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The Healthcare STARcastAuthor: TopHealth Media
The Healthcare STARcast is where healthcares true leaders shine. Hosted by Subbu Ramalingam, a seasoned healthcare executive, this podcast goes beyond STAR ratings and risk scores to reveal the strategies, innovations, and mindsets driving real-world healthcare excellence.Every episode delivers clear insights, bold frameworks, and practical ideas designed for healthcare executives, operators, clinicians, and innovators ready to lead at the next level. Whether you're improving quality, scaling value-based care, or reimagining patient outcomes, The Healthcare STARcast gives you the edge to lead with confidence. Language: en-us Genres: Alternative Health, Health & Fitness, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Connecting Quality, Compliance, and Population Health in Managed Care with Charles Baker
Episode 4
Thursday, 3 July, 2025
Welcome to The HEALTHCARE STARcast, the show that breaks down the complex world of healthcare to reveal the real strategies and mindsets driving excellence. In this episode, host Subbu Ramalingam sits down with Charles Baker, Vice President at ATTAC Consulting Group and an expert who has worn many hats in the industry, from clinical social work to executive compliance roles. Charles shares his unique journey from the hospital floor to the executive suite, offering fresh perspectives on population health, risk management, and how healthcare organizations can break out of silos to tackle today's biggest challenges.Together, Subbu and Charles dig into the realities of compliance, quality improvement, Medicare Advantage pressures, and the evolving landscape of risk adjustment and RADV audits. You'll hear actionable insights for health plan leaders and providers, a no-nonsense approach to regulatory changes, and practical ideas for bridging the gaps between compliance, operations, and patient care. Whether you’re leading a health plan, driving quality initiatives, or reimagining care delivery, this conversation is packed with timely advice and big-picture thinking to help you navigate change and deliver real value for patients and communities.Timestamps:00:00 Rethinking Community-Focused Mental Health05:53 "Insurance's Role in Community Health"10:05 Breaking Silos in Compliance Strategies11:18 Proactive Data Management for Medicare Advantage16:17 Regulatory Compliance Cadence Analysis19:32 "Medicare Advantage and RADV Focus"21:24 HMO Cost Control Evolution27:50 Healthcare Consulting & RADV Support30:54 Ensuring Audit-Ready Clinical Documentation35:10 Policy Presentation: Key Opportunity36:49 Holistic Teamwork for Data-Driven DecisionsShow Website - https://healthcarestarcast.com/ Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/ FloWise Leadership - https://flowiseleadership.com/ ViVega Business Services - https://www.vivega.co/ Media Partner - TopHealth - https://tophealth.care/
