• Why Healthcare's 'Silent Majority' Just Got Very Loud: A Wake-up Call We Can't Ignore

  • Dec 12 2024
  • Length: 37 mins
  • Podcast

Why Healthcare's 'Silent Majority' Just Got Very Loud: A Wake-up Call We Can't Ignore

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  • Summary

  • Did you know that your ability to get surgery could depend on an AI algorithm with a 90% error rate? Three seismic events in healthcare this week expose a system at its breaking point - but also reveal opportunities for innovative solutions.In This Episode:The real story behind UnitedHealthcare CEO's tragedy and why physicians' reactions signal a deeper crisisHow insurance algorithms are affecting patient care and what it means for healthcare providersWhy Anthem BCBS's attempted anesthesia policy reveals cracks in our healthcare systemPersonal insights from both sides: as a practicing clinician and patient navigating the systemThe FDA's Red 3 ban and what it teaches us about adapting to change in healthcareHow healthcare innovators can turn these challenges into opportunitiesKey Takeaways:Understanding the impact of AI in healthcare decision-makingWhy transparency matters in insurance practicesHow to build sustainable healthcare solutionsThe importance of multiple stakeholder perspectivesSteps for creating positive change in healthcareMajor Discussion Points:The Healthcare Breaking Point UnitedHealthcare's 33% claim denial rateImpact of AI algorithms on patient carePhysician frustration and system failureInsurance Industry Wake-up Call Anthem BCBS anesthesia policy attemptProvider and patient impactIndustry response and policy reversalLessons from FDA's Red 3 Ban Industry adaptation requirementsParallels to healthcare innovationPreparing for regulatory changesBuilding Better Solutions PulsePoint Path's holistic approachMultiple forms of capitalCreating sustainable changeResources Mentioned:PulsePoint Path Annual Impact Awards: PulsePointPath.com/AwardsCapital Readiness Scorecard: PulsePointPath.com/Capital-Readiness-ScorecardHealthcare Amplified Network: HealthcareAmplified.orgConnect With Us:Website: PulsePointPath.com LinkedIn: Linkedin.com/in/SabrinaRunbeckEpisode Timeline:00:00:52 - CEO shooting, an insurance policy reversal, and a pending FDA ban.00:01:19 - Empowering healthcare entrepreneurs and creating a positive social impact.00:03:00 - UnitedHealthcare’s denial rates, revenue, and the human impact of these figures.00:06:00 - Sabrina’s personal experiences navigating insurance denial and financial strain.00:09:57 - UnitedHealthcare’s NH Predict algorithm on claims and care decisions.00:13:05 - Need for mandatory reporting and standardized processes for insurance claims.00:19:13 - Blue Cross Blue Shield’s proposed policies and the ripple effects on patient safety. 00:22:03 - Regulatory challenges as opportunities for innovation and adaptation.00:31:13 - Breakdown of financial, intellectual, human, social, and cultural capital strategies.00:37:15 - Call to Action: Revolutionizing Healthcare Listen 🔊to this episode now and Subscribe to the Provider’s Edge to never miss an episode❗🎧 SabrinaRunbeck.com/Podcast ------------------------------------------Rather read our episode's best highlights?For the visual learners, 📚 subscribe to our LinkedIn Newsletter where we summarize each episode into a 4-5 minutes blog for you.Click here to 🔔 subscribe: SabrinaRunbeck.com/LinkedInNewsletter------------------------------------------We love to hear your feedback. Send me a personal message on Linkedin.com/in/SabrinaRunbeck or share a post and tag me @SabrinaRunbeckLet me know how you like to uplevel your success!
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