Beyond the Stethoscope: Vital Conversations with SHP

Strategic Healthcare Partners

Beyond the Stethoscope: Vital Conversations with SHP, is a podcast where you’ll hear about current health news, interesting interviews, and conversation about the topics that are shaping healthcare. Who are we? At Strategic Healthcare Partners we work alongside your team to serve as an extension of your healthcare organization. From Managed Care Contracting to Revenue Cycle Analytics to Provider Enrollment to Outcome-based Care and everything in-between, SHP has you covered from the exam room to the board room. No matter where you provide healthcare, odds are we will have something for you. Each episode you’ll find something for everyone as we cover the rapidly evolving healthcare landscape. read less
Health & FitnessHealth & Fitness

Episodes

Revisit: Mastering Private Practice in a Post-Pandemic World: Insights & Strategies from Coastal Vascular and Vein Center's CEO Craig Kilgore Part 2
4d ago
Revisit: Mastering Private Practice in a Post-Pandemic World: Insights & Strategies from Coastal Vascular and Vein Center's CEO Craig Kilgore Part 2
What happens when you mix the expertise of Coastal Vascular and Vein Center's CEO Craig Kilgore with the turbulence of the post-pandemic private practice landscape? You get a dynamic and insightful exploration of the challenges and opportunities facing private practices in this transformative era. From the consolidation of payer landscapes to the evolution of volume levels, and the constant struggle with staffing, Craig offers his perspective, grounded in his extensive experience across IT, finance, and executive administration. Craig goes beyond just identifying the problems: he offers tangible strategies for fostering growth, harnessing innovation, and engaging physicians and staff within a practice. Drawing from his own experience, he outlines the merits of owning property and diversifying business strategies to build a resilient and successful private practice. But it's not all rosy – Craig also shares his concerns about the declining interest among physicians in private practice and the ongoing struggle with staff retention. This episode is more than a conversation; it's a masterclass in navigating the choppy waters of private practice in a post-pandemic world. So, ready to get some invaluable insights? Of course, you are! Let the conversation begin.Craig M. Kilgore, CEO - Coastal Vascular & Vein Center(e) craig.kilgore@coastalvvc.com(p) 843-577-4551 Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Revisit: Unpacking CON Laws: Impact on Rural Healthcare, Cybersecurity Challenges, and Value-Based Care (Part 2) with Tom Campanella
25-09-2024
Revisit: Unpacking CON Laws: Impact on Rural Healthcare, Cybersecurity Challenges, and Value-Based Care (Part 2) with Tom Campanella
Unlock the secrets behind the impact of Certificate of Need (CON) laws on healthcare providers, especially in rural areas, with our special guest, Tom Campanella. Drawing from his extensive experience at Blue Cross and Blue Shield of Ohio, Tom sheds light on the frustrations and inefficacies associated with these regulations. We delve into the critical balance between maintaining an optimal number of healthcare providers and fostering a competitive marketplace. Tom passionately argues that competition is key to driving value-based care and discusses how government regulations can sometimes be more of a hindrance than a help.Ever wondered how non-compete clauses and NDAs are stifling innovation and patient care in the healthcare sector? Join us as we examine the Federal Trade Commission's (FTC) recent ruling against non-competes, exploring its potential to drive innovation, enhance patient choices, and reduce unnecessary legal expenses for practices. We also tackle the pressing issue of cybersecurity, emphasizing the urgent need for a national strategy to combat ransomware attacks and data breaches. The growing demand for cybersecurity consultants across industries is also highlighted, underscoring the evolving landscape of healthcare security.To wrap up our enlightening discussion, we shift gears to the complexities of value-based care and its intricate relationship with value-based reimbursement. Drawing parallels to outdated but still prevalent communication methods in healthcare, we scrutinize different reimbursement methodologies and the challenges faced by hospital CFOs in transitioning to value-based care. Don't miss this engaging and thought-provoking episode. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Revisit: Interview with Tom Campanella, J.D., M.A. of Baldwin Wallace University (Part 1): Primary Care & Rural Health Challenges
18-09-2024
Revisit: Interview with Tom Campanella, J.D., M.A. of Baldwin Wallace University (Part 1): Primary Care & Rural Health Challenges
Is the U.S. healthcare system failing to prioritize what truly matters? Join us in an eye-opening discussion with Thomas Campanella from Baldwin Wallace University, as we dissect the multifaceted challenges facing the primary care sector. With a staggering 40-year experience in healthcare, Tom sheds light on the dire shortage of primary care physicians and the frustrating economic dynamics that undervalue this essential field. Despite the U.S. spending nearly 20% of its GDP on healthcare, only a small fraction goes to primary care, a discrepancy that Tom believes is starting to gain overdue recognition through innovative collaborations and a push for quicker changes.We dive into the complex economic and political landscape that hinders primary care, revealing how vested interests and profit-driven motives perpetuate a system focused more on treating illness rather than preventing it. As we navigate through the intricacies of value-based care, Tom highlights the growing impact on primary care provider compensation, especially for family medicine practitioners. By understanding the broader context—payer systems, hospital operations, and policies—we underscore the need for tailored solutions to address primary care issues in both urban and rural settings.The conversation also ventures into the transformative role of technology in healthcare, particularly in bridging gaps in rural areas. From the rise of telehealth accelerated by COVID-19 to the efforts of retailers like Walmart and Walgreens in making healthcare accessible, we explore a range of innovative solutions. We also discuss the challenges specific to rural healthcare, such as limited broadband access, and the importance of collaborative community efforts. Wrapping up with insights on federal support and successful models of rural healthcare, this episode offers a comprehensive look at the future possibilities in primary care.Connect with Tom on LinkedIn. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
End of Season Wrap: A Look Back on Season 4, Summer Plans, & Hints on Season 5
17-07-2024
End of Season Wrap: A Look Back on Season 4, Summer Plans, & Hints on Season 5
Season 4 was our longest & most exciting season yet! We started with legislative insights from Rep. Buddy Carter and Mayor Karen Williams on healthcare access and local governance. Dean Rottinghaus from QurHealth discussed AI advancements in diabetes management & wound care. We covered health insurance trends for small businesses with Matt Usher & drew leadership inspiration from Shery Roussarie & Kelly Macken-Marble with their book, "Two Rivers - The Power of Collaboration and Other Leadership Lessons." Our two-part interview with Tom Campanella provided insights into primary care & current healthcare trends. Tune in for a blend of serious discussions & humor as we wrap up Season 4 of our podcast & talk about future seasons of the show.Take our Listener Survey to help us make this podcast better!Season 4 episodes mentioned in this podcast:4.5 A Pharmacist Goes to Washington: Advancing Healthcare Policy with Congressman Carter4.6 Championing Community Health: Mayor Karen Williams' Pursuit of Enhanced Healthcare in Pooler, Georgia4.8 Navigating the Future of Health: AI Breakthroughs and Rural Revitalization with Dean Rottinghaus4.10 The CEO Chair: Practice Leadership Philosophy, Challenges & Market Insights4.11 Book Review: Shery Roussarie and Kelly Macken-Marble on Fostering Collaboration and Navigating Biases in the Workplace4.13 Decoding the Changing Healthcare Marketplace with Industry Leaders4.15 Interview with Tom Campanella, J.D., M.A. of Baldwin Wallace University (Part 1): Primary Care & Rural Health Challenges4.16 Unpacking CON Laws: Impact on Rural Healthcare, Cybersecurity Challenges, and Value-Based Care (Part 2) with Tom CampanellaResources:Sherry & Kelly's book is "Two Rivers: The Power of Collaboration". You can buy a copy from anywhere you buy books, including Amazon, B&N, Bookshop.org, and more.Guest LinkedIn Profiles:Thomas Campanella | LinkedInKelly Macken-Marble | LinkedInDean Rottinghaus, DC | LinkedInShery Roussarie | LinkedInMatt Usher | LinkedIn Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Revisit: Championing Community Health: Mayor Karen Williams' Pursuit of Enhanced Healthcare in Pooler, Georgia
10-07-2024
Revisit: Championing Community Health: Mayor Karen Williams' Pursuit of Enhanced Healthcare in Pooler, Georgia
Join us for this revisit with Mayor Karen Williams. Our second epsiode of the season.Have you ever wondered what drives a local leader to champion the betterment of community healthcare? Join us as Mayor Karen Williams of Pooler, Georgia, opens up about her inspiring foray into politics and her relentless commitment to public service. Together, we unravel the complex healthcare challenges her community faces, from the scarcity of emergency care facilities to the hurdles of enhancing healthcare infrastructure under Georgia's stringent regulations. As a member of the Pooler City Council myself (Aaron) and with Jason Crosby by my side, we bring you a dual perspective that bridges local governance with the frontline realities of healthcare provision. Navigating the nuances of community health, Mayor Williams and I highlight the indispensable role of communication in advancing the well-being of our residents. We dissect lessons from the COVID-19 pandemic, underscoring the importance of preparedness and robust public health messaging. There's more—we get into the nitty-gritty of how healthcare providers can better serve our hardworking shift workers through extended hours and why forging proactive partnerships is key to adapting to the dynamic needs of our workforce. Tune in and be part of our journey to foster a healthier Pooler, where every voice is heard and every community member's health is a priority. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Revisit: A Pharmacist Goes to Washington: Advancing Healthcare Policy with Congressman Carter
03-07-2024
Revisit: A Pharmacist Goes to Washington: Advancing Healthcare Policy with Congressman Carter
Join us for this revisit of our first episode of this season!Step into the world of healthcare reform with the unique perspective of Congressman Earl "Buddy" Carter, a pharmacist serving in Congress, whose career has taken him from the quaint town of Pooler's mayoral office to the halls of the U.S. Capitol as Georgia's 1st District Representative. Delve into a conversation that traverses the landscape of healthcare legislation, as we dissect Carter's contributions on the Energy and Commerce and Budget Committees, and the transformative bills he passionately supports. The Lower Cost, More Cures Act and the Saving Our Students in Schools Act take center stage, revealing a behind-the-scenes look at their implications and the legislative journey from conception to enactment.Hear how the government shapes the trajectory of healthcare services through the levers of Medicare and Medicaid, alongside the burgeoning telehealth revolution that promises to redefine rural healthcare access. Congressman Carter sheds light on the imperative for high-speed internet to support telehealth innovations and the legislative efforts in motion to combat maternal mortality through the Healthy Moms and Babies Act. As we unravel the threads of bipartisan legislation, such as the Emergency Medical Services for Children Reauthorization Act, it becomes clear how collective efforts across the aisle can forge pathways to superior emergency care for our youngest citizens. Join us for an episode that not only informs but ignites a dialogue on the future of healthcare policy. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Unpacking CON Laws: Impact on Rural Healthcare, Cybersecurity Challenges, and Value-Based Care (Part 2) with Tom Campanella
26-06-2024
Unpacking CON Laws: Impact on Rural Healthcare, Cybersecurity Challenges, and Value-Based Care (Part 2) with Tom Campanella
Unlock the secrets behind the impact of Certificate of Need (CON) laws on healthcare providers, especially in rural areas, with our special guest, Tom Campanella. Drawing from his extensive experience at Blue Cross and Blue Shield of Ohio, Tom sheds light on the frustrations and inefficacies associated with these regulations. We delve into the critical balance between maintaining an optimal number of healthcare providers and fostering a competitive marketplace. Tom passionately argues that competition is key to driving value-based care and discusses how government regulations can sometimes be more of a hindrance than a help.Ever wondered how non-compete clauses and NDAs are stifling innovation and patient care in the healthcare sector? Join us as we examine the Federal Trade Commission's (FTC) recent ruling against non-competes, exploring its potential to drive innovation, enhance patient choices, and reduce unnecessary legal expenses for practices. We also tackle the pressing issue of cybersecurity, emphasizing the urgent need for a national strategy to combat ransomware attacks and data breaches. The growing demand for cybersecurity consultants across industries is also highlighted, underscoring the evolving landscape of healthcare security.To wrap up our enlightening discussion, we shift gears to the complexities of value-based care and its intricate relationship with value-based reimbursement. Drawing parallels to outdated but still prevalent communication methods in healthcare, we scrutinize different reimbursement methodologies and the challenges faced by hospital CFOs in transitioning to value-based care. Don't miss this engaging and thought-provoking episode. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Interview with Tom Campanella, J.D., M.A. of Baldwin Wallace University (Part 1): Primary Care & Rural Health Challenges
19-06-2024
Interview with Tom Campanella, J.D., M.A. of Baldwin Wallace University (Part 1): Primary Care & Rural Health Challenges
Is the U.S. healthcare system failing to prioritize what truly matters? Join us in an eye-opening discussion with Thomas Campanella from Baldwin Wallace University, as we dissect the multifaceted challenges facing the primary care sector. With a staggering 40-year experience in healthcare, Tom sheds light on the dire shortage of primary care physicians and the frustrating economic dynamics that undervalue this essential field. Despite the U.S. spending nearly 20% of its GDP on healthcare, only a small fraction goes to primary care, a discrepancy that Tom believes is starting to gain overdue recognition through innovative collaborations and a push for quicker changes.We dive into the complex economic and political landscape that hinders primary care, revealing how vested interests and profit-driven motives perpetuate a system focused more on treating illness rather than preventing it. As we navigate through the intricacies of value-based care, Tom highlights the growing impact on primary care provider compensation, especially for family medicine practitioners. By understanding the broader context—payer systems, hospital operations, and policies—we underscore the need for tailored solutions to address primary care issues in both urban and rural settings.The conversation also ventures into the transformative role of technology in healthcare, particularly in bridging gaps in rural areas. From the rise of telehealth accelerated by COVID-19 to the efforts of retailers like Walmart and Walgreens in making healthcare accessible, we explore a range of innovative solutions. We also discuss the challenges specific to rural healthcare, such as limited broadband access, and the importance of collaborative community efforts. Wrapping up with insights on federal support and successful models of rural healthcare, this episode offers a comprehensive look at the future possibilities in primary care. Connect with Tom on LinkedIn. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Headline Deep Dive: Challenges and Issues Faced by Retail Giants, Financial Pressure for Hospitals, and a new look at the Change Healthcare Hack
12-06-2024
Headline Deep Dive: Challenges and Issues Faced by Retail Giants, Financial Pressure for Hospitals, and a new look at the Change Healthcare Hack
Can retail giants like CVS, Walgreens, Walmart, and Dollar General successfully venture into the healthcare sector, or are they doomed to fail? Join us for an eye-opening episode as we examine the obstacles these major retailers face in integrating healthcare services into their business models. We dissect the financial constraints and complexities of the healthcare market that have led many to scale back or even shutter their healthcare initiatives, shedding light on broader systemic issues within the U.S. healthcare system and the dominant role of insurance companies in capturing substantial profits. Uncover the unique challenges retailers face in managing healthcare services compared to traditional retail products and consumer perceptions that complicate their efforts.Next, we tackle the profitability struggles within the healthcare industry in the aftermath of the pandemic. With nearly 40% of U.S. hospitals operating at a loss, outpatient clinics and inpatient hospitals are in a precarious position despite a rise in outpatient revenue and ER visits. We explore the myriad of issues contributing to their financial woes, including escalating costs, staffing shortages, and the expensive reliance on travel nursing services. The impact of inflation, rising employment costs, and insufficient payer reimbursements on smaller, independent hospitals are discussed, along with the urgent need for updated managed care contracting to optimize reimbursement.In our final segment, we delve into the critical financial challenges hospitals face as COVID-related grants dry up, exacerbating their dire financial situation. The significant fallout from the Change Healthcare hack is also on our radar, highlighting the financial losses and administrative burdens it has caused. We raise the provocative question of whether Change Healthcare is too big to fail and consider the broader implications for healthcare providers. Additionally, we offer a behind-the-scenes look at the dedicated team efforts that make this podcast possible, giving you a glimpse into the coordination and hard work that goes into bringing each episode to life. Join us for these vital conversations and more, as we navigate the complex landscape of healthcare.Show Notes:Headlines discussed in today's episodes include:https://www.kaufmanhall.com/insights/research-report/national-hospital-flash-report-april-2024-metricshttps://www.beckershospitalreview.com/cybersecurity/hhs-change-responsible-for-notifying-patients-about-data-breach.htmlhttps://www.beckershospitalreview.com/ehrs/judy-faulkner-is-single-biggest-obstacle-to-ehr-interoperability-oracle-leader-says.htmlhttps://www.beckershospitalreview.com/cybersecurity/scripps-health-ceo-fear-keeps-systems-from-reporting-cyberattacks.html Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Decoding the Changing Healthcare Marketplace with Industry Leaders
05-06-2024
Decoding the Changing Healthcare Marketplace with Industry Leaders
What if your small business had to navigate a health insurance market that's shrinking by the day? Join us as we unpack the recent upheavals in Georgia's small business health insurance scene, catalyzed by the exit of Cigna Oscar. Matt Usher joins us to dissect the challenges for employers with one to 50 full-time employees in this suddenly volatile market. Learn why the departure of major players like Humana has left only a few competitive options and what practical steps you can take to prepare for future insurance renewals without losing your cool.We then take a closer look at the seismic shifts in the broader healthcare landscape. Tech giants like Walmart, Amazon, and Best Buy are making bold moves into healthcare services, but can they really disrupt a sector as intricate as healthcare? We'll explore the unique financial dynamics, the pitfalls of vertical integration, and why primary care often acts as a loss leader. Plus, get an inside scoop on Amazon's evolving health initiatives amidst leadership shake-ups and what this could mean for the future.Finally, we explore the intricacies of the Direct Primary Care (DPC) model and its juxtaposition with traditional insurance metrics. Understand how personalized care and direct doctor-patient communication can offer substantial benefits yet face hurdles like scalability and affordability. We'll discuss potential solutions like bundled plans and better insurer-provider collaboration and examine the implications of the Consolidated Appropriations Act on price transparency and fiduciary responsibility. Get ready to gain insights into navigating an ever-changing healthcare landscape with confidence and clarity. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Navigating Healthcare Innovation: Uber Health's Caregiver Service, AI Developments, and Cybersecurity Responses
29-05-2024
Navigating Healthcare Innovation: Uber Health's Caregiver Service, AI Developments, and Cybersecurity Responses
Step into the future of healthcare logistics with Uber Health's latest innovation, Uber Caregiver, and find out how it's set to revolutionize the way patients and caregivers manage medical appointments and essential errands. We're dissecting the intricate dance of integrating this service with major healthcare payers, and the privacy hurdles that come with it, especially with the looming American Privacy Rights Act. Prepare to unravel the complexities of protecting health-related data when non-traditional healthcare entities like Uber step into the arena.Our journey doesn't stop there! Join us as we grapple with the development of medical AI, drawing parallels to the growth of a child, and confront the cybersecurity threats shadowing its progress. We salute the exemplary response of Ascension Healthcare to a cyber attack, and we contrast it with the more reticent approach of Change Healthcare. With expert insights from our esteemed guest, Matt Usher, we're unpacking the delicate equilibrium between AI's promise of efficiency and the unwavering commitment to ethical patient care. Tune in for a deep dive into the heart of healthcare's digital transformation, where every byte and bot matters. Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
Book Review: Sherry Roussarie and Kelly Macken-Marble on Fostering Collaboration and Navigating Biases in the Workplace
22-05-2024
Book Review: Sherry Roussarie and Kelly Macken-Marble on Fostering Collaboration and Navigating Biases in the Workplace
Unlock the mysteries of effective collaboration and leadership with Sherry Roussarie and Kelly Macken-Marble, the dynamic duo behind "Two Rivers - The Power of Collaboration and Other Leadership Lessons." As we navigate the twists and turns of their co-authorship, these seasoned leaders reveal how they've woven their personal narratives with practical insights on steering through the ever-changing currents of the professional world. Their shared wisdom doesn't just echo from the pages of their book; it resonates through our conversation, offering a treasure trove of guidance for those ready to lead with intention and inclusivity.Meeting the challenges of leadership head-on, especially as women, requires more than just resilience; it demands a keen understanding of the subtle biases that can divert one's path. Together with our guests, we explore strategies to constructively address discrimination and empower female leaders to stand firm in their roles. From handling 'sticky note managers' to building trust within teams, we dissect the complexities of interpersonal dynamics, making it clear that the journey to leadership is both an art and a science, demanding patience, empathy, and a dash of humor.Sometimes, the simplest questions can lead to profound reflections on perspective, adaptability, and the ingredients that make a team truly cohesive. So, buckle up for an episode that's rich and varied.Sherry & Kelly's book is "Two Rivers: The Power of Collaboration". You can buy a copy of your own from any of these fine retailers:AmazonBarnes & NobleBookstore.org-or-Directly from the publisher, Warren Publishing Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.
The CEO Chair: Practice Leadership Philosophy, Challenges and Market Insights.
15-05-2024
The CEO Chair: Practice Leadership Philosophy, Challenges and Market Insights.
Unlock the strategies that are shaping the future of independent physician practices,  with our esteemed guests, Sherry Roussarie and Kelly Macken-Marble. Their insights promise to guide you through the maze of leadership challenges, collaboration necessities, and the incisive market strategies that are vital for anyone invested in healthcare's evolution. Drawing from Sherry’s prowess in marketing and payer relations and Kelly’s transition from hands-on nursing to administration, their conversation is a beacon for those navigating the industry, revealing the importance of visionary partnerships like the one at Integrative Care Partners network in fortifying independent practices.Ready to see how technology is sparking a revolution in healthcare? We've got the conversation that maps out the terrain where AI and advanced technology intersect with the day-to-day operations of medical practice. Sherry and Kelly analyze the role of AI in patient care and administrative efficiency, and they dissect the emerging models that are redefining physician practice and hospital administration. This discussion is an invaluable resource for grasping the transformations that tech is driving in healthcare, and how these advancements are creating both challenges and opportunities for providers.We round off our journey with a deep dive into market trends and the core metrics that healthcare CEOs must prioritize. The dialogue transitions from the effects of private equity to how healthcare market dynamics vary across different states, offering a nuanced look at the interplay between health systems and independent practices. We highlight the importance of financial health, employee satisfaction, and innovation as critical success indicators for leaders in the healthcare industry, offering a masterclass in navigating the competitive and ever-changing landscape of providing quality care. Join us for these enlightening revelations that could redefine your approach to healthcare leadership and strategy.Sherry & Kelly co-authored "Two Rivers: The Power of Collaboration". You can buy a copy of your own from any of these fine retailers:AmazonBarnes & NobleBookstore.org-or-Directly from the publisher, Warren Publishing Visit our website Like us on FacebookTweet @ us on TwitterFollow on LinkedinSend an email contact@shpllc.comProduction © Strategic Healthcare Partners, LLC. All rights reserved.