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
  • 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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    1 h
  • From Experience to ROI: How Mount Sinai Is Rethinking Diagnostics, AI, and the Inpatient Care Journey

    From Experience to ROI: How Mount Sinai Is Rethinking Diagnostics, AI, and the Inpatient Care Journey
    Feb 11 2026
    This episode features a highlighted segment from the ROI Centered Care Virtual Summit, produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association. In this conversation, Eric Glazer sits down with Fernando Carnavali, MD, Associate Professor of Medicine at the Icahn School of Medicine at Mount Sinai and Chief of General Internal Medicine at Mount Sinai Health System, to explore how large academic health systems can translate patient experience, diagnostics, and technology innovation into measurable ROI. Rather than focusing on new tools for their own sake, Dr. Carnavali reframes the challenge: how to use existing data, connected devices, and AI-enabled diagnostics to improve the full patient journey, before, during, and after the visit while also supporting a stretched clinical workforce. Drawing on Mount Sinai's real-world operating environment, the conversation explores how experience, communication, and clinical efficiency are increasingly inseparable from financial performance, especially in inpatient and general internal medicine settings. This discussion moves beyond pilot thinking to address what it takes to operationalize innovation at scale inside a complex health system. What you'll learn in this episode: Why patient experience is a longitudinal journey, not a post-visit survey score How Mount Sinai is using technology and diagnostics to strengthen communication, not replace clinicians The role of AI and connected devices in improving both patient and provider experience Why workforce constraints in primary and general internal medicine demand new care models How health systems can focus on what's already within their control to drive ROI Why proving clinical and economic value upfront is essential to scaling innovation About Dr. Fernando Carnavali: Dr. Carnavali is the Chief of the Division of General Internal Medicine for Mount Sinai Morningside and Mount Sinai West (MSM/MSW) and serves as the Medical Director of the Long COVID Satellite Clinic at Mount Sinai Doctors Ansonia (MSD-Ansonia). In this role, Dr. Carnavali oversees a large, complex division with eight outpatient service locations spanning Manhattan's West Side from Harlem to Chelsea. Clinically, he focuses on the treatment and management of chronic illness, with a particular emphasis on Long COVID care. In early 2020, Dr. Carnavali led MSM/MSW's outpatient response to the COVID-19 pandemic, organizing early testing and triage for community patients and serving for eight weeks on the inpatient COVID units—an experience that provided firsthand insight into the impact of SARS-CoV-2 in New York City. In May 2021, he coordinated the launch of the Long COVID Clinic at MSD Ansonia and continues to personally evaluate new and ongoing patients each week. Committed to sharing Mount Sinai's expertise in Long COVID care, Dr. Carnavali has participated in numerous national and international forums, training providers in this emerging field. He has also built a strong media presence, spotlighting both the Ansonia clinic and the Mount Sinai Long COVID program to raise public awareness. Since 2024, he has served as Co-Principal Investigator on a grant from the Agency for Healthcare Research and Quality (AHRQ) and the Department of Health and Human Services titled "Evaluation of Long COVID Care Practices." In addition to Long COVID work, Dr. Carnavali leads outpatient practice transformation initiatives across MSM/MSW and the Mount Sinai Health System, guiding quality improvement teams to enhance patient satisfaction, improve access to care, and explore innovative service models. Podcast Recommendation: Check out Access Amplified, brought to you by TytoCare and hosted by Joanna Braunold - a podcast about how digital health is helping increase access to care and equity, one innovation at a time. We'll shine a light on what's actually working to make care more accessible and inclusive. If you're a healthcare leader, an innovator, a policy shaper, or anyone passionate about health equity, this podcast is for you. New episodes drop every two weeks. Follow or subscribe wherever you get your podcasts. https://www.tytocare.com/resources/access-amplified Thank You to Our Episode Partner, TytoCare. TytoCare enables health systems and plans to deliver high-quality remote exams anytime, anywhere. Their FDA-cleared devices and AI-powered diagnostic platform support virtual specialty care, school-based programs, and home health models—reducing unnecessary ED visits and improving patient experience. To learn more, visit tytocare.com. Schedule a Meeting with a Senior Leader at TytoCare: To explore how TytoCare can help your organization expand virtual specialty access and improve care coordination, reach out to jtenzer@brightspotsventures.com to schedule a meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, ...
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    29 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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