Raise the Line with Osmosis.org Podcast

Raise the Line

Osmosis.org explores solutions with top experts to strengthen the capacity of our healthcare system during the COVID-19 pandemic and beyond.

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EPISODE 172

Reinventing Healthcare After the Pandemic: Dr. Shantanu Nundy, Chief Medical Officer at Accolade

05-06-2021

"Healthcare needs to become distributed, digitally enabled, and decentralized.” That’s the core message in the new book Care After Covid: What the Pandemic Revealed Is Broken in Healthcare and How to Reinvent It, by Dr. Shantanu Nundy. Between his work as a primary care physician, lecturer in health policy at George Washington University Milken Institute for Public Health, advisor to the World Bank on digital health and innovation and role as chief medical officer at Accolade, Nundy brings a lot to the national conversation about improving healthcare. Although plenty needs to be done by regulators, policymakers and other stakeholders, Nundy is also looking to his fellow providers to drive change. Taking the trajectory of telemedicine as an example he says, “we could have moved to virtual care sooner. Part of it was regulation, but part of it was us. We could have been giving our patients' blood pressure cuffs to take home with them. Part of it was regulation, but part of it was us. I think the pandemic has shown that you don't have to wait for someone in DC to solve a problem for you. There's so much that we all know because we're in exam rooms every day and there are things we can do to make care better.” Tune in for a trenchant discussion with host Rishi Desai on removing barriers to change, patient empowerment, changing medical education, training doctors to be mass communicators and much more.

EPISODE 158

Creating Higher Expectations for the Healthcare Experience - Bhavdeep Singh, CEO and Co-Founder of HealthQuarters

04-07-2021

“We've got great doctors, we just need to give them the right ecosystem to work in,” says Bhavdeep Singh, a deeply experienced leader in the healthcare and retail sectors in the U.S. and India. Singh joins Raise the Line today to share the innovations he’s hoping to bring to the healthcare experience with his company HealthQuarters, which is developing a delivery model that combines physicians and other types of providers in one location, with an emphasis on wellness. They’ve just opened a location in New York City in partnership with Mount Sinai, offering convenient access to a wide array of services from primary care to mental health counseling, physical therapy, nutrition education and acupuncture. “The idea is to make what otherwise is such a challenging, sometimes painful experience for people into something where people are comfortable, respected, and they walk out saying, ‘Well, that wasn't so bad. They took care of me and at least I know what I'm doing, and I feel better about it.’" In short, make healthcare as customer-centric as the best retail experiences. Part of the challenge, as Singh sees it, is raising people’s expectations for what their healthcare experience should be like, and creating a mindset of wellness and prevention, something which COVID is helping to spur. Check out this insightful discussion about the many ways we can raise the bar (while we’re raising the line) in healthcare delivery.

EPISODE 157

COVID is Showing the Value of Value-Based Care – Dr. Tobias Barker, Chief Medical Officer at Everside Health

04-06-2021

“Most of the time, things that make sense are probably going to find their way to the top, and value-based care just makes so much sense,” says Dr. Tobias Barker, chief medical officer of Everside Health (formerly Paladina Health). Barker has been exposed to many approaches to delivering care in a career that has taken him from under-resourced areas around the globe to VA hospitals to the retail giant CVS. What makes so much sense to him about value-based care, which pays providers an upfront fee every month for the patients they treat and rewards quality of care, is it allows them to do what will help patients be as healthy as possible without worrying if it fits a billing code. Everside uses this approach providing primary care to the employees of self-insured employers, and it has proven to reduce the total cost of care. It has also proven to be a resilient business model during the pandemic. Providers still in the traditional “fee for service” system were hit hard when patients stopped showing up because there were fewer services to bill for, while those in the value-based system could rely on the steady upfront payments. In this episode of Raise the Line, Barker is full of interesting examples and anecdotes as he recounts to host Shiv Gaglani his circuitous educational and career path, experiences at CVS Health and working early in his career with Dr. Anthony Fauci.

EPISODE 112

Understand Every Person’s Role – Dr. Vivian Lee, President of Health Platforms at Verily Life Sciences

01-26-2021

“Why can't we get better health when we're spending two to three times as much money as any other high-income nation?” asks Dr. Vivian Lee, as so many other Americans have asked for so many years. But not many have developed answers as compelling as hers, making Lee one of the leading voices on healthcare reform in the country. Lee’s perspective, shaped by a rich set of experiences as a clinician, leader and academic, is strengthening a movement to make healthcare more centred on helping patients be as healthy as possible instead of being geared to just treat them when they are sick. Her influential book “The Long Fix” lays out an action plan to create a less costly system and a healthier population. As she explains to host Shiv Gaglani, positive change will depend in part on clinicians knowing as much as possible about the business of healthcare, and also about what other providers do. “You need to understand what every person's role is on the care team. Until you can make the most of every person, how can you drive value?” After running a highly-respected academic health system, Lee is now making an impact in the private sector at Verily Life Sciences, part of the Google family of companies. Listen in to learn how Verily is using digital health and data analytics to support schools, employers and patients during COVID, and the impact it is hoping to make long-term.

EPISODE 108

Question Everything While You’re Learning – Peter Frishauf, Founder of Medscape

01-19-2021

Peter Frishauf’s message for today’s medical trainees and early career professionals is rooted in the zeitgeist of challenging the status quo he absorbed coming of age in the 1960’s and 1970’s. “If they think there is a better way of doing something, they should investigate that. You owe it to the universe of people out there to test out your ideas and push on them a bit and see what proves out.” For instance, it was “rebellious people” in the 1960’s, he argues, who developed the professions of Nurse Practitioner and Physician Assistant and elevated emergency medicine to specialty status. Pushing a bit on his own ideas led to a storied career in which he made a lasting mark as a pioneer in information and technology.  In the early 1980’s, he founded a medical journal company which developed a collaborative “electronic news room” model far ahead of its time. He made perhaps his most important contribution by launching Medscape in the internet’s infancy which has gone on to become the most visited professional medical website in the world, informing millions of clinicians and consumers alike. He's still at it, serving as an influential advisor, investor, board member and leader in New York's vibrant startup culture in healthcare media and life sciences.  But to host Shiv Gaglani, and the entire Osmosis team, he’s the “Godfather” of Osmosis. This is a special opportunity to hear from a visionary whose grounding and enduring mission has been improving health and healthcare for all.

EPISODE 105

Tie Your Work to Improving People’s Lives - Omar Ishrak, Former CEO of Medtronic

01-13-2021

A strong, sustained sense of purpose is the bedrock of a successful company, with everything else flowing from that. So says Omar Ishrak, one of the most influential figures in medical technology and healthcare in the U.S. and globally. He earned that role in part by being Chairman and CEO of Medtronic, the world's leading medical technology company, from 2011 to 2020, but he was also president and CEO of GE Healthcare Systems earlier in his career. When it comes to having a durable purpose, Medtronic is hard to beat. Founded in the late 1940’s, the company has kept the same mission for more than 60 years – to apply biomedical engineering to alleviate pain, restore health, and extend life. Ishrak considers a major part of his legacy at Medtronic to be successfully stewarding that mission and making it possible for his successors to carry it forward for decades to come. Of course, there were other accomplishments in his tenure including the acquisition of Covidien, a $10 billion global manufacturer of surgical products and supplies, marking the largest medical technology acquisition in the history of the industry. In this thoughtful discussion with host Shiv Gaglani, Ishrak talks about drawing encouragement from how quickly different parts of the healthcare industry came together in response to COVID, and what he hopes the lasting improvements will be from this crisis. He also makes the case for shifting the focus of healthcare at both the industry and individual worker level to successful patient outcomes. “No matter what you do in healthcare, having a line of sight to improving outcomes is important. Tie your work to how people's lives get better.”

EPISODE 98

"Alexa, Can You Improve Healthcare?" – Rachel Jiang, Head of Alexa Health & Wellness

12-30-2020

If you’re one of the millions of Americans who just received a smart speaker as a holiday gift, you’re joining an enormous group. Earlier this year it was estimated that 90 million people in the U.S. own one, and that number is growing fast. They offer an easy way to get news, weather, listen to music and control functions in your home, but there are many other uses for these devices and health care is one area where they may play a major role, according to our Raise the Line guest Rachel Jiang who is Head of Alexa Health & Wellness at Amazon. COVID has only underscored this potential. “More than ever it's really important to help people remotely manage their health care needs, and we think Alexa is in a great position to do that,” she says. In fact, Jiang and her team have been working closely with health care providers to develop “skills” (the equivalent of an app on your smartphone) to facilitate safe care both in clinical settings and at home. As Jiang shares with host Jannah Amiel, RN, the video capability of the Echo Show adds power to the instructional value of these interactive devices. For instance, imagine videos showing post-op patients how to change a dressing or do physical therapy while at home. Check out this fascinating discussion to learn more about how this technology might help both patients and providers, how privacy concerns are being addressed and the role software developers will play in tapping what Jiang sees as the endless possibilities ahead.

EPISODE 90

Walmart’s Vision for Healthcare: Marcus Osborne, Senior VP of Walmart Health

12-16-2020

If you’re curious about the impact “big box” retailers are going to have on healthcare delivery in the U.S., this episode of Raise the Line has some answers. Host Shiv Gaglani welcomes Marcus Osborne, a senior leader at Walmart Health, who is helping to build a new approach that could shake-up the whole industry. “If we can create a model that is actually compelling for consumers, and consumers are willing to pay for it, then we don't really care what the payers do about us,” says Osborne, who has plenty of other candid insights to share. For instance, he believes the challenge the U.S. is facing is a “vast underconsumption” of healthcare, not overconsumption as many healthcare policy experts contend. His point is that too many people simply don’t get the care they need due to the cost and complexity of the current system, and that delay inevitably drives costs up over time. He’s hoping to change that with in-store clinics that will offer a variety of medical and dental services under one roof at an affordable price. Check out this fascinating discussion as Osborne speculates that worsening shortages of healthcare workers will make it necessary to find new ways to leverage new technology and types of providers, and that much greater accountability for the quality of care delivered will be a reality sooner rather than later. This is a great opportunity to get a peek at the future of healthcare.

EPISODE 86

Reimagining the Education-Health Connection: Dr. Ryan Padrez, Medical Director of The Primary School

12-10-2020

As a pediatrician, Dr. Ryan Padrez was frustrated by the challenges of navigating education and health systems to get his patients the services they needed – whether it was speech therapy, mental health counseling or other important care. That’s why he’s gratified to be involved in building a model for early education, developed by the Chan Zuckerberg Initiative, that integrates learning with health care and family support services. Padrez is medical director of The Primary School which is currently serving two lower income communities near San Francisco, but has ambitions to develop best practices that will be adopted nationally. The emphasis is on supporting all of a child’s needs from very early in their life and working closely with parents to build child and family well-being at the same time. COVID has increased the challenge because many of the school’s parents have lost jobs and health coverage, and levels of stress are on the rise. Padrez, who is also an assistant clinical professor of Pediatrics at Stanford University, says COVID has shined a light on just how much schools do to support the health needs of children and families, and the connection between the two systems needs to be strengthened going forward if kids are going to thrive. Padrez and host Dr. Rishi Desai also touch on trauma-informed care, the trust schools need to build with families, and what the evidence says about the safety of opening schools in the midst of COVID.

EPISODE 65

Knowing Your Patients as a Person - Dr. Ken Johnson, Executive Dean of Ohio University Heritage College of Osteopathic Medicine

10-15-2020

“If a patient feels like their doctor knows them as a person, they're eight to nine times more likely to follow through with their treatment instructions,” says Dr. Ken Johnson. Creating that kind of connection is more challenging in a virtual visit, he worries, not to mention the reduced opportunity to take the actual “hands-on” approach to care that osteopathic physicians practice. But schools of medicine like the one he runs at Ohio University are finding ways to teach telehealth skills, and Johnson has confidence the students will make it work. “Students have great ideas about how to evolve things, and I challenge every single class that comes in to give us feedback to improve the process for them,” he tells host Shiv Gaglani. Embracing the sudden ascendence of telehealth is just one of the major adjustments today’s medical students are having to make in the midst of a once-in-a-century pandemic, and Johnson sees building their resilience to manage the stressful and unpredictable nature of a career in medicine as a key objective, which he says can be accomplished if you create an “environment of support.” Catch this conversation with host Shiv Gaglani as Johnson discusses how that can be done, strategies for serving rural communities and why so many schools of osteopathic medicine are located in relatively small towns.

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