Curious about the forces driving healthcare pricing and access? Join us for an enlightening conversation with Sarah Emond, President and CEO of the Institute for Clinical and Economic Review (ICER). Sarah's upbringing in a family passionate about policy and social justice laid the foundation for her impactful career in health policy. We explore her educational journey from Smith College to Brandeis University’s Heller School, and how her professional experiences in clinical research and biopharmaceutical consulting shaped her path to ICER.

Unravel the complex world of health technology assessment (HTA) in the US as Sarah breaks down the challenges and opportunities within a fragmented healthcare system. ICER's pivotal role in evaluating new medical technologies is discussed in depth, including its interactions with international agencies like the UK's NICE. Sarah sheds light on ICER's evolution from a small initiative within Mass General Hospital to a powerful voice in global HTA practices, emphasizing the importance of fair pricing, patient access, and sustainable innovation funding.

Equity in healthcare takes center stage as Sarah introduces ICER’s updated value assessment framework. Learn about new tools like the clinical trial diversity rating and the Health Improvement Distribution Index (HIDI) designed to promote representation of diverse populations in clinical trials. We also tackle the high costs and value-based pricing of innovative treatments, including gene and cell therapies, and the necessity of evolving payment systems to ensure continuous innovation. Tune in to gain a comprehensive understanding of the pressing challenges and future directions in healthcare pricing, equity, and access.

Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.

Eileen McAnenny, the driving force behind the Employer Coalition on Health in Massachusetts shares her journey from a typical Irish Catholic home in Somerville (before it was fashionable) to a leader in healthcare policy and cost management.

Discover how her roots and influential figures like Tip O'Neill and the Kennedys shaped her passion for public service, leading to a law career and roles at the Bank of New England, the Joint Committee on Taxation, and beyond. Eileen's insights on employer engagement in healthcare costs and her work with the Massachusetts Taxpayers Foundation illuminate the challenges and opportunities in controlling this major business expense.

As healthcare costs in Massachusetts continue to balloon, smaller businesses are feeling the pinch more than ever.

This episode delves into the complexities of managing healthcare costs, especially in a state where large healthcare employers wield significant political influence. We explore the role of employer coalitions in bringing balance to the conversation, representing the needs of those tasked with purchasing healthcare, and striving for sustainability against the backdrop of inflation and workforce shortages. Eileen's experience at Fidelity and her focus on employer-related policy issues provide a compelling narrative on the interplay between businesses and healthcare providers.

Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.

Explore the professional journey of BK Nyak, the innovative leader behind Spikewell, whose advancements are revolutionizing hospital IT solutions. In this conversation, we examine BK's progression from his early days in India to becoming an influential entrepreneur who is reshaping healthcare technology.

He discusses the significant impact of his upbringing, his educational achievements at IIT, the University of Virginia, and MIT's Sloan School, and the key moments that shifted his focus from academia to pioneering entrepreneurship. BK's story highlights the importance of curiosity and adaptability in navigating career paths and leveraging early patents and grants as a foundation for success.

This episode also explores Spikewell's mission to customize IT systems for hospitals, utilizing AI to enhance efficiency and adaptability. BK explains how his company's solutions address clinician burnout and improve clinical decision support and financial operations—essential elements in the rapidly changing healthcare industry.

We analyze the critical roles of mobile platforms, cloud computing, and AI, and how a strong emphasis on customer needs informs tech partnerships with healthcare facilities. Discussing the transformative impact of these technologies, particularly in response to challenges like the COVID-19 pandemic, BK's commitment to innovation and the future of healthcare technology is evident.

Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.