Tessa recently graduated with a Ph.D. in Health Services Research from the University of Washington.  Tessa shared her insights regarding the program and gave some tips for those who are starting their carers in Health Services. We also talked about cannabis, as  Dr. Matson conducted her Ph.D. proposal, studying Evaluation of Screening, Assessment, Diagnosis, and Treatment for Cannabis Use Disorder in Primary Care. Tessa is regarded as one of the most productive junior scientists at UW, having published several manuscripts as a lead author. Dr. Matson received the 2022 Gilbert S. Omenn Award for Academic Excellence, the most prestigious, School-wide recognition for graduate students.

Prior to her Ph.D. program, she earned her MPH degree with a concentration in Social and Behavioral Sciences from the University of Washington’s Health Services Department, and her Bachelor’s degree in Psychology from Whitman College. Dr. Matson worked as a Research Interventionist at Kaiser Permanente Washington Health Research Institute and at the VA on a study examining patterns of alcohol use and alcohol treatment among transgender individuals.

Ways to connect with me and support this podcast. https://linktr.ee/Idrisovbu

Ksenia Whittal, FSA, MAAA works at the Wakely Consulting Group, LLC. Ksenia developed a custom risk adjustment model for Arizona’s Medicaid program incorporating social determinants of health.

Timecodes below:

0 Intro

5 Who is an actuary?

7.20 Do you work in various health systems, how did the initiative in AZ start?

15.30 how did you define and measure SDOH?

19 used Z codes and CDC Social Vulnerability Index, anything else?

23 problems with disproportionate use of Z codes

27 How did you know that the model had significant predictions?

35 Process of redistribution between hospitals

27 In the paper your mention that risk adjustment transfers changed by -83% to 6%, what does it mean?

40 Have you tested whether there is value for patients and providers in including the information on SDOH?

46 Other states that pioneer SDOH and risk adjustment

50 Is there a way to systematically look at what states are doing regarding RA?

51 Other thoughts on SDOH. Why is there no gold standard yet?

54 Healthcare systems are set up with short-term health outcomes, and few incentives for long-term health investment. Outcomes data in SDOH stem from causes of death.

57 Changing health system for extended money returns. Members are leaving a health plan if improved. Stokeholds except the government have mixed incentives. 

Ways to connect: https://linktr.ee/Idrisovbu

In this episode I talked with Barb Nangle. She is a boundaries coach, speaker, writer, and the Founder and CEO of Higher Power Coaching and Consulting, LLC and host of the podcast, "Fragmented to Whole: Life Lessons from 12 Step Recovery."

In 2015 at 52, after decades of therapy and tons of self-help work in various areas, Barb found herself in 12-step recovery. She’s been in two such fellowships since then and has changed deeply and profoundly. As a former addict and people-pleasing rescuer, she empowers people to live their lives on purpose by coaching them to build boundary systems in their personal and professional lives.

In addition to her own business, she has two part-time jobs supporting entrepreneurs. The first is with the Innovation to Impact project at Yale. I2I is a NIDA-funded program to train substance use researchers on entrepreneurship. Barb is the Community Engagement Manager on that project

She works as the Community Manager at Known Coworking in downtown New Haven. Known is an entrepreneur-serving organization that specializes in supporting BIPOC businesses.

Ways to connect with Barb:

Podcast: https://higherpowercc.com/podcast/

IG: https://www.instagram.com/higherpowercoaching/

Free info on boundaries: https://higherpowercc.com/start-setting-boundaries/

Ways to connect and support Bulat Idrisov:

Zelle: bidrisov@gmail.com

Venmo: https://venmo.com/code?user_id=3576077674874642596&created=1657074617.738421&printed=1

https://linktr.ee/Idrisovbu