LUMINA Podcasts

Episode Overview

• When aiming to increase revenue and create efficiencies, leaders must educate and properly train front-end staff so that they understand the entire revenue cycle and how to avoid costly denials.

• Key performance indicators support operational effectiveness as they drive outcomes and improve the overall financial performance of the group.

• Centralized pre-certification processes can reduce inefficiencies as staff members become subject matter experts who are focused on the requirements of the payers to ensure timely and proper payment for services.

Episode Overview

• One of the biggest mistakes that hospitals make is collecting data without taking the next step to understand and interpret it. After gaining analytic insights into the problems you are facing, you can move forward with an exercise like value stream mapping and identify opportunities for improvement right away.

• It's really important to not only measure certain KPIs on a regular basis, but also share the analytic insights with the right people on a regular basis. If you aren’t informing the staff who are affected by the inefficiencies and are instrumental in enacting the changes needed, then it will be very difficult to make improvements in processes.

• Making changes to processes that surgeons and staff have become accustomed to for years can be stressful. Necessary changes may involve more paperwork or more steps and this can create frustration. Bringing the focus back to the purpose and why you’re doing it will help maintain the level of commitment needed to implement meaningful changes for improved operational effectiveness.

Episode Overview

Episode Overview

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Episode Overview:

The No Surprise Act went into effect on January 1, 2022. It protects patients from out-of-network surprise bills. Health care organizations must comply with these regulations for emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers.

In this episode of Value-Based Care Insights, Daniel J. Marino speaks to Shawn Stack of HFMA to share how health care systems can navigate the No Surprise Act.

• Price transparency initiatives originally rolled out from a perspective of providers being transparent on their actual charges
• One of the biggest drivers of higher costs is the structure of the Medicare fee schedule and reimbursement
• As the No Surprise Act and Price Transparency Act is implemented, it will be important to give feedback to legislators and CMS on policies

Episode Overview:

Highly effective leaders have a high Emotional Intelligence or Quotient (EQ), understand when to manage and when to lead, and know how to handle complex situations. Through two role plays, a good example and a bad example of EQ are presented in a medical practice between the medical director and a primary care provider.

In this episode of Value-Based Care Insights, Daniel J. Marino speaks to Lucy Zielinski of Lumina Health Partners and Dr. Cheri Olson of IPMA to share techniques to increase EQ and grow in leadership skills. Here are some key takeaways:

• When delivering messages, it is important to practice active listening and ask for feedback.
• Advance your EQ by taking self-assessments and getting a coach. 
• EQ skills are not only inherent - they can be learned, practiced, and improved.

Episode Overview

The health care industry has long been challenged with workforce issues: high turnover, recruitment and retention, escalating wage growth, and low morale.  Health care executives and human resource leaders could not imagine these challenges getting much worse, then along came COVID-19. Now surveys across the industry are indicating workforce issues are the number one challenge facing many provider organizations.

In this podcast episode of Value-Based Care Insights, Daniel J. Marino speaks with John Malone to highlight the extent of the COVID-19 impact and example solutions that work to address workforce challenges. Key points include: 

• The importance of empowering frontline supervisors and managers to decrease burnout, and improve retention and turnover with a sense of ownership and decision-making authority 
• The standardization of workflows to move work processes down to the appropriate resources to address staff burnout and dissatisfaction
• Tailored retention strategies based on key workforce metrics that are accurate and understood by management
• The conscious awareness of a positive culture leading to a high-performing organization

Episode Overview:

The way health care providers connect with patients has changed significantly since the onset of COVID. With new challenges, having care models that are consumer-focused and convenience-based is critical more than ever before. The need for a strategic focus is paramount for organizations to successfully bounce back from COVID. 

In this episode of Value-Based Care Insights, Daniel J. Marino speaks with Bill Bodnar to discuss several challenges health care organizations are facing as they transition out of COVID. Bodnar shares his insights on new challenges, including workforce dynamics, non-traditional health care models, and the pursuit of value. Key points include: 

• The competition among primary care providers and specialists with non-traditional providers, shifting to consumer-focused and convenience-based models 
• The use of automation and other innovative solutions to address workforce burnout and employee retention
• The advancement of population health management and value-based contracts to improve patient care and financial outcomes