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- This is the Becker's
Healthcare Podcast, created

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by the team of Becker's Healthcare,

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a multimedia company devoted to the people

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who power us healthcare.

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Four new 15 minute episodes
are released daily containing

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industry news analysis
and thought leadership.

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From powerful healthcare
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Thanks for listening.
Now here's the episode.

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- This is Chanel Bunger

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with the Becker's Healthcare Podcast,

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and I'm recording live at the
eighth annual Becker's Health,

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it Digital Health and RCM
conference in Chicago.

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Right now I'm sitting
with Ven Moer from HCSC.

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Then, thank you so much
for joining me today.

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Could you take a moment and
please introduce yourself

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and tell us a bit about your background?

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- Of course. Uh, it's a great
pleasure to be with you.

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Thank you for having me.
Um, my name is Dr. Ven Moer.

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My background is, uh, technically
in, uh, family medicine,

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but, uh, spent about a decade in, uh,

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hospital administration
with Franciscan Health, uh,

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covering quality and patient
safety, value analysis,

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care management, as well as
revenue cycle management.

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Uh, I, but recently moved
to the payer to HCSC, uh,

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where I'm working on key
provider contracting, um,

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which has been very exciting and edifying.

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- And can you tell me what
that transition's been like?

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- Yeah, I think the transition
has been ex very interesting.

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Um, you know, being on the provider side

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and administration frequently, uh,

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we don't unders have a full
understanding of the pain points

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and challenges that the
payers are going through.

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Um, and there's often,
uh, a disconnect there.

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And so, being on the provi
on the payer side now, um,

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it's really a great learning
experience to see, uh,

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the challenges that the payers have

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and how they're trying to
work within the constraints

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of the healthcare landscape
that exists today.

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Um, while keeping members
at the forefront, members

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and patients at the forefront,

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and also trying to be
collaborative with health systems.

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- That's a really unique
perspective that you have.

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Thank you so much for
walking us through that.

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Moving forward, what
is your growth strategy

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for the next couple of years?

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- Um, I think, you know, growth strategy

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from a payer standpoint obviously is, uh,

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gaining market share.

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I think HTSC is in its
evolution, uh, as the,

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as the blues are.

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Um, I think certainly
Medicare Advantage is an area

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of growth, um, as well as
making sure we, we, uh,

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maintain our footprint and our, um,

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market share in our existing markets.

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Beyond that, of course, gaining
more commercially insured,

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uh, employer contracts,

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but more than anything, we're really

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from the contracting standpoint
with providers looking

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to move into arrangements
that are more collaborative,

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more focused on value-based
care, really focusing on

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CMSs initiatives to, uh, go in
the Learning Action network,

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uh, models three and four
with upside and upside

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and downside risk as well.

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- Got it. And can you tell
us about the most exciting

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and impactful initiative

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or project that you're
working on right now?

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- Yeah, I would say the, uh,

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most exciting project I'm
working on now is, um,

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for commercially insured
patients, really, uh, doing, uh,

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a deep dive into some

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of the really high cost new
emerging treatments that are,

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uh, a lot of the academic medical centers

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and now community medical
centers are, um, administering

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to patients, uh, like
cell and gene therapy.

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Uh, they're so new, so
emerging, so high cost, um,

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but they're rapidly scaling.

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So there's definitely pressure
from, uh, employer groups

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to figure out, um,

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cost control mechanisms
either pharmacy vented, uh,

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but, uh, as, uh, an insurer.

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It's really, uh, the impetus
is, is on us to, um, kind

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of figure out alternative
payment bo models

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and value-based care around
really high cost treatments

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that our members need.

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But we wanna make sure we
can do it in a cost-effective

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and efficient way collaboratively
with health systems.

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- Well, Dr. Macare, I wanna thank you

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for joining me today on the
Becker's Healthcare Podcast.

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But before I let you go, can you tell me

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what is the most important
thing healthcare executives

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should do right now to make sure

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that their organizations are
successful in the future?

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- Certainly, I think
healthcare executives need

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to be conscientious of
the rapidly evolving, um,

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healthcare landscape.

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You know, post covid, the CL
clinical workforce is heavily

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burnt out burdened.

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There are workforce
shortages across the board.

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So really thinking outside
the box and innovating.

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Uh, there's a lot of new
technology, there's a lot

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of new vendors out there

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that have very promising, uh, products.

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That being said, uh, I
think it's imperative

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for healthcare executives to
really examine their existing

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business models and
figuring out which vendors

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and which tools are best used for them

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to execute their their own strategies.

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- Thank you for that. And Dr.

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Mather, I wanna thank you for
your time and insights today

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and for joining me today
on the Becker's Healthcare

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Podcast. Thank you.

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- It's my great pleasure. Thank
you so much for having me.

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- It's so important for leaders
at the top of organizations

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to keep learning, stay
sharp, grow their networks,

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help our audience better do
this in a more simplified,

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personalized, and meaningful way.

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