Health Care Rounds

🎙 ABOUT DR. TRUDY HALLDr. Trudy R. Hall has been the Vice President of Medical Affairs and Chief Medical Officer at TidalHealth since July 2022. She previously served in leadership roles at the University of Maryland's Capital Region Health and other UM health centers, overseeing major facilities, including a 345-bed COVID care site during the pandemic. With over 20 years of healthcare leadership experience, Dr. Hall has held various medical directorships, contributed to Maryland's health policy, and led initiatives like the Quality-Based Reimbursement program. She is board-certified in Physical Medicine and Rehabilitation. 🎙 ABOUT JOHN MARCHICA, HOST OF HEALTH CARE ROUNDS:John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving health care ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.  CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

🎙 ABOUT DR VISHNUKAMAL GOLLADr. Vishnukamal Golla is the medical director for value transformation at Evolent, a specialty and primary care management company. In this role, Dr. Golla leads the implementation of innovative value-based care models in specialty care. In helping Evolent manage approximately $1 billion of risk-based oncology and cardiology spend, Dr. Golla oversees the development of alternative payment models, prioritizing exceptional patient outcomes through innovative strategies and cost-effective treatment pathways.  Dr. Golla’s research interests include the development and integration of value-based care models, methods of supporting healthcare transformation initiatives at both the state and national level, and the impact of financial toxicity in vulnerable patient populations and caregivers. Past research includes the development of business and policy recommendations to improve specialist engagement with primary care physicians, including design of the specialty strategy for the recently released CMS Innovation Center model called Making Care Primary. Dr. Golla has served as a consultant for the Healthcare Transformation Task force and is also a frequent speaker at value-based care conferences such as the Association for Value-Based Cancer Care to help drive policy recommendations on alternative payment models and specialty alignment.  Dr. Golla received his medical degree and Master of Public Health from the University of Texas Medical School and completed his urologic surgery residency at the University of California, Los Angeles. He completed an advanced fellowship in the Duke University National Clinician Scholars Program, one of the premier health services research and public policy programs in the country. He is also a board-certified and practicing urologist with a deep expertise in urologic oncology, integrating evidence-based practices with value-based care in order to improve care accessibility and quality for all. Dr. Golla maintains a faculty appointment at the Duke University School of Medicine and the Duke Margolis Center for Health Policy. 🎙 ABOUT JOHN MARCHICA, HOST OF HEALTH CARE ROUNDS:John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving health care ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.  CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

🎙ABOUT DR. ROBERT HARIRI: Dr. Bob Hariri is a pioneering surgeon, biomedical scientist, and serial entrepreneur with expertise in biomedicine and aerospace. He is the founder, chairperson, and CEO of Celularity, Inc., a leader in human cellular therapeutics, and previously founded Anthrogenesis Corporation, which was acquired by Celgene, where he served as CEO of Celgene Cellular Therapeutics. He also co-founded Human Longevity, Inc. Dr. Hariri is renowned for pioneering the use of stem cells in treating life-threatening diseases, including the discovery of pluripotent stem cells from the human placenta. His innovations have led to over 170 patents and numerous accolades, including the Pontifical Medal for Innovation and the Thomas Alva Edison Award. He is an Adjunct Professor of Neurosurgery at Weill Cornell Medical College and serves on various prestigious boards, including the Liberty Science Center and the X PRIZE Foundation. Beyond his medical and scientific contributions, Dr. Hariri is an accomplished jet-rated pilot and film producer.  🎙 ABOUT JOHN MARCHICA, HOST OF HEALTH CARE ROUNDS: John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving health care ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.  CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

ABOUT ARIC BURKE Aric brings over eighteen years of experience in ASC consulting, development, and operations. He oversees the strategic vision, operational management, and organizational structure of Atlas, driving its profitability and strategic direction. Before founding Atlas, Aric was the West Market President for United Surgical Partners International (USPI), the leading ASC management company in the industry. In this role, he managed the development and operations across USPI’s Western markets. During his five-year tenure, Aric expanded the West Market to include over 30 ASCs and three surgical hospitals, which collectively handled more than 150,000 cases annually and generated over $450M in net revenue and $90M in EBITDA, employing over 2,500 staff. He also collaborated with major not-for-profit health systems, such as Dignity Health in Phoenix and Las Vegas, Centura Health in Denver, and Carondelet Health in Tucson, to develop their ASC networks. ABOUT ATLAS HEALTHCARE PARTNERS Founded in 2018 to address the rising need for ASC strategy and development in the nonprofit sector, Atlas has rapidly become one of the fastest-growing ASC management companies in the U.S. They were recognized on the Inc. 5000 list of Fastest Growing Private Companies in 2022 and 2023. Since partnering with Banner Health in 2019 to develop and manage its ASC operations, we have expanded to 32 ASCs, employing over 1,100 team members and handling 250,000 cases annually. Leading health systems have invested in Atlas, offering a chance to diversify revenue models beyond traditional regional care. With an estimated $90 billion expected to shift from inpatient and HOPD to the ASC market by the end of 2024, they provide the infrastructure and expertise necessary to develop, manage, and scale ASC networks to capitalize on this significant industry shift. ABOUT JOHN MARCHICA, HOST OF HEALTH CARE ROUNDS John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving health care ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.    CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

ABOUT HEALTH CARE ROUNDSHealth Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments. ABOUT MATT PORTCHMatt Portch is a seasoned professional in the life sciences sector, currently serving as an independent consultant specializing in supporting clients within the industry. With a focus on fostering B2B relationships with Organized Customers and Payers, Matt collaborates closely with market and portfolio teams to bolster Key Account Management capabilities.Prior to his consultancy role, Matt held notable leadership positions at renowned pharmaceutical companies including Sunovion Pharmaceuticals, Pfizer, and Bristol Myers Squibb. His tenure in these organizations provided him with extensive experience in strategic management, business development, and enhancing operational efficiency within the life sciences domain.ABOUT JOHN MARCHICA, HOST OF HEALTH CARE ROUNDSJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving health care ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.  CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

ABOUT HEALTH CARE ROUNDS Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in healthcare business news and policy developments. ABOUT BILL LANE Bill is ilumed’s Executive Vice President of Network Development, leading the ACO REACH’s contracted provider and beneficiary growth over 200% from 2022 to 2024. Prior to ilumed, he spent over 15 years with Humana and held leadership roles in hospital/hospital system contracting, alternative payment model creation and deployment, including the nationwide lead for Humana’s adoption of CMS’ Primary Care First model. Before Humana, Bill was with the national PPO, MultiPlan for over ten years, where he held progressively responsible network leadership roles in the southeast. Bill and his wife of 32 years, Kathy, live in south Florida, where he enjoys golf most of the time and looks forward to welcoming his three grown children home as much as possible.ABOUT JOHN MARCHICA, HOST OF HEALTH CARE ROUNDS John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving health care ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Health care Executives and is pursuing certification as a Fellow.    CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

Topics:(2:12) Dr. Pearl’s initial experience with Chat GPT(4:17) The potential benefits of AI and medical information for patients (9:43) What makes large language models different when it comes to analyzing clinical data?(13:30) What are the potential dangers of AI in healthcare? (24:21) Use cases and current limitations of generative AI(27:22) What other use cases will generative AI bring in future state? About Health Care RoundsHealth Care Rounds is a weekly podcast developed for healthcare leaders who are at the forefront of healthcare delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in healthcare business news and policy developments. About Dr. Robert PearlDr. Robert Pearl, former CEO of The Permanente Medical Group (Kaiser Permanente), led a team of 12,000 physicians and 43,000 staff, overseeing healthcare for over 5 million members. Recognized as one of Modern Healthcare’s influential leaders, Dr. Pearl advocates for integrated, prepaid, and technologically advanced healthcare. He holds positions at Stanford University School of Medicine and Stanford Graduate School of Business, teaching strategy, leadership, and healthcare policy. Dr. Pearl authored bestsellers like "Mistreated" and "Uncaring," and his forthcoming book explores AI's role in healthcare.A prominent figure, Dr. Pearl hosts podcasts, writes newsletters, and contributes to Forbes. He's appeared on major media outlets and spoken at healthcare conferences worldwide. Board-certified in plastic surgery, he earned his medical degree from Yale and completed residency at Stanford. Dr. Pearl chaired the Council of Accountable Physician Practices and contributed to healthcare reform efforts in Washington, D.C.About John Marchica, Host of Health Care RoundsJohn Marchica is a veteran healthcare strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving healthcare ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow. Enjoyed this episode? You might also like "An Honest Conversation on the State of Current Medicine with Dr. Robert Pearl"  CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

Topics:(11:00) Pharmacy benefit management basics(15:28) Rebates and pricing benchmarks(18:34) Blue Shield of California’s pharmacy care reimagined initiative(21:25) Capturing real-world evidence to asses new medications(23:52) Transforming the pharmacy benefits industry with partnerships and alliances(29:32) Baseline drug prices and innovative contracting approaches(33:52) Shifting to a value-based model to make drug pricing more cost-effective(37:13) The need for systemic change and holistic health in the pharmacy benefit industry About Health Care RoundsHealth Care Rounds is a podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments. About Alison LumAs Blue Shield Vice President, Pharmacy Services, Alison Lum leads the team that is transforming the Blue Shield pharmacy benefit into one that is worthy of our family and friends and sustainably affordable. At Blue Shield, she has taken an active role in employee engagement, management training, and leadership development. Prior to joining Blue Shield, Alison was the Director of Clinical Services at a managed Medicaid plan,San Francisco Health Plan, where she was responsible for pharmacy benefits, utilization/case management, and provider relations. Alison also has experience in Medicare Part D, PACE programs, and account management. She holds a doctorate of pharmacy degree from the University of California, San Francisco, and completed the California Healthcare Foundation Leadership Fellowship. Alison participated on the California Pharmacist Association state-wide task force for SB493 payment models and was a keynote speaker on the topic at the 2015 West Coast Pharmacy Exchange. She was honored with the Blue Shield Team Mission and Values in Action awards for 2016 and 2013 and the inaugural San Francisco Health Plan’s first Here For You award in 2008.About John Marchica, Host of Health Care RoundsJohn Marchica is a veteran healthcare strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving healthcare ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.   CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

Dr. Robert Scoggins, Chief Medical Officer, CytovaleRobert Scoggins, MD, PhD is a seasoned pulmonary and critical care physician and the Chief Medical Officer (CMO) at Cytovale. He began his career in science with an undergraduate degree in Molecular Biology from Vanderbilt University and completed a PhD in Microbiology at the University of Virginia as part of a combined MD, and PhD program. Dr. Scoggins completed his residency in Internal Medicine and fellowship in Pulmonary and Critical Care at Vanderbilt University. Over the last 15 years, he has held a variety of clinical and leadership positions within several health systems across the country, including Chief of Staff and ICU Medical Director at Kootenai Health where he served on the frontlines during the height of the COVID-19 pandemic. As CMO at Cytovale, Dr. Scoggins combines his science, clinical, and hospital organizational skills to oversee Cytovale’s development and commercialization of host response technologies to improve care and outcomes of patients with sepsis. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group. He is leading ongoing, in-depth research initiatives on integrated health systems, accountable care organizations, and value-based care models. He is a faculty associate in the W.P. Carey School of Business and the graduate College of Health Solutions at Arizona State University.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.  CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media

Dr. Tracy Christopherson and Michelle Troseth, Co-Founders of MissingLogic®Dr. Tracy Christopherson and Michelle Troseth are co-founders of MissingLogic®. The core of their work is to help leaders to overcome leadership norms that cause suffering, achieve work life balance, create healthy work cultures and environments by leveraging Polarity IntelligenceTM.Tracy and Michelle are co-authors of the book Polarity Intelligence: The Missing Logic in Leadership and co-hosts of The TRU Leader Podcast (previously known as Healthcare’s MissingLogic Podcast). The dynamic duo is known for helping leaders balance leading and living so they can be TRU leaders—thriving, resilient, and unstoppable.John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group. He is leading ongoing, in-depth research initiatives on integrated health systems, accountable care organizations, and value-based care models. He is a faculty associate in the W.P. Carey School of Business and the graduate College of Health Solutions at Arizona State University.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.  CONNECT WITH US:🌐 Visit us on the web 🌐 Follow Health Care Rounds on LinkedIn 🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds of YouTube🎧 Listen on Apple Podcasts🎧 Listen on Spotify ⚙️ Health Care Rounds is produced by Grippi Media