Episode 4 - Learning how to get an "In-Network" with Michael Ruiz de Somocurcio (IPA President, NY/NJ at Vytalize Health)
04/11/24 • 33 min
In this episode, Lon Hecht interviews Mike Ruiz de Somocurcio, President of Vitalize IPA for New York and New Jersey. They discuss the challenges of getting in-network with health plans and the two paths to achieving this. Mike emphasizes the importance of finding the right people at health plans and leveraging employers as a sales channel. He also provides insights into negotiating reimbursement rates and structuring pilot programs. Additionally, they touch on the significance of ACOs and networking opportunities for startups in the healthcare industry.
In this episode, Lon Hecht interviews Mike Ruiz de Somocurcio, President of Vitalize IPA for New York and New Jersey. They discuss the challenges of getting in-network with health plans and the two paths to achieving this. Mike emphasizes the importance of finding the right people at health plans and leveraging employers as a sales channel. He also provides insights into negotiating reimbursement rates and structuring pilot programs. Additionally, they touch on the significance of ACOs and networking opportunities for startups in the healthcare industry.
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Episode 3 - Unveiling the Healthcare Employer Landscape with Dr. Eric Bricker (Chief Medical Officer, AHealthcareZ)
In this illuminating episode, we embark on a journey to unravel the intricacies of the healthcare employer landscape with our esteemed guest, Dr. Eric Bricker. With his extensive background of selling into the Employer market, Dr. Bricker brings a wealth of knowledge and insights into the inner workings of healthcare employers.
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Episode 5 - Understanding and Improving Star Ratings with Rex Wallace (Founder and CEO, Rex Wallace Consulting)
In Episode 5 of #TheHealthcareGrind podcast, listeners are treated to an enlightening conversation as Lon Hecht and Jessica Harthcock engage with none other than Rex Wallace, the illustrious Founder and CEO of Rex Wallace Consulting. A luminary in the realm of Star Ratings, Rex brings to the table a wealth of expertise garnered through extensive experience within the health plan domain. With unparalleled insight, he delivers a masterful overview of the Star Ratings program, explaining its significance and unveiling strategies for enhancing ratings. Furthermore, Rex delves into the pivotal role healthcare vendors play in bolstering these ratings, offering invaluable guidance on how they can effectively showcase their contributions towards this noble endeavor.
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