Spots in Healthcare, host Eric Glazer brings together provider leaders to explore a critical issue: the loss of time, attention, and clinical capacity to inefficient workflows instead of patient care.

    This conversation highlights how organizations are making structural changes to reduce friction, improve follow-up, and build more sustainable chronic care models.

    🎯 What you'll learn:
    • Why chronic care breaks down in workflow, not strategy
    • How leading providers reduce administrative burden
    • What changes when documentation stops dominating care
    • How follow-up systems are redesigned to close care gaps
    • How augmented care models expand capacity without replacing human care
    👥 Featured Leaders:
    • Francis Mercado, MD – Board Chair, CommonSpirit Health ACO
    • Danielle Whitacre, MD – Chief Medical Officer, Bloom Healthcare
    • Lilian Alevato, MD – Chief Medical Officer, White-Wilson Medical Center
    • Ava Johnson – Director, Ambulatory CDQI, Mount Sinai Hospital
    • Carol Roeder, MD – Chief Medical Officer, Nightingale.MD
    📥 Resources & Links:

    👉 Panelist Bios:
    https://www.brightspotsinhealthcare.com/events/how-leading-providers-are-reclaiming-time-value-in-chronic-care/

    👉 Download the Episode Guide:
    https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/04/Episode-Guide-Bright-Spots-in-Health-Care-04-02-26.pdf

    👉 Key Insights Summary:
    https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/04/Key-Takeaways_-Reclaiming-Time-Value-in-Chronic-Care-04-02-26.docx.pdf

    📩 Request the full reports:
    vluangaphay@brightspotsventures.com

    📊 Featured Reports:

    Chronic Care Breaks Down in Workflow, Not Strategy
    Learn how redesigning workflows and automating low-value tasks improves capacity and patient outcomes.

    What an Augmented Care Manager Model Looks Like in Practice
    See how AI-assisted care models extend reach while preserving human interaction and clinical judgment.

    🤝 Episode Partner: Nightingale.MD

    Nightingale.MD helps provider organizations redesign chronic care workflows using an augmented care model.

    Their AI assistant, Florence™, supports outreach, follow-up, and documentation while allowing clinical teams to focus on high-value patient care.

    🌐 Learn more: https://www.nightingale.md

    📩 Schedule a meeting with Carol Roeder, MD:
    Contact Vekonda Luangaphay at vluangaphay@brightspotsventures.com

    🧠 About Bright Spots Ventures

    Bright Spots Ventures is a healthcare strategy and engagement company focused on scaling proven innovations.

    They connect healthcare leaders through podcasts, executive councils, and private events to accelerate measurable impact.

    🌐 Visit: https://www.brightspotsinhealthcare.com
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    1 h y 1 m
  • Essence Healthcare and Humana: Moving from Episodic Care to Longitudinal Outcomes

    Essence Healthcare and Humana: Moving from Episodic Care to Longitudinal Outcomes
    Mar 31 2026
    In this Bright Spots in Healthcare episode, host Eric Glazer brought together payer and provider leaders to examine a major shift underway in specialty care. Historically, specialty models have been built around episodic intervention, stepping in after a condition has progressed. But as organizations take on greater accountability for outcomes and cost, that model is becoming harder to sustain. The conversation explored how AI, earlier signal detection, and more connected care models can help organizations identify risk sooner, guide members more effectively, and support better outcomes over time. Our guests include: Saria Saccocio, MD, Chief Medical Officer, Essence Healthcare Ross Lagerblade, Vice President, Value Based Strategies, Humana Mary O'Connor, MD, Chief Medical Officer & Co-Founder, Vori Health Together, they explored: How specialty care is evolving from reactive, episode-based intervention to models built around continuous visibility and earlier action How organizations are identifying risk that never shows up in traditional data, and what it takes to surface and act on those blind spots How leading plans are redesigning the member experience to create clearer, more guided pathways through complex specialty care journeys What it looks like to use AI and new data sources to scale outreach, triage, and coordination without increasing operational burden How clinically grounded models are ensuring members are directed to the right level of care at the right time, avoiding unnecessary escalation What it takes to align care delivery, incentives, and measurement around sustained outcomes rather than isolated interventions This episode offers an inside look at how leaders are building more proactive, coordinated specialty care models, and what it takes to make them work in practice. Panelist Bios: https://www.brightspotsinhealthcare.com/events/ai-and-specialty-vbc-moving-from-episodic-care-to-longitudinal-outcomes/ 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/2026/03/EpisodeGuideBrightSpotsinHealthCare032626.pdf Key Insights Summary: Find key insights from the discussion and guest takeaways from the conversation. https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/03/Key-Insights-03-26-26.docx.pdf Resources: Report: Moving Specialty Care Upstream: From Episodic Intervention to Longitudinal Outcomes This companion report from Vori Health explores how physician-led, longitudinal care models are helping organizations identify risk earlier, guide members more effectively, and improve outcomes over time. Drawing on real-world implementation, it highlights how combining clinical expertise with data, AI, and coordinated care pathways can shift specialty care from reactive treatment to continuous management. Inside, you'll find insights on: Extending specialty care beyond traditional encounters to support members earlier in their journey Designing clinically grounded care pathways that guide members to the right level of care at the right time Using data, wearables, and AI to surface risk that is not visible in traditional workflows Reducing unnecessary escalation, procedures, and downstream cost through earlier intervention Building scalable models that combine centralized coordination with physician-led care delivery Why longitudinal accountability is becoming essential as expectations for outcomes, experience, and cost continue to rise To request your copy, reach out to show producer Nicole Roberts at nroberts@brightspotsventures.com Thank You to Our Episode Partner, Vori Health By combining a physician-led care model with data-driven insights and longitudinal support, Vori Health is helping extend specialty care beyond episodic encounters and into continuous, whole-person care. In addition to improving access, Vori Health drives better outcomes, stronger member engagement, and meaningful reductions in unnecessary procedures and total cost of care. You can learn more at vorihealth.com. Schedule a Meeting with a Vori Health Leader: To explore how Vori Health can support your organization in delivering physician-led, longitudinal specialty care and guiding members earlier to the right level of care, reach out to show producer Nicole Roberts at nroberts@brightspotsventures.com to schedule a conversation with a senior leader from Vori 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 go-to-market strategy work, we surface and amplify the "...
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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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