Couverture de The Financial Risk vs Clinical Reality in US Healthcare with Saima Anis

The Financial Risk vs Clinical Reality in US Healthcare with Saima Anis

The Financial Risk vs Clinical Reality in US Healthcare with Saima Anis

Écouter gratuitement

Voir les détails

À propos de ce contenu audio

 In this episode of When Health Freezes Over, Host Omar Haq is joined by Guest Saima Anis, Managing Partner & Principal AI Architect at AugMind.ai and CEO of SAUK Solutions LLC. They discuss the structural challenges within the U.S. healthcare system, focusing on the disconnect between financial risk modeling and clinical care delivery. Through a rich discussion on value-based care, capitation models, data fragmentation, and social determinants of health (SDOH), the conversation explores why healthcare costs continue to rise despite decades of reform efforts. The episode highlights the urgent need for alignment among clinicians, actuaries, and policymakers to create a more effective, equitable, and data-driven healthcare system.Saima Anis is a public health physician and healthcare executive specializing in value-based care, clinical informatics, and AI-driven population health strategies. With experience spanning health systems, public health initiatives, and advanced analytics, She brings a unique perspective at the intersection of clinical care, operations, and technology. Her work focuses on integrating data and care delivery models to improve outcomes and reduce inefficiencies in healthcare systems.Expect to Learn- Why U.S. healthcare spending remains high despite poor outcomes - The fundamental flaws in value-based care and capitation models - How data fragmentation and lack of interoperability impact patient care - The critical role of social determinants of health (SDOH) in driving costs - How AI and predictive analytics can and cannot transform healthcare deliveryEpisode Breakdown with Timestamps[00:00:00] - Teaser[00:01:43] - Introduction to Saima Anis[00:03:33] - Key Challenges in the U.S. Healthcare System[00:04:41] - Data Fragmentation & Global Comparisons[00:08:40] - Understanding Value-Based Care Models[00:17:56] - Capitation Models: Benefits & Pitfalls[00:23:09] - Coding Gaps & Clinical Complexity[00:25:30] - Social Determinants of Health (SDOH)[00:30:59] - Role of AI & Healthcare Technology[00:36:53] - Redesigning the Healthcare System[00:39:23] - The Actuary vs. Clinician Divide[00:42:20] - Collaboration for Better Outcomes[00:43:57] - Closing Thoughts & Future ConversationsFollow Guest Saima Anis:LinkedIn: https://www.linkedin.com/in/saimaanis/Company LinkedIn - AugMind.ai : https://www.linkedin.com/company/augmind-aiCompany Website - AugMind.ai : http://AugMind.aiFollow Host Omar Haq:LinkedIn: https://www.linkedin.com/in/omar-haq1/Company Website - Mushin Consulting Group LLC: https://www.mushincg.com/Instagram - Mushin Consulting Group LLC: https://www.instagram.com/mushincgllcTikTok - Mushin Consulting Group LLC: https://www.tiktok.com/@uberactuaryFollow Us On:YouTube: https://www.youtube.com/@mushincgSpotify: https://open.spotify.com/show/3bRobaBZlM3IbCJ5334PJV?si=41aa6416371e4bc2Apple Podcast: https://podcasts.apple.com/pk/podcast/when-health-freezes-over/id1887501951
Aucun commentaire pour le moment