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The Other 80
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コンテンツは Claudia Williams によって提供されます。エピソード、グラフィック、ポッドキャストの説明を含むすべてのポッドキャスト コンテンツは、Claudia Williams またはそのポッドキャスト プラットフォーム パートナーによって直接アップロードされ、提供されます。誰かがあなたの著作物をあなたの許可なく使用していると思われる場合は、ここで概説されているプロセスに従うことができますhttps://ja.player.fm/legal。
The Other 80 podcast — brought to you by Claudia Williams at UC Berkeley School of Public Health — hosts real, honest dialogue about the things that help keep people healthy beyond traditional medical care, like housing, social connections and food, and the cutting edge policies, research and programs supporting whole person health. Join former White House advisor, entrepreneur and host Claudia Williams for deep conversations with the innovators, implementers, researchers and policymakers bringing these new models to life. We’ll talk about what’s working, what’s not and how to move towards whole person health rapidly and equitably across the US.
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Manage series 3446072
コンテンツは Claudia Williams によって提供されます。エピソード、グラフィック、ポッドキャストの説明を含むすべてのポッドキャスト コンテンツは、Claudia Williams またはそのポッドキャスト プラットフォーム パートナーによって直接アップロードされ、提供されます。誰かがあなたの著作物をあなたの許可なく使用していると思われる場合は、ここで概説されているプロセスに従うことができますhttps://ja.player.fm/legal。
The Other 80 podcast — brought to you by Claudia Williams at UC Berkeley School of Public Health — hosts real, honest dialogue about the things that help keep people healthy beyond traditional medical care, like housing, social connections and food, and the cutting edge policies, research and programs supporting whole person health. Join former White House advisor, entrepreneur and host Claudia Williams for deep conversations with the innovators, implementers, researchers and policymakers bringing these new models to life. We’ll talk about what’s working, what’s not and how to move towards whole person health rapidly and equitably across the US.
…
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×For the past 20 years, under both Republican and Democratic administrations, the ONC has played a pivotal role shaping and regulating the health tech market. On the eve of the election, Micky Tripathi joined me to discuss the agency’s recently expanded role. Now, two months later—though it feels like a decade—the future is uncertain. Will the ONC and ASTP continue as market regulators and opportunity catalysts, or is a new direction on the horizon? Here’s what we covered: The government’s role in shaping and regulating the health tech ecosystem AI in healthcare: balancing the risks of misuse vs. the risk of “missed uses” Health information sharing: why Micky is optimistic about the future Can technology take the pain out of prior auth? Micky thinks we are standing on the edge of a transformative era: “We are just at the beginning of the most exciting decade...health information technology can really start to show… the return on investment for patients. We've done a lot of hard work over the last 10 years… [With that foundation in place] we have the opportunity to say there's an ROI here for patients.” Relevant Links Blog post on ONC reorganization: ONC’s Next Chapter TEFCA overview Forbes interview: Where is interoperability headed? Healthcare Dive: HHS AI Task Force Takes Shape (March 2024) Blog post by Micky: Getting real about information blocking and APIs (October 2024) About Our Guest Micky Tripathi is the Assistant Secretary for Technology Policy, National Coordinator for Health Information Technology, and Acting Chief Artificial Intelligence Officer at the U.S. Department of Health and Human Services, where he leads the formulation of HHS technology and data strategy and coordinates technology policies, standards, programs, and investments. Dr. Tripathi has over 20 years of experience across the health IT landscape. Prior to joining the federal government he served as Chief Alliance Officer for Arcadia, a health care data and software company focused on population health management and value-based care, the project manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR, and a board member of HL7, the Sequoia Project, the CommonWell Health Alliance, and the CARIN Alliance. Dr. Tripathi served as the President and Chief Executive Officer of the Massachusetts eHealth Collaborative (MAeHC), a non-profit health IT advisory and clinical data analytics company. He was also the founding President and CEO of the Indiana Health Information Exchange, a statewide HIE partnered with the Regenstrief Institute, an Executive Advisor to investment firm LRVHealth, and a Fellow at the Berkman-Klein Center for Internet and Society at Harvard University. He holds a PhD in political science from the Massachusetts Institute of Technology, a Master of Public Policy from Harvard University, and an AB in political science from Vassar College. Prior to receiving his PhD, he was a Presidential Management Fellow and a senior operations research analyst in the Office of the Secretary of Defense in Washington, DC, for which he received the Secretary of Defense Meritorious Civilian Service Medal. Source: https://www.healthit.gov/leadership/micky-tripathi-phd-mpp Stay Informed If you enjoyed this episode, subscribe to The Other 80 for more conversations on equity, innovation, and healthcare. Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
There’s a lot of concern right now about healthcare affordability, but not enough action. Paul Markovich, the CEO of Blue Shield of California, is on a mission to bring down health costs by reducing administrative overhead and negotiating lower drug prices. In this episode we dive deep into Paul’s call to action for healthcare leaders to tackle the affordability crisis head-on. Paul and I discuss: How Blue Shield slashed the cost of arthritis drug Humira, by offering a biosimilar at 25% of the cost Why reducing healthcare costs is critical to averting a national economic crisis Whether we need a new national mandate for health data sharing Paul’s advice on tackling fear and being a brave leader Paul says healthcare affordability isn't just a pocketbook issues for patients, it’s also a huge economic issue for the nation: “The reality is we are facing a huge affordability crisis, a fiscal crisis right now. Even though our economy is running pretty much at or near full employment, we have record fiscal deficits… We cannot keep spending on this program the way that we are. We need to bring the spending down... Even our dysfunctional political system is going to have to deal with that.” Relevant Links California’s new data sharing law Announcement of new Humira biosimilar Investment in nonprodit Civica for lower cost generics New prior authorization platform with Salesforce About Our Guest Paul Markovich is Chief Executive Officer of Blue Shield of California, a nonprofit health plan with $25 billion in annual revenue serving 4.8 million members in the state's commercial, individual, and government markets. Markovich has launched and led numerous initiatives to drive innovation and help reimagine healthcare, including funding support for a statewide provider directory to make it easier for Californians to find physicians and facilities in their plan; supporting development of a statewide health information network for patients’ records, enabling more seamless and holistic care; and investing in a partnership with the California Medical Association to help physicians pilot new care delivery models and leverage technology. Markovich is a North Dakota native and Rhodes Scholar with a master’s in Philosophy, Politics and Economics from Oxford University. He is a graduate of Colorado College, where he earned a Bachelor of Arts in International Political Economy and played Division I hockey. Source: https://www.blueshieldca.com/en/home/about-blue-shield/corporate-information/leadership/paul-markovich Stay Informed Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
1 Breaking up the Deadly Organ Transplant Monopoly with Donna Cryer 35:19
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35:19On so many issues, Congress has not been willing or able to act. But when faced with horrifying stories of death and mismanagement, Congress finally passed legislation to reform the US organ transplant system. They did so because people like Donna Cryer, a transplant recipient and patient advocate, demanded a better system for Americans who need lifesaving organ transplants. Now, as the new law moves into implementation, the work continues. In this episode, Donna and I discuss: The new legislation that is breaking up the deadly organ transplant monopoly How ignoring the expertise and insights of patients dooms us to slow progress making healthcare safer and better Her advice for young people: “take your shot” Donna says we all need to start listening more closely to patients with lived experience: “I often think if you... had many people with great deals of experience and intelligence who were highly motivated to help you achieve your goal. Why would you not want to use them? Why would you not want to partner with them? Why would you work really, really hard to keep them away from solving the problem? And that's how people treat patients and patient advocates.” Relevant Links Donna Cryer’s testimony to the Senate Finance Committee on organ transplant system failures (just past the 48:00 mark) Summary of the new law to break up the organ transplantation monopoly More about the Global Liver Institute See more details about the Advanced Advocacy Academy Donna's organization launched Visit UNOS’ website About Our Guest Donna R. Cryer, JD is the Founder and former Chief Executive Officer of Global Liver Institute, the only patient-driven liver health nonprofit operating across the US, EU, and UK. GLI convenes the NASH, Liver Cancer and Pediatric and Rare Liver Disease Councils, as well as the Liver Action Network, collectively more than 200 organizations. Mrs. Cryer has channeled her personal experience as a patient with inflammatory bowel disease and a 29-year liver transplant recipient into professional advocacy across a career in law, policy, consulting, public relations, clinical trial recruitment, and nonprofit management. At GLI, Mrs. Cryer has raised more than $10 million for liver health initiatives. She is a frequent speaker on the topic of patient-centeredness and patient engagement in healthcare transformation and created a unique model for advocacy that mobilizes patients, influences policy, and coalesces clinicians to improve patient outcomes. Mrs. Cryer serves on the Boards of Directors for the Council of Medical Specialty Societies, Sibley Memorial Hospital/Johns Hopkins Medicine, the Innovation and Value Initiative (IVI), and the Clinical Trials Transformation Initiative. She was the first patient to serve on the ABIM Gastroenterology Specialty Board, was one of the founding members of the AASLD Patient Advisory Committee and is the Community Representative on the AASLD NASH Task Force. She has been named one of the Top Blacks in Healthcare by the Milken Institute at GW School of Public Health and BlackDoctors.org, one of the Top 10 Patients Who Make An Impact by Health 2.0 and one of PharmaVoice’s 100 Most Inspiring People. Mrs. Cryer received an undergraduate degree from Harvard and a Juris Doctorate from the Georgetown University Law Center. Source: https://globalliver.org/who-we-are/ Stay Informed Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
Dr. Theresa “Terry” Cullen is on a mission to make Pima County, Arizona one of the healthiest counties in the nation. It’s a challenging goal, and one that will take dedication and a willingness to fight for what’s right. But, Terry is a self-described, life-long pugilist – with an approach to healthcare that goes beyond policies and programs. Everything she does is rooted in her deep belief in accompaniment; that her role is to walk alongside her patients and community offering empathy, dignity and respect. We discuss: Her work as a rural doctor with the Indian Health Service Deploying to West Africa in 2014 for the Ebola crisis Why the VA and DOD could not agree on electronic health records Her commitment to make Pima county one of the healthiest in the nation Terry reminds us that sometimes we need to step back and look at the work we do through a new lens: “My husband's an artist, and he challenges me all the time to look at something and look at the light. Look at the composition. Look at where it is. What's the pattern there? You know, and a lot of medicine is based on pattern, but think of a disruptive pattern. Think of a puzzle where the piece doesn't fit and what do you need to do to make that piece fit? Because if it falls into place, maybe the whole thing will heal.” Relevant Links Definition of pugilist Resolve to save lives - 717 alliance Healthy Pima Indicators About Our Guest Theresa Cullen is currently the Public Health Director of Pima County, Arizona. She has developed a strategic approach to transformational health status change with a goal of health equity through supporting a learning public health system model based on data and action. She continues to work closely with Tribal, federal, state and local partners to ensure that community needs are integrated into planning with a goal of health justice. Dr. Cullen, RADM (retired) USPHS, began her family medicine clinical career with Indian Health Service (IHS) and worked in leadership positions for 25 years with American Indian/Alaska Native communities with a goal of improving health status through innovation and data informatics. Dr. Cullen worked as the Chief Medical Information Officer for the Veterans Health Administration from 2012-2015 and Associate Director of Global Health Informatics at the Regenstrief Institute. She has been honored with multiple local, state and national awards including the USPHS Distinguished Service Medal, the University of Arizona Medical College Alumni Award, and the AMIA Don Detmer Award for informatics health policy contributions. Source: https://academyhealth.org/about/people/theresa-cullen-md-ms Stay Informed Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
With the election just days away, Larry Levitt joins me to discuss where Harris and Trump stand on key health issues: reproductive health, affordability and Medicaid. While health has not taken center stage (as it has in the past), the outcome of this election will have profound impacts on every aspect of health in the years ahead. We discuss: Why the ACA is no longer a political battlefield The shifting dynamics of abortion as a single-issue vote Why medical debt and drug prices are key affordability issues to watch Whether we could see bipartisan progress on AI governance, long term care or PBM reform over the next four years Larry reminds us that health IS an economic issue: “People think of the economy and health care being separate issues, but they're In fact, not separate issues at all. I mean, we spend an enormous amount on health care. A lot of people's household budgets go to health care. So, you know, when you talk about an economic issue, health is an economic issue, issue for people.” Relevant Links KFF panel: What the 2024 election could mean for health coverage, affordability and the budget KFF election 2024 page How medical debt is the canary in the coal mine for health affordability [article] Project 2025 Abortion-related state ballot measures About Our Guest Larry Levitt is the executive vice president for health policy, overseeing KFF’s policy work on Medicare, Medicaid, the health care marketplace, the Affordable Care Act, racial equity, women’s health, and global health. He previously was editor-in-chief of kaisernetwork.org, which was KFF’s online health policy news and information service and directed KFF’s communications. Prior to joining KFF, Levitt served as a senior health policy adviser to the White House and the Department of Health and Human Services, working on the development of the Clinton Administration’s Health Security Act and other health policy initiatives. Earlier, he was the special assistant for health policy with California Insurance Commissioner John Garamendi, a medical economist with Kaiser Permanente, and served in a number of positions in the Massachusetts state government. Levitt holds a bachelor’s degree in economics from the University of California, Berkeley, and a master’s degree in public policy from the Kennedy School of Government at Harvard University. Source: https://www.kff.org/person/larry-levitt/ Stay Informed Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
1 A Bold Plan to Increase Life Expectancy in NYC with Dr. Ashwin Vasan 42:02
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42:02How do you create a healthier city? As the climate shifts, screens dominate our lives and cities continue to grow - urban areas are grappling with how to put themselves on a better track to health. New York City Health Commissioner Dr. Ashwin Vasan joins The Other 80 to talk about his ambitious plan to increase health in the Big Apple, with the goal of increasing life expectancy from 78 to 83 years. We discuss: What Paul Farmer taught him about rejecting a scarcity mindset and reaching for bold goals The three cross-cutting challenges addressed in the Healthy NYC agenda: access to primary care, mental health and climate change Why NY issued a public health advisory on teen social media use and is suing Meta, Tik Tok YouTube and SnapChat Ashwin shares why youth social media use is such a major public health priority: “ Our kids are hurting … Fifty percent of teens are saying that they are either moderately or severely depressed …It's hard to ignore the role that digital media and social media is playing … And what we found was pretty troubling …The more time you're spending on social media, the worse your self -reported mental health is. Whether it's symptoms of depression, anxiety, hopelessness, fear for the future.” Relevant Links Article: “Using Law to Advance Population Health Management” The City of New York’s Advisory on Social Media More information on Healthy NYC Viral Video of “Dancing Guy” About Our Guest Dr. Ashwin Vasan is the 44th Health Commissioner of New York City. He is a practicing primary care physician, epidemiologist and public health expert with nearly 20 years of experience working to improve physical and mental health, social welfare and public policy outcomes for marginalized populations in New York City, nationally and globally. Throughout his career, he has brought in a unique, unparalleled focus to combating the mental health crisis, releasing a comprehensive citywide mental health plan addressing the second pandemic – a crisis of mental health plaguing youth, vulnerable New Yorkers with severe mental illness, and those impacted by the overdose epidemic. Having begun his career in global health working at Partners in Health and the HIV Department of the World Health Organization, he most recently served as the President and CEO of Fountain House, a US-based mental health nonprofit. He currently serves as faculty at the Columbia University Mailman School of Public Health and Vagelos College of Physicians and Surgeons. Stay Informed Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
1 The Way Out of The Gun Violence Crisis with Dr. Megan Ranney 44:34
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44:34In July, US Surgeon General Dr. Vivek Murthy issued a landmark advisory declaring firearm violence a national public health crisis. The advisory builds on decades of work from Dr. Megan Ranney and other researchers who advocate taking a public health approach to reducing firearm violence. She joined us at Aspen Ideas: Health to discuss what this means: namely moving from a focus on law and order to centering harm reduction and prevention. Now, as the Dean of the Yale School of Public Health, Megan is applying the same systems thinking approach to focus on the big changes we need to drive health in the US. We discuss: What it means to be a great public health communicator How public health approaches were used to dramatically reduce automobile deaths over the last 50 years, and how the same strategies should be used now to tackle firearm deaths Her take on bridging the gap between medical care and public health Megan says this is the moment for public health reinvention: “This is a moment where we get to reinvent how we study, teach, and most of all, practice public health, not just locally, but also globally, as we come out of the COVID pandemic, and I think there's a real moral clarity, but also a moral imperative for us, as public health professionals, to seize this moment, to take this kind of pivot point that we're at as a field, and to move it forward in a direction that we will be proud of.” Relevant Links Megan Ranney testimony on gun violence as a public health issue Gun violence panel at Aspen Ideas: Health Surgeon General advisory on firearm violence Yale Q&A with Dean Megan Ranney Common health coalition Bipartisan Safer Communities Act UC Berkeley School of Public Health course on urban gun violence prevention More on Rahimi case About Our Guest Dr. Megan L. Ranney is an emergency physician, researcher, and national advocate for innovative approaches to public health. In July 2023, she joined Yale University as Dean of the Yale School of Public Health, where she is also the C.-E. A. Winslow Professor of Public Health. Her research focuses on developing, testing, and disseminating digital health interventions to prevent violence and related behavioral health problems, and on COVID-related risk reduction. She has held multiple national leadership roles, including as co-founder of GetUsPPE during the COVID-19 pandemic and Senior Strategic Advisor to AFFIRM at the Aspen Institute, focused on ending gun violence through a non-partisan public health approach. She was previously the Warren Alpert Endowed Professor of Emergency Medicine, Deputy Dean of the School of Public Health, and Founding Director of the Brown-Lifespan Center for Digital Health at Brown University. She is an elected member of the National Academy of Medicine, a Fellow of the Aspen Health Innovators’ Fellowship, and a member of the Aspen Global Leadership Network. She earned her bachelor's degree in history of science, graduating summa cum laude, from Harvard University; her medical doctorate, graduating Alpha Omega Alpha, from Columbia University; and her master’s degree in public health from Brown University. She completed her residency in Emergency Medicine and a fellowship in Injury Prevention Research at Brown University. Source: https://ysph.yale.edu/profile/megan-ranney/ Stay Informed Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
Deena Shakir is an investor who is obsessed with expanding access to the basic health services people need and often can’t access: pediatric care, community health and women’s services. Her journey to investing passed through policymaking, journalism and big tech and her early techno optimism has given way to a much more nuanced and pragmatic view. She is able to see the big opportunities for impact hiding in plain sight. We discuss: The two obvious megatrends hitting healthcare: GLP1s and AI And the not so obvious opportunity: doing basic things better How Dobbs was an accelerant, not a deterrent, for investments in women’s health Why Public Health is great training for healthcare founders Deena is excited about “asset light” investments that combine new care models – like community health workers – and technology: “There are some things that won't change. And there are things that hopefully tech can help to navigate. And so these asset light models, these models that are leveraging under leveraged care workers – like community health workers that are providing culturally competent care – and at the end of the day, that are improving metrics and outcomes, are the ones that get me excited.” Relevant Links Lux Capital Jonathan Haidt article in The Atlantic titled “Why the past 10 years of American Life have been uniquely stupid” President Obama’s Cairo speech ARPA-H Sprint for Women’s Health Health companies Deena mentions that she invests in: Waymark Summer health Maven Clinic About Our Guest Deena's investments span stages and sectors, and include women's health, digital health infrastructure, health equity, foodtech, and fintech. Above all, she seeks out extraordinary, often underdog, founders on a mission. Prior to Lux, Deena was a Partner at GV (formerly Google Ventures), led product partnerships at Google for health, search, and AI/ML, and directed social impact investments at Google.org. Deena also served as a Presidential Management Fellow at The U.S. Department of State under Secretary Clinton, where she helped launch President Obama’s first Global Entrepreneurship Summit. Deena is a frequent speaker and commentator and has been featured in print and television on Bloomberg, CNBC and NBC, in print in the Wall Street Journal, Fortune, Forbes, Techcrunch, Marie Claire, STAT, and more, and has delivered keynote addresses at major industry conferences. She was named a "Top 30 Under 40 in Healthcare" by Business Insider and "Top Senior Woman to Watch in Venture Capital" by the Wall Street Journal in 2021, "Top 50 in Digital Health" by Rock Health and 40 Under 40 by Fortune Magazine in 2022. Source: https://www.luxcapital.com/people/deena-shakir Stay Informed Sign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up. Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
Government systems often take a lot of flack for their (sometimes) built-in inability to take risks and make big bets. So, what would it take to encourage the government to take those big, risky moonshots? For Health, that’s the role of ARPA-H – to fund new ways of improving health by investing in people with big ideas. We sat down with ARPA-H Director Renee Wegrzyn at Aspen Ideas Health to talk about how it’s going and what comes next. We discuss: Why ARPA-H is personal for President Biden. How ARPA-H’s special authorities – from flexible hiring to novel contracting – are its secret weapons for speed and scale. The critical role of Program Managers – single decision maker driving the vision and execution of each $50-$200 million initiative. Renee says ARPA-H gives her the ability to direct funds into areas that are sometimes left off the list of “must haves” for innovation: “...one of the only top down things I've done as a director is said, ‘Why aren't we funding more in women's health? We don't have any program managers in the pipeline that want to exclusively focus on this’. But I think we all inherently understand that women are underrepresented in almost every aspect of health. So I asked our [Program Managers].. who wants to raise [a] hand and pick a topic that is really either unique to women, or is disproportionately affecting women that we can do a sprint and invest around. And so I got six Program Managers to come up with topics, everything from Women's Health at home, to brain health, to understanding and quantifying pain – and through the Investor Catalyst Hub we have worked with investors to understand what kind of convincing scale do we need to get to for you to be the second investor. And we competed this across the country.” Relevant Links About ARPA-H ARPA-H Health Equity Factsheet The Minor Consult Podcast Episode ARPA - H Timeline Youtube Conversation with New Yorker writer White House FAQ Sheet on ARPA-H About Our Guest Dr. Renee Wegrzyn is the first director of the Advanced Research Projects Agency for Health (ARPA-H), appointed by President Biden on October 11, 2022. Previously, she was the Vice President of Business Development at Ginkgo Bioworks and Head of Innovation at Concentric by Ginkgo, where she focused on synthetic biology for combating infectious diseases like COVID-19. Wegrzyn has experience with DARPA and IARPA, the models for ARPA-H. At DARPA, she used synthetic biology and gene editing to enhance biosecurity and the bioeconomy, managing programs like Living Foundries, Safe Genes, PREPARE, and DIGET. She received the Superior Public Service Medal for her DARPA work. Her career includes leading biosecurity and gene therapy teams in private industry, developing immunoassays and diagnostics. Wegrzyn has served on various scientific advisory boards, including those for the National Academies and the Air Force Research Labs. She holds a Ph.D. and a bachelor's degree in applied biology from the Georgia Institute of Technology and completed postdoctoral training in Heidelberg, Germany, as an Alexander von Humboldt Fellow. Source: https://arpa-h.gov/about/people/renee-wegrzyn#:~:text=Dr.,Biden . Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
1 The Crisis in Affordable Housing with Jeff Olivet 45:33
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45:33The US is living through an affordable housing crisis - in fact, we are short millions and millions of affordable housing units. During the pandemic, homelessness flattened with an influx of resources to help keep people housed. But, those resources have long expired and now we are seeing an uptick in homelessness across the country. Jeff Olivet, the director of USICH (United States Interagency Council on Homelessness), says the problem is complex – but the math isn’t. We need more affordable housing. We discuss: Biden’s proposed budget, which includes guaranteed vouchers for every low income veteran and person aging out of foster care The new frontier; pairing emergency response such as shelters with robust prevention strategies How prevention starts with helping families through periods of financial crisis What happens when heat crises turn deadly for people who are homeless Jeff reminds us that the people affected most by the affordable housing crisis are those who have experienced trauma and domestic violence: “50 years ago, we still had domestic violence, we still had addiction, we still had mental illness, and we didn't have perfect systems to address that – but we had enough housing for everybody, and we did not see homelessness on the scale we see it today. So when we're responding to homelessness, it's critical to individualize support for people to make sure they have access to the care they need in terms of health and mental health and recovery and all of those important things. But if we don't solve the underlying structural stuff, the lack of affordable housing, the ongoing discrimination that people of color and LGBTQ people face in jobs and trying to buy a home or rent a home in the criminal legal system, in education, if we don't solve that underlying stuff, we're gonna keep seeing homelessness for a very long time to come.” Relevant Links Jeff Olivet testimony to Congress on strategies to reduce Veteran homelessness Federal actions to increase housing supply and lower housing costs HUD-VASH vouchers to support homeless veterans USICH guidance document for healthcare Article about the SCOTUS ruling About Our Guest Jeff Olivet is the executive director of USICH. He has worked to prevent and end homelessness for more than 25 years as a street outreach worker, case manager, coalition builder, researcher, and trainer. He is the founder of jo consulting, co-founder of Racial Equity Partners, and from 2010 to 2018, he served as CEO of C4 Innovations. He has worked extensively in the areas of homelessness and housing, health and behavioral health, HIV, education, and organizational development. Jeff has been principal investigator on multiple research studies funded by private foundations and the National Institutes of Health. Jeff is deeply committed to social justice, racial equity, gender equality, and inclusion for all. He has a bachelor's from the University of Alabama and a master's from Boston College. Source: https://www.usich.gov/about/staff Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
1 California Tackles Healthcare Affordability with Elizabeth Mitchell 41:17
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41:17California is the latest state to address healthcare affordability through cost growth targets. Elizabeth Mitchell – President and CEO of Purchaser Business Group on Health – Joins us to discuss the nuts and bolts of the 3% cost growth target recently adopted by the state. Healthcare affordability is a big issue across the country. More than half of us skip or postpone care due to cost and medical bills are a leading cause of bankruptcy. Reining in medical costs is also how we’ll free up resources for what we know works to build health in America: prevention, addressing the social drivers and fostering health in communities. We discuss: Two proven strategies to reduce healthcare costs: advanced primary care and effective specialty referrals Why better consumer “shopping” is not the path to healthcare affordability How price transparency gives employers new tools to negotiate, and reveals troubling facts about purchasing intermediaries Elizabeth reminds us how troubling it is that we don’t have clear prices in a sector that makes up 20% of the economy: “The idea that you can't find out what something is going to cost before you agree to it is outrageous. Name any other industry that refuses to show you a price. It is incredible to me that we are still fighting about transparency when it is 20 % of the US economy. I mean, this is a multi-trillion-dollar industry who feels no accountability to show pricing. So, I just think it is incredible that we do not have meaningful transparency yet.” Relevant Links California’s Office of Health Care Affordability sets cost growth target Federal hospital price transparency requirements Purchaser Business Group on Health (PBGH) website PBGH white paper on advanced primary care US Department of Labor clarifies the fiduciary responsibilities of self-insured employers purchasing healthcare About Our Guest As President and CEO, Elizabeth Mitchell advances Purchaser Business Group on Health’s (PBGH’s) strategic focus areas of advanced primary care, functional markets and purchasing value. Mitchell leads PBGH in mobilizing health care purchasers, elevating the role and impact of primary care, and creating functional health care markets to support high-quality affordable care, achieving measurable impacts on outcomes and affordability. At PBGH, Elizabeth leverages her extensive experience in working with health care purchasers, providers, policymakers and payers to improve health care quality and cost. She previously served as Senior Vice President for Healthcare and Community Health Transformation at Blue Shield of California, during which time she designed Blue Shield’s strategy for transforming practice, payment and community health. Mitchell also served as the President and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine’s business coalition on health (the Maine Health Management Coalition), worked within an integrated delivery system (MaineHealth), and was elected to the Maine State Legislature, serving as a State Representative. Elizabeth served as Vice Chairperson of the U.S. Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, Board and Executive Committee Member of the National Quality Forum (NQF), Member of the National Academy of Medicine’s “Vital Signs” Study Committee on core metrics and a Guiding Committee Member for the Health Care Payment Learning & Action Network. Elizabeth holds a degree in religion from Reed College and studied social policy at the London School of Economics. Source : https://www.pbgh.org/staff/elizabeth-mitchell/ Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
The scope, scale and timeline of what California is trying to do with CalAIM is truly breathtaking. Two years after the launch of the ambitious program, which offers integrated medical and social care for California's 15 million Medicaid members, Dr. Palav Babaria joins us to discuss how it’s going and what comes next. Dr. Babaria is a primary care physician who leads quality and population health management for California’s Medicaid program, Medi-Cal. We discuss: Which community supports are used most, or least? One of the big learnings from CalAIM: the enhanced care management models that work for adults dont work for children How Medi-Cal is leveraging health plans as the organizers of social care because that’s where the members are The soon-to-be-released population health management service will address two big issues: standardized and equitable approaches to identifying high risk members and integrating state level benefits data, like for WIC Palav reminds us that CalAIM was built through listening: “Not everyone may know this, but CalAIM was generated from a statewide listening tour. Our previous state Medicaid director went around the state and literally asked communities… rooms full of plans, members, providers, what do you need from Medi-Cal that isn't working today? [The] smorgasbord of recommendations is what turned into CalAIM … Listening to the community and responding to the community's needs is in the core DNA of this program.” Relevant Links Listen to our related episode “Reflecting on Year One of CalAIM with Jacey Cooper” CalAIM dashboard Population health management policy guide California and other states require managed care plans to reinvest in local communities NY waiver summary About Our Guest Dr. Palav Babaria was appointed Chief Quality Officer and Deputy Director of Quality and Population Health Management of the California Department of Health Care Services beginning in March 2021. She was formerly the Chief Administrative Officer of Ambulatory Services at Alameda Health System. In that capacity, she operationally and clinically oversaw 26 specialty clinics, four large primary care FQHCs, specialty and integrated behavioral health, and is responsible for all outpatient value-based payment programs. Prior to that role, she served as Medical Director of K6 Adult Medicine Clinic. She also has over a decade of global health experience and her work has been published in the New England Journal of Medicine, Academic Medicine, Social Science & Medicine, L.A. Times, and New York Times. Her areas of interest include ambulatory transformation in resource-limited settings, shifting to value-based care, and issues of gender in medicine. Babaria received her bachelor’s from Harvard College, as well as her MD and Masters in Health Science from Yale University. She completed her residency training in internal medicine and global health fellowship at the University of California, San Francisco Source : https://carolemmottfoundation.org/fellow/palav-babaria-md-mhs/ Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
1 Community Social Capital with Dr. Rishi Manchanda 39:39
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39:39To achieve whole person care, we can try layering new social services on top of medical care. But Dr. Rishi Manchanda believes we should move further upstream and ask, what will it take to actually improve health in communities? From founding Rx the Vote to HealthBegins, Rishi is committed to building community social capital in America. We discuss: Why he created HealthBegins, which is now halfway to its goal of transforming equity in 250 communities by 2025 How California is making practice transformation a foundation of whole person care Rx the Vote and the important role of health organizations in voter engagement Kaiser Permanente's health, housing and justice initiative Rishi thinks all public health students should study and know how to shift the political determinants of health: “I think we can recognize there's ways to… get the dollars out the door, get the services out the door, get the access that we need while [also building] local governance. And I think that's what I see as a really interesting opportunity for us in California… There are opportunities here for public health schools, including Berkeley, to [help] public health students… understand the political determinants of health and then understand their role [to]... address them and improve them.” Relevant Links HealthBegins website Rishi’s book The Upstream Doctors Rishi's TEDx Talk: "What Makes Us Get Sick? Look Upstream." New collaborative community health planning model in California Policy requiring California Medicaid health plans to invest 5-7.5% of profits into local communities California Medicaid investments in practice transformation Kaiser Permanente's health, housing and justice initiative Oregon CCO model An interview with Rishi Manchanda About Our Guest Dr. Manchanda is Founder and President of HealthBegins, a social enterprise that provides training, clinic redesign, and technology to transform health care and the social determinants of health. Dr. Manchanda is a dual board-certified internist and pediatrician, a board member of the National Physicians Alliance, and a fellow in the California Health Care Foundation’s Healthcare Leadership Program. He is the lead physician for homeless primary care at the VA in Los Angeles, where he has built clinics for high-utilizer homeless veterans with complex chronic disease. Dr. Manchanda was the first Director of Social Medicine and Health Equity at a large community health center network in south Los Angeles. In 2008, he started RxDemocracy, a nonpartisan coalition that has registered over 30,000 voters in doctors’ offices and hospitals nationwide. His 2013 book, “The Upstream Doctors,” introduces a new model of the health care workforce that includes clinical “Upstreamists” who address social determinants of health. Source : https://sirenetwork.ucsf.edu/staff/rishi-manchanda Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
June 18th is “Maya Petersen” day in San Francisco, in honor of her work building disease models that guided the region through the early days of COVID and saved countless lives. With projects spanning from developing HIV prevention strategies in East Africa to shaping new Medicaid models in California, the UC Berkeley epidemiologist is building a future where local public health leaders have the tools and data to ask and answer complex policy decisions in real time. Now that’s a world I want to live in. We discuss: How much better our pandemic response would have been if Public Health had access to integrated and linked data Her work to bring sophisticated data tools to the point of decision in East Africa How California is building population management infrastructure San Francisco’s Director of Health, Grant Colfax, taught her an important lesson about showing up and helping: “I remember… saying, ‘You know what? You really need to find somebody who's an expert in this, I'm not an expert in this.’ And he said, ‘Okay, Maya, but if you're gonna find me someone it needs to be in the next 24 hours, because I need help.’ And it was just a reminder that, you know, you're not always going to be an expert, sometimes you just need to show up, do your best… be clear about your uncertainty and communicate well, and that can be… a big service” Relevant Links Local Epidemic Modeling for the San Francisco Department of Public Health San Francisco’s COVID strategy Multi-sectorial Approach to HIV in East Africa Maya Petersen Day in San Francisco Maya’s UC Berkeley page About Our Guest Dr. Maya L. Petersen is Professor of Biostatistics and Epidemiology at the University of California, Berkeley. Dr. Petersen’s methodological research focuses on the development and application of novel causal inference methods to problems in health, with an emphasis on longitudinal data and adaptive treatment strategies (dynamic regimes), machine learning methods, adaptive designs, and study design and analytic strategies for cluster randomized trials. She is a Founding Editor of the Journal of Causal Inference and serves on the editorial board of Epidemiology. Her applied work focuses on developing and evaluating improved HIV prevention and care strategies. She currently serves as co-PI (with Dr. Diane Havlir and Dr. Moses Kamya) for the Sustainable East Africa Research in Community Health consortium, and as co-PI (with Dr. Elvin Geng) for the ADAPT-R study (a sequential multiple assignment randomized trial of behavioral interventions to optimize retention in HIV care). Source: https://publichealth.berkeley.edu/people/maya-petersen Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
1 How NC Changed Its Mind on Medicaid Expansion with Kody Kinsley 38:15
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38:15If there’s one thing politicians do little of these days it’s change their minds. But, that’s exactly what North Carolina’s General Assembly did in 2023. Ten years after the ACA was passed, and in a historic bipartisan move, they changed their minds and voted to expand Medicaid. NC Secretary of Health & Human Services Kody Kinsley joined us to talk about what it took to get this done and how it’s been going so far. We discuss: How to get stuff done in a politically divided state One move that would dramatically increase access to healthy food in America - automatically enroll all Medicaid beneficiaries in SNAP Why NC Medicaid has gone deep on peer to peer support for prenatal care and mental health The importance of building a better narrative about the role and value of public health Kody points out NC’s strategy of investing in community organizations is creating both health and economic opportunities: “75% of our community based organizations are minority or women owned throughout those 33 counties. So, this isn't just about getting good access to what drives health in the long run. This is also about building that infrastructure and having a financing model that sustains it that is in the balance, a good value for the taxpayer.” Relevant Links NC enrollment dashboard Crisis warmline Healthy Opportunities pilots “NC Launches Additional Phone Support for People Experiencing Mental Illness or Substance Use Disorfer” [RELEASE] About Our Guest Kody Kinsley serves as North Carolina’s Secretary of Health & Human Services, overseeing a department with over 18,000 staff and a $38 billion budget. With experience centered on health policy and operations, Kinsley worked on digital healthcare transformation, national education and labor policies, and served as COO and CFO of the U.S. Treasury. Secretary Kinsley’s three priorities for the department include: Investing in behavioral health and resilience, improving child and family well-being, and building a strong and inclusive workforce. Under his leadership, North Carolina expanded Medicaid and received the largest investment to bolster the mental health system in over a decade. Kinsley grew up in Wilmington, earning his bachelor’s degree from Brevard College and his master’s in Public Policy from the University of California at Berkeley. Source : https://www.ncdhhs.gov/about/leadership/kody-kinsley Connect With Us For more information on The Other 80 please visit our website - www.theother80.com . To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn .…
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