Podcasts about accountable care

Visionary healthcare leaders from The Permanente Medical Group, UC Davis Health, UNC Health, Summit Medical Group and Navina joined Eric Glazer to explore how artificial intelligence transforms clinical workflows and enables better value-based care. Discover how AI-driven chart prep, ambient scribe technology, and risk models streamline provider workflows, improve patient outcomes, and reduce clinician burnout. From overcoming implementation roadblocks to building cross-functional frameworks that promote trust and equity, this episode is packed with strategic insights and real-world success stories you can apply at your organization. Panelists Include: Brian Hoberman, MD, EVP & CIO, The Permanente Medical Group Reshma Gupta, MD, Chief of Population Health and Accountable Care, UC Davis Health Ram Rimel, Manager of Data Science Engineering, UNC Health Eric Penniman, D.O. Executive Medical Director, Summit Medical Group Dana McCalley, VP of Value-Based Care, Navina https://www.brightspotsinhealthcare.com/events/the-new-physician-playbook-ai-workflows-value-based-care-in-action/#url This episode is sponsored by Navina Navina is the clinician-first AI copilot for value-based care. Recently named Best in KLAS for clinician digital workflows, Navina turns fragmented patient data into actionable clinical insights right at the point of care. Natively integrated into the clinical workflow, their AI copilot helps improve risk adjustment, quality metrics, and population health – while significantly easing the administrative burden. Navina has earned the trust of more than 10,000 clinicians and care team members across 1,300 clinics, from some of the leading value-based care organizations in the country like Privia Health, Agilon Health, and Millennium Physician Group. About Bright Spots in Healthcare Bright Spots in Healthcare is produced by Bright Spots Ventures Bright Spots Ventures brings healthcare leaders together to share working solutions or "bright spots" to common challenges. We build valuable and meaningful relationships through our Bright Spots in Healthcare podcast, webinar series, leadership councils, customized peer events, and sales and go-to-market consulting. We believe that finding a bright spot and cloning it is the most effective strategy to improve healthcare in our lifetime. Visit our website at www.brightspotsinhealthcare.com

Episode 57 Food is Medicine: How UC Davis is Bridging Healthcare and Community w/ Dr. Reshma Gupta On this episode host Raj Sundar delves into the "Food is Medicine" concept with Dr. Reshma Gupta, Chief of Population Health and Accountable Care at UC Davis Health, exploring how culturally appropriate food programs can enhance health outcomes and bolster local economies. Their discussion highlights the importance of cultural connections, integrating economic and environmental factors, and addressing food insecurity through innovative healthcare models. By sharing patient stories and program successes, they illuminate the transformative power of culturally relevant, nutritious food in healthcare settings. They envision a future where healthy food is accessible and affordable and examine the need for policy advocacy, better data collection, and community collaboration to achieve it. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Healthcare today remains a complex maze for too many individuals, with fragmented, duplicative, and inefficient care frustrating patients and providers alike. But as we move into a post-election landscape, the ...

We delve into the "Food is Medicine" concept with Dr. Reshma Gupta, Chief of Population Health and Accountable Care at UC Davis Health, exploring how culturally appropriate food programs can enhance health outcomes and bolster local economies. Our discussion highlights the importance of cultural connections, integrating economic and environmental factors, and addressing food insecurity through innovative healthcare models. By sharing patient stories and program successes, we illuminate the transformative power of culturally relevant, nutritious food in healthcare settings. We envision a future where healthy food is accessible and affordable and examine the need for policy advocacy, better data collection, and community collaboration to achieve it. Overview: 03:29 Food empowers health, community, climate, and economy. 06:11 Connect with communities for culturally palatable food. 12:51 Food unites communities through cultural cooking classes. 14:57 Understanding, connecting, and revitalizing community food initiatives. 19:42 Deliver local, healthy, affordable foods to schools. 22:35 Medicaid targets disparities; Medicare lacks similar policies. 26:52 Early adopters invest in wellness, promising results. 28:56 UC Davis cafeteria offers gourmet-quality meals. Resources: Food is Medicine - UC Davis Next Step: Visit our website, Healthcare for Humans, and join our community to enjoy exclusive benefits at https://www.healthcareforhumans.org/support/ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting https://www.healthcareforhumans.org/support/. Follow us on Instagram @healthcareforhumanspodcast

Too often than not pregnant patients in the U.S. leave their provider feeling like concerns weren't carefully listened to or things weren't properly explained. As two moms and experts, Wildflower Health CEO Leah Sparks and obstetrician and gynecologist Dr. Fatima Naqvi know this experience far too well. That's why they've dedicated their time to providing value-based care by meeting mothers where they're at. Leah and Fatima tell our host Gloria what it looks like to move from reactionary care to preventative care and transform maternal health across the country.    This episode is presented by Accountable for Health. To learn more visit https://accountableforhealth.org.See omnystudio.com/listener for privacy information.

Too often than not pregnant patients in the U.S. leave their provider feeling like concerns weren't carefully listened to or things weren't properly explained. As two moms and experts, Wildflower Health CEO Leah Sparks and obstetrician and gynecologist Dr. Fatima Naqvi know this experience far too well. That's why they've dedicated their time to providing value-based care by meeting mothers where they're at. Leah and Fatima tell our host Gloria what it looks like to move from reactionary care to preventative care and transform maternal health across the country.      This episode is presented by Accountable for Health. To learn more visit https://accountableforhealth.org.See omnystudio.com/listener for privacy information.

Can value-based care  transform the American healthcare system? In this episode, we dive deep into this pressing question with Dr. Mohamed Diab, president of CVS Accountable Care. Dr. Diab highlights systemic challenges, such as physician burnout and the inadequacies of primary care funding. With an emphasis on primary care's critical role in managing chronic conditions and preventing illness, he reveals how a shift to value-based care can lead to better health outcomes by focusing on holistic, patient-centered approaches that tackle social determinants and behavioral health.We also address the complexities of this transition, specifically for healthcare executives who are navigating the shift from fee-for-service to value-based models. Learn about Medicare's ambitious plan to achieve 100% value-based care by 2030 and discover how CVS Health's Accountable Care Organization is leveraging technology, analytics, and clinical programs to support providers and Medicare beneficiaries. Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.

Send us a Text Message.Traditional medical systems frequently focus on treating patients only after their conditions have become severe. This approach often results in worse outcomes and higher costs for patients and providers.Can preventative care models offer a solution?Join us for this week's Health Biz Brief as David E. Williams speaks with Mohamed Diab, President of CVS Accountable Care and Senior Vice President of CVS Health, to explore how value-based accountable care systems could revolutionize patient care by emphasizing prevention and proactive risk management.

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

On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of the American Journal of Accountable Care® and a health policy professor at Penn State University. Topics we are discussing include President Biden's recent prescription drug proposals, prior authorization practices, price transparency, and the potential impact of health policy on the upcoming election.

In this episode, we highlight two companies that leverage data from many different sources to create a more complete picture of a person's health. The ultimate goal? Shifting away from the current model of “sick care” - where patients primarily see their doctors when they aren't feeling well – to care models that prioritize long-term health and self-management with guidance from providers. These companies are helping lead the way to value-based care, from using AI to sift through patient-reported data and provide actionable insights, to integrating NCQA's HEDIS measurements into their data platform, thereby putting quality at the center of everything they do. Here, you'll get a glimpse into the challenges and opportunities in our current data-rich health care ecosystem.The episode begins with a conversation with leaders from Welldoc. Welldoc is a health tech company developing patient-facing apps to support self-management of chronic conditions. Using an omnichannel approach, their apps gather as much data as possible from sources including remote monitoring devices, like wearables, and clinical data.Chief Analytics Officer, Dr. Anand Iyer, and Chief Medical Officer, Dr. Mansur Shomali, explain how Welldoc uses AI to parse the patient information, ultimately helping doctors and patients work together to construct an effective path to wellness.Jessica Robinson is Chief Platform Officer for health care digital developer The Garage. Jessica manages all aspects of the product life cycle, from the spark of innovation through design, development, testing, and roll-out. Founded in 2012, The Garage aims to utilize digital tools to help providers shift from fee for service models to value-based models of care.In this interview, recorded live at NCQA's 2023 Health Innovation Summit, Jessica explains how The Garage works with Management Service and Accountable Care organizations, among other provider groups, to develop digital applications that help clinically integrated networks across 34 states harness the full extent of the population data available to them. The Garage also utilize NCQA's HEDIS measures into their platform, allowing networks to visualize the full patient care team across the entire care continuum and deliver optimized quality care to their patients.For information on NCQA's Health Equity Forum, click here: https://events.ncqa.org/healthequityforum

We have a broken healthcare system. Too often, individuals today experience care that is fragmented, duplicative, wasteful, and confusing.  Through value-based care, we can improve the health care experience by coordinating care, creating care teams that communicate with one another, and supporting individuals in their care journey with services that address their medical and non-medical needs. Accountable for Health is a nonpartisan national advocacy and policy analysis organization accelerating the adoption of effective accountable care. Their members are advocating for value-based care on Capitol Hill so policymakers can understand how best to move American healthcare towards a model that achieves better outcomes, improved care experiences, increased access, and lower costs. Joining us on the podcast this week is Mara McDermott, the Chief Executive Officer for Accountable for Health.  She is an accomplished healthcare executive with deep expertise in federal healthcare law and policy, including delivery system reform, physician payment and payment models. Take this opportunity to learn from a leading expert on accountable care as she translates the truth in building a bridge towards a more broad-based understanding of health value.  And make sure to tune in to Mara's special announcement about Health Care Value Week at the end of the interview so you don't miss out on important educational events occurring January 29th thru February 2nd. Episode Bookmarks: 01:30  The need for accountable care policies that create better health outcomes and patient experiences. 02:00  Introduction to Accountable for Health (A4H) and its Founder/CEO Mara McDermott, JD, MPH 03:00  Interview topics discussed (e.g. the meaning of VBC, MSSP vs. MA, MACRA 2.0, advanced APMs, integrated specialty care, Medicaid transformation, and the upcoming Health Care Value Week event). 06:00  How A4H is translating thought leadership to action in the advocacy arena. 06:30  Accountable care as the solution to fragmented, uncoordinated care. 07:00  Political turnover in D.C. has made VBC a "new" health policy solution. 07:30  Educating the Hill comes down to conveying enthusiasm for health care transformation. 08:00  Accountable for Health Members are shaping the national conversation for payment and delivery system reform. 09:00  The health policy controversy of the Global and Professional Direct Contracting model (the precursor to ACO REACH). 11:30  If Direct Contracting was the natural evolution of a series of advanced ACO options, why was there such strong criticism? 12:00  The need to overcome misunderstandings about what ACOs are trying to achieve. 13:00  Providing education to dispel the myth that ACOs can actually limit services. 14:00  How uninformed policy decisions could potentially create a catastrophic blow to the value movement. 14:45  "Accountable care is integral to care delivery system reform." 15:45  Confusion with the term "value-based care" and why it will fail unless people understand the truest aims of the movement. 17:00  The need for effective storytelling to advance care delivery transformation. 18:00  Prioritizing care experience over cost reforms (delivery innovation will address costs!) 20:00  The topline takeaways from CMS model evaluations and whether or not programs should be expanded. 21:00  What do most people think when they hear the word "value"? (the need to reframe the conversation with more precise language) 22:00  The MSSP and the Medicare Advantage programs as two distinct approaches to healthcare delivery and reimbursement. 24:00  Mara provides a brief comparison between MSSP and MA (e.g. beneficiary assignment, risk adjustment, benchmarking). 25:30  How strong relationships between MA plans and provider networks (underpinned by capitation) drive value. 26:30  Understanding provider compensation in MA value-based payment and the synergies between managing MSSP and MA populations.

Under the Biden administration, the Centers for Medicare & Medicaid Services published a health equity framework that drastically changed the playing field for health plans and other risk-bearing entities. In the wake of these changes, how can health plans, accountable care organizations, and other similar stakeholders successfully create and administer social determinants of health interventions as a means to advance health equity? On this episode, Epstein Becker Green attorneys Jackie Selby, Kevin Malone, and Marjorie Scher discuss the recent national focus on health equity, the actionable interventions behind the concept, and the responsibility of stakeholders in making care delivery more equitable. Visit our site for more information and related resources: https://www.ebglaw.com/dhc74 Subscribe for email notifications: https://www.ebglaw.com/subscribe. Visit: http://diagnosinghealthcare.com. This podcast is presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

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CVS Accountable Care's Formula For Healthier Communities We continue our series with leaders in retail health by welcoming Dr. Mohamed Diab, CEO of CVS Accountable Care. Dr. Diab dives into CVS Accountable Care's recently announced partnership with Catholic Health, how it fits into CVS Health's overarching care delivery strategy, and the role of ACO REACH and other value-based solutions in accelerating progress.  All that, plus the Flava of the Week about H-E-B opening more primary care clinics in their grocery stores. What's the endgame for grocery chains, and how can we see the value of care that's being offered in nontraditional settings?  Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Today's special program is the NMP Problem in Medicine. NMP stands for 'not my patient, not my problem" an endemic yet widespread 'infection'. A  byproduct of an excessively hierarchical & over-engineered specialist & subspecialist culture in medicine so wide & deep even the best of the best present with blindspots (ie, implicit or confirmation bias) while we the patient, family member, friend or loved ones often pay a very steep price. In my case, my Son Anthony John Masters may be it's latest victum to lose his life in the care of 'physicians' (faculty, fellows, residents, interns & PAs) staffing a Level I trauma, teaching affiliate hospital of a world class medical school - Ichan Mt Sinai School of Medicine), albeit this phenonmenon plays out daily so who knows who may be suffering as we speak? Host Gil Bashe interviews colleague & Health UnaBASHEd executive producer on the untimely & avoidable death of his 38 year old son Anthony John Masters. For more information on NMP or to follow developments in space see: Health Innovation Media, 'Tony Masters Forever: Friends Share Their Experience' & Reports from the bedside: Observations on the ‘NMP' Culture endemic in many U.S. health systems; follow @GreggMastersMPH on twitter tagging #TeamTony, #EndNMP & #NMP.  

We continue our series with leaders in retail health by welcoming Dr. Mohamed Diab, CEO of CVS Accountable Care. Dr. Diab dives into CVS Accountable Care's recently announced partnership with Catholic Health, how it fits into CVS Health's overarching care delivery strategy, and the role of ACO REACH and other value-based solutions in accelerating progress.  All that, plus the Flava of the Week about H-E-B opening more primary care clinics in their grocery stores. What's the endgame for grocery chains, and how can we see the value of care that's being offered in nontraditional settings?  This show is produced by Shift Forward Health, the channel for change makers. Subscribe to Shift Forward Health on your favorite podcast app, and you'll be subscribed to our entire library of shows. See our full lineup at ShiftForwardHealth.com. One subscription, all the podcasts you need, all for free. (#273)See omnystudio.com/listener for privacy information.

When KFF Health News' “What the Health?” podcast launched in 2017, Republicans in Washington were engaged in an (ultimately unsuccessful) campaign to “repeal and replace” the Affordable Care Act. The next six years would see a pandemic, increasingly unaffordable care, and a health care workforce experiencing unprecedented burnout. In the podcast's 300th episode, host and chief Washington correspondent Julie Rovner explores the past and possible future of the U.S. health care system with three prominent “big thinkers” in health policy: Ezekiel Emanuel of the University of Pennsylvania, Jeff Goldsmith of Health Futures, and Farzad Mostashari of Aledade. Click here for a transcript of the episode.Further reading by the panelists from this week's episode: Health Affairs' “Nine Health Care Megatrends, Part 1: System and Payment Reform,” by Ezekiel J. Emanuel.Health Affairs' “We Have a National Strategy for Accountable Care, So What's Next?” by Sean Cavanaugh, Mandy K. Cohen, and Farzad Mostashari. The Health Care Blog's “What Can We Learn From the Envision Bankruptcy?” by Jeff Goldsmith. Hosted on Acast. See acast.com/privacy for more information.

Host Alan Tam and Todd Liu, VP of Accountable Care and General Counsel at Griffin Health, as they discuss how ACOs have adapted to continual changes, the importance of aligning goals with clinical leadership, and how technology, data, and quality metrics contribute to their organization's success. Accountable care organizations (ACOs) can play a pivotal role in improving patient engagement and access. But the landscape has changed as consumers' expectations and behaviors have evolved. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Accountable care organizations (ACOs) can play a pivotal role in improving patient engagement and access. But the landscape has changed as consumers' expectations and behaviors have evolved. Join Todd Liu, VP of Accountable Care and General Counsel at Griffin Health, and host Alan Tam as they discuss how ACOs have adapted to continual changes, the importance of aligning goals with clinical leadership, and how technology, data, and quality metrics contribute to their organization's success. Hosted on Acast. See acast.com/privacy for more information.

Vytalize Health has been raising funds successively and successfully for the past few years, drawing in $5.5 in 2020, $17 million in 2021, $50 million April 2022, and now a $100m Series B in February. Company CEO and co-founder Faris Ghawi and Chief Marketing Officer Matt Buder Shapiro stop by to talk about the big raise, how they'll apply it, the growth its perpetuating and what comes next.

Today's guest is Patrick Chen, Senior Director of Business Intelligence, Growth and Accountable Care Enterprise at Scripps Health in San Diego, CA. Each day at Scripps, they put the vision of their founders — Ellen Browning Scripps and Mother Mary Michael Cummings — into action by dedicating themselves to quality, safe, cost-efficient and socially responsible health care for everyone that they serve. Scripps keeps that vision at the forefront as they care for patients, engage in clinical research and ultimately improve community health. Patrick is a senior leader for business intelligence and growth at Scripps Health, specializing in the development of innovative partnerships and leveraging advanced analytics for market intelligence, healthcare economics, and mergers & acquisitions. He is deeply committed to driving positive impact in underserved communities for both clinical outcomes and social determinants, with thoughtful execution of data-driven population health programs and technology enabled solutions. In the episode, Patrick will discuss: The mission they work towards at Scripps, Their work within population health & business intelligence, Challenges the Data Science team are solving in Healthcare, What the next 12-24 months has in store and Career opportunities with Scripps

The US's largest value-based payment model, the Medicare Shared Savings Program (MSSP), recently underwent changes designed to retain those organizations already involved and to encourage participation from new organizations. This week on Sg2 Perspectives, Sg2 Associate Principal Keely Macmillan joins us to talk about these changes (eg, a more gradual glide path to downside risk, the advancement of health equity) and how provider organizations—whether they are part of MSSP or not—should move forward. Learn more about MSSP and how Sg2 can help with your organization's value-based care strategy in Sg2's blog post and educational web series.   We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.    

How do we transition our care models, analytics, and IT support to better enable accountable care? In this episode of Memora Health Care Delivery Podcast, we are glad to have J.D. Whitlock, CIO at Dayton Children's Hospital. There is an incredible amount of innovation happening that can make healthcare delivery easier. Still, many factors influence how easily they can be adopted and implemented. J.D. talks about why he finds the evolution of digital interoperability and EHR app stores in healthcare exciting and discusses situations where users and vendors have benefitted from integration improvements available in the market. Tune in to learn about how to implement and commercialize good ideas in healthcare to improve the delivery of care. Click this link to the show notes, transcript, and resources: outcomesrocket.health

On today's episode of PopHealth Week, our guest is industry veteran Seth Serxner, PhD, MPH, the Chief Health Officer for Edlogics a digital communications and engagement company dedicated to improving health literacy and empowering individuals to make better healthcare decisions. Dr. Serxner brings an extensive background in health literacy, public health, population health management, health equity, and well-being. We discuss Dr Serxner's career trajectory and the current state of the population health industry including key headwinds, tailwinds and near term prospects to meaningfully impact key healthcare challenges. Enjoy! ==##==  

The arc of the future bends in the direction of person-centered care. While payment reform is critical, our nation must also deliver whole-person care models that are exquisitely attuned to both medical and non-medical needs and intentional about addressing unique problems facing racial and ethnic minorities. The entrenched interests perpetuating the status quo of the fee-for-service, medical-industrial complex are immense; however, the pandemic is a catalyst for consumer-driven, value-based payment reform. In this week's episode of Race to Value, you will hear from Dr. Mark McClellan, former CMS Administrator and current Director of the Duke Margolis Center for Health Policy.  As one of the leading physician economists and health policy leaders in our country, he discusses the future of health reform and value-based care. We cover such topics as health policy and alternative payment models, COVID-19 impacts on healthcare, advanced primary care that goes upstream in the detection and treatment of chronic disease, technology-enabled care delivery transformation, health equity and social determinants of health, specialist integration in person-centered care models, and the path forward to comprehensive value-based care in our country. Episode Bookmarks: 01:30 Introduction to Dr. Mark McClellan 03:00 Launching Medicare Part D, Medicare Advantage, and the ACLC (now the Institute for Advancing Health Value) 04:00 “While payment reform is critical, there are other essential steps that go along with it.” 05:30 “In this journey to value that we need to bring all patients along. That means explicit and intentional attention to equity and the special problems facing racial and ethnic minorities.” 06:00 Achieving a whole-person approach to health reform through patient engagement and “going upstream” 07:30 Upstream opportunities to address the prevention and management of cardiovascular disease 09:00 The impact of the COVID-19 pandemic on Value-Based Care and the recent advancements in biotechnology and clinical treatment 12:00 The parallel transformation in care delivery and organizational culture that happens in value-based payment reform 14:00 How innovation in through emerging medical technologies and virtual care technologies will delivery value (even if costs increase) 15:00 Digital apps, home based care, and community-based care to address upstream non-medical factors that the social drivers of poor health 16:00 The limitation of current reimbursement models in addressing the social factors that influence health 16:40 “Payment reform remains an important component of making faster progress in achieving value and achieving equity in our health care system.” 17:00 The work that Drs. McClellan and Mark Harrison from Intermountain are doing as co-chairs of the Health Care Payment Learning Action Network (HCP-LAN) 18:30 The current pace of the value movement and how “accountability for results and value at the person level is really the core theme behind payment reform” 19:20 “The arc of the future for medical care bends in the direction of person-centered care.” 20:00 Perspective on value-based reform success between Medicare, Medicaid, and Commercial plans 20:45 The importance of measuring race and ethnicity reliably and then incorporating a focus on equity for traditionally underserved populations 21:30 Healthcare revenue disruptions during the pandemic as a recognition for the need of value-based payment reforms 23:30 How organizations that were further along in adopting advanced payment reforms experienced less financial disruption during COVID-19 24:30 The newfound appreciation that the American public has for convenient, virtually-enabled, person-centered care models 26:20 Referencing the Duke Margolis Center for Health Policy report, “Value-Based Care in the COVID-19 Era” 27:30 The new CMMI Strategy Refresh that focuses on both Accountable Care and Healt...

This episode features Reshma Gupta, Chief of Population Health and Accountable Care at UC Davis Health. In this conversation, she expands mitigating challenges brought forth by the pandemic, digital & preventive health, affordable care, and more.

On PopHealth Week, our guest is Oraida Roman, vice president of value-based strategies for Humana. She leads the organizational advancement of innovative payment models that enable Humana to support providers as population health managers in value-based care relationships. The value-based strategies organization develops, supports and deploys the best programs, practices and capabilities that assist Humana's provider partners and internal customers to successfully achieve enterprise value-based goals. Ms. Roman's career with Humana spans more than 20 years. She has held various management roles, including regional president, director of operations and director of provider contracting. Prior to being vice president for Humana, Ms. Roman worked for several years with DaVita Medical Group as COO of the Florida market and market president for Colorado. She holds a master's degree in health administration from University of South Florida and an undergraduate degree in biology from Florida State University. Do follow Humana's work on Twitter via @Humana and on the web via www.humana.com ==##==  

In this episode of the Move to Value Podcast, we have a conversation with Robert Mechanic, MBA, Executive Director of the https://www.institute4ac.org/ (Accountable Care Institute), who shares ways to understand a patient population. Transcript: What is the Institute for Accountable Care and what is its primary mission? So, Thomas, we are a fairly new organization. We're an independent not-for-profit. We were formed several years ago, and our primary mission is building on the available research and contributing to the available research on the impact of Accountable Care. Both to inform public policy and sort of future development of Accountable Care programs. And also, to support organizations that are committed to value-based care. So, I'd say, we combine, we're a little bit unique. We combine elements of a think-tank, a data analytics shop, and a consulting firm. We like solving complicated problems, preferably using empirics, data analysis. Half of our staff are programmers, data scientists, and statisticians. And we like to work on problems that have practical implications for organizations who are trying to improve care or for national policy. And I guess, the last thing I'd say, our special sauce is we have a data use agreement with the Center for Medicare and Medicare Services, where we have access to 100% of the Medicare programs claims data. And obviously that allows us to ask all kinds of interesting questions and learn all kinds of interesting things. How does your work document and promote the best practices for Accountable Care? So, I'd frame the question, Thomas, a little bit differently. As you know, organizations can put best practices in place, but you know, whether they're successful, it's all about execution. And when we get into Accountable Care, everybody's program, for example your care management program, is going to be different. So, what we can do, is we can help a particular organization, or a group of organizations, evaluate whether a particular program is achieving its performance goals. So, does your care management program improve quality? Does it reduce spending? And because we have all this data, we can do this sort of scientifically with a comparison group that we match to your patients, in your geography, and we can look at, you know, how their spending changes compared to the spending of the group that you enroll in your programs. Another area that we do too, in this kind of work, is we help organizations develop and implement best practices through learning collaboratives that we organize and we facilitate. So, two examples of that would be we work with a group of a dozen ACOs building home-based care programs, and we bring in outside experts, but a lot of the work is also peer-to-peer. ACOs helping each other. They're working on the same problems. And we're currently doing a collaborative working on addressing the social determinants of health and how do you build a strategy, and how do you build the right infrastructure to have an impact. How does the Institute for Accountable Care partner with Accountable Care Organizations? Yeah, I mean, I think there are a couple of other areas. One is, you know, because of the data, we can help people understand their own performance compared to peers. So, an ACO, or a group like an ACO, has all their own data, of all the utilization of their patients, but they don't really see everything else that's happening around them. So, what we can do, is we can, you know, look at other providers in their market, or we can look at other providers nationally, that are trying to do the same thing that they are, and we can say, gee, you know, are you doing better or worse than them? Can we identify why? Are there certain areas, you know, you are doing great in managing hospital care, but you're not so good in keeping people out of nursing homes and rehab hospitals. So, we can help organizations with that, we have a number of partnerships....

Health Care Value Week (January 24-28, 2022) celebrated the progress made to date on value-based care models. Mara McDermott and Dr. Brian Steele talk about Collaborative Health Systems' long-standing commitment to accountable care models.Show Links...Visit the Health Care Value Week webpage... https://hcvalueweek.org/

In a career focused on improving global health value through systems transformation, relationship-based primary care has been at the heart of Dr. Paul Grundy's crusade.  Dr. Grundy is a data transformation advocate, active writer, social entrepreneur, speaker on global healthcare transformation, humanitarian, diplomat, and trusted healer.  He has traveled the world more than any other physician that has ever lived and seen how other country's deliver health care.  Dr. Grundy is such a transformational force for social change that Nelson Mandela even called him a “good troublemaker” as someone who is always looking for innovative disruptions to benefit humankind.  We often reflect on those great leaders in American History who challenged us to be better…from JFK asking individuals to step up, and Ronald Reagan admonishing communists to join the free world, to Martin Luther King, Jr. who provided us with a powerful anthem for change with his work in advocating for civil rights.  In the healthcare history books Dr. Grundy will be known as a crusader with his own version of the “I have a Dream” vision for transformation! Our guest this week is Dr. Paul Grundy, commonly known in industry as “The Godfather of the Patient Centered Medical Home.” Although he didn't invent the medical home model, he gave it a voice, definition, structure, and made it real. The model is focused on that which is most important – the cultivation of a trusting patient relationship. Whether you call it a milestone or the finish line, that trusting relationship is critical in the race to value. Episode Bookmarks: 02:00 Introduction to Dr. Paul Grundy – a humanitarian and healthcare legend in patient-centered care models and value transformation 04:30 Referencing Dan Pelino's book, “Trusted Healers” that was written about Dr. Grundy's worldwide crusade for better healthcare 05:00 Dr. Grundy's international healthcare experiences as a humanitarian and diplomat that has traveled more air miles than any physician in history! 06:00 Dr. Grundy's work with Nelson Mandela and how he become known as a “good troublemaker” looking for innovative disruptions to benefit humankind 07:00 How growing up in Africa informed Dr. Grundy of the importance of a traditional healer in creating relationships that drive better patient outcomes 07:30 “A relationship of trust must be the basis for an accountable health care delivery system that works.” 08:00 Reflections from observing health systems all over the world and how Denmark is the leading example of relationship-based primary care 08:45 Research showing that relationship-based primary care reduces both healthcare costs and mortality rates 09:10 Dr. Grundy speaks about his prior work at IBM and how IBM viewed the Patient-Centered Medical Home as foundational for “system integration” 09:30 The history of the Patient-Centered Medical Home and how shared data underpins the success of the model 10:15 Accountable Care begins at the intersection of trusted healing (relationships) and systems integration (coordinated data sharing) 11:00 Formative experiences growing up in the African bush and how that enabled Dr. Grundy to understand and apply deeply held tribal beliefs into his own life 13:00 Dr. Grundy discusses how Quakerism and The Eight Laws of Social Change has been his guiding light to seek social impact through global health reforms and value-based care 16:30 How early followers are just as important as revolutionary leaders in creating social change 17:00 “The current healthcare delivery system is a form of violence when an episode of care is what is valued – whether that episode of care is necessary or not. We need a cultural shift away from an episode of care to managing population health.” 18:00 The importance of accessing data at the point-of-care to improve population health outcomes 19:00 Eric engages Dr. Grundy on his leadership in the Patient-Centered Medica...

On this episode of Managed Care Cast, we're talking with the co-editors-in-chief of The American Journal of Managed Care®, Dr Mark Fendrick and Dr Michael Chernew, and the editor-in-chief of The American Journal of Accountable Care®, Dr Dennis Scanlon. They look back on the past year and discuss the themes and topics they expect to see in the pages of the journals and in the world of health care in 2022. For more, visit ajmc.com. To get in touch with us, email info@ajmc.com or follow us on Twitter @AJMC_Journal. And if you like the podcast, don't forget to subscribe and rate us.

On today's episode of PopHealth Week our guest is Michael Abrams co-founder and Managing Partner of Numerof & Associates a consulting firm that notes: 'For more than 25 years, Numerof's rigorous, structured approach has solved complex strategic and operational problems for clients in industries in transition.' We discuss the key take aways of their recent report titled:"State of Population Health: The 6th Annnual Numerof Survey Report'.The report measures sentiment from c-suite executives including physician organizations or medical groups and health system executives nationwide. The report reveals minimal progress towards embracing the riskof implementing a population based strategy. Over the last 25 years Michael has built a portfolio of strategy and business performance successes as an internal and external consultant to Fortune 500 corporations. Leveraging the corporate management experience he acquired prior to founding Numerof, Michael has shaped the development of Numerof's approach, including the firm's emphasis on innovative and realistic strategies for changing markets, as well as rigor in managing the complex change necessary for improving organizational performance. Michael completed his doctoral work in business policy at St. Louis University and received his MA degree from George Washington University in Washington, DC. He co-authored Bringing Value to Healthcare: Practical Steps for Getting to a Market-Based Model, and his articles have appeared in more than a dozen leading business journals. Enjoy! ==##==  

In this episode, you'll hear about the STRONG Accountable Care Community (STRONG ACC). Discover the history of the organization, and how the STRONG ACC is helping to break down barriers, improve inter-agency coordination of services, better address social determinants of health, and improve health and wellbeing for individuals, families, and communities.

Today's show is a special edition of PopHealth Week where Fred Goldstein is the subject matter expert 'in the box' and it is my privilege and  opportunity to extract key insights from his considerable experience in the space. For more information Fred's work go to www.accountablehealthllc.com or follow him on twitter via @fsgoldstein.   If you're enjoying our work at PopHealth Week please subscribe to our channel on the Podcast platform of your choice and follow us on twitter via @pophealthweek. If you're in the market for private label thought leadership branded podcasts or video content whether streaming or on demand that amplifies your company, organization or enterprise value proposition, do ping me via gregg@healthinnovationmedia.com and follow me on twitter via @greggmastersmph. And check out the recent launch of The Academy of Managed Care Pharmacy or AMCP Podcast Series powered by PopHealth Week at www.amcp.org/podcast with introduction by Susan Cantrell, its Chief Executive Officer.

On this episode of PopHealth Week our guest is Ceci Connolly, President & CEO at the Alliance of Community Health Plans (ACHP), the "voice of America's top-quality, nonprofit, community-based health plans. We advocate for policies and industry reforms that enhance the health of communities across the nation." Ceci's expertise is in Federal Health Policy, Congress, Not-For-Profit Health Companies, Value-Based Design, Healthcare Costs, Payer-Provider Partnerships, and Women's Leadership. She is the co-author of Landmark: America's New Health-Care Law and What It Means for Us All and previously worked at the McKinsey Center for Health Reform and PwC's Health Research Institute. CECI is also a founding member of Women of Impact and a former Board member of Whitman-Walker Health. For more information on Ceci and ACHP's work go to www.achp.org or follow on twitter via @CeciConnolly and @_ACHP respectively.   If you're enjoying our work at PopHealth Week please subscribe to our channel on the Podcast platform of your choice and do follow us on twitter via @pophealthweek. ==##==  

On today's show our guest is Nicole Bradberry Chief Executive Officer and Chairman of the Board of the Florida Association of ACOs (FLAACOs). FLAACOs is the premier professional organization for Accountable Care Organizations (ACOs) throughout Florida which provides education and collaboration in the fee for value healthcare space. We discuss ACOs, value based healthcare initiatives and innovative models in the mental health space. Nicole Bradberry is the Co-Founder / Chief of Growth and Innovation Officer for Vinifera Health.  Vinifera runs Mental Health Crisis and Urgent Care Centers with a focus on immediate access, quality care and the understanding that mental health and substance abuse drive significant health cost.  Prior to Vinifera, Nicole was the Founder and Managing Parter for Cura Health Management which creates and manages ACOs and other value-based healthcare entities.  Cura Health was recently sold to Healthlynked where she still remains as an advisor.  In addition she founded the Florida Association of ACOs (FLAACOs).  FLAACOs is the premier professional organization for Accountable Care Organizations (ACOs) throughout Florida which provides education and collaboration in the fee for value healthcare space. 

In this episode, reflect on the importance of Black History Month, an important time to recognize and honor the contributions and achievements of the millions of African Americans who have helped build our nation and enrich our culture. We also address racial disparities in care, which have become increasingly evident during the pandemic and vaccine distribution response. And we consider how value-based care can work to ensure true population health and parity in health outcomes for all. This week we are honored to speak with Dr. Lerla Joseph, an African American physician, businesswoman, humanitarian, role model, mentor, and philanthropist. In 2012, she founded the Central Virginia Coalition of Healthcare Providers (CV-CHIP) one of the nation's few minority-owned Accountable Care Organizations. Dr. Joseph not only leads a successful ACO, she has also led medical missionary trips to Haiti for the last 16 years. As a community leader, she has also served on boards for Richmond Community Hospital and the Bon Secours health system and was the 1st woman elected President to the Richmond Medical Society. This year she was a "Strong Men & Women in Virginia History" Honoree, a program that honors prominent African Americans past and present who have made noteworthy and admirable contributions to the commonwealth, the nation, and their profession. Dr. Joseph is a shining example that black history is around all of us. Episode Bookmarks: 01:45 Black History Month is a time to contemplate the faith and sacrifice of every black ancestor. 03:00 “As leaders in value-based care, we endeavor to create the opportunity for health equity.” 03:30 Intro to Dr. Lerla Joseph, Founder and CEO of CVCHIP ACO (one of the few African American-led ACOs in the country) 05:30 “Of all the forms of inequality, injustice in health is the most shocking and inhumane” – Martin Luther King, Jr. 06:30 Outcomes research on racial disparities of care showing that inequities are built into the healthcare system. 07:45 A medical career devoted to bring about health equity to African Americans 08:20 "Having a health insurance card is not enough in terms of getting the proper care that African American need. Our populations needs physicians like them that understand their cultural background.” 09:20 The Accountable Care model as a vehicle for both access to care and health equity 10:50 How do we begin to have an open conversation as a society when it comes to recognizing systemic racism exists? 12:15 “Your health should not be determined by your zip code.” 14:15 Dr. Joseph speaks about her experience growing up with segregation and benefiting from affirmative action 16:05 An opportunity for America to overcome supremacy 16:55 Creating a movement for African Americans and White Americans to come together to have a conversation on race 18:20 Unwillingness of African Americans to take the COVID-19 vaccine due to past experiences that created distrust of health system 20:55 “As long as there are disparities in health care, the costs will remain high.” 21:20 Creating CVCHIP ACO with the recognition that African Americans were getting left behind in the value-based care movement 24:20 A recent study showing that life expectancy dropped sharply to its lowest level in 15 years, and even lower for Black Americans, during the first half of the coronavirus pandemic 25:35 The mission of CVCHIP to sustain the viability of the independent practice and how Dr. Joseph's ACO helped practices during COVID-19 27:30 Implementing telehealth and ensuring patient access during the pandemic 29:00 The impact of COVID-19 on African American patients 30:00 Dr. Joseph's medical missionary work in Haiti and her commitment to help others in the world 31:40 The most rewarding experience in her life and how she inspired others to serve 33:50 “Living in America, even with all of the disparities and inequities,

Vanessa Guzman is the CEO of Smartrise Health, which specializes in all Value-based Payment and Accountable Care organization matters. She helps us make sense of the alphabet soup of acronyms like ACO, MIPS and why the Center for Medicare and Medicaid Services is CMS and not CMMS. She defines value by CMS’ three aims: better care for individuals, better health for populations and lower cost. She attempts to shorten the chasm between what we see as useless clicking and how it actually helps our patients. We discuss how this can help our bottom line and help our patients to thrive and how we can use the data we collect for CMS and commercial payers to help our own organizations. We also discuss the impact of COVID and where she sees these payment models going in the future. With almost 15 years of experience, Vanessa has helped organizations gain over millions of dollars in value-based payment related revenue - through her unique integrated strategy that creates a collaborate space among health systems, payors, technology solutions and community-based organizations. Vanessa graduated from Columbia University’s Fu Foundation School of Engineering and Applied Science with a BS and MS in Biomedical Engineering, specializing in Diagnostic Imaging. She is also certified in Quality Engineering and Quality Management and Organizational Excellence by the American Society for Quality. For her outstanding contributions, Vanessa has been awarded the 2018 Becker’s Hospital Review “Rising Stars Under 40” and 2017 Modern Healthcare’s “Up and Comers” Awards. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! A proud member of the Doctor Podcast Network!

The concept of “accountable care in the safety net” was introduced in a Dartmouth Study published by the Commonwealth Fund back in 2013.  In that study, there were 4 critical success factors outlined for a coalition-based Medicaid ACO: 1) aligned leadership through a shared vision, 2) strong governance, 3) a unified strategy for using data, and 4) a sophisticated care coordination infrastructure.  MHN ACO has exhibited excellence in all four of those areas. Since 2009, Medical Home Network has served as a beacon for healthcare transformation and collaboration. Established as a formal provider collaborative working to improve healthcare delivery and access for individuals most in need, today MHN leverages a suite of innovative technologies, healthcare expertise, and a passion for improving the provider and patient experience to create practice-based programming that integrates Chicago's delivery system, transforms on the ground delivery and achieves real results. Cheryl Lulias launched and serves as CEO of the 1st Medicaid ACO in Illinois. The MHN ACO is provider owned and governed by leaders from 12 health care organizations, representing nine federally qualified health centers and three hospital systems. In an ever-changing healthcare landscape, MHN ACO has established itself as a beacon high value, high impact integrated delivery system in the safety net ensuring patients receive better care where and when they need it. Bookmarks: 4:01 “History of Accountable Care in the Safety Net”  (Reference to Commonwealth study on FQHC coalitions forming ACOs) 5:38 Cheryl shares the history of Medical Home Network and its journey in health value 7:42 Creating a standardized, whole-person model of care centered within a digitally connected, clinically integrated delivery system 8:35 Cheryl discusses MHN ACO's results ($50 million in savings, 24% reduction in inpatient hospital days, 25% reduction in readmissions, 8% reduction in ED visits) 9:51 FQHC resiliency during the COVID-19 pandemic crisis and scaling up of telehealth and virtual care 13:46 Adjusting MHN's AI-powered risk stratification model to identify community members at high-risk for hospitalizations from a COVID infection 16:15 The devastating impact of COVID and the scourge of violent crime, drug overdoses, and suicides impacting Cook County 17:40 Establishing ADT connectivity and real-time alerting with 30 hospitals through MHN Connect Health Information Network 18:21 Data liquidity, supercharged AI predictive models, and the creation of a 360o patient view by integrating data from claims, pharmacy, and health risk assessments 21:04 How prediction of “rising risk” informs MHN's whole approach to care management 26:10 Cheryl explains MHN's collaborative care program that utilizes a decentralized, team-based approach where interdisciplinary care teams are embedded at the practice level 28:26 Cheryl shares a patient success story 31:17 Cheryl counters the skepticism of artificial intelligence by sharing the results of her collaboration with Closed Loop AI 35:22 MHN's commitment to advance health equity and reduce disparities of care through the Racial Equity Rapid Response Team 36:41 The impact of systemic racism and threat it poses on the health of our communities 43:03 Holistic integration of primary care and behavioral health at Medical Home Network 45:43 Cheryl's strategy in forming a Board that decoupled ownership and governance and created a balance of power between the health centers and the hospitals 49:37 MHN's commitment to workforce development for care coordinators and community outreach workers 51:23 The challenges associated with provider and care team burnout in developing the workforce 53:48 MHN's launch of a MoreCare, a Medicare Advantage Special Needs Plan in partnership with Cook County Health 57:09 Cheryl describes the future of medicine and what we need to do to fix a broken healthc...

This episode of PopHealth Week is brought to you by Health Innovation Media. Connect with us at www.popupstudio.productions I’m Gregg Masters, managing director of health innovation media and the producer of PopHealth Week. In the virtual studio is my partner and lead co-host Fred Goldstein, president of accountable health LLC - a Jacksonville Florida based consulting firm. On today’s show we discuss recent developments on the Covid-19 front. The subjects we touch on include: - Covid-19 and the fall. Will there be a second wave? - Stay at home fatigue - the natives are increasingly restless. - The Cost of Herd Immunity in the U.S. will likely involve more than a million deaths - The CDC’s action to defer evictions - An American Medical Association study that reports one in four Americans report depression during the pandemic. NOTING This is "another impending public health crisis.” - The Department of H&HS funds a $250 million contract to 'defeat despair and inspire hope' on coronavirus; and - The FDA Under Pressure to Fast Track Vaccine Approval   But first the Covid-19 dashboard. At the time of this episode, Global cases are clocking in just shy of 30 milloin, with reported deaths just north of 930, 000. While on the domestic front, the US with roughly 4.25% of the world’s population yet has recorded 6.6 million cases and in late September will cross the very grim milestone of 200,000 U.S. deaths. So overall, a pretty grim picture compared to how other developed countries are managing to control the spread of this novel coronavirus (SARS-CoV-2).  ==##==  

Today’s show is sponsored by the Population Health Colloquium which is celebrating its 20th Anniversary. For more information including the power packed faculty and impressive agenda - or to register go to www.populationhealthcolloquium.com David B. Nash MD MBA, is arguably the ‘dean of population health’ and since June 2019 'founding dean emeritus' at the Jefferson College of Population Health. He is making an encore appearance on the show. We discuss population health in the age of COVID-19 and the many systemic gaps the pandemic has exposed given our aging and predominantly RVU driven healthcare economy. Dr. Nash also previews the upcoming virtual 20th Anniversary Edition of the Population Health Colloquium and the 'Hearst Health Prize for Excellence in Population Health' scheduled for October 5th, 6th and 7th. ==##==  

My guest is Bob Matthews President and CEO of MediSync a leading management and solutions provider building an engaged network of medical group senior leadership pursuing better outcomes via analytics, planning and sustainable solutions. We get his take on the impact of Covid-19 on U.S. healthcare operations and insights into the advancement of value based healthcare..   Bob is a veteran healthcare executive with extensive experience as Executive Director of three medical groups for over 13 years. During his tenure, the groups expanded physicians three fold, increased payer contracts by more than 45%, and developed and deployed chronic disease management programs that led the nation in outcome results. He helped to greatly enhance medical group financial performance, resulting in increased physician compensation. Prior to MediSync, Bob had a national healthcare consultation practice with leading medical groups, hospitals and insurance companies, focused upon medical group formation, development, and performance. For more information on Bob and Medisync's work in the value based healthcare economy go to: www.medisync.com      

Look, bottom line, value-based care has to be the future of health care delivery in this country. That’s just inarguable at this point. Nobody disagrees except for health care industry stakeholders trying to reap as much reward as possible while the going is good. And they’ve been really successful with their reaping thus far. Here’s the thing, though: There’s speculation that health insurance premiums may go up, like, 4% to 40% next year if the status quo remains the status quo. Is this the moment when we all start to get real about value-based care? Not because it would be a nice thing to get up and running, but because we have to. Health care costs are already too high in this country. You can’t just add 40% and think that somebody’s gonna find that kind of change in the bottom of their pocket, which has already been turned inside out. But also because on the provider side of the equation, it’s less risky. Here’s what I mean by less risky: All of those health systems struggling right now because of the decrease in elective procedures—if they had all had a significant portion of their revenue derived from value-based agreements where they were contracted to take care of populations, they’d all still be getting paid their global/capitated payments right now and actually able to take care of patients who need care instead of sitting on the sidelines watching their bank accounts dwindle. In this health care podcast, I speak with Eric Weaver, who is the newly minted executive director of the Accountable Care Learning Collaborative based in Utah. We talk about how life could have been a lot different for PCPs and also specialists, by the way, and health systems had we lived in a value-based world instead of an FFS (fee-for-service) one. Considering that this pandemic might consist of waves that extend for months if not years, this might be a call to action for providers to get meetings set up with payers, like, right now to switch up payment terms into value. But it’s also a call to action for purchasers of health care like employers and commercial carriers. When I was talking to Guy Culpepper, a PCP, in episode 272, he really wants value-based contracts; but he can’t get them alone. Purchasers and payers have to be willing to come to the table and offer them.  So come on, everybody! Let’s belly up to the conference room table—or your little Zoom Brady Bunch box, as the case may be. Now’s the time to really flip the switch to payment models that work for patients and enable physicians at the same time to provide the kind of care that’s in alignment with their values. One acronym heads-up in this conversation that I have with Eric Weaver coming up: APM stands for advanced payment model, which is, at its simplest level, a kind of value-based payment model. You can learn more at accountablecarelc.org. You can also connect with Eric on Twitter at @Eric_S_Weaver or on LinkedIn.  Eric Weaver, DHA, MHA, is nationally recognized for his work in payment and delivery transformation. He is the recently appointed executive director of the Accountable Care Learning Collaborative (ACLC), a nonprofit organization founded by former Secretary of Health and Human Services Mike Leavitt and former Administrator of the Centers for Medicare and Medicaid Services Dr. Mark McClellan. With a mission to accelerate the readiness of health care organizations transitioning to value-based payment, the ACLC has defined the standards for high-value organizations and the workforce skills and competencies needed to advance value-based care. Dr. Weaver has been recognized for his contribution to the health care industry by receiving the ACHE Robert S. Hudgens Award for Young Healthcare Executive of the Year and the Modern Healthcare “Up & Comers” Award in 2016. Prior to assuming his new leadership role with the ACLC earlier this month, Dr. Weaver was a senior vice president for Innovista Health Solutions, a population health MSO, and was the president and CEO of Austin, Texas–based Integrated ACO—one of the more successful physician-led accountable care organizations in the country. For more information on Dr. Weaver and his vision for the future of the ACLC, you may access this video. If you are a provider organization looking to succeed in value-based care, you can obtain a free membership to the ACLC at accountablecarelc.org/join-us.  03:23 Is this pandemic an inflection point for value-based care? 04:10 “If United Kingdom built their National Health System post-World War II, why can’t we rebuild ours?” 04:40 “If it’s ever gonna happen, it’s gonna happen now. I just think we need to wake up.” 05:04 Do volume decreases equal payment decreases? 06:10 Where value-based care plays into specialty care vs primary care. 06:21 “There just hasn’t been a value on cognitive services as there has been on procedural volume-based care.” 06:55 “I really think that independents have to be in the driver’s seat here.” 06:59 The possible silver lining in this pandemic. 08:07 Why it’s mostly about economic incentive … with a couple of caveats. 12:21 More or less hospitals when this shakes out? 14:01 “There has to be some standard of measurement for quality, and we all know that.” 17:00 Where the patient experience plays into the value-based care equation. 21:54 “We have to be thinking about the consumer and the patient.” 22:25 Where employers land in this equation. 25:14 What happens to the value-based care measures that were in place and aren’t anymore? 27:20 How carriers buying providers impacts value-based care. 29:54 “I really think we’re … [looking at] a new normal.” 30:49 “We have to go all in.” You can learn more at accountablecarelc.org. You can also connect with Eric on Twitter at @Eric_S_Weaver or on LinkedIn.  Check out our newest #healthcarepodcast with @Eric_S_Weaver of @The_ACLC as he discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Is this pandemic an inflection point for value-based care? @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “If United Kingdom built their National Health System post-World War II, why can’t we rebuild ours?” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “If it’s ever gonna happen, it’s gonna happen now. I just think we need to wake up.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Do volume decreases equal payment decreases? @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Where value-based care plays into specialty care vs primary care. @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “There just hasn’t been a value on cognitive services as there has been on procedural volume-based care.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “I really think that independents have to be in the driver’s seat here.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Why it’s mostly about economic incentive … with a couple of caveats. @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “There has to be some standard of measurement for quality, and we all know that.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Where the patient experience plays into the value-based care equation. @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “We have to be thinking about the consumer and the patient.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Where do #employers land in this equation? @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “I really think we’re … [looking at] a new normal.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “We have to go all in.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs

In this episode we hear from Dr. Bill Berry, Co-founder of Ariadne Labs, as he discusses how provider communications around patient safety have evolved alongside managed care. Listen as Dr. Berry provides insightful recommendations for how healthcare leaders can turn policy into meaningful action. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Matt Weimer (@mattweimer) is the Vice President of Health Services and Chief Medical Officer at Valley Health Systems, a large federally qualified health center (FQHC) in West Virginia that provides comprehensive care to patients without regard for their ability to pay. Dr. Weimer shares what it means for an FQHC to be part of an ACO, and why being in an ACO has recharged him personally. He has seen Valley Health physicians respond enthusiastically to the idea of providing higher quality care to patients, reducing provider burnout, and creating a more sustainable healthcare system.

Dr. Griffin Myers Chief Medical Officer at Oak Street Health. The organization provides fully-capitated care to patients covered under Medicare and Medicaid, so Oak Street is incentivized to provide efficient care with limited resources. Dr. Myers talks about this example of value-based care and how they've been able to reduce hospitalizations by over 40%, the mission of Oak Street health (personal, equitable, accountable care), and what new physicians entering the system need to know.

Wednesday July 9th, 2014 our guest is former Director of the Office of the National Coodinator for HealthIT, Dr. Farzad Mostashari. Since leaving ONC, he's been busy as a Visiting Fellow for Economic Studies at the Brookings Engelberg Center for Health Care Reform where his work centered on 'helping clinicians improve care and patient health through health IT, focusing on small practice transformation by developing innovative payment models that can better support these types of practices.' Meanwhile Dr Mostashari in concert with healthcare reform advisor to President Obama, and Venrock Partner Bob Kocher has been actively baking an ACO management company who's mission is to support - if not stmulate - physician led accountable care collaborations. Aledade launched June 18th, 2014 to much 'physician friend fanfare'; follow on twitter via @AledadeACO. The company describes itself as follows: 'Aledade ACOs are networks of primary care physicians who band together to deliver coordinated care to their patient populations. They operate under a payment structure designed to reward patient outcomes rather than solely paying for tests, procedures, and hospitalizations. Join Dr. Phil Marshall and me for an exploration of the company's business model, its principal market mission and managerial platforms.