The ACO Show

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Navigating Accountable Care

Aledade Inc


    • May 27, 2025 LATEST EPISODE
    • every other week NEW EPISODES
    • 25m AVG DURATION
    • 189 EPISODES

    Ivy Insights

    The ACO Show podcast is a must-listen for anyone involved in the healthcare industry, whether they are well-established as a healthcare innovator or just getting started as a catalyst for change. Hosted by Josh and Joe, this podcast covers a wide range of topics related to building a thriving healthcare ecosystem and features leaders who have experienced success themselves. The conversations are led with incredible skill, and the guests are authentic, passionate, and extremely knowledgeable. The dedication to making healthcare better for patients, primary care physicians, and ultimately for the nation is palpable throughout the episodes.

    One of the best aspects of The ACO Show podcast is the authenticity of the participants. Each guest brings their own unique perspective and insights, providing valuable information and practical advice. The hosts do an excellent job of leading engaging conversations that cover a breadth of topics related to the ins and outs of building a thriving healthcare ecosystem. Whether discussing value-based care, ACOs, or other important aspects of transforming our healthcare system, each episode offers valuable takeaways that can be applied in real-life situations.

    Another great aspect of this podcast is its relevance to the current state of healthcare in the United States. As our healthcare system inevitably progresses towards value-based care, this podcast becomes even more relevant and essential. The discussions provide useful information to help both those unfamiliar with the healthcare business and those already entrenched navigate the transition to value-based care. By delving into important topics such as ACOs and value-based payment models in a simple yet comprehensive way, this podcast serves as an invaluable resource for anyone seeking to understand and embrace these changes.

    While it is difficult to find any major flaws with The ACO Show podcast, one potential improvement could be expanding their range of perspectives even further. While they have featured leaders who have experienced success in various areas of healthcare innovation, it would be interesting to hear from individuals with different backgrounds or from different regions around the country. This could provide an even more diverse range of insights and perspectives, further enriching the conversations and offering a broader understanding of the challenges and opportunities in transforming our healthcare system.

    In conclusion, The ACO Show podcast is essential to the transformation of our healthcare system. The dedication and passion of the hosts and guests shine through each episode, making it a compelling listen for anyone looking to make a difference in healthcare. With its relevant topics, authentic participants, and wealth of knowledge, this podcast is a valuable resource for anyone striving to navigate the transition to value-based care and build a thriving healthcare ecosystem. It is highly recommended to listen, learn, and subscribe for those who want to stay at the forefront of healthcare innovation.



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    Latest episodes from The ACO Show

    189. Do ACOs Really Save Money? Dr. Amelia Bond and Dr. Dhruv Khullar Explain

    Play Episode Listen Later May 27, 2025 24:12


    Dr. Amelia Bond and Dr. Dhruv Khullar join us to discuss the long-term savings of accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP). Their recent study in JAMA found that ACOs generate increasing savings over time, with physician-led ACOs demonstrating more significant savings. Learn about their study's methodology, policy implications for The Centers of Medicare & Medicaid Services (CMS) and where Dr. Bond and Dr. Khullar will focus their research next. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    188. Natalie Davis on Why You Shouldn't Talk about Value-Based Care

    Play Episode Listen Later May 19, 2025 22:23


    Natalie Davis, CEO of United States of Care, joins us to talk about the challenges of discussing value-based care with patients and policymakers. Through extensive research with over 30,000 individuals, Davis shares that the term "value-based care" often evokes negative connotations of low-quality care. When presented with the benefits of value-based care without using the term itself, people were most interested in spending more time with their doctors and receiving personalized, quality care. Join us to learn more about effectively communicating with patients and policymakers about value-based care. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    187. Behavioral Health Care Accessibility

    Play Episode Listen Later Apr 21, 2025 26:26


    A majority of those with behavioral health challenges lack access to high-quality care. Gabe Diop, co-founder of Rula, a behavioral health physician group, joins the ACO Show to discuss how Rula is making behavioral health care more accessible by partnering with primary care practices to connect patients with the care they need. Dr. Samantha Cotler, family medicine physician in Wall, N.J., explains how her partnership with Rula has improved patient outcomes and made it easier to connect patients with in-network physicians. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom.

    186. How International Medical Graduates Help Ease the US Physician Shortage

    Play Episode Listen Later Apr 7, 2025 19:50


    The U.S. faces a significant shortage of primary care physicians, particularly in rural and under-resourced communities. Join Eli Greenspan, policy advisor at Foley Hoag LLP, and Dan Bowles, general manager of Practice Health Solutions at Aledade, to highlight the role that international medical graduates play in addressing this shortage. They explain the complex process that international medical graduates must complete to practice in the U.S., and how the physician shortage is connected to immigration policy. This includes the Conrad 30 Waiver Program, which incentivizes graduates to practice in under-resourced areas. While this program is valuable, it's also limited in scope, so our guests explore additional legislative efforts to improve and expand these programs. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom.

    185. Crossing the Chasm in Value-Based Care with Farzad Mostashari, M.D., and Geoffrey Moore

    Play Episode Listen Later Mar 20, 2025 29:35


    Aledade CEO, Dr. Farzad Mostashari, and best-selling author Geoffrey Moore explore how the concepts in Moore's influential book, “Crossing the Chasm” can be applied to accelerate adoption of value-based care. In order to move to mainstream adoption, it's crucial to focus on the niche market of “pragmatists in pain” who have an urgent need that the current system isn't solving. Our co-host Sean Cavanaugh, chief policy officer at Aledade, points out that oftentimes in the traditional fee-for-service model, the pragmatists in pain are independent primary care clinicians. Moore and Dr. Mostashari also share insights and recommendations for the new administration from their recent article, including focusing on primary care, defining the competition and paving the way for simplifiers who can help clinicians navigate the complexities of value-based care. Using this framework, the Center for Medicare & Medicaid Services (CMS) could accelerate expansion of value-based care to the majority of the nation's primary care clinicians as well as their patients. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom.

    184. Bias and Equity with Artificial Intelligence in Health Care

    Play Episode Listen Later Mar 10, 2025 19:40


    Join us this episode as our guests from Aledade, Dennis Liubyvyi, Director of Artificial Intelligence (AI) Research, and Jette Henderson, Staff AI Researcher, explain the world of AI and machine learning and its potentially transformative impact on health care. Dennis shares how AI models at Aledade are reshaping patient care by analyzing vast amounts of patient data to predict critical health events such as kidney disease progression and congestive heart failure. The goal is to provide more timely, targeted interventions to patients who need them most. Jette also notes the challenges that exist in these predictive models, particularly regarding biases within data sets, which can lead to inaccurate predictions and how Aledade is developing tools to help identify and mitigate these biases. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    183. Cardiology and Value-Based Care

    Play Episode Listen Later Feb 24, 2025 21:41


    Dr. Sameer Sheth, President and Co-Founder of Chamber Cardio, joins Josh and Sean to discuss the opportunities and challenges for specialists, particularly cardiologists, in transitioning to value-based care. Dr. Sheth notes that cardiologists have traditionally been slower to adopt value-based care because of a lack of financial incentives, but an increasing drive to remain independent is pushing more cardiologists towards value-based models. Dr. Sheth shares how he and Chamber Cardio are working to create a network of cardiologists, health plans, and tools to better incentivize their transition to value-based care. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    182. Patient and Caregiver Experiences in Value-Based Care

    Play Episode Listen Later Feb 10, 2025 25:49


    Join Melanie Phelps, Senior Advocacy Advisor for Health System Transformation at the American Hearth Association (AHA), to discuss her recent research which explores the impact of ACO-driven value-based care from the patient and caregiver perspectives. Melanie explores the overwhelmingly positive results of the study, which found that patients and their caregivers experienced better care, better support, and better patient outcomes as a result of their clinicians' participation in an ACO. Dr. Julie Prosedda, Family Medicine Physician in Wilmington, DE and a participant in the AHA study, joins us to explore the reasoning behind these benefits of value-based care for patients, which is largely due to better relationships with their primary care physicians, as well as access to timely support and resources from an expanded care team. This more wholistic, patient-centered value-based care leads to enhanced patient engagement and a more trusting clinician-patient relationship. While it's clear that patients should be demanding broader access to value-based care, Melanie and Dr. Prosedda also explore the challenges of expansion, including increasing educational opportunities and more alignment among payment models. Learn more about the American Heart Association's research: Understanding Patient, Family Caregiver and Health Care Team Member ACO Experiences Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    181. Nursing in Value-Based Care

    Play Episode Listen Later Jan 27, 2025 21:55


    Value-based care is a team effort, and nurses play a crucial role in coordinating care to achieve better and more efficient patient outcomes. Jacqueline Nikpour, Assistant Professor at the Emory University School of Nursing, and Kathy Samhammer, LPN at Cedar Ridge Family Medicine, join us to discuss the role of nurses in primary care, and how practices can maximize nurses' contributions in the shift towards value-based care. Kathy's role includes managing chronic conditions and preventing hospital readmissions, and she discusses the importance of ongoing, personalized communication with patients, especially after ER visits. This approach has led to better patient engagement and satisfaction, which is crucial for improving health outcomes. As Kathy demonstrates, expanding the role of nurses in value-based care is critical, but Jacqueline also notes the challenges in this expansion, including payment and recognition of nurses' value. By addressing these challenges and better integrating nurses in patient care teams, we can ensure better care coordination and a more patient-centered health care system. Read Jacqueline's article in Health Affairs: To Improve Outcomes Under CMS' ‘Making Care Primary', Focus On Registered Nurses Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    180. Transforming End-of-Life Care with Comprehensive Advanced Care Planning (CACP)

    Play Episode Listen Later Jan 13, 2025 24:50


    Comprehensive Advance Care Planning (CACP) supports individuals in understanding and sharing their values and goals for medical care at the end of life. Kerri Petrin, Vice President and Head of Operations at Aledade Plus, joins us to explore how the CACP program allows patients and their loved ones to have guided, personalized conversations with clinical facilitators and generate legal documents so that patients and their care teams can make health care decisions that align with the patients' values. We are also joined by Marissa McNichols, who shares insights into her role as a CACP facilitator, especially the importance of having open-ended conversations that include family members, allowing everyone the opportunity to ask questions and make decisions outside of a crisis moment. Tune in to learn more about how CACP is transforming end-of-life care planning, ensuring alignment with patient values and reducing unwanted, unnecessary care. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    179. From Residency to Value-Based Care: Lessons from Aledade FIRST

    Play Episode Listen Later Dec 30, 2024 19:22


    Graduates of the Aledade FIRST Program, Dr. Boone Marois and Dr. Breanna Heard-Pinho, reflect on their experiences in the program and how it helped prepare them to practice value-based medicine. Dr. Heard-Pinho, Family Medicine Physician in Vicksburg, Mississippi, shares how Aledade FIRST taught valuable practice management skills, as well as held in-depth discussions of value-based care not taught in traditional residency programs. While Dr. Marois, Family Medicine Physician in Asheville, North Carolina, reflects on the importance of taking a preventative approach with each patient. Listen as they share unexpected joys and challenges of practicing value-based care in their communities. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

    178. Challenges and Opportunities in Caring for Dual-Eligible Beneficiaries

    Play Episode Listen Later Dec 16, 2024 28:56


    In this episode, Sean Cavanaugh and Josh Israel discuss the complexities of caring for patients who are dually eligible for Medicare and Medicaid. They are joined first by Melanie Bella, whose prior roles include former Director of Indiana Medicaid, Director of the CMS Medicare-Medicaid Coordination Office and EVP at Cityblock, and are then joined by Aledade's Mohamed Arif, and Lahila Pitts. They explore the unique challenges these patients face, including fragmented care and high social needs. They also highlight how value-based care and data-driven solutions are improving outcomes for this underserved group. Tune in for insights into better care coordination for dual-eligible beneficiaries.

    177. What's New for ACOs in 2025?

    Play Episode Listen Later Dec 2, 2024 24:32


    Casey Korba, Director of Policy at Aledade, walks us through regulations that were announced along with the 2025 CMS Medicare Physician Fee Schedule, including updates to the Medicare Shared Savings Program. Casey and our host Sean Cavanaugh, who is the former Director of the Center for Medicare, explain policy changes that will support value-based care, including changes to payments for some preventive care services and a new health equity benchmarking adjustment. While there is bipartisan support for CMS's goal of moving towards value-based care, they also explore ongoing challenges like the rebasing process and benchmarking standards.

    director policy medicare cms acos aledade medicare shared savings program
    176. Healthcare During a Devastating Hurricane

    Play Episode Listen Later Nov 18, 2024 23:15


    In this episode, we sit down with Traci Spence, the Chief Operating Officer of Blue Ridge Community Health Center in Hendersonville, North Carolina. Traci shares her  experience managing a health center during a catastrophic hurricane that left the region without power, water, or infrastructure. Despite these overwhelming challenges, Traci and her team found creative solutions to continue serving their community in the midst of chaos. This conversation highlights themes of improvisation, community, and resilience when the healthcare system is pushed to its limits.

    175. The HCP LAN Summit: Building Partnerships for Progress

    Play Episode Listen Later Nov 4, 2024 19:59


    Join Dr. Judy Zerzen-Thul as she explains how the Health Care Payment Learning and Action Network (HCP LAN) brings together clinicians, health systems, and payers in a partnership aimed at transitioning from fee-for-service to value-based care models. Dr. Zerzen-Thul is the Chief Medical Officer at Washington State Health Care Authority, and Co-Chair of the LAN Executive Forum. She discusses how value-based care is progressing across different sectors, including common barriers like data exchange and aligning payment methodologies. She also discusses the upcoming HCP LAN summit on November 14th, where stakeholders including payers, purchasers, and patients will gather to address challenges in moving towards value-based care. Health Care Payment Learning and Action Network

    174. Community Resilience: Healthcare in the Wake of Hurricane Helene

    Play Episode Listen Later Oct 28, 2024 20:40


    In this episode of the Aledade ACO Show, hosts Josh Israel and Sean Cavanaugh speak with Brenda Fore from the East Asheville Family Health Care Clinic and Ashley Austin from Aledade about the impact of Hurricane Helene on their community. They share firsthand accounts of the challenges faced when clinics lost power and water, and how healthcare providers adapted to continue serving patients amidst the chaos. Discover the power of improvisation and community support in times of disaster.

    173. Public Health Unpacked: Inside DC Health

    Play Episode Listen Later Oct 14, 2024 28:37


    In this episode of the ACO Show, host Sean Cavanaugh and Aledade CEO Farzad Mostashari, sit down with Dr. Ayanna Bennett, Director of DC Health. They dive into the multifaceted role of public health, discussing everything from community health initiatives to tackling local challenges like pest control. Dr. Bennett shares her journey from private practice to public health leadership and emphasizes the importance of health equity, data, and community connection in improving health outcomes. Listen in as we unpack the vital work being done at DC Health and explore how understanding the stories behind the numbers, leads to meaningful change in healthcare.

    172. The Road Show Part 2: Independent Practices in Hospital-Dominated Communities

    Play Episode Listen Later Sep 30, 2024 34:15


    In this episode of the ACO Show, hosts Josh Israel and Sean Cavanaugh recount their summer road trip, along with Aledade CEO Farzad Mostashari, part 2, visiting primary care practices across America. From camping in Moab to meeting health care leaders in places like Glenwood Springs, CO and St. George, UT they explore the diversity of value-based care primary care delivery. The episode highlights how communities, large and small, benefit from strong primary care systems and previews exciting episodes for the season ahead.

    Episode 171: The Road Show: Cross-Country Reflections on Primary Care

    Play Episode Listen Later Sep 16, 2024 30:46


    In this season premiere of the ACO Show, hosts Josh Israel and Sean Cavanaugh recount their summer road trip, along with Aledade CEO Farzad Mostashari, visiting primary care practices across America. From camping in Moab to meeting health care leaders in places like Mexico, Missouri, and Salina, Kansas, they explore the diversity of value-based care primary care delivery. The episode highlights how communities, large and small, benefit from strong primary care systems and previews exciting episodes for the season ahead.

    170. From the Value Summit: Innovations in Value-Based Primary Care

    Play Episode Listen Later Jul 22, 2024 28:19


    Join Josh Israel and Sean Cavanaugh in the season finale of the ACO Show, recorded live at Aledade's North Carolina Value Summit. They engage with three primary care physicians—Dr. Wayne Haga, Dr. Mark McNeill, and Dr. Art Apolinario—about their success in value-based care and how they are using their increased revenue to improve patient care. Submit your questions, comments, or episode ideas to acoshow@aledade.com

    169. 10 Years of Aledade: The Evolution of Accountable Care

    Play Episode Listen Later Jul 8, 2024 38:33


    Dr. Farzad Mostashari, CEO of Aledade, is joined by Dr. Mark McClellan and Bob Kocher to reflect on the past decade of health care reform, and the early days of Aledade and accountable care organizations (ACOs). Dr. McClellan, director of the Duke Margolis Institute for Health Policy at Duke University, discusses the evolution of legislative policy, sharing how bipartisan efforts led to the integration of shared savings models into health care policy and Bob Kocher, chairman of the board of Aledade, shares his thoughts on Aledade's journey and future direction, emphasizing the importance of maintaining a patient-centered approach, and perseverance in navigating the evolving health care landscape. Submit your questions, comments, or episode ideas to acoshow@aledade.com

    168. The ACO Flex Model Explained

    Play Episode Listen Later Jun 24, 2024 29:08


     In this episode, Sean Cavanaugh and Dr. Josh Israel sat down with Travis Broome, Alledade's SVP of Policy and Economics, to understand CMS' new ACO Flex Model. Whether you're a healthcare professional or simply interested in the future of healthcare policy, this episode provides a comprehensive look at the ACO Flex Model's potential to transform care delivery. Travis explains how this new model can drive innovation in healthcare by addressing cash flow challenges and offering upfront payments. We discuss the potential benefits for primary care practices, the importance of integrating care management services, and the broader impact on Medicare's goals.    Submit your questions, comments, or episode ideas to acoshow@aledade.com

    167. Navigating Medicare Advantage

    Play Episode Listen Later Jun 10, 2024 21:22


    From understanding the fundamentals to exploring new innovations and challenges, join us as Dr. Efrem Castillo, Senior Vice President for Medicare Advantage at Aledade, shares his experience with Medicare Advantage. Dr. Castillo explains the nuances for both patients and providers, including benefits beyond traditional Medicare, network limitations, utilization management, and the STARS program. Dr. Castillo also explores the recent growth in MA and new innovations, while emphasizing that interventions should prioritize improved patient outcomes.   Submit your questions, comments, or episode ideas to acoshow@aledade.com

    166. Treating Obesity: New Medications, Old Challenges

    Play Episode Listen Later May 27, 2024 25:56


    From navigating insurance barriers to addressing the stigma, this episode dives into timeless issues surrounding obesity treatment, as well as the promise and challenges of new medications like Ozempic. Josh and Sean are joined by Dr. Darrin Menard, a family practice physician in Scott, Louisiana, who shares insights from his personal experience with weight loss alongside his professional expertise. While new drugs offer significant weight loss potential, Dr. Menard underscores the crucial role of behavioral changes, long-term adherence, and nonjudgemental patient care in achieving lasting results.   Submit your questions, comments, or episode ideas to acoshow@aledade.com

    165. State Health Policy: Prior Authorization and Arkansas' Gold Card Bill

    Play Episode Listen Later May 13, 2024 21:03


    Dr. Lonnie Robinson from Regional Family Medicine in Mountain Home, Arkansas explains the challenges surrounding prior authorization faced by both practices and insurance providers, and how this inspired him to become involved in state health policy advocacy. Hear how Dr. Robinson, drawing inspiration from Texas' “gold card” approach, worked with Aledade's policy committee and state legislators to pass similar legislation in Arkansas to reduce administrative workloads.   Submit your questions, comments, or episode ideas to acoshow@aledade.com

    164. CMS's Medicare Strategy Unpacked

    Play Episode Listen Later Apr 29, 2024 25:46


    Join our hosts along with Dr. Farzad Mostashari on this episode as they dive into CMS's update on the Medicare value-based care strategy. From discussing alignment and growth to equity in healthcare, they provide insights and suggestions for the future of accountable care. Read the update here: Update On The Medicare Value-Based Care Strategy: Alignment, Growth, Equity   Submit your questions, comments, or episode ideas to acoshow@aledade.com

    163. Navigating the Health-Tech Nexus: Insights from Aledade's Leaders

    Play Episode Listen Later Apr 15, 2024 27:00


    Explore the dynamic landscape of healthcare and technology with hosts Josh and Sean on the ACO Show. Guests Rosemary Weldon and Ritwik Tiwari, from Aledade, share their expertise as they discuss the challenges and innovations shaping the industry, including the advancements in technology that help improve patient care.

    162. CHC Spotlight: Community Health Center, Inc. in Middletown, Connecticut

    Play Episode Listen Later Apr 1, 2024 23:38


    Join us for a story tracing the origins and evolution of Community Health Center, Inc. Mark Masselli and president, CEO, of Community Health Center, Inc. in Middletown, CT, alongside Charles Barber, Writer-in-Residence at Wesleyan University, guide listeners through the enthralling narrative depicted in  Barber's book, "Peace & Health." Explore the beginnings of the Health Center amidst the backdrop of social upheaval, legislative reforms, and grassroots advocacy, illuminating the transformative power of community-driven health care initiatives. Uncover the pivotal moments and visionary leadership that propelled the center from modest beginnings to a beacon of excellence in health care provision. And learn about the recent partnership with Aledade, exemplifying a shared commitment to innovation, collaboration, and equitable care delivery. To learn more about the story behind Community Health Center, Inc. and Barber's book "Peace & Health," visit peaceandhealth.com.

    161. Transforming Healthcare: Aaron McKethan's Journey from Policy to Entrepreneurship

    Play Episode Listen Later Mar 18, 2024 26:57


    Dive into Aaron McKethan's journey from policy nerd to healthcare innovator at Aledade Plus, improving patient care and reducing costs.

    160. Navigating Impacts from the Change Healthcare Cyber Attack

    Play Episode Listen Later Mar 11, 2024 25:17


    Explore the impact and solutions of the Change healthcare cyber crisis with expert analysis and firsthand accounts.

    159. Enhancing Patient Care: Community Health Centers and Value-Based Contracts

    Play Episode Listen Later Feb 26, 2024 25:27


    Dive into the world of community health centers and value-based care with Tracy Causey, CEO of Capital Area Health Network in Virginia and Kevin Van Dyke, executive director of Aledade in Virginia. Hear their experience navigating multiple value-based contracts and integrating behavioral health services with primary care. Learn how more accessible patient health data and dynamic support has helped improve preventive care.

    158. Value-Based Contracts with Florida Blue: How Better Partnerships create Better Patient Care

    Play Episode Listen Later Feb 5, 2024 22:30


    Sean and Josh are joined by Dr. Maureen Padden, a family and obesity medicine doctor from Pensacola, Florida, and Dr. Christopher Nunes from Spyglass Primary Care in Melbourne, Florida to discuss how value-based contracts have improved their relationships with Florida Blue, their patients, and their staff. They delve into the benefits and challenges of being independent physicians, the crucial role the Aledade app plays in providing accessible data, and the importance of staff retention on quality patient care.

    157. Substance Use Treatments and CHCs

    Play Episode Listen Later Jan 22, 2024 25:33


    Sean and Josh are joined by Rachel Lively, Vice President of Community Health Center Operations at Valley Health, to discuss her experience providing substance use treatments to patients in West Virginia. Rachel shares challenges and successes involving decreasing stigma around substance use disorders, the evolution of treatment methods, and the critical role that CHCs can play in providing individualized care to patients on the path to recovery.

    156. Transforming Patient Care: ACO Insights with Nick Phyllis

    Play Episode Listen Later Jan 8, 2024 13:55


    Explore the transformative power of ACOs with Nick Phyllis from Florida, revealing positive impacts on patient care and healthcare delivery.

    155. Breaking Barriers: Navigating Health Equity

    Play Episode Listen Later Dec 11, 2023 24:23


    Explore tangible initiatives for health equity with Tamara Thomas, VP of Equity and Inclusion at Aledade

    154. CFO Insights: Financial Success in Value-Based Care

    Play Episode Listen Later Nov 27, 2023 20:40


    Josh and Brian are joined by Wes Edwards, Chief Financial Officer of Med First Primary & Urgent Care in North Carolina. Wes discusses his clinic's success with value-based care, the financial sustainability of value-based care models, and the crucial link between exceptional patient care and financial outcomes. Plus, a special farewell as Brian says goodbye to the ACO Show.

    153. Navigating Value-Based Care from the Pharmacy

    Play Episode Listen Later Nov 13, 2023 18:22


    In this episode we sit down with Leigh Efird, Director of Pharmacy at Aledade, to dive into the world of value-based care from the pharmacy perspective. She shares the ways she interacts with patients to help them better understand their health and how managing medications can impact that.

    152. Hill Day with Dr. Christine Meyer & Casey Korba

    Play Episode Listen Later Oct 30, 2023 22:48


    Josh and Brian are joined by Dr. Christine Meyer and Casey Korba to discuss Hill Day and how to advocate for value-based care to legislators.

    151. John Doyle on fighting the stigma around talking about economic incentives in health care

    Play Episode Listen Later Oct 16, 2023 16:47


    Josh and Brian are joined by Aledade's Chief Financial Officer, John Doyle. They discuss the economic incentives associated with delivering primary care on the front lines and why health care professionals need to be able to talk openly about the financial forces in the system. 

    150. Blake Madden's Hospitalogy and what's changing in health care (for the better!)

    Play Episode Listen Later Oct 2, 2023 24:09


    Josh and Brian are joined by Blake Madden, writer, editor and founder of the newsletter Hospitalogy, focused on analyzing health care's financing, policy changes and more. They discussed some of the positive shifts he sees in the health care system and how he's making sense of those changes for his subscribers.

    149. Season 5 Premiere: Medicare's Value Based Care Results for 2022

    Play Episode Listen Later Sep 20, 2023 23:25


    Season 5 of The ACO Show kicks off with Josh and Brian joined by Travis Broome, Aledade's Senior Vice President for Policy and Economics to discuss the 2022 Medicare Shared Savings Program (MSSP) results. As the largest and most successful value-based care program in American history, the results of this program tell us a lot about the progress of value-based care, and what that means for patients and primary care professionals around the country.

    148. Aledade's Series F and Lightspeed Venture Partners - Bringing More Resources to Community Primary Care

    Play Episode Listen Later Jul 3, 2023 24:58


    Josh and Brian are joined by Lightspeed Venture Partners investor, Galym Imanbayev, MD, to discuss Aledade's Series F funding round. They delve into what led to this latest round of funding, the transparency throughout the process and how these funds are going to ensure that primary care practices and health centers are receiving the resources they need to thrive in value-based care.

    147. The Value-Based Care Landscape featuring Health Tech Nerds Co-Founders Kevin O'Leary and Ryan Russell

    Play Episode Listen Later Jun 26, 2023 24:39


    Josh and Brian are joined by Kevin O'Leary and Ryan Russell, co-founders of Health Tech Nerds, a trusted resource in health care helping their members learn, network, build, and grow to maximize our collective impact on the health care system. They drill down on the various value-based care models, how they work, and what they mean for patients, doctors and clinicians.

    146. What Patients Need to Know About Medicare Enrollment with Al Kushner

    Play Episode Listen Later Jun 12, 2023 24:06


    Josh and Brian are joined by Al Kushner, author of “Virtual Medicare: 10 Costly Mistakes You Can't Afford to Make.” They delve into the active role patients play in enrolling in Medicare, and the high - and often unknown - costs of delay.

    145. The Leaders of Medicare and CMMI: United by one strategic vision

    Play Episode Listen Later May 29, 2023 40:55


    In this episode, Josh and Brian hand over the mic to Aledade's Chief Policy Officer, Sean Cavanaugh, a former Director of Medicare and senior leader at the Center for Medicare and Medicaid Innovation (CMMI) as he talks with the two current leaders of his former offices. Sean is joined by Meena Seshamani, M.D., Ph.D., Deputy Administrator and Director for the Center for Medicare, and Elizabeth Fowler, Ph.D., J.D., Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation (CMMI). Directors Seshamani and Fowler discuss how they view their centers and how they're united by one common strategic vision. 

    144. Practice Perspective: How Value-Based Care Helped Our Small Business

    Play Episode Listen Later May 15, 2023 22:18


    Josh and Brian are joined by Sachin Gangupantula FACHE, MBA, MS, Director of Operations at Valley Diabetes & Obesity, an Aledade member practice in Modesto, California. They discussed the benefits of value-based care and joining an ACO despite challenges in the health care marketplace, including new tools and data so they can provide even better care for their patients. 

    143. RIP Medical Debt: A Vision to End the United States' $195 billion in medical debt

    Play Episode Listen Later May 1, 2023 24:30


    Josh and Brian are joined by Allison Sesso, the President and CEO of RIP Medical Debt, a nonprofit established to reduce medical debt for low-income individuals across the country. They discussed the dark truths behind why medical debt leads so many people to forgo medical care, how RIP Medical Debt uses an innovative approach to fight these trends and how Aledade's recent donation helped abolish nearly $95 million in medical debt for more than 100,000 patients.

    142. Part 2: Aligning Quality Measures

    Play Episode Listen Later Apr 17, 2023 26:29


    Josh and Brian are joined by Lee Fleisher, MD, Chief Medical Officer at the Centers for Medicare & Medicaid Services (CMS) and Director of the Center for Clinical Standards and Quality. They discuss a recent publication, “Aligning Quality Measures at CMS” in the New England Journal of Medicine which Dr. Fleisher co-authored, and the art and science behind the selection of health care quality measures.

    141. Aligning Quality Measures - Improving the System for Clinicians and Patients

    Play Episode Listen Later Apr 3, 2023 32:00


    Josh and Brian are joined by Doug Jacobs, MD, MPH, Chief Transformation Officer in the Center for Medicare at the Centers for Medicare & Medicaid Services (CMS), and Michelle Schreiber, Deputy Director for the Centers for Clinical Standards and Quality at CMS, and Director of the Quality Measurement & Value-Based Incentives Group at CMS. In the first part of this quality-focused series, they discuss the work they are doing to align quality measures across CMS and improve the system to benefit both clinicians and patients. 

    140. Leading a Legal Team at a Fast-Growing Health Care Company

    Play Episode Listen Later Mar 20, 2023 21:19


    Josh and Brian are joined by Phuong Phillips, Chief Legal Officer at Aledade, where they discuss her personal journey, what drew her to Aledade and how corporate legal teams and leadership interact.

    139. Behind-The-Scenes of CEO and Investor Relationships

    Play Episode Listen Later Mar 6, 2023 36:35


    For this episode, Josh and Brian hand the helm to Aledade CEO and Co-Founder, Farzad Mostashari, MD, and Bryan Roberts, partner at Venrock and lead of Venrock's investment in Aledade. They give a behind-the-scenes look into the conversations that go on between CEOs, board members and investors regarding the challenges of running companies and how to create long-term solutions. Learn more about Bryan's "Roberts' Rules of Life (& Venture Capital)" here: bit.ly/3KXxT2G

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