Explorez tous les épisodes du podcast Modern Healthcare's Healthcare Insider Podcast
| Titre | Date | Durée | |
|---|---|---|---|
| Inside Elevance Health's Responsible, Consumer Centered AI Strategy | 04 Feb 2026 | 00:14:42 | |
| Hospitals in the Value-Based Care Era: Navigating Today's Pressures and Tomorrow's Opportunities | 10 Dec 2025 | 00:16:01 | |
Hospitals are under mounting financial pressure while also navigating a complex shift toward value-based care. In this episode, Dr. Rob Bessler, CEO of Honest Health, and Rick Pollack, CEO of the American Hospital Association, examine the critical decisions health systems face today and the long-term strategies needed for success tomorrow. Tune in for a timely discussion on:
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| Modernizing the Payment Experience: A Roadmap for Healthcare Leaders | 11 Jun 2025 | 00:17:13 | |
The payment process in healthcare is often slow, fragmented and paper-based, creating frustration for providers and patients, inefficiencies for payers and rising costs across the system. In this episode of Healthcare Insider, Yusuf Qasim, president of payments optimization at Zelis, shares how digital innovation can meaningfully change the healthcare payment ecosystem. From reducing friction to improving cash flow, Qasim outlines what it takes to transform outdated systems into streamlined, digital-first operations. | |||
| Solving pharmacy inventory headaches with smart consignment solutions | 04 Jun 2025 | 00:11:15 | |
Managing specialty drug inventory is exceedingly complex as pharmacy leaders contend with rising costs, unpredictable demand and labor shortages. In this episode of Healthcare Insider, Cardinal Health's James Roof, director of strategic distribution services, and Diana Castillo, national consignment executive, share how modern consignment models, combined with innovative RFID technology, can dramatically reduce waste, improve medication accessibility and relieve workflow burdens on pharmacy staff. The episode also breaks down best practices for evaluating inventory carrying costs, reducing human error and scaling innovative solutions in facilities with space constraints. Listen now to discover how your organization can adopt a flexible, tech-enabled consignment strategy. | |||
| Why provider-led care is the future of healthcare | 14 May 2025 | 00:17:43 | |
No one is better equipped to support patients than providers. But do health systems have the power required to improve the healthcare system? In this episode of Healthcare Insider, Premier Inc. President and CEO Mike Alkire explains why a provider-led model—not one led by payers or legacy tech vendors—is the only viable path forward. He outlines how hospitals can take back control and lead transformation by focusing on high-value partnerships, smarter use of data and AI-driven solutions. Listen to learn how health systems can:
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| The pharmacy as a driver of health system growth | 01 May 2025 | 00:08:28 | |
Hospitals today face rising drug costs, workforce shortages, supply chain disruptions and tightening reimbursement, making financial sustainability increasingly difficult to achieve. They also share how one Southeastern health system kept $3 million in clinical savings in one year by transforming pharmacy operations. | |||
| Empowering health plans to navigate price transparency requirements | 23 Apr 2025 | 00:12:11 | |
Health plans are under mounting pressure to comply with federal price transparency regulations. But compliance isn't easy due to vast and complex data sets. | |||
| Cracking the Code of TEAM with Data Analytics | 17 Apr 2025 | 00:12:22 | |
As hospitals prepare for CMS's upcoming Transforming Episode Accountability Model (TEAM), embracing data and analytics will be crucial for success under the mandatory bundled payment program.
Looking for more insights on navigating value-based care? Register now for the upcoming webinar: Controlling Medical Device Spend in a TEAM, Tariffs and Value-Based Care Environment. | |||
| How health systems can navigate the specialty drug boom | 09 Apr 2025 | 00:16:23 | |
Specialty medication spending is projected to rise sharply through 2026, intensifying pressure on health systems to control costs while improving patient outcomes. In this episode of Healthcare Insider, Cardinal Health's Mike Brown, vice president of managed services, and Naveen Mansukhani, director of specialty and ambulatory pharmacy solutions, break down the critical role specialty pharmacies play in managing spend, capturing revenue and retaining patients within the care continuum. They share real-world examples of how hospitals large and small are benefiting from tailored pharmacy models and discuss how to overcome common challenges such as labor shortages, compliance and ongoing accreditation requirements. Listen to learn how your organization can build a scalable, compliant specialty pharmacy strategy that supports value-based care and long-term success. | |||
| Price Transparency in the Spotlight: Surprise Billing, Cost Sharing and the Power of Data Analytics | 07 Apr 2025 | 00:12:04 | |
As healthcare regulations continue to evolve, organizations must stay ahead of complex compliance requirements to remain competitive and protect patients. In this episode of Healthcare Insider, Ann Phillips, Senior Director of Regulatory and Standards at PurpleLab, unpacks the current landscape of price transparency rules –including updates to the No Surprises Act and the Transparency in Coverage rule – and what they mean for providers, payers and patients alike. She dives into the latest regulatory guidance, enforcement challenges and how technology and industry collaboration can bridge data gaps and support compliance. Listen to learn how your organization can navigate shifting regulations and leverage data to support compliance, inform strategy and improve decision-making. | |||
| The Triple Threat of RCM Automation | 26 Feb 2025 | 00:18:20 | |
As healthcare organizations face mounting financial and operational pressures, investing in the right technology is critical to staying competitive. In this episode of Healthcare Insider, Wes Cronkite, Chief Technology and Innovation Officer at TruBridge, breaks down the "triple threat" of automation in revenue cycle management—reducing costs, accelerating revenue velocity and improving employee satisfaction. He explores how AI and automation are transforming RCM, and how a strategic approach to innovation can drive faster claim payments and stronger financial health. Listen to learn how your health system can harness automation to optimize revenue cycle performance without adding complexity. | |||
| Surgical robotics 101: What providers need to know | 19 Feb 2025 | 00:23:22 | |
Robotics and navigation systems have the potential to drastically change how surgical procedures are conducted across the country, offering greater precision, faster recovery times and new possibilities for complex procedures. | |||
| Strategies for advancing value-based, post-acute care with OneHome's CEO Kirk Allen | 05 Nov 2025 | 00:10:17 | |
The transition from hospital to home is one of the most critical—and complex—points in a patient's care journey. As demand for home-based and post-acute services grows, healthcare organizations face mounting pressure to coordinate across settings, reduce readmissions and deliver better outcomes at lower cost. In this episode of Healthcare Insider, Kirk Allen, CEO of OneHome, shares strategies for advancing value-based care models in the post-acute space. He discusses what's needed to align financial incentives, improve data integration and strengthen partnerships between payers and providers to drive sustainable change. Listeners will gain insights on how healthcare leaders can:
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| Mayo Clinic Laboratories' strategic investment strategy | 05 Feb 2025 | 00:20:16 | |
When identifying and prioritizing investment opportunities, today's healthcare leaders must balance immediate needs with long-term growth. In this episode of Healthcare Insider, Mary Jo Williamson, chief administrative officer of Mayo Clinic Laboratories, shares her approach to ensuring teams are equipped to meet future demands while managing risks associated with uncertainty. She discusses the challenges of predicting investment outcomes amid an increasingly rapid pace of change in healthcare. Listen to learn how your health system can make more strategic investment decisions. | |||
| Phoenix Children's strategic approach to AI | 22 Jan 2025 | 00:10:53 | |
There's plenty of buzz around AI's potential to reshape healthcare, but how are provider organizations actually integrating the technology into operations? In this episode, David Higginson, executive vice president and chief innovation officer at Phoenix Children's, breaks down the system's AI strategy. From the importance of gathering clinician feedback to embracing the build-versus-buy outlook when appropriate, Higginson offers a look inside how Phoenix Children's is using AI to enhance pediatric care and drive meaningful change. | |||
| Empowering clinical teams to deliver exceptional care | 30 Oct 2024 | 00:17:46 | |
Phoenix Children's is making a concerted effort to empower its clinical leaders to provide exceptional care by creating a culture that encourages collaboration, transparency and innovation. In this new podcast, Dr. Jared Muenzer, chief physician executive at Phoenix Children's, shares the strategy behind building strong clinical teams and the positive impact it's having on patients. | |||
| Future-proofing healthcare: Energy efficiency, compliance and technological investment | 16 Oct 2024 | 00:21:23 | |
Environmental regulations and energy requirements in healthcare are continuously evolving. Trane's Christy Fetsch, Healthcare Vertical Market Strategy Leader in North America, joins the podcast to discuss how healthcare organizations can stay compliant and invest in future-ready technology while minimizing costs. | |||
| Optimizing healthcare revenue cycle capabilities with automation | 30 Sep 2024 | 00:19:25 | |
Fifth Third Bank is addressing critical challenges in revenue cycle management following its acquisition of Big Data Healthcare, a technology solutions provider for healthcare payments and remittance. In this episode of Healthcare Insider, Dee Harding, Chief Product Officer of Fifth Third and Big Data Healthcare, and Connor Craven, Business Analyst, describe how automation is advancing healthcare finance visibility and accuracy. Listen to the full episode below. | |||
| The growth strategy of Phoenix Children's: Insights from CEO Robert Meyer | 25 Sep 2024 | 00:21:42 | |
Robert Meyer joined Phoenix Children's in 2003 and is credited for the rapid turnaround of the hospital's finances and its successful growth under his leadership.
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| Turning hospital utility expenses into savings and safety | 31 Jul 2024 | 00:16:59 | |
Healthcare leaders often see utilities as a cost center. But what if they can be a source of savings? Trane's Christy Fetsch, Healthcare Vertical Market Strategy Leader in North America, joins the podcast to discuss how building upgrades such as automation can help hospitals reduce utility expenses while enhancing patient safety. Fetch explains that HVAC, which represents about 65% of the utility spend in a hospital, is one area with massive potential for cost savings. Additionally, she shares how one hospital network realized $4.7 million in energy savings by committing to vital infrastructure updates, ultimately freeing up resources to invest in patient care. | |||
| Redesigning healthcare to drive value through a whole-person lens | 24 Jul 2024 | 00:13:13 | |
AdventHealth is redesigning its systems to be more longitudinal, holistic and effective at cultivating patient engagement early in the care journey. This entails rethinking front-end primary care, as well as care delivered in the home. David Banks, group CEO of AdventHealth's primary health division and chief strategy officer, goes in-depth about this approach to advancing care delivery through a comprehensive, whole-person lens. Banks also explains how AdventHealth has engaged its primary care physicians in the transformation. | |||
| The price of inaction: How healthcare facilities can avoid costly mistakes | 02 Jul 2024 | 00:18:59 | |
Limited resources shouldn't stop healthcare organizations from investing in facilities as care demands shift, infrastructure ages and environmental sustainability takes hold.
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| Creating a sustainable sustainability program | 22 May 2024 | 00:30:16 | |
Many hospitals and health systems have aging infrastructure, which presents challenges as the industry invests in environmental sustainability initiatives. In order to effectively establish a sustainability program, it's essential for healthcare leaders to critically evaluate their facilities portfolio. Mark Kenneday, director of market strategy and development for healthcare at Gordian, lays out how to successfully build a sustainability program at healthcare organizations, including key considerations to make when considering facilities investments. | |||
| Designing the next era of healthcare spaces | 22 Oct 2025 | 00:19:51 | |
Healthcare facilities are under growing pressure to balance safety, sustainability, patient experience and budgets —all while meeting rising expectations for smarter, more flexible care environments. In this episode, Jennifer Michalski, Business Development Manager at Construction Specialties, shares how healthcare design priorities are evolving as organizations look to:
Tune in to learn how hospitals, health systems and senior living providers are rethinking construction and design to support the next generation of care delivery. | |||
| Breaking down barriers for health system specialty pharmacies and claims adjudication | 15 May 2024 | 00:09:44 | |
Many health systems are optimizing specialty pharmacy operations as a strategy to improve patient care and drive margin growth. In this episode of Healthcare Insider, Cardinal Health's Laura McIntire-Hansel, director of revenue cycle development, and Michael D. Brown, vice president of managed services, explore strategies for navigating complexities in the specialty pharmacy arena, such as getting authorization from insurers or connecting patients with treatment affordability programs. They discuss a solution, remote claims adjudication, to free up pharmacists' time and improve patient care. Listen to learn how health systems can better support their specialty pharmacies. | |||
| Key strategies for optimizing your workforce | 01 May 2024 | 00:16:57 | |
Workforce shortages remain a top concern for healthcare organizations. In order to meet patient demand, providers need to focus on new and innovative approaches. Leora Westbrook, president of workforce strategy and optimization at AMN Healthcare, explains the key tenets of a successful and effective workforce management strategy, including the important role of data and predictive modeling. Westbrook also shares examples from healthcare organizations seeing lower turnover and cost savings with their workforce optimization initiatives. | |||
| Driving decarbonization in healthcare facilities | 17 Apr 2024 | 00:23:56 | |
Amid growing pressure for healthcare organizations to embrace environmental sustainability, addressing emissions directly from facilities is key, with data showing it makes up about 17% of the industry's carbon footprint.
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| Highly regulated, under-enforced: How backend compliance operations impact the healthcare ecosystem | 10 Apr 2024 | 00:12:19 | |
| Hiring top clinical talent: Why healthcare organizations are choosing LinkedIn | 27 Mar 2024 | 00:15:37 | |
Amid fierce competition, healthcare organizations must embrace new methods for sourcing and engaging top candidates. The latest episode of Healthcare Insider features David Ellis, head of healthcare sales, North America, at LinkedIn, joining us to discuss hiring in the face of clinical talent shortages and the ways in which LinkedIn supports healthcare professionals and talent leaders. Ellis shares insights on job search and engagement activity among the nearly 8 million U.S. healthcare professionals using LinkedIn, closing out with a real-world success story from Christus Health. For more information, please visit LinkedIn.com/modernhealth. | |||
| Unlocking the patient journey to realize operational efficiency | 28 Feb 2024 | 00:20:39 | |
Most technology innovation in healthcare has so far focused on clinical decision-making, overlooking operational functions. As a result, hospitals and health systems still face inefficiencies and waste, leading to financial constraints, poor patient health outcomes and high staff turnover. | |||
| Leverage direct sourcing to create a successful workforce management strategy | 13 Dec 2023 | 00:15:26 | |
Direct sourcing has emerged as an effective staffing solution for hospitals and health systems as they continue to face labor shortages, competition for talent, and financial pressures. In this podcast, Richey Brownfield, vice president of enterprise solutions at AMN Healthcare, describes:
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| Value-based care in 2024: Understanding what's ahead, the challenges and benefits | 15 Nov 2023 | 00:08:42 | |
In the year ahead, the value-based care landscape is expected to be more challenging for healthcare providers as new regulations from the federal government take effect. A key strategy to manage and thrive in this increasingly complex environment is leveraging technology. In this episode, Dr. Matt Lambert, chief medical officer of Curation Health, will detail best practices for healthcare leaders to implement technology that will help ease the transition to value-based care, describing how automation and other applications can significantly help with risk management, care coordination and data. In addition, Lambert discusses the overall value-based care landscape and his predications for 2024. | |||
| The toolkit to build a quality workforce in 2024 | 08 Nov 2023 | 00:16:44 | |
Attracting and retaining quality clinical talent will remain a top focus for healthcare leaders in 2024. In this episode of Healthcare Insider, Robert Crowe, founder of Matchwell and executive vice president of per diem and local workforce strategies at Medical Solutions, outlines strategies to better utilize the existing workforce while appealing to new local professionals. He delves into considerations for leveraging AI in the hiring process, meeting candidates' needs and creating a positive workplace culture, starting with recruitment. Listen to the full episode below. | |||
| Why less is more: Finding the right data for providers to achieve value-based care initiatives | 01 Nov 2023 | 00:19:40 | |
Value-based care programs are not immune to the challenges the healthcare industry experiences with data, as providers overwhelmingly struggle to leverage the right data, at the right time to realize better patient outcomes at a lower cost. To solve this issue, healthcare providers should take a data minimalist approach, which focuses on seamlessly presenting frontline caregivers with only the relevant, actionable data they need at the point of care. In this episode, Kevin Coloton, founder and chief executive officer of Curation Health, shares how providers can achieve data minimalism, describing the needed technology investments and collaboration with frontline workers. He also explains success stories from providers working towards data minimalism. | |||
| Cutting Surgical Waste: Clinical and Financial Strategies for the OR | 15 Oct 2025 | 00:19:49 | |
Operating rooms drive both patient care and hospital finances, but they're also a major source of clinical and financial waste. Each day, U.S. ORs generate up to 2,000 tons of waste, with variations in surgical practice adding unnecessary costs. In this episode, Dr. William Payne, orthopedic spine surgeon and the president of the medical staff at Franciscan Health - Olympia Fields, and Courtney Kleeb, senior director at HealthTrust Performance Group, share strategies to reduce surgical waste, including:
Tune in to learn how organizations can cut waste in the OR while strengthening outcomes and financial performance. | |||
| Creating a consumer-centric healthcare experience | 25 Oct 2023 | 00:18:12 | |
Today's healthcare consumers expect a seamless experience free of confusion, frustration and delays -- barriers that affect not only the patient, but payer and provider employees as well. In this episode of Healthcare Insider, Robert Connely III, healthcare market leader at Pegasystems, and Jennifer Zellinger, vice president of product development at enGen, share how they proactively engage patients and members across all channels of communication. They also discuss the potential for adaptive AI to help create customer-centric experiences with fewer operational silos, better care outcomes and lower costs. | |||
| Preparing for AI in revenue cycle management | 18 Oct 2023 | 00:10:23 | |
Automation and artificial intelligence can help healthcare organizations navigate staffing shortages while maximizing financial outcomes – if personnel are trained and skilled appropriately. In this episode of Healthcare Insider, Susan Gurzynski-Wells, director of product management at HealthStream, discusses opportunities for AI to be leveraged in revenue cycle management, along with strategies for ensuring the workforce is prepared to use these technologies most effectively. She also shares critical insights about operationalizing AI in revenue cycle management, ensuring the smooth integration of new tools, and helping the next generation of professionals achieve their career aspirations. | |||
| Why point-of-care ultrasound should be the standard for lung assessment | 16 Oct 2023 | 00:10:42 | |
Innovations in technology have enabled the creation of point-of-care ultrasound, which allows clinicians to gather images at the first patient assessment, improving care quality by reducing wait times for diagnosis. Despite the benefits of point-of-care ultrasound, wide-scale adoption hasn't been achieved, with many providers still using traditional standards of care — for example, the chest x-ray for lung assessment. In this episode, Dr. Davinder Ramsingh, vice president of clinical research and product development at Butterfly Network, shares:
This podcast includes forward-looking statements regarding Butterfly Network's standalone educational app, ScanLab, that is not yet available but will be coming soon to Butterfly users in the United States. | |||
| Building blocks to establish a resilient healthcare workforce | 11 Oct 2023 | 00:14:08 | |
There is an ongoing war for talent in healthcare. Employees are reassessing how, where and how they work. In order to withstand the changing nature and uncertainty of today's workforce, healthcare leaders must be agile. In this podcast episode, John Rothwell, senior vice president of enterprise and strategic solutions at AMN Healthcare, describes how healthcare organizations can create a workforce management strategy that responds to evolving demands. He also shares the important role of technology and partners to establish a workforce strategy. | |||
| Solutions to address the emergency department's biggest challenges | 04 Oct 2023 | 00:23:33 | |
| Strategies for community hospitals to tackle supply chain disruptions | 13 Sep 2023 | 00:11:06 | |
The healthcare supply chain continues to face repercussions from the COVID-19 pandemic, with shortages of vital raw materials leading to disruptions in pharmaceuticals and other essential products. In this episode, Jon Pruitt, senior vice president of CHC Supply Trust, joins the podcast to explain innovative practices community hospitals should implement to respond to supply chain concerns, emphasizing the importance of partnerships with distributors, group purchasing organizations and internal stakeholders. Pruitt is responsible for overseeing a comprehensive supply chain management strategy for Community Hospital Corporation, which partners with hospitals to help them remain community-operated and governed. | |||
| Embracing collaboration to alleviate staffing shortages, improve access to care | 12 Jul 2023 | 00:23:44 | |
Nationwide, hospitals and health systems continue to face serious staffing shortages, severely impacting patient care and the bottom line. In this installment of Healthcare Insider, Dr. James Swift, chief executive officer of Pediatrix Medical Group, shares the key considerations for providers as they work to rebuild the physician workforce including how to leverage partnerships with medical groups and non-physician staff. The episode also uncovers strategies to improve the continuum of care. | |||
| The key pillars of success in value-based care | 10 May 2023 | 00:23:25 | |
Despite the healthcare industry implementing value-based payment models for well over a decade, healthcare providers and payers still face challenges in the execution and expansion of pay-for-performance programs. In this episode of Healthcare Insider, Kevin Coloton, Founder and Chief Executive Officer of Curation Health, and Dr. Matt Lambert, Chief Medical Officer of Curation Health, share practical tips for providers and payers to be successful in value-based care wherever they are in their journey – whether that be starting a value-based care program from the ground up or how to expand current efforts. Coloton and Lambert also describe the common pitfalls to avoid as healthcare organizations continue on their value-based care path such as investing in a myriad of technology solutions in an effort to maximize insights from data. | |||
| How healthcare can build sustainable financial growth amid financial disruption | 26 Apr 2023 | 00:12:21 | |
Over the last year, leading health systems are reporting negative financial results, largely due to rising expenses, shifting market dynamics and deteriorating payer mix. To respond, health systems must create opportunities for sustainable financial growth. In this episode, Richard Bajner, partner and payer and provider leader of Guidehouse, explains the framework healthcare leaders should be applying to improve financial resilience. He also shares how leaders can balance short-term budget constraints while at the same time addressing larger macro trends. | |||
| Innovative healthcare delivery models for community hospitals | 19 Apr 2023 | 00:14:21 | |
As community hospitals across the country face inflation, rising costs and labor shortages, now is the time to implement innovative delivery models for long-term sustainability. Jim Kendrick, president and CEO of Community Hospital Corporation, shares how partnerships, enhanced staff training, and the Hospital at Home care model can improve the outlook for community hospitals. Kendrick also explains how the Rural Emergency Hospital designation impacts community hospitals and the trade-offs to consider. | |||
| Improving the Patient Payment Journey in the Era of Transparency | 24 Sep 2025 | 00:09:37 | |
The No Surprises Act and Good Faith Estimates were designed to protect patients, but they've also created new operational challenges for providers, particularly around patient credits and managing refunds. In this episode of Healthcare Insider, Jessica Lemoine, AVP and Healthcare Success Manager at Fifth Third Bank, shares her insights on how health systems can navigate these complexities and modernize the patient financial experience. Listeners will learn:
Tune in to hear how health systems can embrace automation, flexible payment solutions and financial partnerships to create a more seamless and consumer-centric patient payment journey. | |||
| How IT transformation can help your hospital meet business goals | 25 Jan 2023 | 00:21:11 | |
Too often, hospital leaders view IT simply as a business function. But IT can meaningfully help organizations meet strategic business goals if leveraged appropriately, argues Brian Doerr, senior vice president of information technology and security and privacy officer at Community Hospital Corporation. In this podcast episode, Doerr explains why community hospitals and other providers should take an enterprise approach to IT, laying out a proven roadmap hospitals can adopt to begin their journey. Doerr also provides real-world examples from community hospitals that have transformed their IT and seen meaningful improvements. | |||
| What healthcare providers need to know about RSV in older adults | 19 Dec 2022 | 00:14:51 | |
In this episode, Dr. Friedland discusses a recent surge of RSV, respiratory syncytial virus, how it affects the older population and what this means for healthcare providers across the U.S. | |||
| Why value-based care demands improved data visibility | 14 Dec 2022 | 00:13:56 | |
In this conversation, Leah Quartano Bowling, vice president for insurance and healthcare at Hitachi Solutions, offers strategies for harnessing the data necessary to deliver on value-based care contracts and shares how these insights can help shape provider incentives. | |||
| How Humana is optimizing home care delivery | 07 Dec 2022 | 00:12:58 | |
As medicine continues advancing and patient expectations evolve, the home is increasingly viewed as an optimal care setting. The many benefits of care in the home include that it increases convenience, minimizes access barriers, strengthens patient relationships, enables greater visibility into social determinants of health, and reduces the cost of care. In this episode, Dr. Andrew Agwunobi, President of Humana's Home Solutions Business, discusses strategies for integrating home care into more seamless care delivery for patients. Dr. Agwunobi covers how the nursing shortage has impacted staffing for these services as well as what he envisions for the future of home health. | |||