Episode 123: Medicare Advantage: The Collision of Medicare and Managed Care
In episode 123 of The Business of Healthcare Podcast, attorneys-at-law Lawrence Laddaga and Dale Turner of the law firm Laddaga-Garrett, P.A, join host Dan Karnuta for a discussion about Medicare Advantage plans in Medicare. They discuss its history, its problems and its future.
Laddaga is Attorney At Law-Founder-President; and Turner is an associate attorney at Laddaga-Garrett, P.A., a law firm that provides legal services for the healthcare industry.
This episode explores how artificial intelligence is transforming healthcare, emphasizing that success depends more on people and processes than on the technology itself. Host Dan Karnuta and guest Dr. Matt Brubaker, chairman and CEO of healthcare consulting firm FMG Leading, discusses implementation challenges, fear of change and the importance of aligning AI adoption with organizational strategy, leadership and mission.
Becky Greenfield, a healthcare attorney and a partner at boutique law firm Wolfe Pincavage, joins host Dan Karnuta for a discussion about the complexities and risks associated with alternative health plans that are not mandated by the Affordable Care Act. Plans like healthcare sharing ministries, limited benefit plans and short-term insurance can appear similar to conventional healthcare insurance but they lack essential consumer protections like coverage for pre-existing conditions, essential health benefits, and balance-billing safeguards.
Felixia Colón joins host Dan Karnuta for a discussion about how artificial intelligence is being used, and is transforming, healthcare business operations. They cover care delivery methods, staffing models, the importance of establishing guardrails prior to AI’s use and address the risks of bias inherent in AI and how that problem can be overcome.
Caitlin McVey, associate vice president of the Memorial Hermann Institute for Nursing Excellence, joins host Dan Karnuta for a discussion about Health Education and Learning (HEAL) High School in Houston which prepares students to transition directly into high-demand healthcare jobs directly after graduation.
Don Taylor, the chairman of the board of directors at the Healthcare Standards Institute Foundation, joins host Dan Karnuta for a discussion about on how artificial intelligence is being integrated into the healthcare industry and the urgent need for its governance and standardization.
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