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Is smarter decision support the key to unlocking value-based success?
In this episode of the HealthBiz Podcast, Thaddeus Fulford-Jones, CEO of Radial, joins host David Williams to explore how Radial’s AI-powered decision support software merges cutting-edge data science with clinical best practices to enhance patient outcomes, reduce costs, and optimize value-based provider operations.
Thaddeus Fulford-Jones' book recommendation: Reservations for Nine by Dr. George Beauregard🎙️⚕️ABOUT HEALTHBIZ PODCAST
HealthBiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams — president of the healthcare strategy consulting boutique Health Business Group — is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.
🎙️⚕️ABOUT THADDEUS FULFORD-JONES
Thaddeus Fulford-Jones is the Co-Founder & CEO of Radial (www.radialcare.com), a healthtech company leveraging AI and machine learning to improve patient outcomes and financial performance in value-based care. Radial develops next-generation decision support tools that help organizations target the right members with the right interventions at the right time. Previously, Thaddeus was the Co-Founder and CEO of Locately, a location analytics firm that pioneered mobile-based consumer insights. He holds a PhD from MIT, where his research focused on complex systems and modeling. Throughout his career, he has been passionate about applying technology to solve critical challenges in healthcare and beyond.GET IN TOUCH
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In this episode of CareTalk, John Driscoll sits down with Oron Afek, CEO of Vim, to discuss how Vim is transforming healthcare by creating a smarter, more connected ecosystem for doctors and patients.
Oron shares his entrepreneurial journey, from his early days in the Israeli military to building a healthcare platform that integrates seamlessly with electronic health records (EHRs) to improve clinical decision-making.
Learn how Vim’s technology is helping doctors make better decisions at the point of care, streamlining workflows, and driving better patient outcomes, all while empowering developers to build innovative healthcare solutions.🎙️⚕️ABOUT CARETALK: HEALTHCARE. UNFILTERED.
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT ORON AFEK
Oron is both the Chief Executive Officer of Vim and the company's visionary. Oron's dynamic leadership shapes Vim's corporate strategy, which is defined by bold innovation balanced with strategic focus. Oron pushes boundaries and helps the company innovate where no one else can. He ensures that the company - and all its partners - are aligned on a shared purpose to revolutionize healthcare and lower the complexity for providers to participate in value-based care. Before his remarkable journey in healthcare, Oron honed his skills serving in a special forces unit of the Israel Defense Forces, embodying a spirit of determination and fearlessness. Drawing from his diverse background, he founded and spearheaded the business development for four groundbreaking companies across telecommunications, gaming, real estate, and education.
🎙️⚕️ABOUT VIM
Vim seamlessly integrates essential data, insights, and applications into existing EHR workflows, enabling healthcare providers to work more efficiently, enhance patient outcomes, and optimize operations.GET IN TOUCH
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AI, behavioral science and digital communications are transforming how patients interact with the healthcare system. But are they actually improving outcomes or just adding noise and costs?
In this episode of the Health Biz Podcast, host David Williams speaks with Robert Farrell, CEO of mPulse, about how AI-driven personalization is transforming patient engagement. They discuss how conversational AI, behavioral science, and predictive analytics are helping healthcare organizations improve outcomes, boost health literacy, and engage patients more effectively.
🎙️⚕️ABOUT HEALTHBIZ PODCAST
Healthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams—president of the healthcare strategy consulting boutique Health Business Group is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.
🎙️⚕️ ABOUT ROBERT FARRELL
Bob Farrell is a 4-time CEO with a proven track record of building high growth, profitable software and technology-enabled service companies backed by private equity and public markets. Bob currently serves as an outside Member on the Board of Directors at Worldwide Express, Recycle Track Systems, Transportation Impact, Meal Ticket, and Tenstreet.
🎙️⚕️ ABOUT mPULSE
mPulse combines predictive analytics and advanced digital experience technology to deliver business efficiencies and more equitable health outcomes at scale. That’s why 400+ healthcare organizations trust them to orchestrate personalized health journeys for their populations.GET IN TOUCH
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Whole-person care is the gold standard for treating elderly patients by delivering care where they need it when they need it, but traditional healthcare models make it tough to scale.
Can value-based care and home-based medicine change that?
In this episode of CareTalk, host John Driscoll speaks with Jeffrey Kang, CEO of WellBe, to explore the challenges and opportunities of geriatric care, the evolution of Medicare risk adjustment, and why integrating whole-person care into value-based models is key to keeping vulnerable patients healthier.
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT JEFFERY KANG
Dr. Jeffrey Kang, the founder of WellBe, was inspired by his personal experience caring for his mother during her battle with cancer. As both a physician and a son, he witnessed firsthand the importance of having a trusted medical guide to help navigate complex treatments and decisions. This experience led him to create WellBe, a service dedicated to providing personalized, compassionate care whenever and wherever patients need it. Under Dr. Kang’s leadership, WellBe is driven by the belief that everyone deserves access to a trusted doctor who understands their needs, supports them through every step of their health journey, and ensures they receive the best possible care.
🎙️⚕️ABOUT WELLBE
WellBe Senior Medical is transforming healthcare by delivering expert medical and mental health services directly to patients' homes, ensuring compassionate, personalized care at low or no cost. Collaborating with existing healthcare providers, WellBe's dedicated team offers in-home medical care, 24/7 provider access through a nurse hotline, and mental health support via telehealth and home visits. Currently serving patients across 10 states, WellBe continues to expand its reach, partnering with health plans nationwide to keep individuals healthy and comfortable in their own homes.GET IN TOUCH
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Value-based care is a great concept, providers get paid to keep patients healthy rather than just for treating them when they’re sick.
But it’s not easy, and the results don’t always meet the potential.
Can technology and AI help?
In this episode of the HealthBiz Podcast, host David E. Williams speaks with Jay Ackerman, CEO of Reveleer on how AI can automate time-consuming tasks, streamline fragmented workflows, and consolidate critical risk adjustment to improve value-based care.
🎙️⚕️ABOUT HEALTHBIZ PODCAST
Healthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams—president of the healthcare strategy consulting boutique Health Business Group —is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.
🎙️⚕️ ABOUT JAY ACKERMAN
Jay is the President and CEO of Reveleer, leading the company’s growth and innovation in clinical data collection and analytics for health plans and providers. He focuses on scaling operations, driving business expansion, and advancing product innovation to enhance healthcare outcomes.
With over 25 years of experience in software and services, Jay has held leadership roles at major organizations. He was Chief Revenue Officer at Guidance Software, led global sales and customer success at ServiceSource, and served as President and CEO of WNS North America. Throughout his career, he has successfully driven growth, expanded markets, and strengthened customer relationships.
🎙️⚕️ ABOUT REVELEER
Reveleer is a leading healthcare technology company specializing in AI-driven solutions for clinical data collection, risk adjustment, and quality improvement. Designed for health plans and providers, Reveleer’s platform streamlines medical record retrieval, coding, and analytics to enhance compliance, optimize reimbursements, and improve patient outcomes. By leveraging advanced automation and machine learning, Reveleer empowers organizations to efficiently manage healthcare data while reducing administrative burdens.
With a commitment to innovation and accuracy, Reveleer helps healthcare organizations navigate the complexities of value-based care. Its comprehensive SaaS platform delivers actionable insights, ensuring payers and providers can make data-driven decisions with confidence.GET IN TOUCH
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Interoperability has long been a buzzword in healthcare
In an ideal world, our healthcare system would exchange timely, high-quality data to empower patients, improve clinical quality, and keep costs under control.
How close are we to making this a reality?
In this episode of the HealthBiz Podcast, host David E Williams talks with Dr. Donald Rucker, Chief Strategy Officer at 1upHealth, about how their health data management platform is transforming the way healthcare organizations access, share, and leverage patient data to improve outcomes, enhance efficiency, and drive more personalized care.TOPICS
(0:25) Introduction
(0:52) How Dr. Donald Rucker Got Into Healthcare
(2:54) Rucker's Educational Path and Career
(11:14) What Does 1upHealth Do?
(21:13) Why Are CMS APIs So Important?
(25:15) How Do APIs Affect Prior Authorization?
(31:37) Book Recommendations from Dr. Donald Rucker
🎙️⚕️ABOUT HEALTHBIZ PODCAST
Healthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams — president of the healthcare strategy consulting boutique Health Business Group — is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.
🎙️⚕️ ABOUT DR. DONALD RUCKER
Dr. Donald Rucker is the Chief Strategy Officer at 1upHealth and a nationally recognized leader in health IT. As National Coordinator of Health IT at HHS from 2017 to 2021, he led the development of the ONC’s 21st Century Cures Act Interoperability Rule, which standardized FHIR APIs and advanced patient access to electronic health data by enforcing the ban on information blocking.
A board-certified physician with experience at Kaiser Permanente, Beth Israel Deaconess, and the University of Pennsylvania, Dr. Rucker has made significant contributions to clinical informatics. He co-developed the first Microsoft Windows-based electronic medical record and designed a computerized physician order entry module that won the 2003 HIMSS Nicholas Davies Award. He holds degrees from Harvard, the University of Pennsylvania, and Stanford.
🎙️⚕️ ABOUT 1UPHEALTH
1upHealth is revolutionizing healthcare data interoperability by enabling seamless access, exchange, and analytics through modern FHIR-based technology. Founded with a mission to bridge the gap between payers, providers, and app developers, 1upHealth empowers organizations to unlock the full potential of their health data, driving better outcomes and efficiency.
With a focus on simplicity, scalability, and compliance, 1upHealth delivers cutting-edge solutions that transform healthcare operations. By leveraging standardized FHIR APIs, the company ensures secure and actionable data sharing, making healthcare more connected, patient-centric, and innovative.GET IN TOUCH
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A New York doctor has been indicted for prescribing abortion pills to a patient in Louisiana, sparking a legal showdown between the two states.
Now, New York is striking back with a law to shield physicians.
Which state will prevail?
In this episode of CareTalk, hosts David E Williams and John Driscoll unpack the fight over abortion pill prescriptions and what it means for the future of reproductive rights across the country.TOPICS
(0:20) Introduction
(0:35) Why Did Louisiana Indict a Doctor from New York?
(2:04) The Impact of Political Strategy on Healthcare
(3:29) The State's Role in Abortion Policy
(6:48) How New York and Abortion Advocates Are Striking Back
(7:28) Understanding Laws Protecting Providers
(10:09) How Trump Will Influence Abortion Policy
(11:23) How Pharmacies Are Reacting to Conflicting Policies
(13:22) Hope for the Future of Healthcare in America
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.GET IN TOUCH
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Artificial intelligence is destined to play a big role in the pharmaceutical industry in 2025.
With this rapid growth, what specific changes can we expect in patient support and pharmaceutical marketing?
And how will that impact healthcare costs and patient experience?
In this episode of the HealthBiz Podcast, guest William Grambley, CEO of AllazoHealth, discusses how artificial intelligence and patient-level data can lower operating costs, improve medication adherence, and create tailored solutions for patients at every stage of their journey.
TOPICS
(0:23) Intro
(1:02) Background on William Grambley
(2:34) How Naval Service Shaped William Grambley
(3:23) The Role of Experience and Work History
(6:38) What Brought William to AllazoHealth
(9:05) Understanding Compliance, Persistence, and Adherence
(10:36) Examining Low Levels of Adherence
(12:28) How Issues with Medication Adherence Have Changed Over Time
(15:00) Distinguishing Between Adherence and Therapy Initiation
(17:32) The Importance of Personalization
(20:35) The Future of Pharma and AI in 2025
(25:02) Dynamic Change and Personalization
(27:36) GLP-1s and Adherence
(30:30) Book Recommendations from William Grambley
🎙️⚕️ABOUT HEALTHBIZ PODCAST
Healthbiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams — president of the healthcare strategy consulting boutique Health Business Group — is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS.
🎙️⚕️ABOUT WILLIAM GRAMBLEY
William Grambley is the CEO of AllazoHealth, where he leads efforts to improve medication adherence and patient support programs, driven by his passion for personalizing the patient experience. He joined AllazoHealth as Chief Operating Officer before stepping into the CEO role as the organization expanded. Previously, William held leadership roles at CVS Health, including Vice President of Strategy and Product Management, where he delivered industry-leading clinical programs like the award-winning Pharmacy Advisor. A U.S. Navy veteran, William earned his MBA from Northwestern University’s Kellogg School of Management and held roles at Bain & Company and EMC before CVS Health.
🎙️⚕️ABOUT ALLAZOHEALTH
AllazoHealth is a pioneer in AI-powered personalization, dedicated to enhancing therapy initiation, medication adherence, and health outcomes. By leveraging advanced artificial intelligence, AllazoHealth delivers truly personalized communications based on identified patient data, utilizing over 500 behavioral predictors to determine the optimal content, channels, timing, and cadence for each individual. This approach enables pharmaceutical companies and patient support programs to create one-to-one patient health journeys, resulting in improved engagement and outcomes. Founded by experts from leading organizations such as CVS Health and Boston Consulting Group, AllazoHealth combines cutting-edge AI technology with deep industry knowledge to drive sustainable progress in healthcare.
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No doubt 2025 will be a wild year for healthcare.
But what can we expect from AI, GLP-1s, and a second Trump administration?
In this episode of HealthBiz Briefs, host David Williams dives into his predictions for 2025, looking at the coming changes to the biggest stories in healthcare.
🎙️⚕️ABOUT HEALTHBIZ BRIEFS
HealthBiz Briefs is a short-form CareTalk podcast that features brief, focused one-on-one conversations with healthcare business leaders. Host David E. Williams—president of the healthcare strategy consulting boutique Health Business Group —is also a board member, investor in private healthcare companies, and author of the Health Business Blog. These quick episodes deliver bite-sized insights into the trends, innovations, and challenges shaping the industry.
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Opioid makers and distributors are paying over $50 billion to settle lawsuits with states and cities.
But how is this settlement money being spent?
And is the opioid crisis nearing an end?
In this episode of CareTalk, David E. Williams and John Driscoll explore the impacts of recent opioid lawsuits and whether they could finally put an end to the crisis.
TOPICS
(0:30) Examining the Opioid Settlement
(2:50) The Difference Between the Opioid and Tobacco Settlements
(4:47) What Are the Settlement Funds Being Used For?
(7:09) What's the Impact of the Opioid Settlement?
(8:40) What Should States Do With Their Settlement Money?
(9:06) The Waves of the Opioid Epidemic
(12:50) Combating Waves of Fentanyl and Stimulants
(13:53) The Pitfalls in Opioid Addiction Treatment
(16:08) Preventing Opioid Addiction
(18:27) The Role of Mental Health in Opioid Addiction
(20:44) Avoiding Fentanyl With Test Strips
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
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Health systems are constantly struggling with capacity constraints.
But what if they already had all the capacity they needed and just needed to tap into it?
In this episode of HealthBiz Briefs, Derek Streat, Co-Founder and CEO of DexCare, shares how health leaders can unlock hidden capacity by using data from patients, providers, and health systems to deliver care more efficiently.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT DEREK STREAT
Derek Streat is the Founder, CEO, and Chairman of DexCare, a venture-backed Platform-as-a-Service company that intelligently orchestrates health system capacity and digital demand across all care lines. A seasoned healthcare technology entrepreneur, Derek has co-founded and led six venture-backed companies, including C-SATS (acquired by Johnson & Johnson), where he later served as Vice President of Digital Solutions. In that role, he transformed surgeon training into a digital program that improved patient outcomes and provider efficiency worldwide. Prior to commercializing DexCare as an Entrepreneur-in-Residence at Providence, Derek co-founded and served on the boards of national healthcare data transparency organizations like PEDSnet and IROC, advancing efforts to improve patient care through data sharing.
🎙️⚕️ABOUT DEXCARE
DexCare is a leading care orchestration platform that simplifies digital care logistics, enabling healthcare systems to manage care delivery more efficiently. By unifying complex datasets, DexCare enhances patient access, optimizes resource utilization, and forecasts demand to reduce operational costs. Since its spin-out from Providence in 2021, DexCare has partnered with top U.S. health systems, reaching over 57 million patients and significantly boosting new patient bookings and downstream revenue. Supported by $146 million in funding, including a $75 million Series C investment led by ICONIQ Growth, DexCare continues to transform healthcare access through innovative solutions like digital discovery, care navigation, and smart scheduling.
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2024 shook up the healthcare world, and 2025 is gearing up to be just as transformative.
With big changes coming from the new Administration, the AI boom taking healthcare by storm, and the rapid rise of GLP-1s, next year is shaping up to be a wild ride.
Join David E. Williams and John Driscoll on CareTalk as they dust off their crystal ball and explore what’s in store for healthcare in 2025!
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
TOPICS
(0:30) Sponsorship
(1:50) Thank You to Our Audience
(2:47) Predictions for GLP-1s
(8:28) The Rise of AI in Healthcare
(12:12) How the New Administration Will Affect Public Health
(15:05) Healthcare on the Defense
(18:54) Boosting Primary and Value-Based Care
(22:06) The Growth of the Healthcare Market
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
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CareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting. -
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Speech is something many of us take for granted, but for millions in the disability community, it can be a daily source of struggle and frustration.
Augmentative and alternative communication (AAC) tools, such as sign language, are essential for those with speech disabilities to communicate.
What if technology could help give a voice to those in need?
In this episode of HealthBiz Briefs, Dougal Hawes, CEO of Smartbox Assistive Technology, explores how their AAC technology is empowering individuals with speech difficulties to communicate and live more independently.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT DOUGAL HAWES
Dougal Hawes brings extensive experience in business development and strategic partnerships across multiple roles and organizations. He began his career in 2007 as a Senior Corporate Partnerships Executive at Prostate Cancer UK before joining Great Ormond Street Hospital Children's Charity in 2009 as an Account Manager for Corporate Partnerships, where he successfully raised over £1 million for key initiatives. Since 2010, Dougal has been with Smartbox Assistive Technology, starting as Managing Director and now serving as Group CEO. In his current role, he leads business growth by driving marketing strategies, launching products, and expanding partnerships with resellers worldwide. His proven track record highlights a strong ability to deliver impactful results and foster strategic growth.
🎙️⚕️ABOUT SMARTBOX
Smartbox Assistive Technology is dedicated to creating innovative solutions that empower people with disabilities to communicate and live more independently. With a focus on developing accessible software, hardware, and tools, Smartbox provides life-changing augmentative and alternative communication (AAC) technology to individuals around the world. Committed to improving lives, the Smartbox team works closely with users, families, and professionals to deliver personalized, high-quality products that help people express themselves and connect with others.
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Administrative hassles and mountains of paperwork remain some of the biggest challenges in healthcare today.
Every day, critical time and resources are diverted from doctors, nurses, and other medical staff to navigate inefficient prior authorizations and overwhelming paperwork.
Isn't it time we find a better solution?
In this episode of CareTalk, David E. Williams and John Driscoll sit down with Anterior Founder and CEO Abdel Mahmoud to explore the burden of administrative tasks on healthcare and how AI can bring clarity and efficiency to the chaos.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
TOPICS
(0:28) Sponsorship
(1:40) Dr. Abdel Mahmoud's Military Experience
(3:05) The Personal Journey of Dr. Abdel Mahmoud
(5:35) Understanding Large Language Models
(7:59) The Journey of Anterior
(10:49) AI's Role in Managed Care
(14:22) How Anterior is Different
(15:52) How Anterior Uses Language Learning Models
(20:27) The Future of Anterior
(22:42) Using AI as Support
(24:01) How Anterior Differentiates from the Competition
(26:15) The Future of AI in Healthcare
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT ABDEL MAHMOUD
Abdel Mahmoud is the Founder and CEO of Anterior, a company revolutionizing healthcare administration through AI-driven solutions. With a background in product development and healthcare innovation, Abdel brings deep expertise in building tools that reduce administrative burdens and streamline workflows for providers. Previously, he held leadership roles at top healthcare organizations, where he focused on improving efficiency and delivering impactful solutions. Passionate about the intersection of technology and healthcare, Abdel is dedicated to using AI to transform outdated systems, enabling better outcomes for both patients and providers.
🎙️⚕️ABOUT ANTERIOR
Anterior is a leading healthcare technology company focused on transforming the administrative side of medicine through innovative AI solutions. By streamlining processes like prior authorizations and reducing paperwork burdens, Anterior empowers providers to focus on delivering high-quality patient care. With a commitment to improving efficiency, lowering costs, and enhancing the healthcare experience, Anterior is redefining how data and automation support better outcomes for patients and providers alike.
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Hernia surgery is one of the most common procedures, but the quality of care and post-op treatment can vary widely.
What’s behind these variations, and how can we ensure better care for patients?
In this episode of HealthBiz Briefs, Dr. Michael Reinhorn and Dr. Nora Fullington dive into the challenges of hernia surgery and explain how Boston Hernia is raising the bar with patient-centered care and improved outcomes.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT MICHAEL REINHORN M.D
Dr. Michael Reinhorn is a board-certified general surgeon and Fellow of the American College of Surgeons, specializing in ambulatory hernia surgery with a focus on inguinal, umbilical, and epigastric hernias. Based near Boston, his practice serves New England with surgical care provided at Newton-Wellesley Hospital, Boston Outpatient Surgical Suites, and the Surgery Center of New Hampshire. With over 23 years of experience and more than 5,400 hernia operations performed, Dr. Reinhorn is a recognized expert in minimally invasive hernia surgery, emphasizing opioid reduction and value-based care. He consults for the American Board of Surgery, co-chairs the opioid reduction task force for the ACHQC, and represents the Americas Hernia Society on the ACHQC board. A dedicated educator, researcher, and volunteer with The Schwartz Center for Compassionate Healthcare, Dr. Reinhorn is committed to improving patient outcomes and advancing hernia care.
🎙️⚕️ABOUT NORA FULLINGTON M.D
Dr. Nora Fullington is a board-certified general surgeon and Fellow of the American College of Surgeons, specializing in minimally invasive hernia and gallbladder surgery. With over 2,000 operations performed as a hospital-based surgeon, she joined the practice in 2021 and has since completed more than 1,000 hernia surgeries. Dr. Fullington is an expert in open preperitoneal mesh and non-mesh repairs, as well as laparoscopic techniques for patients who benefit from minimally invasive approaches. A national authority on hernia repair, she has published peer-reviewed studies, delivered lectures on improving patient outcomes, and brings expertise in gallbladder surgery to the practice. Passionate about patient-centered care, she ensures every patient feels heard and valued. Dr. Fullington also demonstrates her commitment to humanitarian medicine through surgical mission trips to Haiti and advocacy for humanism in healthcare.
🎙️⚕️ABOUT BOSTON HERNIA
Boston Hernia is a specialized surgical practice dedicated to providing expert care for hernia and gallbladder conditions. With a focus on minimally invasive techniques and patient-centered treatment, the team at Boston Hernia delivers exceptional outcomes through personalized care plans, advanced surgical approaches, and a commitment to reducing recovery times. Serving patients across New England, Boston Hernia is known for its expertise, compassionate care, and dedication to imprSupport the show
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Primary care is the foundation of a strong healthcare system, but it faces mounting challenges, from workforce shortages to reimbursement struggles.
Is advanced primary care the solution and what would that model look like?
In this episode of CareTalk, David E. Williams and John Driscoll sit down with Dr. Kate Goodrich, Chief Medical Officer of Humana, to explore the critical role of primary care and how it must evolve to meet the growing demands of patients, providers, and the healthcare system as a whole.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
TOPICS
(0:21) Intro
(0:34) Sponsorship
(2:05) The Advantages of Primary Care
(3:51) Understanding Primary Care
(5:06) Why Is Primary Care Struggling
(6:55) The Current State of Primary Care
(7:57) How Primary Care Is Changing
(10:18) The Promise of Care Coordination in Primary Care
(12:51) What Does Advanced Primary Care Look Like
(15:20) Measuring Success in Primary Care
(18:32) What Is Direct Primary Care
(19:51) The State of Medicare Managed Care
(23:43) Why Are Primary Care Physicians Unhappy
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT KATE GOODRICH
Kate Goodrich, MD, MHS, is the Chief Medical Officer at Humana, where she leads clinical initiatives across the insurance and CenterWell businesses, focusing on physician engagement, healthcare research, health equity, and Humana's Bold Goal programs. Previously, she served as Humana’s SVP for Clinical Analytics and Trend, overseeing analytics and rapid learning strategies to improve outcomes while reducing costs. Before joining Humana, Dr. Goodrich was the CMS Chief Medical Officer and Director of the Center for Clinical Standards and Quality, managing 18 quality and value-based purchasing programs, nationwide quality improvement efforts, and Medicare coverage decisions. A practicing hospitalist and professor of medicine, she continues her clinical work at George Washington University Medical Center, where she previously directed the Hospital Medicine division.
🎙️⚕️ABOUT HUMANA
Humana Inc., headquartered in Louisville, Kentucky, is a leading health and well-being company dedicated to helping people live healthy and happy lives since 1961. The company offers personalized healthcare services through its insurance products and CenterWell healthcare services, aiming to simplify the healthcare experience for millions of members across the United States. Humana's commitment extends beyond individual care, as it actively invests in local communities to support and enhance public health initiatives. With a focus on innovation and compassionate care, Humana strives to address global health challenges and make a positive impact on the lives it touches.
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We’re living in an era where health data is more accessible than ever.
From lab results to wearable devices like the Apple Watch, there is an overwhelming amount of health information available.
However, the real challenge lies in unlocking the potential of this data to drive transformative health improvements for both patients and providers.
In this episode of HealthBiz Briefs, guest Richard Kedziora, Co-Founder and COO of Estenda, discusses how they are leveraging health data to uncover patterns and trends that lead to better treatments and improved patient outcomes.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT RICHARD KEDZIORA
Richard "RJ" Kedziora, co-founder of Estenda Solutions, leverages over 25 years of experience in technology to create digital health solutions that improve patient outcomes, reduce costs, and enhance patient and provider satisfaction. A results-driven professional, he specializes in leadership, process improvement, software development, and governance, with his work earning multiple awards, including a HIMSS Davies Award, and several patents. RJ holds an MBA from West Chester University and a BS in Computer Science from Duquesne University, where he received the Excellence in Computer Science Award. A frequent podcast guest and speaker at healthcare and technology conferences, he has co-authored articles in peer-reviewed journals.
🎙️⚕️ABOUT ESTENDA
Estenda is an ISO 13485-certified healthcare software development and consulting company that has been advancing the science and technology of digital health since 2003. We collaborate with innovative organizations—commercial, research, clinical, or medical—to invent, design, develop, implement, and research solutions that enhance the health and well-being of individuals. Our services include custom software development, data analytics, AI/ML expertise, and strategic consulting. With a deep commitment to innovation and exceeding expectations, Estenda has successfully delivered numerous digital health projects, applying our extensive experience in healthcare, clinical, and medical systems.
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GLP-1 medications like Novo Nordisk's Wegovy and Ozempic are taking the market by storm.
With demand soaring, many patients are realizing these medications are either not being covered or simply too expensive.
Is this all due to provider greed or is the issue more complicated?
In this episode of CareTalk, David E. Williams and John Driscoll discuss how the growing demand for weight-loss drugs is creating a conundrum for providers, forcing them to decide between avoiding the costs associated with at-risk patients or investing upfront for long-term savings.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
TOPICS
(0:38) Sponsorship
(2:06) Obesity in America
(2:40) The State of Insurance Coverage for GLP-1s
(3:27) Background on Obesity Drugs
(4:45) Formation of GLP-1 Use
(7:20) The Cost Conundrum of Weight-Loss Drugs
(10:16) How Insurance Impacts Weight-Loss Drug Coverage
(11:30) Understanding Adverse Selection
(14:30) How Insurers Prevent Coverage
(15:04) Decisions on Weight-Loss Drug Coverage
(16:07) What Makes GLP-1s Unique for Cost Coverage
(18:00) Will Weight-Loss Drugs Become Cheaper?
(21:22) Medicare's Role in Weight-Loss Drugs
(22:17) Examining Side Effects of Weight-Loss Drugs
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
GET IN TOUCH
Become a CareTalk sponsor
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Visit us on the web
Subscribe to the CareTalk NewsletterSupport the show
CareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting. -
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Ever tried to schedule a doctor’s appointment, only to be stuck on hold for what feels like forever?
You’re not alone. A lot of Americans feel the same frustration.
Could there be a better way to take control of scheduling?
In this episode of HealthBiz Briefs, Relatient CEO Jeff Gartland explains why self-scheduling is still a novel concept in medicine and how its implementation can improve patient access while increasing appointment volumes for providers.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ABOUT JEFF GARTLAND
Jeff Gartland, a pioneer in healthcare information technology systems, brings decades of expertise in growth strategies, innovation, and go-to-market initiatives. As the new CEO of Relatient, he is poised to advance the company’s industry-leading patient engagement and access platform. Previously, Gartland served as President of Anthem’s Advanced Analytics & Services division, where he built scalable technology solutions for the healthcare ecosystem, and held senior leadership roles at Ciox Health and McKesson’s RelayHealth, driving innovation in revenue cycle and clinical interoperability. Relatient, which recently merged with Radix Health, offers an all-in-one platform for patient engagement and scheduling that improves patient experiences and provider utilization.
🎙️⚕️ABOUT RELATIENT
Relatient, Inc., the 2020 KLAS Category Leader in Patient Outreach, is a SaaS-based patient engagement company focused on improving communication between patients and providers through a mobile-first approach. In 2020, Relatient’s digital platform facilitated over 200 million patient messages for U.S. medical practices and health systems, integrating seamlessly with more than 85 practice management systems and electronic health databases. Its suite of solutions—including patient messaging, self-scheduling, digital registration, and billing—enhances operational efficiency, reduces no-shows, accelerates payments, drives new appointments and reviews, and boosts patient satisfaction, all while supporting health and care quality initiatives.
GET IN TOUCH
Become a CareTalk sponsor
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Subscribe to the CareTalk NewsletterSupport the show
CareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting. -
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What if you could get personalized medical solutions tailored exactly to your needs, diagnosis, and even genetics?
Personalized medicine may have sounded like a pipe dream a few years ago, but it’s fast becoming a major sector of the industry.
In this episode of CareTalk, David Williams and John Driscoll sit down with Bradley Bostic, Founder and CEO of hc1 and managing director at Health Cloud Capital, to explore how diagnostics and AI are transforming personalized healthcare through data-driven innovation.
This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.
As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.
TOPICS
(0:16) Intro
(0:32) Sponsorship
(2:11) Congratulations to Marty Makary
(2:51) How Important Is Lab Testing for Healthcare?
(4:38) Going Beyond Basic Lab Data
(7:49) How Tests Lead Into Personalized Medicine
(10:41) Looking at Data More Effectively
(15:00) Will Changes in the Healthcare System Affect Lab Data?
🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.
🎙️⚕️ ABOUT BRADLEY BOSTIC
For 25 years, Brad Bostic has led and invested in high-growth tech companies. Driven to improve patient care, he founded hc1 to enable precise diagnoses and treatments through optimized lab testing. Under his leadership, hc1 grew from a startup to a global leader, analyzing lab data for over 260 million patients using AI. Recognized for his transformational leadership, Brad has significantly enhanced enterprise value and was named "2020 Dynamic Business Leader of the Year" by the Indiana Chamber of Commerce and a “Top Entrepreneur” by Becker’s Healthcare.
🎙️⚕️ ABOUT HC1
Founded in 2011, hc1 leverages lab data to generate actionable insights that enhance patient care, streamline lab operations, and reduce costs. Today, hc1 processes data for over 90 million patients, managing 30 billion clinical transactions monthly on its secure AWS-powered platform. Their solutions, including hc1 Performance Analytics™ and PrecisionDx Advisor™, enable labs to optimize testing and treatment decisions. With its 2024 acquisition of Accumen, hc1 now offers comprehensive solutions to transform labs into strategic assets for health systems, driving precision diagnostics and improved outcomes.
🎙️⚕️ ABOUT HEALTH CLOUD CAPITAL
Health Cloud Capital is a private equity firm specializing in high-growth health tech companies that leverage Artificial Intelligence (AI) and Machine Learning (ML) to uncover hidden risk signals in datasets. Their mission is to revolutionize healthcare by enhancing efficiency, precision, and effectiveness to improve patient outcomes. With a focus on Health Tech Data, Health Cloud Capital has achieved returns exceeding 2X to date. Their partners bring valuable insights from investing in and managing multiple growth-stage companies across healthcare, technology, and cloud computing, providing a competitive edge. The firm has a proven track record of delivering significant returns for investors and ensures that portfolio companies utilize robust,Support the show
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