Podcasts about accountable care organizations

What if AI could guide every patient through their healthcare journey—nudging them toward better choices, anticipating their needs, and adapting in real time? We talk a lot about engagement in healthcare, but too often, the digital tools we use fail to improve outcomes. AI and data-driven personalization hold incredible promise, yet many health plans and providers still struggle with low participation rates. Dr. Erich Huang, Associate Chief Clinical Officer for Informatics and Technology at Verily, an Alphabet company leading the charge in precision health, joins Eric to discuss what's next for AI in healthcare. The conversation touches on how AI is redefining patient engagement, the delicate balance between automation and human touch, and how platforms like Verily's Lightpath are pioneering a new model for chronic care management. If you're a health plan or hospital leader looking to unlock the next generation of patient engagement, you won't want to miss this conversation.  About Erich Erich leads a team focused on structuring clinical-grade data that integrates with the clinical research and healthcare data ecosystems and is optimized for precision medicine, analysis, and artificial intelligence.    Erich was previously at Duke University where he served as the Chief Data Officer for Quality at Duke Health, Director of Duke Forge, Director of Duke Crucible, and Assistant Dean for Biomedical Informatics for Duke University School of Medicine. There, he led and deployed machine learning capabilities for complex care management in Duke Health's Accountable Care Organization, led health data science initiatives, and helped develop Duke Health's new institutional governance process for algorithmic decision support.    He earned his MD and PhD from Duke University, trained and was a Chief Resident in the Duke General Surgery Residency Program. Erich is previously a Burroughs Wellcome Fund Innovations in Regulatory Science Award recipient, received a Sidney Kimmel Cancer Research Foundation Translational Scholar Award, and is twice a recipient of an IBM Faculty Award.   About Verily Verily is an Alphabet health technology company focused on research, care, and health financing to deliver on the promise of precision health and help people live healthier lives. We are uniquely positioned at the intersection of technology, data science, and healthcare to create tools to accelerate evidence generation, products to enable more personalized care, and approaches to make costs more predictable.  

In today's episode we continue our conversation with @American_Heart Senior Advocacy Advisor of Health System Transformation Melanie Phelps, who was integral in the recently published study on the benefit of Accountable Care Organizations. The findings support that managed care provided by ACOs not only improves outcomes for the medically complex patient, but also benefits every patient, family caregiver, provider, and healthcare team member. www.heart.org/bettercareYates Lennon Melanie Phelps, welcome back to the move to Value podcast. So let's try to pick up where we where we finished last time. Melanie and I wanted to go back to really to sort of the heart of your research in the medically complex patient. So we know these folks require hard higher touch and really need coordinated, managed coordinated care. And, wanted to talk about why it's crucial for the American Heart Association to understand and advocate for better models of care for this patient population. And then we'll after that, we'll follow up on sort of how we can work together to do that.Melanie PhelpsYeah. So medically complex patients are of course more complex and more costly.They require a lot more services and the burden of navigating a fragmented fee for service system adds to their already very stressful lives and the chances of things falling through the cracks or delayed care is pretty high in a payer fee for service system, the ACO provides those extra layers of support, communication and enhanced access that really do lead to better outcomes, reduce stress on the patient and their caregivers, which is pretty important. We also believe they are more likely to get the most up to date care under these arrangements because the incentive to do better is there and that is not there in the case of fee for service. So, we all know that there is a pretty significant lag between new innovations and evidence-based solutions and adoption or implementation in reality, and we see ACOs as a vehicle for expediting adoption of those. The other piece on medically complex patients, why we wanted to focus on those is when talking to other patient and consumer advocacy organizations, which is a key target audience of this of this study, there was a lot of apathy and even skepticism about ACOs, OK. They're not involved in the advocacy. They're not steeped in the details and they are very suspicious of ACO's of value based care. They're thinking there's a lot of stinting going on. They think that they're being, you know, medically complex patients are being denied care and being kicked out of ACO's. And that certainly was not my experience when I worked with the ACO's in North Carolina. So, one of the reasons we focused on medically complex patients was to be able to say, OK, you know, are they getting the care that they need? What do they have to say about it? And that's why. I mean these are the people that really need the extra care and support and the results really showed that they were getting much better care and support, which should be important to everybody.Yates LennonYes, absolutely. That's that's interesting. I never would have. I guess I never would have thought about that kind of skepticism from consumer advocacy groups around value based care, and certainly my experience has been the exact opposite is the ACO model is a ideal model to have those patients in because you have the sustainable, a sustainable path to provide these wrap around services to both, both the provider and the patient and their families. I can think of multiple instances where these like in our NextGen days and our ACO REACH nursing facility waiver as an...

In this conversation, Dr. David Carmouche discusses the critical transition from fee-for-service to value-based care in the healthcare industry, emphasizing the role of AI in enhancing primary care and improving patient outcomes. He highlights the financial pressures on health systems and the importance of aligning incentives to achieve sustainability. The discussion also covers the innovative solutions offered by Lumeris and the transformative potential of AI in automating care processes and improving patient engagement. Finally, Dr. Carmouche addresses the need for regulatory guardrails as AI becomes more integrated into healthcare delivery.In this episode , they discuss:The shift from fee-for-service to value-based care is essential for financial sustainability.AI is poised to transform primary care delivery and patient engagement.Healthcare costs have been deemed unsustainable for decades, necessitating change.Aligning incentives is crucial for improving patient outcomes in healthcare.Lumeris has a decade-long history of partnering with health systems for value-based care.AI can automate and standardize care processes, enhancing efficiency.Data availability and interoperability are key to successful value-based care models.Generative AI can proactively engage patients and improve care delivery.Training clinicians to effectively use AI is vital for its successful integration.Regulatory guardrails will be necessary as AI becomes more prevalent in healthcare.A little about Dr David Carmouche: David Carmouche, MD, is the Executive Vice President & Chief Clinical Transformation Officer at Lumeris. Dr. Carmouche is a visionary leader in transformational healthcare delivery, with a unique blend of provider, payer, retail, and integrated delivery network leadership experience.Prior to joining Lumeris, Dr. Carmouche served as Walmart's Senior Vice President of Healthcare Delivery, where he led the fleet of Walmart Health centers, Walmart Health Virtual Care, a value-based care partnership with Optum, and Walmart's work to address Social Determinants of Health. Dr. Carmouche has also held significant leadership roles with Ochsner Health, the largest nonprofit academic healthcare system in the Gulf South, and Blue Cross Blue Shield of Louisiana, where he introduced the company's first value-based care contracts. Earlier in his career, he built and led a multidisciplinary internal medicine and preventive cardiology practice.Dr. Carmouche attended Tulane University and LSU Medical School in New Orleans. Board-certified in Internal Medicine, he completed his residency at the University of Alabama at Birmingham, where he later served as Chief Resident. He serves as President of the Board of the Consortium for Southeastern Healthcare Quality and on the advisory board at Stellar Health. He has served on the board of the National Association of Accountable Care Organizations.

Accountable Care Organizations (ACOs) have made great strides in enhancing patient care and reducing costs, saving $3.1 billion in 2023. The recently released report based on ACO performance in 2023 (PY2023) provides valuable insights into where ACOs are excelling. In this episode of Value-Based Care Insights, Dan Marino sits down with Sarah Kachur PharmD, MBA, BCACP, Executive Director of Strategy and Solutions at Johns Hopkins Population Health Analytics, to discuss the key findings of the report and what they reveal about the future of ACOs. Gain insights into the priorities of the most successful ACOs (in PY 2023) and their predictions for changes and challenges in 2025 and beyond. LinkedIn https://www.linkedin.com/in/sarahgracekachur/ Skachur2@jh.edu Hopkins ACGs: https://www.hopkinsacg.org/ Illustra Health from Johns Hopkins: https://illustra.health/

Ep 117 - Sarah Kachur- ACOs Saved Billions in 2023: Can They Sustain This Beyond 2025? Accountable Care Organizations (ACOs) have made great strides in enhancing patient care and reducing costs, saving $3.1 billion in 2023. The recently released report based on ACO performance in 2023 (PY2023) provides valuable insights into where ACOs are excelling. On this episode Dan sits down with Sarah Kachur PharmD, MBA, BCACP, Executive Director of Strategy and Solutions at Johns Hopkins Population Health Analytics, to discuss the key findings of the report and what they reveal about the future of ACOs. Gain insights into the priorities of the most successful ACOs (in PY 2023) and their predictions for changes and challenges in 2025 and beyond. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. 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

This week on The Codcast, John McDonough of the T.H. Chan School of Public Health and Paul Hattis of the Lown Institute chat with Christina Severin, President of Community Care Cooperative (C3). They discuss the role of accountable care organizations in coordinating high quality care for MassHealth patients, the transformation of Neighborhood Health Plan, and looking ahead at healthcare challenges under a second Trump term.

Learn more about NetSuite Planning and Budgeting: https://tinyurl.com/bdhm7phf   In this special episode of the NetSuite Podcast focusing on the CFO's agenda for 2025, cohost Megan O'Brien sits down with Jess Wijesekera, SVP of Global Accounting at Vytalize Health, a leading value-based care platform. They start the episode by discussing Jess' background and what brought her to her current role [1:55]. Jess then delves into Vytalize Health and its exponential growth over the last several years [6:26]. Megan and Jess discuss technology and talent issues [15:49]. They end the podcast episode by covering Vytalize Health's priorities for 2025 [31:52].   Follow Us Here:   Vytalize Health: https://www.vytalizehealth.com/   Jess Wijesekera LinkedIn: https://www.linkedin.com/in/jessica-wijesekera-7290196/   Oracle NetSuite LinkedIn: https://social.ora.cl/6000wKFhC X (Twitter): https://social.ora.cl/6007wK2zD Instagram: https://social.ora.cl/6003wK2Hv Facebook: https://social.ora.cl/6005wK2Dv   #NetSuite #CFOAgenda, #Accounting   --------------------------------------------------------   Episode Transcript:   00;00;04;21 - 00;00;28;20 Hello, all you Suite listeners. Thank you so much for tuning in to the NetSuite podcast. I'm Megan O'Brien, a co-host of the podcast. Now you all are in luck because today's episode marks the start of a mini series we are doing called The CFO Agenda. As we approach the end of 2024, we wanted to gauge what's on the docket for finance and accounting leaders.   00;00;28;23 - 00;00;50;23 In the first installment of the series, we have Jess Wijesekera, SVP of Global Accounting for Vytalize Health, a leading value based care platform. If you attended SuiteWorld or if you tuned into NetSuite OnAir to watch the main keynote, you would have seen her make an appearance with NetSuite Founder and EVP Evan Goldberg.   00;00;50;25 - 00;01;19;08 Vytalize Health has grown by a casual 90,778% over the last three years, so this episode is a great pulse check on what high-growth companies are prioritizing this coming year. We talk all about Jess' background and her current role of Vytalize Health, the company's exponential growth, and her plans for 2025. With that, let's go ahead and dive in.   00;01;19;11 - 00;01;45;23 You're listening to the NetSuite Podcast, where we discuss what's happening within NetSuite, why we're doing it, and where we're heading in the future. We'll dive into the details about the software and the people at NetSuite who are behind all the moving parts. We'll also feature customer growth stories discussing the ups and downs of running a company and how one integrated system can help your business continue to scale.   00;01;45;25 - 00;02;03;26 Hi, Jess. How are you today? Hey, Megan. Good. Really great to be here. Good. We're so happy to have you. Yeah. Thank you. All right, well, we're going to dive right in because we have so much to cover. We want to hear, first of all, about your background. Did you always know that you wanted to get into accounting?   00;02;03;29 - 00;02;26;29 I did not. But I was always very good at organizing people and organizing projects. And I think that organization has always really been a part of who I am. It's going to sound silly, but in kindergarten I used to and tell them where and how to jump rope, and they always just happily listened to what I had to say.   00;02;26;29 - 00;02;57;23 And I felt really like a natural leader and I knew I wanted to do something that captured my personality. So, for me, accounting is just a really nice because it's taking project management and organization and unpacking a puzzle takes a lot of patience, which I'm learning to have a lot of patience, but it takes a lot of kindness for interacting with other departments and some tenacity with dealing with service providers.   00;02;57;23 - 00;03;31;23 So, I didn't know I always wanted to do it, but it is feeling like a really good fit. I couldn't help but stalk you a little bit on LinkedIn. You majored in accounting at Villanova, which is where I went. Yeah, Wildcats, you know, so I know I just had a great experience there and I chose it really because they had a very solid business school and I had this accounting professor who taught financial accounting, and he told me that accounting was the hardest major in the business school.   00;03;31;26 - 00;03;58;08 And if I could do accounting, that I could do anything, I could do finance, I could do management, I could do marketing. And he was really right. And I followed my accounting degree up with a master's in finance at Boston College. And it's really worked well, I think, to have this understanding of everything that's accounting is past and everything that's finance is future and we meet in the present.   00;03;58;12 - 00;04;28;26 So it's kind of helped shape my career and where it's gone. That is such a cool perspective on it. And, and speaking of your career, could you talk a little bit about your past roles and your path to where you are now? Yeah, so like many accounting majors, I started at the Big Four, so I was at EY and I stayed longer than most. I was there about 15 years and I did a grand tour of about four offices.   00;04;28;29 - 00;04;55;29 So, I started in Palo Alto, and then did Boston, San Francisco, and I also did a three year secondment in the London office. And every time I felt I was going to leave public accounting, I stayed because I got a new opportunity or worked on a new client or with a new team. And it was this feeling that I could really add value, but also learn something completely new, which added to my skill set.   00;04;56;02 - 00;05;20;15 And I can't even tell you the number of times that I've cried in an audit room. I do think about those experiences and really how it shaped me. I got to work on Warner Brothers and Hawaiian Airlines, and towards the end of my career there, I was a national instructor for 606 when that Rev Rec standard was completely new and nobody knew what to do.   00;05;20;15 - 00;05;48;11 So that helped me with my foundation for where I am now. But after 15 years I decided to go into industry, so I started as an assistant controller. I was at a bottling company and my very first day on the job I realized I've never booked a journal entry in my whole life and a few roles since I have taken on kind of new areas of responsibility and kept growing my own skillset.   00;05;48;13 - 00;06;14;09 And I'm actually really lucky now to have brought on a couple of people I've worked with in the past, you know, kind of through EY and other companies because we just really enjoy working together. So that all of that brought me to my life. Well, I mean, I don't think you've really worked for a Big Four unless you've cried somewhere in an office, so you, you sent that experience home. Probably an office without windows.   00;06;14;11 - 00;06;40;07 Yeah, yeah, yeah, I did my crying in a phone booth, so. Yeah, yeah, No windows. We're all here now. We're all here. And better for it. So speaking of Vytalize, you ended up joining Vytalize Health about two years ago? Can you tell our listeners a little bit about what Vytalize Health does? Yeah, so Vytalize is a value-based care company.   00;06;40;09 - 00;07;10;11 Value-based care is a collection of doctors and service providers and payers that work collectively to have better outcomes for patients. And coincidentally, that's usually at a reduced cost. So, what we do is sit between the primary care physician and CMS, which is the Center for Medicare Services. So we help our physicians strengthen the relationship that they have with their patients.   00;07;10;13 - 00;07;41;13 And if we succeed in that and meet certain quality metrics and achieve these better health outcomes, then CMS as the payer, they give us a share of that. So, I'll use a fancy terminology, but it's really aligning incentives, right? So, we're all incentivized for providing better, higher quality care, not necessarily more care. And it's really working because we're giving these doctors more time to spend with their patients.   00;07;41;13 - 00;08;18;00 So, we provide services like care coordination and virtual home care, in-home care. And it's particularly important for the Medicare population. You know, if you think about 65 plus and then people that are, you know, often not able to get to the doctor, in-home care is so critical. And really, we see ourselves as an extension of the physician so that we operate as part of their practice and really preventing hospitalizations and improving the quality of life and, you know, for an accounting major, that's certainly something I can get behind.   00;08;18;00 - 00;08;42;02 And, you know, the mission and kind of what we're doing, it feels really good. What does a typical day in your shoes look like? So like many companies in the pandemic, we went remote. So I have a little office that I use in a coworking space and I bring my puppy with me and we have a lot of meetings.   00;08;42;02 - 00;09;07;10 So back-to back-video meetings, I do a lot of meetings direct with one on ones, with my direct reports. We are constantly meeting with our EY tax team, Connor Group accounting specialists, so treasury and tax report through me. And then I just took on the FP&A function as well. So, this week was a lot of meeting with department heads to try and craft our budget.   00;09;07;12 - 00;09;34;04 But I find my typical day is really helping my team make good decisions and collaborative points of view and just making sure that we're prioritizing the right thing at the right time. Because like so many companies growing as quickly as we are, you know, you're this can be really long and kind of helping decide what comes first and what can come when, as you know, is a really big part of my job when I also have the puppy.   00;09;34;04 - 00;09;57;04 So she's as cute as can be. And we try and get out of some walks in between all of the meetings. Yeah. So for our frequent listeners, the puppies she's referring to is actually the guide dog puppy that attended SuiteWorld that we talked about in our SuiteWorld. recap. We are obsessed with Mayberry. I think she might be the new NetSuite mascot she's so sweet.   00;09;57;04 - 00;10;19;10 So she's training to become a guide dog for the blind. And I'll have her through next June. And she's part of the Walnut Creek Club here in the San Francisco Bay Area. And she's just a little delight. So her having her experience SuiteWorld in Vegas, I think opened her eyes. I mean, she's doing really great.   00;10;19;12 - 00;10;53;13 She did so good. She was all scared of the casino. Yeah, we all are. So Vytalize Health has this crazy growth trajectory. So the company ranked number one on the Inc. 5000 across all industries after achieving $1.5 billion in revenue for 2023 and a three-year revenue growth rate of 90,778%. Can you delve into the Vytalize Health's growth story and how that all came about?   00;10;53;15 - 00;11;22;19 Yeah. So Megan, work with me here on some math backwards. So to get to 1.5 billion, that means we started as a single health care practice. So we had one practice. It was in Rockland, Maryland, and it still exists, but we've grown from about one medical practice to over 200, I'm sorry, 2600 primary care physicians. We found that we were very good at these additional services.   00;11;22;19 - 00;11;49;15 Right. The care coordination and helping the physicians make better decisions. And instead of growing our own practices, the business went through kind of the modeling approach that we would instead partner with physicians and they would join our value based care program, which is it's called Accountable Care Organizations. So those practices joined our ACO and we taught them value-based care.   00;11;49;18 - 00;12;18;21 And through that we shared a part of our savings with them. And in that model, we were really able to grow quickly. So we went from, you know, just a few thousand Medicare beneficiaries to now over 260,000 patients. And that's a staggering number because we're probably taking care of someone that, you know, and it's part of Medicare's goal to have every Medicare patient in an ACO by 2030.   00;12;18;24 - 00;12;41;04 So for people who don't know what value-based care is, all of the sudden they must participate in value-based care by 2030, in six years we'll be there. And Vytalize is really helping with that transition. And it's working. It's working really well. We're seeing a lot improved outcomes for patients and decreased hospital hospitalizations. And yeah, it's going really well.   00;12;41;10 - 00;13;06;23 Yeah, clearly, clearly clear. So were there any challenges that came with this rapid growth? And if so, how did Vytalize help tackle them? Do you remember Facebook? They used to have this tagline and slogan and it said, ‘Move fast and break things,' right? And I was googling it recently and I was like, I think they have abandoned that tagline.   00;13;06;25 - 00;13;35;10 Yeah, maybe with the move to Meta, they're like, Yeah, maybe not and break things. Yes. So that's the hardest part, right? Is because you can move too quickly and break things and sometimes that's an okay thing. But a lot of the times we should really be adding a lot more thought, a lot more time and a lot more considerations to some of the larger decisions that are going on.   00;13;35;10 - 00;14;02;29 So really, to me, the biggest challenge with this rapid growth is taking the time and the thought process to really think through decisions and not move as quickly as you can. So one of the other things that we've done to kind of circumvent that is adding a policy and procedures committee and a policy and procedures role in our organization.   00;14;02;29 - 00;14;37;20 And I'm not going to take any credit for that because it was already in existence and it was already working really well. But we were able to then write some policies pretty early on that helped our controls and helped our vendor contracts who could engage if vendor who could approve a payment. And a lot of those early policies and we're still writing them, but a lot of those early policies helped us, you know, be able to go to the rest of the business and say, ‘Hey, you know, you can't X, Y, Z because of this policy' or ‘You can, but you must do it in this way.'   00;14;37;24 - 00;15;07;28 And kind of making that consistent across the organization was really helpful for me. Well, that kind of leads into a good question for our listeners here. Any best practices for companies that might be looking to grow or any pitfalls to avoid? I think growth in general is having good technology to scale, right? So how do we make something a repeatable process and how do we put it in a system to be able to make it repeatable?   00;15;08;01 - 00;15;39;14 My app director, Lisa Kemper, and I joke all the time that life is full of one-offs, right? Like this is all a one off and if you're tackling something over here and over there, you would need 300 people in your accounting department to be able to support all of the one-offs. So, we very much we do use this Policy and Procedures Committee, but we're also standing up a lot of our tech products and using NetSuite to be able to get, you know, some standardization.   00;15;39;14 - 00;16;07;11 But also I'll call it kill the one offs, right? We can't be doing an exception. Everything has to fit into a process and become part of the rule. And how has Vytalize Health been using NetSuite? Oh my gosh. We're big, you know, signing some new statements of work all the time. So, yes, I love it. I know the one we just signed was the budgeting and planning tool right now.   00;16;07;11 - 00;16;33;05 So we started with the financials and budgeting and planning. But I would say we're really starting to use a lot of the subledgers in the way that they were intended to be used, and that has been really helpful for us. So, our biggest NetSuite, and I spoke about this at SuiteWorld, is our bank reconciliations. We have, you know, 47 bank accounts and transactions galore.   00;16;33;11 - 00;16;58;00 Right? And sort of as we talk about standardization and automation and killing, the one offs, what we're doing is making sure that we can put something in a process and make it repeatable. And the bank reconciliation module has started to learn the way that we're matching off our bank recs and the way that we're matching off transactions. And it will start to do that for us.   00;16;58;00 - 00;17;21;05 So every time we make a bill payment debit this account credit that account it learns it and then it'll just do it in the background and then we approve it. So this used to take three people their whole full-time job. Not to mention there are a lot of errors in this process. And now that we actually turned on the bank rec module, it's kind of all working for us in the background.   00;17;21;05 - 00;17;47;26 And I was even talking with my accounting manager, Kelly Allen, and I said yesterday I was like, Kelly, how's the bank matching going? And she's like, ‘You know, I don't even hear about it.' It's really working for us. And, and it's been helpful to start to automate these things so we don't have to think about it. And it previously it just felt like we were playing catch up, you know, 45 days.   00;17;47;29 - 00;18;06;14 It would take us to close the books. And, you know, 45 days ago was the end of August or August is long gone by now. Right? We're making business decisions all the time. Do we need more? You know, funding from investors? We want to take a loan, whereas, you know, where are these larger payments coming from? We're going to we can't wait 45 days for anything.   00;18;06;14 - 00;18;32;25 So it's helped us, you know, make some real-time decisions. Well, why is having a strong tech stack so important for Vytalize Health specifically and how did it perhaps help facilitate some of the massive growth that you mentioned previously? We had a previous controller at Vytalize and every time we needed financials, he would say, okay, like I need three days.   00;18;32;27 - 00;19;02;08 He would take, you know, we had QuickBooks and, you know, it was the right size and shape for us when we started. So, we're using QuickBooks and he would take three days to prepare a consolidation and then to do the elimination journal entries. And that was a very manual effort. And three days of those financials and, you know, the manual errors that could exist.   00;19;02;08 - 00;19;23;13 And, you know, it was almost like, well, I don't need it anymore that I asked for that three days ago. We've moved on. That wasn't at least, you know, last week. So finally I looked at him and I was like, we have to get this in NetSuite and we have to do like journal entries and post them on the system.   00;19;23;13 - 00;19;43;21 And, you know, we're going to need elimination entries and we're going to need to have this reporting in a moment's notice. And, you know, when we ask for the report, I need it in 20 minutes, not three days. So we moved it all into NetSuite We've also gotten a tool called Workiva and Workiva connects to NetSuite.   00;19;43;21 - 00;20;09;08 And I'll give a shout out to Ryan Mueller, who's our senior manager of tech accounting and NetSuite syncs with Workiva so we can produce financial statements and reports at a moment's notice. And I can say, you know, I want the Q2 report to investors and I want that Q2 report to include these entities and Workiva pulls the information from NetSuite.   00;20;09;08 - 00;20;32;08 And then we can have it ready for an investor immediately. And that has really been a game changer for us. We do a lot of reporting. We have board members and boards of each of our ACOs, so there's about six of those. We need frequent reporting for about six different entities. And then on top of that, we're supporting an audit from Deloitte right now.   00;20;32;08 - 00;20;58;13 For us to pull all of this reporting very quickly and only, you know, I have a team of five here in the US doing accounting, and that is really essential for us to have these tools so that we can, you know, keep our headcount costs low, keep the work interesting for the people that are here, and be also, you know, be providing that to investors.   00;20;58;15 - 00;21;24;18 NetSuite by Oracle, the number one cloud financial system is everything you need to grow all in one place. Financials, inventory, HR, and more. Make better decisions faster so you can do more and spend less. See how at netsuite.com/pod. Well, can you imagine the poor controller just getting an email saying, ‘Hey, we want the numbers' and thinking, ‘Well, there goes three of my days.'   00;21;24;21 - 00;21;47;29 My god, I'd be dreading emails. Yeah. And, you know, sad story about QuickBooks. You have to have separate legal entities. So, we had 16 legal entities that he had. Like, you can't run a report. So we got a bolt on tool. So it's fun. But you know, just to sort of highlight like if you think you can do it, it could probably be done.   00;21;47;29 - 00;22;13;10 So moving to the new technology helped us immensely. Yeah, thank god. Thank god for saving the controller on a click of a button. We've kind of alluded to this, but you participated in a keynote with NetSuite Founder and EVP Evan Goldberg at SuiteWorld this year. What was that experience like? It was so cool. That was really just kind of a highlight for me.   00;22;13;15 - 00;22;35;08 I think the best part was people coming up to me afterwards and saying, you know, they resonate with my message or, you know, they really liked whatever point I had to make. And, you know, yeah, it's cool to be on stage and meet Evan. But really, for me, it kind of came full circle when people, you know, could kind of even tell me back what I said, did I say that?   00;22;35;10 - 00;22;57;26 But yeah, that was that was a really great experience and, you know, fun to kind of share how Vytalize is doing. And, you know, this big award has, has really opened a lot of doors for the company as well. One of the anecdotes really stuck out to me personally in your keynote with Evan was how someone on your team essentially automated himself out of his job doing bank reconcilations.   00;22;57;28 - 00;23;21;26 But he ended up moving to FP&A, which arguably more of a value add for the company. So as more manual task and accounting and finance are automated, what do you think the future of those functions will look like? Yeah, and I have this funny title. My title is global, which you know, often means it's a global company.   00;23;21;28 - 00;23;48;29 But for me, this global title is actually represents to the people on my accounting team and we are all over the world. So the individual who automated himself out of his job, Dether, sits in the Philippines. So it's kind of this added layer, Meggan, that, my goodness, an outsourced role in the Philippines, just automated himself out of a job.   00;23;49;01 - 00;24;21;13 But the people are working to offshore stuff, but like my offshore person is working to automate. And just a quick update on Dether: he has been so helpful with the budgets for us. We are going through our budgeting process right now, as so many companies are, and that budgeting process is really leading to a lot of great conversations with our department heads about what costs we're needing, what vendors we're going to be needing for next year, what strategic initiatives do we have to plan more costs for, where is more revenue to compensate for that?   00;24;21;15 - 00;24;45;29 And he has been so incredibly helpful in that role and I think it's very fulfilling for him so often times, you know, what is the future of the function looks like? It just looks like it's at a higher level and we are starting at the baseline is just moving up, right? So your entry-level position is just doing higher quality work.   00;24;46;01 - 00;25;10;07 Hopefully fewer tears in the audit room now. I think the tears will exist, but I do think people will have a more fulfilling job, start for themselves right out of college or right into the workforce. What skills do you think will become must haves and kind of this new normal? Yeah, I think the go-to skill for me is just a willingness to learn.   00;25;10;10 - 00;25;44;25 You know, I think I even told Evan on stage I don't know everything and I really don't, but at least I know where I can look it up. Or I might know who to ask or, you know, in me and in my team is this willingness to learn and the willingness to change. And I think kind of that positive outlook and that positive environment is something that will forever be a must have, especially as we have all these new these new automation ideas and everything that's new and exciting.   00;25;44;27 - 00;26;09;28 We really just have to embrace it. And getting a little more granular here. What are you looking for when hiring talent? Are there any kind of talent gaps that you are trying to fill? Yeah, and I think especially as a scaling company, I think in any organization you often wear many hats, but as I'm scaling, I'll just use my senior manager of accounting projects as my go to example.   00;26;09;28 - 00;26;36;25 But I'd worked with him before and when I hired him I was like, ‘I just I need help.' And the first thing he says, all the time, Rob Dulgarian, is how can I help? And it's this willingness to learn new skills and the willingness to you know, get in and get your hands dirty, figure something out and, you know, kind of right size, whatever it is that you're working on that.   00;26;36;28 - 00;27;08;13 And that's a skill that the skill that I'm looking for when I hire people, you know, people we have people in Jordan, we have people in the Philippines, and we have people in the US, and kind of across the board. Anytime we're hiring, that's really what we're looking for is, you know, I've never done that before and I don't know how I'm looking for people that say, you know, I've never done that before, but let me explore, you know, how it's just this really positive outlook and where we are.   00;27;08;13 - 00;27;39;27 We especially get that from our global team members. They're just ever so, ever helpful. How do you assuage some of the fears in your team and your leadership, whatever it might be, about being automated out of a job? How do we get people to kind of embrace automation and AI and not really fear it? So I admittedly was unsuccessful at this at my last position, and I have been unsuccessful at this before.   00;27;39;29 - 00;28;24;18 I think it takes the tone from the top and really having, you know, the board, the C-suite, your investors, having those individuals excited and ready to embrace change is where it starts from because not to throw a cliche out there, but it really will all trickle down and having them excited and on board. At my last job, I think the only one that was excited and on board and it was really hard to get change, to get people excited about doing something else because, you know, they often have fear of losing their position and that that fear is very normal and very understandable.   00;28;24;18 - 00;28;51;05 But I think that as long as the, you know, the top of the company is willing to be flexible and encourage that change, I think it'll be a lot more effective. The accounting profession, it's been the news recently due to a shortage of professionals entering the role. So as a leader in accounting, how do you think companies can combat that shortage and attract accounting talent to their teams?   00;28;51;10 - 00;29;17;13 I feel like I'm going to bring this answer back to your previous questions, right? So it feels like automating and, you know, kind of holistically globally, looking at the talent workforce that's there. I mean, I think that's how companies are going to be able to continue to succeed. I kind of saw at the tail end of my career at EY how it was harder to get new accountants in.   00;29;17;13 - 00;29;57;15 And then also combined with COVID, was very difficult to start training people without being without being on site and in the same place together to be able to train. So, you know, from my perspective, I think it'll flex and change over time. Maybe I should teach some more accounting classes and get people excited about being accounting majors. But, you know, I, I do very much think it'll be a combination of roles like global accounting roles throughout the world, combined with this idea of people really embracing and getting change and automation and up and running and tech stack too.   00;29;57;15 - 00;30;31;17 I think one of the other things I wanted to mention is that we've been using Numero and Numero is a tool that we've used through Connor Group. And what Numero does is extract key terms out of documents and summarize technical accounting. So we're using AI to write our technical accounting memos, future state, and we're using a lot of this AI to kind of take and develop things that we would have done manually.   00;30;31;17 - 00;30;56;04 And you don't even think about how manual it is to create a technical accounting memo. But, you know, if I can give this bot a topic and my three lease agreements that can write an ASC 42 memo for me and you know, how cool is that? Because basically what we're doing then is taking the people who used to prepare the work and making them reviewers instead.   00;30;56;06 - 00;31;16;22 And I do think there are some additional challenges of like, how do you review something you've never prepared? But, you know, I think it'll create higher value work earlier in the process for people when they're launching their accounting careers. Yeah, I think taking some of the tedium out of it is going to be huge. So much tedious.   00;31;16;24 - 00;31;38;29 So much teedious staff work. Yeah. And now we have technology. Yeah. I wish I were starting my career now. I think I might consider an accounting career. If we had the. No, I would be terrible at accounting. I'm not organized enough. But then again, I could talk you into it. But maybe someday. But not today. I do come from a family of accountants.   00;31;38;29 - 00;32;06;02 Unknown My family is in medicine. So some helpful lessons for me. Yeah. For a health care company. Yeah. You blended it. Yes. So it was both. Well, we're kind of like coming up on the end of the year, so I wanted to pick your brain kind of around your 2025 agenda. So as SVP of accounting, what are your top priorities going into 2025?   00;32;06;05 - 00;32;32;07 So we are building out all kinds of really great reporting. So we're using the NetSuite Budgeting and Planning tool to also do our financial reporting for us. So what we're doing this year is building our budgets and we're building them at the vendor level. So it'll be able or it'll give us the opportunity to really analyze our budget versus actual at a new level that we've never done before.   00;32;32;07 - 00;32;57;25 So we're pretty excited about that. And then also meeting more regularly with our department heads to be able to have them reflect on how the month went, but then also make any changes in the future, planning for their new hires and any vendor expenses they have. And really, you know, having a well thought out budget and meeting that budget in 2025 is really our biggest priority.   00;32;57;28 - 00;33;22;22 Well, that's huge because, I mean, we keep writing about it, but the role of finance and accounting is becoming so strategy driven, so much about partnering across the rest of the business instead of kind of, you know, reporting after the fact to everyone. It's like working with them and collaborating during the process. Yeah, yeah. And seeing what new contracts are in the pipeline.   00;33;22;22 - 00;34;00;09 How are we going to take those contracts and pull certain levers to be able to maximize them? Yeah, there's a lot to kind of account marrying together, accounting and finance. Are there any challenges that you are worried about or anticipating? Yeah, I think the making sure that as an accounting department we remain inserted into each of the other operating units of the business and that we're working closely with the finance team and kind of ears to the ground with what's going on and when and being able to influence and do that at a much earlier time period.   00;34;00;09 - 00;34;36;21 So I am I am anticipating that to be a new challenge for us. But yeah, we're excited to work on that. And actually, my same bank reconciliation manager who used to do that, this is his new job instead. So we'll hopefully report back on how it goes with his new role. I love it. As advanced technologies such as AI, machine learning, RPA, all that proliferate, do you have any plans to upskill or reskill your existing workforce in the next year and how are you anticipating going about it?   00;34;36;28 - 00;35;07;20 Yeah, so Megan, this answer just makes my heart sing. So we are using our offshore Philippines team to use AI. So our offshore team is going through all of the contracts for us and they're using an AI tool, actually the same AI tool Numero. They're using that tool to go through all of the key contracts that we have and extract the key terms of the contracts.   00;35;07;23 - 00;35;44;07 That is a very typical, you know, staff one accountant role, right? That's what I did as a staff one accountant, and that was my whole job. So now it's been done by a computer. So cool. And it's being reviewed by, by somebody who's offshore and that I mean, it just really makes my heart sing because we're taking this lower-level work and giving more interesting work to the people who are onshore because now they're looking at these contracts and doing things in a way that that they wouldn't have the opportunity to do.   00;35;44;07 - 00;36;05;06 It's often hard to review your own work, right? So now we're getting new skill. We're just going to upskill the people that we have. I think our business right now, we're mainly focused on the current contracts that we have and then expanding our patient population within those contracts. So we're not necessarily taking on new physician practices.   00;36;05;06 - 00;36;28;06 So I think our accounting department will stay steady, but that is the thing we always like to keep on top of our finance folks to see how are we growing the business and how should we grow our accounting department as well. From a broader technology perspective, do you have any goals going into the next year? Yeah, I think just the great financial reporting.   00;36;28;06 - 00;37;01;16 And then we also have Salesforce as a system, and I was super excited to see Evan announce that Salesforce integrations are going to be made a lot easier. So from a tech stack perspective, we are going to start getting the information from Salesforce into NetSuite. And we're yeah, we're pretty excited about that because there's a lot of work that we do with onboarding our customers and that customer onboarding happens in Salesforce, but then it should become part of the customer record that's in NetSuite.   00;37;01;16 - 00;37;30;16 And right now, that's a manual process for us. So having Salesforce integrated would be, would be a really nice to have. Does Vytalize House as a whole company have any overarching objectives going into 2025? Yeah, so very much pure and stable growth. We are really focused on keeping the current physicians that we have and, and as I mentioned, the patients that we're serving or the Medicare patients.   00;37;30;16 - 00;37;56;01 Right. So if you imagine the doctor physician that you go to is your primary, maybe that primary care physician has 2000 patients and 500 of them are Medicare patients. Right. So those 500 lives, that's what's included in our count, right? That 260,000 that I mentioned before. So what we're trying to do next is get access to the other patients.   00;37;56;01 - 00;38;19;19 Right. That would look like contracts with Blue Shield or contracts with Aetna and other payers to be able to influence care over those lives as well. So I'll call that organic growth because we already have those relationships with the PCPs in place. But what we're wanting are contracts and relationships with the other payers, so that that's 2025 for us.   00;38;19;19 - 00;38;39;13 It sounds so exciting. I know. I feel like this business was so hard for me to understand and like the 10th time someone explained it to me, I got it. So I'm sure you guys are getting it in more than more than ten Innovation items. But yeah, it is a really exciting business here. We're thrilled to be a part of it.   00;38;39;17 - 00;39;12;14 Wrapping up here, just you have such a fascinating story coming in, like coming in and working for this high growth company. Is there any final thoughts or takeaways to leave our listeners with? Yeah, and one thing I do on my personal life is that I keep a gratitude journal and it helps me have a really positive mindset and having a positive mindset leaves me open for learning and growth of my personal development.   00;39;12;16 - 00;39;39;26 So I think that's one thing that's just really helped me to stay on top of my game of staying positive and kind of a can-do attitude. You know, I'm certainly not that way all the time. And sometimes my team shakes and says, Just pull back together. But I do really think that, you know, kind of being grateful for where we're at, how well we've done shapes us to have some positivity going into our next chapter for finals.   00;39;40;00 - 00;39;59;02 I love it. What a good note to end on. So being grateful really keeps you open for learning more. Jess, thanks so much for joining us. We really appreciate it. Yeah, thanks for having me. And again, I really am grateful for the opportunity. All right. Back to my journal today. Thank you so much, Megan.   00;39;59;06 - 00;40;26;21 Yeah, thank you. That brings us to the end of another great episode. It's such a great opportunity to get the perspective directly from a high-growth company and from someone like Jess, who has been there and facilitated so much of it. I think it was especially rewarding to hear how she personally was starting to implement AI in the accounting department to increase efficiency as the company expands.   00;40;26;23 - 00;40;47;10 Huge thanks to Jess for taking time out of her busy schedule to chat with us. And as always, a big thanks to our wonderful editing team over at Oracle and to all of you for tuning in. If you want more episodes just like this one, make sure you subscribe to our channel and give us a rating and review until next time.   00;40;47;13 - 00;40;59;08 You just listen to the NetSuite Podcast. Be sure to tune in every week with more NetSuite developments, stories, and insights into the benefits of one integrated system to help you run your business.

Good morning from Pharma and Biotech daily: the podcast that gives you only what's important to hear in Pharma e Biotech world. Democrats have introduced a bill to make increased Affordable Care Act (ACA) subsidies permanent, arguing that if the enhanced tax credits expire, healthcare costs for millions of Americans will suddenly increase. Meanwhile, the Senate has voted unanimously to hold Steward Health Care CEO Ralph de la Torre in criminal contempt, marking the first time in over 50 years that such a charge has been sent to the U.S. Department of Justice. Additionally, the Centers for Medicare & Medicaid Services (CMS) is holding Accountable Care Organizations harmless for "highly suspect" Medicare billing practices. A home care agency has settled allegations that it accommodated "race-based requests" for aides, with the Equal Employment Opportunity Commission stating that the agency terminated assignments of black and Hispanic aides to adhere to patients' and family members' racial preferences. The top tech trends transforming healthcare today include leveraging new technologies to navigate workforce shortages, economic pressures, and consumer demands.Arch Venture Partners has raised $3 billion for a new fund to support AI biotech startups. Pfizer has pulled its sickle cell therapy, Oxbryta, from the market due to safety concerns. A study suggests that Novo Nordisk's Ozempic may lower the risk of opioid overdose in diabetics. Research has cast doubt on the benefit of anti-CD20 therapies in multiple sclerosis. The setback with Oxbryta has caused frustration among investors regarding Pfizer's business development track record. Novo and Evotec have partnered for stem cell research, while cancer and diabetes drugs are expected to dominate Medicare negotiations in 2025.Pfizer is pulling its sickle cell drug from the market and shutting down trials due to safety concerns. BioAge successfully priced a $198 million IPO, focusing on obesity drug research. An Italian biotech received $52 million to advance pediatric gene therapies. Arch raised another $3 billion biotech fund to pursue innovative science. The industry is seeing advancements in GLP-1 drugs and exploring new treatments for obesity.Roivant, led by CEO Matt Gline, has found success in the biotech industry by taking a unique approach to acquiring and selling assets from big pharma companies. Despite Gline's lack of experience in biotech, Roivant has weathered the tough biotech climate and generated substantial cash flow. The company's strategy involves investing in products that do not fit into the traditional categories of big pharma, leading to successful acquisitions and partnerships.Placer.ai's latest report explores the potential benefits of offering healthcare services in grocery stores to increase foot traffic and customer loyalty. The report delves into how the addition of a healthcare clinic can impact grocery store visitation patterns, which types of consumers are most likely to visit grocery stores with healthcare offerings, and how loyalty rates differ between stores with wellness centers and those without.Abcam offers antibodies, proteins, kits, and reagents for life science research, with a focus on immunoassays that accelerate throughput. Their SimpleStep ELISA kits provide fast results in 90 minutes or less with high sensitivity, specificity, flexibility, and reproducibility. The 384-well format allows for efficient scaling up with consistent results across labs. For more information on their immunoassays and advertising opportunities, contact Abcam directly. This message is part of a complimentary newsletter subscription to Biopharma Dive, a product of Industry Dive, Inc.

In this insightful episode of the Regenerative by Design Podcast, host Joni Kimall Moore sits down with healthcare strategist Ellen Brown from BP2 Health to discuss the powerful connection between healthcare, food, and economic systems. Ellen shares her 30+ year journey in the healthcare industry, diving deep into how outcomes-based care and food as medicine can radically transform the way we think about health. Together, Joni and Ellen explore the broken aspects of both our food and healthcare systems and the critical need for alignment to create healthier, more sustainable communities.They discuss the concept of lifestyle disease and how food and behavioral changes can lead to the reversal of chronic conditions like diabetes. Ellen also offers a compelling vision for how farmers and healthcare providers can collaborate to create healthier communities, with the idea of paying farmers for the healthcare savings generated by their regenerative, nutrient-dense crops. This episode highlights the untapped potential of food systems in improving public health and reshaping the future of healthcare.Key Takeaways:Ellen's journey from actuarial work to healthcare innovation and outcomes-based care.The crucial role of food in reversing chronic lifestyle diseases and reducing healthcare costs.How regenerative farming and health-focused food systems can create significant economic and societal benefits.The potential for collaboration between healthcare providers and farmers to improve health outcomes and reduce costs.Insight into Accountable Care Organizations (ACOs) and how they align financial incentives with better health outcomes.Resources Mentioned:Visit BP2 Health to learn more about Ellen Brown's work.Check out the Reverse Mullet Healthcare Podcast for more on outcomes-based care and healthcare innovation.Listen to the Food is Health Revolution Podcast for discussions on food systems and healthcare.Connect with Us:Follow Joni Kimall Moore on social media for updates on future episodes.Subscribe to the Regenerative by Design Podcast and leave a review if you enjoyed the show!Call to Action:If you enjoyed this episode, be sure to share it with your friends, leave a rating on your favorite podcast platform, and help us spread the word about the powerful impact of aligning food systems with healthcare outcomes.Regenerative by design is hosted by Snacktivist.  Snacktivist creates baking mixes and finished products that are allergy-friendly, soil, water, and carbon-focused, all while radically impacting human nutrition by transforming staple foods into something more than just empty calories.   Visit snacktivistfoods.com to learn more.

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.

Douglas W. Lundy, MD, MBA, FAOA, interviewed Karl Koenig, MD, FAOA, Executive Director and Adult Reconstruction Surgeon at Musculoskeletal Institute for the University of Texas at Austin, to discuss Shifts in Medicare. Dr. Koenig touched on the different views for Medicare shifting payment systems and managing budget issues. While America has spent large amounts of money on healthcare, Dr. Koenig believes the payment system needs to be adjusted to improve patient outcomes. It is discussed how Medicare is trying to move in a different direction by creating relationships between the specialists and Accountable Care Organizations (ACOs), so they can work together and achieve the same goals. Drs. Lundy and Koenig transitioned to a discussion on bundle payments; and explained the pros and cons for both physicians and patients. Overall, Dr. Koenig stated there are different views on Medicare, but the goal is to have the surgeons' incentives be more aligned with the patients, to give them the best care possible.  

Send us a Text Message.Welcome to another exciting episode of the Healthcare Trailblazers podcast! Today, we are thrilled to have Eric Weaver, a prominent voice in healthcare transformation. Eric shares his inspiring journey from a clinical laboratory scientist to a leader in value-based care. We delve into his experiences, the challenges of the healthcare system, and his optimistic outlook on the future of healthcare, especially in the realm of AI and technology.Key Takeaways:Eric Weaver's Background: Eric shares his journey from Central Texas to becoming a significant voice in healthcare, starting from the clinical side to value-based care management.Transition to Value-Based Care: Eric discusses his initial disillusionment with the fee-for-service model and how his trip to Cuba inspired him to start an Accountable Care Organization (ACO) in West Texas.The Role of ACOs: Insights into the creation and management of multiple ACOs in Texas, focusing on the importance of high-touch primary care and community-based interventions.Impact of the Pandemic: Discussion on how the pandemic has highlighted the need for value-based care and how it has accelerated certain healthcare transformations.Challenges and Opportunities: Eric shares his views on the challenges faced by large healthcare players like Walmart Health and the potential of telehealth and AI in transforming healthcare delivery.Future of AI in Healthcare: An optimistic outlook on how AI can revolutionize healthcare by improving clinical decision-making, enhancing patient care, and reducing costs.Importance of Storytelling: Eric emphasizes the power of storytelling in driving value-based care and shares his journey in starting his own podcast to amplify these stories.Lumeris' Role: Introduction to Lumeris, a value-based care enablement company, and how it supports healthcare organizations in their journey towards sustainable and effective care delivery.AI's Potential in Healthcare: Discussion on the current applications and future potential of AI in aggregating data, predicting medical conditions, and augmenting clinical intelligence.Eric's Vision for Healthcare: A hopeful perspective on the future of healthcare, the need for collective recognition of change, and the role of leaders in driving this transformation.

On this Ropes & Gray podcast, join health care partner Stephanie Webster as she moderates a discussion with fellow health care attorneys David Ault, Ben Wilson and Devin Cohen on the evolving landscape of value-based care programs for health care providers. They address the financial viability of Accountable Care Organizations (ACOs), the implications of transactions on ACO participation, whistleblower allegations within ACOs, the necessity of separate legal entities for program participation, data sharing compliance, leveraging AI for ACO administration, and new compliance risks in value-based care arrangements.

This unique video presents a far-ranging conversation with Nio Queiro, President of The Queiro Group. Topics include changes in revenue cycle management (RCM), the role of AI, the importance of being willing to evolve with the times, and finally, a discussion of Queiro's inspiring and practical book,  Joy Notes: Balancing the Trauma with Triumph. The Queiro Group consults with health care institutions to improve the efficiency of their revenue cycle and to adopt digital technologies for such goals as forming an Accountable Care Organization (ACO), advanced medical services, or adopting new devices and interventions. They want AI tools at the provider and the payer to collaborate. Learn more about The Queiro Group: https://www.queirogroup.com/home The playlist she mentions and the book on Amazon: https://open.spotify.com/playlist/6JY69JnRGkKYVJlLUFNZDr?si=bcbe1340805b4181 https://amzn.to/4b3eAPx Health IT Community: https://www.healthcareittoday.com/

Ideal Protein Nation!!! Does your family physician know about the Ideal Protein program and all it has to offer their patients for weight loss and Metabolic Health? Well, my next guest is Dr. Brandon Webb a Family Practice doctor in Lincoln, NE. Dr. Webb found himself in a familiar position many doctors do these days, personally weighing his heaviest and needing to lose weight! Dr. Webb “knew” that some of his patients were having success losing weight with this Ideal Protein program and clinic owner/coach Penny Spanjer! So, he investigated the program, understood the science and decided to call Penny and get started with his wife! Dr. Webb lost 40 pounds on his own personal journey and now successfully maintains his new healthy weight by staying in touch with Coach Penny once per month in Phase 3! Now, like other successful Ideal Protein clients, he recommends Ideal Protein to his patients (and colleagues) and sends them to the local clinic Ideal Protein with Penny! Dr. Webb is also Chief Medical Officer for an Accountable Care Organization – a group of physicians dedicated to providing higher quality care, improving the health of their patients, preventing disease and all while reducing healthcare costs! He discusses how recommending the Ideal Protein program empowers his patients to take control of their health and not only lose weight, but improve other Metabolic Health markers like blood sugar, A1C, cholesterol, high blood pressure and more! This ultimately saves healthcare dollars that would be spent on obesity, metabolic disease, medical crisis care, and prescription medications! This episode is for patients and doctors alike! Please share it with your family, friends, and physicians!!!

Caresyntax CEO Dennis Kogan wants to introduce value based care to the operating room. It's a tall order but Caresyntax thinks they have a formula to benefit the patient, provider and payer.Kogan's parents are surgeons from the former Soviet Union, which gave him a foundational perspective. He studied technology and then business at Carnegie Mellon and Harvard Business School. One of his key takeaways is that quality and efficiency are highly related.Unlike many healthcare entrepreneurs I interview, Dennis's company is active all over the world. There are geographic differences, but they're not as profound as I imagined.The episode explores the impact of AI, including generative AI, on value-based care and the potential for surgical Accountable Care Organizations to more effectively manage quality and total cost of care. It also covers the challenges of entrepreneurship in the healthcare sector, referencing insights from Ben Horowitz's "The Hard Thing About Hard Things," and discusses Caresyntax's efforts to leverage AI in clinical decision-making to transform healthcare delivery.Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.

Why is tying a medical provider's pay to the outcomes of their patients a bad idea? Why else should we be concerned about Accountable Care Organizations and the privatization of traditional Medicare? To find out, we spoke to Dr. Ana Malinow, who spent three decades working as a pediatrician with immigrant, refugee and underserved children before retiring as Clinical Professor of Pediatrics from the University of California San Francisco School of Medicine. She's past president of Physicians for a National Health Program and is currently a lead organizer for National Single Payer and The Movement to End Privatization of Medicare. This is the second episode in a two-part series with Dr. Malinow.

Why is tying a medical provider's pay to the outcomes of their patients a bad idea? Why else should we be concerned about Accountable Care Organizations and the privatization of traditional Medicare? To find out, we spoke to Dr. Ana Malinow, who spent three decades working as a pediatrician with immigrant, refugee and underserved children before retiring as Clinical Professor of Pediatrics from the University of California San Francisco School of Medicine. She's past president of Physicians for a National Health Program and is currently a lead organizer for National Single Payer and The Movement to End Privatization of Medicare. This is the second episode in a two-part series with Dr. Malinow.

Why is tying a medical provider's pay to the outcomes of their patients a bad idea? Why else should we be concerned about Accountable Care Organizations and the privatization of traditional Medicare? To find out, we spoke to Dr. Ana Malinow, who spent three decades working as a pediatrician with immigrant, refugee and underserved children before retiring as Clinical Professor of Pediatrics from the University of California San Francisco School of Medicine. She's past president of Physicians for a National Health Program and is currently a lead organizer for National Single Payer and The Movement to End Privatization of Medicare. This is the second episode in a two-part series with Dr. Malinow.

This time on Code WACK!    Why is tying a medical provider's pay to the outcomes of their patients a bad idea? Why else should we be concerned about Accountable Care Organizations and the privatization of traditional Medicare?  To find out, we spoke to Dr. Ana Malinow,  who spent three decades working as a pediatrician with immigrant, refugee and underserved children before retiring as Clinical Professor of Pediatrics from the University of California San Francisco School of Medicine. She's past president of Physicians for a National Health Program and is currently a lead organizer for National Single Payer and The Movement to End Privatization of Medicare.  This is the second episode in a two-part series with Dr. Malinow.   Check out the Transcript and Show Notes for more!

Dr. Anjan Patel, the dynamic creator, Founder and CEO of ASAAR Medical and its Accountable Care Organization (ACO) Reach Program joins Enterprise Fit Radio.… Read more The post Creating ASAAR Medical's Accountable Care Organization's Reach Program from scratch appeared first on Top Entrepreneurs Podcast | Enterprise Podcast Network.

This episode features Jennifer Moore, VP of Payor Relations & Payment Innovation at MaineHealth & President of MaineHealth Accountable Care Organization. Here, she discusses key insights into her roles, how payer relations have changed in the last few decades, Accountable Care Organizations and Medicare Advantage, and more.

Dean's Chat host, Dr. Jeffrey Jensen, is joined by Dr. Michael King, a tremendous leader in podiatric medicine who is on the cutting edge of medical innovation!  Dr. King brings a unique perspective on podiatric medicine and its evolution as a practitioner, a past president of the American Podiatric Medical Association (APMA), and now as the Chief Medical Officer for Upperline Health!  Dr. King has also given over 400 presentations on appropriate coding, compliance, practice acquisitions, value-based healthcare, and evidence-based clinical measures. Dr. King shares his journey from Kent State University College of Podiatric Medicine, to his 30-year career as a practitioner and serving as the President for the Massachusetts Foot and Ankle Society.  He also discusses his role on the APMA board of trustees culminating in his presidency. This is an interesting discussion about the state of podiatric medicine and the current trends in practice acquisitions.  His role in developing the first Accountable Care Organization (ACO) for Podiatric Medicine is particularly interesting as it likely represents the future of health care delivery in this country. As a 2023 inductee into the Royal College of Physicians and Surgeons in Glasgow, Scotland, Dr. King personifies leadership within the podiatric profession! Dr. King delves into the crucial topic of patient satisfaction and its profound impact on the healthcare profession. Dr. Jensen and Dr. King emphasize the growing significance of receiving positive Net Promoter Scores (NPS) from patients, highlighting how it not only benefits individual practices but also resonates throughout the entire profession.  Dr. King stresses the idea that hiring the best doctors plays a pivotal role in enhancing patient satisfaction and elevating the profession as a whole. He provides examples of exceptional doctors, underscoring the quality of healthcare professionals within their practice. Additionally, Dr. King references the saying "the tide floats all boats," illustrating how the success and satisfaction of patients can have a positive ripple effect across the profession. Ultimately, the episode underscores the importance of patient satisfaction and its profound impact on the perception and success of the healthcare profession. Furthermore, the episode touches on the idea that hiring the best doctors allows them to focus on their passion - seeing patients, improving their health, and leaving work fulfilled. By creating an environment where doctors can thrive and engage in what they enjoy most, the practice can deliver better outcomes and enhance patient satisfaction. Overall, the episode emphasizes the importance of hiring top-notch doctors and the positive impact it has on the practice as a whole. It highlights the value of talent, expertise, and the collaborative efforts of both clinical and business minds in achieving success. Dr. Jensen and Dr. King touch on the significance of shadowing and experiencing different specialties in the field of podiatric medicine. They advise prospective students to actively engage in shadowing experiences to gain a comprehensive understanding of the various aspects of podiatric medicine.   https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician

On this episode of The Healthcare Plus Podcast, host Quint Studer is joined by TriHealth CEO, Mark Clement. In 2015, TriHealth's board, management team, and physician team embraced a bold vision to “get healthcare right” through an increased focus on population health and value-based care. Mark and his teams are committed to improving the health of the entire community, even for those individuals that may never receive care in a TriHealth hospital. Through their efforts and community partnerships, TriHealth's patient population today is objectively healthier – chronic conditions are better managed, screening and early detection occurs more consistently, and the total cost of care is more affordable.In their conversation, Quint and Mark discuss:TriHealth's definition of value-based careHow TriHealth included physicians in the shift towards value-based care and how they're shaping a shared vision of the organization's futureHow TriHealth has worked to form equitable, collaborative partnerships with payers to further their mission of delivering value-based careAbout Mark ClementMark C. Clement is the President and Chief Executive Officer of TriHealth. He joined TriHealth as President in May of 2015 and took on the larger role of President and CEO in Jan 2016. TriHealth is a $2.1B integrated healthcare delivery system, made up of 6 hospitals and over 140 ambulatory/outpatient sites of care. Named as the highest performing Accountable Care Organization (ACO) in the state of Ohio and one of the highest performing ACOs in the country by Anthem Blue Cross Blue Shield, TriHealth cares for more than 500,000 attributed lives. As Cincinnati's 4th-largest employer, TriHealth has 12,000 team members, more than 700 employed physicians and an independent medical staff of more than 1,800 physicians.Headquartered in Cincinnati, Ohio, and jointly sponsored by CommonSpirit Health and Bethesda, Inc., TriHealth's vision is to work together with physicians, hospitals and communities to “get health care right” by delivering better care, better health and better value while fostering physician and team member engagement. Mark also holds the position of CEO at all of TriHealth's hospitals: Good Samaritan Hospital, Bethesda North Hospital, Bethesda Butler Hospital and McCullough-Hyde Memorial Hospital, which all serve the Tri-State region of Ohio, Indiana and Kentucky. With a focus on population health and improving the health status of those it serves, TriHealth is an award winning health system frequently recognized by industry organizations such as U.S. News and World Reports, Newsweek, IBM Watson, Diversity Inc, The Joint Commission, the American Heart Association, Anthem Blue Cross Blue Shield, and many more. 

This episode features Dr. Jessica Hohman, President at Cleveland Clinic Accountable Care Organization. Here, she discusses key insights into her background & the path she took to get to where she is today, Medicare Advantage, her excitement surrounding home-based care, and more!

This episode is back to my interview series of inspiring women physician leaders.Dr. Martha Rodriguez is one such leader I have known for several years.At the time of this recording several months ago, Dr. Rodriguez owned and operated her private practice at a state-of-the-art facility she coined, MMR Healthcare. Her field of specialty is geriatric care and making patients' golden years shine. MMR Healthcare has been PCMH recognized since 2014. In 2012, she co-founded one of the highest performing Accountable Care Organizations in the country and served as its Chairman of the Board until the end of 2016. With coordination of care at the frontlines of every patient visit, she works to ignite the path towards healthcare excellence. Her other passion is leadership. She was the medical director of several skilled, assisted, and independent living facilities for many years. She holds several other leadership positions including Palm Beach County Medical Society President and  Co-Chair of the Palm Beach Medical Society Leadership Academy.Outside of medicine, Dr. Rodriguez loves to spend time with her family and go to the beach. Her greatest pastime is playing with her first granddaughter.If you find this valuable, please Like

We revisit an earlier episode with Yates Lennon, MD, President of CHESS Health Solutions who who provides a concise overview of value-based care and questions providers should be askingYates Lennon, MD, MMM, currently serves as the President and Chief Transformation Officer for CHESS Health Solutions. He is nationally known for his work in quality, previously serving on the American Medical Group Association (AMGA) Quality Leadership Council and presently on the National Association of Accountable Care Organization's Quality Committee. Dr. Lennon's background includes 23 years as a practicing OB/GYN and a Fellow of The American College of Obstetricians and Gynecologists. He served as Chief Quality Officer for Cornerstone Health Care before joining CHESS in 2018 as Chief Transformation Officer. Dr. Lennon assumed the role of President in 2021. He has a deep understanding of practice transformation and how to engage physicians and their staff. His value-based care expertise allows him to translate his knowledge into initiatives that health care teams understand and can implement to ultimately transform patient care.Episode Transcript:Let's start at the very beginning. What is value-based care and why does it matter?So, what is value-based care. I tend to think about population health and value-based care side by side. And, in some ways, it's value-based care is population health plus a payment structure that you find in value-based care models to create sustainability for those pop health efforts. So, when you think about population health, you're thinking about groups of patients, whether that's groups of patients by demographics, by disease state, by recent hospitalization. They're all ways you can slice populations. And you're thinking about caring for that group of patients. Now at the end of the day, population health is delivered one patient at a time, generally speaking, in my mind anyway. But, when you add value-based care to it, you're creating an incentive structure that creates sustainability so that you can deliver the services you need to care for those populations of patients as they move through the continuum of care. So, from the outpatient setting, to inpatient, to home, to skill nursing facility, back home. That's a very broad definition, but when you dive a little bit deeper into value-based care as a clinician, I'm thinking about value-based care as a way to support resources that will assist me in caring for those patients. So, it's not all falling on the physician or the advanced practice provider at the point of care in the office.What is the triple aim and how does practicing value-based care help to achieve that?So, the triple aim was coined back in 2008 and it really aims to do, as you might guess, three things. One, is to improve the patient experience of care. The second is to lower the cost of care. And then the third would be to improve quality or improve the health of populations. Value-based care, and as we discussed already, is perfectly suited to solve these. So, if I start with improve the patient experience, or patient satisfaction. The fact that a patient is able to access a care team larger than just the provider and the nurse, I think, moves us in that direction. The other aspects of care when you think about, I think about my parents, so, and their encounters with the health care system. And how it's been traditionally very disjointed. Still is. They live in a part of the state where value-based care is not really penetrated very well. And it's very disjointed. My Mom gets information from her providers and her payors, and she's confused. She doesn't know what's real, what she should respond to, you know, is this a scam, just all kinds of questions. So being able to reach into a care team on a consistent basis is very important. And...

In this episode, we dive deep into the world of healthcare to explore the transformative power of value-based care. We are thrilled to have Nicole Bradberry, a renowned healthcare expert and thought leader, as our guest. Nicole will share her invaluable insights into how Medicare Advantage (MA) evolved with the introduction of the Centers for Medicare & Medicaid Services (CMS), and the key differences between MA and Accountable Care Organizations (ACOs).In this episode, we discuss the origins of Medicare Advantage plans, how they have shaped the healthcare landscape, and their ongoing impact on patient care. Nicole also shares proven strategies to increase patient engagement rates and offers practical tips on how doctors can embrace value-based care.Whether you're a healthcare professional, policy enthusiast, or simply interested in understanding the future of healthcare, this video offers an informative and engaging look at the genesis of value-based care and its potential to revolutionize the industry. Don't forget to like, comment, and subscribe for more enlightening content!AboutNicole Bradberry is a highly accomplished healthcare executive with a proven track record of success in leading and transforming healthcare organizations. As a strategic visionary with over 20 years of experience, Nicole has garnered a reputation for her expertise in value-based care, population health management, and health information technology.Nicole holds a Bachelor of Science in Industrial Engineering from the University of Florida and an MBA from the University of North Florida. She began her career as a consultant with Accenture, where she honed her skills in the healthcare sector. Since then, Nicole has held several key leadership positions, including serving as the CEO of the Florida Association of ACOs, where she significantly impacted the development and implementation of accountable care organizations in the state.Nicole's commitment to value-based care and patient-centric healthcare has earned her numerous accolades and recognition as a thought leader in the industry. As a speaker and advocate for healthcare transformation, she is passionate about sharing her knowledge and experience to inspire others and drive meaningful change in the healthcare system.Learn more about Nicole Bradberry LinkedIn: https://www.linkedin.com/in/bradberry/Learn more about Previva Health Group:LinkedIn: https://www.linkedin.com/company/previva-health-group/Website: https://previva.com/

In rural communities, the transformation towards value-based care is an ongoing journey rather than a fixed destination. Rural healthcare faces unique challenges such as geographic barriers, limited resources, and reduced access to specialized care. The value journey in these communities involves adapting care models to meet the specific needs of rural populations. It requires innovative solutions to overcome barriers which can bridge the distance between patients and healthcare providers.  It represents a fundamental shift in healthcare delivery, focusing on improving patient outcomes, enhancing the patient experience, and controlling costs. Ultimately, this journey involves continuous adaptation, collaboration, and innovation that is fostered by a mission-driven culture to improve community health and wellbeing. One of this nation's leading examples of value-based rural health transformation is the Bassett Healthcare Network, and we are joined this week Leonard Lindenmuth, their Vice President of Strategy and Population Health.  Since 2014, he has been leading value-based care transformation throughout Central New York. In this episode you will learn about what it takes to lead a successful value journey through a cultural evolution that increasingly seeks innovation to improve rural health outcomes.  We discuss such topics as risk progression, the use of commercial ACOs as a learning laboratory in value-based care, population health playbook success that focuses on pharmacy optimization and interdisciplinary team-based care, deploying remote patient monitoring to rural populations, how workforce burnout is related to fee-for-service payment, and the importance of SDOH innovation to better serve vulnerable patients in underserved communities.   Episode Bookmarks 01:30 Introduction to Leonard Lindenmuth, DHA - Vice President, Strategy & Population Health, Bassett Healthcare Network 02:00 Bassett Accountable Care Partners, LLC – BHN's Accountable Care Organization founded in 2014 03:00 Support Race to  Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts. 05:30 How a data-enabled value-based care journey changed the culture of the health system. 05:45 “The value journey helped us understand much more about ourselves so we can better care for our rural communities. It has evolved our culture.” 06:00 A calculated progression to downside risk as a rural healthcare provider. 09:00 An increase in Medicare Advantage penetration in the marketplace and how that is impacting value-based care strategy. 10:00 Developing a co-branded regional MA product and the intention to take aggregated risk with a national MA plan. 12:00 Leveraging brand equity of the health system to develop a MA plan in the future. 12:30 Approaching MA risk-readiness of providers through coding education. 13:00 “MA Risk is clearly on the horizon.” 14:45 Leonard describes BHN's commercial value-based playbook strategy that includes focus on pharmacy spend. 15:30 The Ambulatory Intensive Pharmacotherapeutics (AIP) program to reduce pharmacy costs through lower medication-related adverse events, avoidable hospital admissions and ED visits. 16:00 How the AIP program reduced BHN's commercial spend on pharmacy through comprehensive medication management. 16:30 1% of the population drives 55% of specialty drug costs. 17:00 Risk progression in a two-sided risk arrangement with Excellus Health Plan (a local Blue Cross affiliate). 18:00 What being in a Commercial ACO has taught BHN about value-based care transformation. 18:30 How a rural health system balances the “two canoes” – volume vs. value. 19:00 “We have to get to a point where value drives the equation, but it is not an overnight transformation.” 19:30 How a healthcare organization performs better – both financially and clinically – under a fully-capitated environment. 21:30 An alarming divergence of health outcomes and life expectancy between urban and...

Dr. John Neil is the Executive Vice President and Chief Physician Executive and Network Strategy Officer for HonorHealth in Scottsdale, Arizona. Dr. Neil drives physician engagement throughout HonorHealth, working to ensure that physicians have input and involvement in the decision-making processes of the healthcare system. His work with clinical teams focuses on strategic initiatives, operations, clinical services and the continuum of patient care.An interventional radiologist by clinical training, he joined HonorHealth as the organization's senior physician leader in 2015 and has since held leadership roles with the organization's medical staff, Scottsdale Health Partners, and the HonorHealth Board of Directors. His professional experience includes serving as the chairman of Southwest Medical Imaging, a large radiology practice that has been active in ambulatory development, practice mergers and joint ventures.Dr. Neil holds a bachelor's degree in biochemistry from the University of Kansas and graduated with honors from Washington University School of Medicine. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group. He is leading ongoing, in-depth research initiatives on integrated health systems, accountable care organizations, and value-based care models. He is a faculty associate in the W.P. Carey School of Business and the graduate College of Health Solutions at Arizona State University.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin's client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Can the doctor taking care of you in the hospital be trusted? In this episode of "Health Care News," Twila Brase, R.N., a leading voice on patient advocacy and privacy, explains how hospitals are employing "hospitalists" who are more accountable to the hospital corporation than to patients. While physicians cannot mistreat patients or neglect their care due to liability and licensing concerns, those employed by hospitals may have to follow standardized treatment protocols that may not be tailored to individual patients. Minnesota is considering a bipartisan "Trusted Doctor" bill, the first of its kind in the country, that allows patients to choose a trusted physician to treat them, regardless of whether the physician has hospital privileges. This issue arose during the pandemic when family physicians were prevented from treating hospitalized COVID-19 patients with drugs like Ivermectin, as hospitals followed other protocols. Outside physicians were even banned from treating their patients in hospitals from New York to Florida. Brase discusses when the trend that led to hospitalists really took off, which was during the introduction of the Accountable Care Organizations under Obamacare. Hospitals could receive revenue based on the ACA's "shared savings programs," and so physicians were pressured to be more accountable to their hospital employers. Additionally, Brase highlights the continued work on HIPAA, the often-misunderstood privacy protection provision in healthcare.

This time on Code WACK!  What's the latest threat to original Medicare? What could happen if we link health outcomes to physician compensation? How is it that a whole new program affecting millions of Americans on original Medicare can be rolled out without congressional oversight?    To find out, we spoke to the new president of Physicians for a National Health Program (PNHP), Dr. Philip Verhoef, an adult and pediatric intensivist and Clinical Associate Professor of Medicine at the John A. Burns School of Medicine at the University of Hawaii-Manoa.   Learn more about the new program called ACO REACH, and the issues it raises around physician compensation. Could ACO REACH threaten the trust between patients and their doctors?    Check out the Show Notes  and Transcript for helpful links and more!  

Dr. Merahn is a breath of fresh air! He knows value-based care because he's helped build some of the first Accountable Care Organization's ... and he gets ABA as both a pediatrician and as a visionary for what our future field will look like. He's the kind of guest I love: bold, strongly opinionated about clinical quality, and with the experience to back it up. Enjoy, kind listener!Resources:Dr. Steven Merahn online:https://merahn.com/Steven's artwork! https://www.merahn.net/Lucile Packard Foundation National Standards for Systems of Care for Children and Youth with Special Health Care Needs : https://www.lpfch.org/publication/standards-systems-care-children-and-youth-special-health-care-need...Building Better Businesses in ABA is edited and produced by KJ Herodirt Productions Intro/outro Music Credit: song "Tailor Made" by Yari and bensound.com Give us a rating at Apple Music, Spotify or your favorite podcast channel: Apple: https://podcasts.apple.com/za/podcast/building-better-businesses-in-aba/id1603909082 Spotify: https://open.spotify.com/show/0H5LzHYPKq5Qnmsue9HTwn Check out Element RCM to learn more about billing & insurance support for Applied Behavior Analysis providers Web: https://elementrcm.ai/ LinkedIn: https://www.linkedin.com/company/element-rcm Instagram: https://www.instagram.com/elementrcm/ Follow the Pod: Web: https://elementrcm.ai/building-better-businesses-in-aba/ LinkedIn: https://www.instagram.com/buildingbetterbusinessesaba/ Instagram: https://www.instagram.com/buildingbetterbusinessesa...

Healthcare costs are a constant concern for payers, and the CMS is no exception. Quality care mitigates excessive costs, and the Merit-based Incentive Payment System (MIPS) is a CMS initiative designed to increase preventive care efforts by rewarding top performance. By carrying out the prescribed care quality criteria with excellence, providers can earn a bonus payment – falling short of scoring thresholds results in a penalty. But this program is not static, as the CMS will update the program's parameters periodically. Coming changes to MIPS scoring are published at the end of each calendar year in what is called the “final rule.” Another area where the CMS is discretionary is the Extreme and Uncontrollable Circumstances (EUC) hardship provision for impacts related to COVID-19. The final rule is extremely long with a tremendous amount of information to comb through. Want to cut to the chase and hear the most significant changes? We've got you covered. In this episode, hosted by Rebekah Duke, our MIPS Quality Expert Missi Thomas shares the final rule updates every MIPS participant should be aware of, plus more information about the EUC hardship exemption that has been granted for one more year. This podcast is for MIPS participants and those who are considering it in the future. But what is also relevant to such providers is the Accountable Care Organization (ACO). Medical Advantage now offers an ACO to support value-based care providers, including help with the downside risk associated with MIPS. Email us at info@medicaladvantage.com for more information. Thank you for listening to the Medical Advantage Podcast, where each we take time each episode to discuss the ideas and technologies changing healthcare, and the best practices your organization can take to stay productive and profitable. Subscribe wherever you get your podcasts to ensure you never miss an episode.

#97: Physician and entrepreneur, Jordan Shlain MD, joins Chris to discuss optimizing your health. They cover the pillars of longevity, how things like sleep, diet, and exercise affect your overall health, finding a new physician, what types of diagnostic tests to consider and more.Jordan Shlain MD (@drjordanshlain) is a primary care physician and the founder of Private Medical, a concierge medical practice focused on proactive prevention. He's also the Founder of Eat REAL, a non-profit organization aimed at helping school systems improve the quality of their school lunch programs and was previously the founder of HealthLoop, a platform to monitor and communicate with patients during the recovery process.Full show notes at: https://allthehacks.com/optimizing-health-jordan-shlain Partner Deals Inside Tracker: 20% off personalized wellness & nutrition plans backed by scienceMasterClass: Learn from the world's best and buy one get one freeAthletic Greens: Free 1 year supply of Vitamin D and 5 free travel packsRocket Money: Easily cancel your unused subscriptions Selected Links From The EpisodeDr. Jordan Shlain: LinkedIn | Podcast | TwitterResources Mentioned:Inside Medicine Podcast: Unpacking Longevity: The Science of Feeling Young to Age 95Eat REALMembership-Based Medicine: Private Medical | One Medical | MDVIP | ROAMD | Forward | Parsley HealthValue-Based Primary Care Service: VillageMDMedical Testing: Quest Diagnostics | Ulta Lab Tests | InsideTracker | Invitae | OneOme | GRAIL | SomaLogic | Owlstone MedicalMonitoring: Levels | OuraReport: U.S. Concierge Medicine MarketProduct: MI Paste Full Show NotesIntroduction to Dr. Jordan Shlain (00:00)The current state of the US healthcare system (01:09)Affordable Care Act and Accountable Care Organization (04:52)Taking a proactive approach to keeping yourself informed and optimized (09:25)Testing (10:26)MRI and MRA (11:34)Who are you? Baseline tests and panels to run to learn the state of your health (13:13)Information about inflammageing (14:08)Cancer test: Grail (15:06)Understanding your blood pressure (15:39)Tests for those who have a family history of heart disease or high cholesterol (16:13)Inside Tracker (17:29)Other testing companies available to consumers (17:58)Looking through the lens of safety and efficacy (20:47)Unpacking longevity (24:45)Hydration (26:26)Alcohol (28:27)Sleep, cortisol levels, and the glymphatic system (29:07)Diet (30:47)Exercise (32:40)Supplements, IV drips (33:25)Sugar and Dr. Shlain's Eat Real non-profit organization (33:56)Connecting sugar intake with fiber (36:17)Consuming sweets in moderation across time (38:28)Glucose monitoring (39:34)Dr. Shlain's take on supplements (41:17)Combatting dental issues with toothpaste (44:21)The How Are You framework (45:42)What is your trajectory? (48:12)High Cholesterol (53:31)Interpreting data and finding the right doctor (55:44)The importance of building long-term relationships with healthcare providers (60:00)Question to ask when interviewing a potential new physician (1:01:40)The rise of membership-based medicine (1:02:24)Investing in your health (1:03:30)Where to find Dr. Shlain (1:12:17) PartnersInsideTrackerInsideTracker provides a personalized plan to improve your metabolism, reduce stress, improve sleep, and optimize your health for the long haul. It's created by leading scientists in aging, genetics, and biometrics. They analyze your blood, DNA, and fitness tracking data to identify where you're optimized—and where you're not. With InsideTracker you'll get a daily Action Plan with personalized guidance on the right exercise, nutrition, and supplementation for your body.For a limited time, you can get 20% off at allthehacks.com/insidetracker Rocket MoneyRocket Money is the new app that helps you identify and stop paying for subscriptions you don't need, want, or simply forgot about. You can see all your unwanted subscriptions in one place, keep the ones you want and cancel the ones you don't – right from the app. Your Rocket Money concierge is there to cancel your subscriptions, so you don't have to. No talking to humans. No difficult conversations.Join over 2 million users who've used Rocket Money to save over $100 million and start canceling your unused subscriptions today, by going to allthehacks.com/rocketmoney Athletic GreensAthletic Greens is a foundational nutrition drink designed to remove the friction from covering the daily nutritional needs of a modern diet. It combines more than 9 essential nutrition products into one convenient and great-tasting drink, giving you an easy and efficient way to get your daily multivitamin, multimineral, probiotic, prebiotic, functional greens blend, immune support complex and more. It contains no GMOs, no harmful ingredients and no artificial colors or sweeteners.Right now, Athletic Greens is going to give you a free 1 year supply of immune-supporting Vitamin D and 5  free travel packs with your first purchase at allthehacks.com/athleticgreens MasterClassWith MasterClass, you can learn from the world's best minds - anytime, anywhere, and at your own pace. With over 100 classes from a range of world-class instructors like Steph Curry, Richard Branson and Martin Scorsese, that thing you've always wanted to do is way closer than you think. When I signed up a few years ago, I jumped straight into an amazing cooking class by Thomas Keller that has totally leveled up my skills in the kitchen. I also really enjoyed FBI Hostage Negotiator, Chris Voss' class on the art of negotiation.With every class I've taken I'm blown away by the depth of knowledge the instructors have and the quality of the experience. I highly recommend you check it out. Get unlimited access to every MasterClass and 15% off an annual membership at allthehacks.com/masterclass Connect with All the HacksAll the Hacks: Newsletter | Website | Facebook | EmailChris Hutchins: Twitter | Instagram | Website | LinkedIn

In this episode of the MGMA Week in Review podcast, we review the year that was, taking a look at legislation, patient access, and healthcare technology. Source: Further Down the Road to Recovery: The 2022 MGMA Stat Year in Review and 2023 Predictions: https://mgma.com/practice-resources/human-resources/further-down-the-road-to-recovery-the-2022-mgma-st?utm_source=email&utm_medium=marketo&utm_campaign=con-gen-dec-2022-newsletter1108-12-27?utm_source=email&utm_medium=marketo&utm_campaign=con-gen-dec-2022-newsletter1108-12-27&mkt_tok=MTQ0LUFNSi02MzkAAAGI8zADs-A4-VrQdEG-54ps1BWhemc-VTSArTFszgRDt7EABXqtJxzAF8cSgasi48bKXKlcOnVYb08M_fogWwsYsVkKaSpqaxMDVCt6MqIfJA Educational opportunity: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs. Go tohttps://mgma.com/certification/acmpe-…mative-healthcare-(1) to access this certificate program on demand so you can gain valuable insights and earn the THDC certificate! Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

In this episode of the MGMA Week in Review podcast, we feature articles on how to ask for help at work, an HRSA update, and keys to reducing physician stress. Sources: How to ask for help at work: https://hbr.org/2022/12/how-to-get-better-at-asking-for-help-at-work?utm_medium=email&utm_source=newsletter_daily&utm_campaign=dailyalert_notactsubs&deliveryName=DM239166 HRSA Decision Review: https://www.hrsa.gov/provider-relief/compliance/decision-review?mkt_tok=MTQ0LUFNSi02MzkAAAGI2OfzS9xKISyd9H3ry-ESJ2RTUGy12VOaT_jBhp181-SEw317xYjA6l1gVe_Dnc6sGiTSWd7gufJgkMS9_QybY-rF9drdnH43vxtQ5d1ekg HRSA Auditing Information -- https://www.hrsa.gov/provider-relief/reporting-auditing?mkt_tok=MTQ0LUFNSi02MzkAAAGI2OfzS4QGKcfwyIwhLSvtsIv5QKAjs2JSr32WYLbYxu5FSnCez9i12o3ZSlkB6wjDZUMN6ZBBERtjqzAg7CsSLadMwe0QvzTbJuJ9ZnxiBg Reducing physician burnout: https://www.ama-assn.org/about/leadership/reducing-physician-burnout-must-be-urgent-national-priority?utm_source=email&utm_medium=marketo&utm_campaign=con-gen-dec-2022-newsletter1108-12-20?utm_source=email&utm_medium=marketo&utm_campaign=con-gen-dec-2022-newsletter1108-12-20&mkt_tok=MTQ0LUFNSi02MzkAAAGIzyPrixgNSekUl2xZSFZgw4_PYPZKg9sGJ9EqMwwiMu0MX1it69lgzUgw60mKPDv1CMvujpU6e2v5-A0yOLBOtg576u1vjO2sHk_k7I1ngw Educational opportunity: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs. Go tohttps://mgma.com/certification/acmpe-…mative-healthcare-(1) to access this certificate program on demand so you can gain valuable insights and earn the THDC certificate! Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

As you know, burnout, stress and other mental health-related issues are at all-time highs for healthcare professionals. According to a recent MGMA Stat poll, 80% of healthcare leaders said their level of stress or burnout had increased in 2022. Because of this stress-related epidemic, MGMA is offering a new podcast series, Mindful Medicine, where each episode we will talk with experts in the fields of psychology, neurology, leadership and mindfulness to help explain workplace stress and provide tools and resources to combat it. Our guests for this episode are: Mo Edjlali, CEO and founder of Mindful Leader (https://www.mindfulleader.org/about). Mo has a background in the tech space and in project management. He's also a serial entrepreneur who has worked for or partnered with several leading organizations including Accenture, FICO, and NASA. In 2013 he founded Mindful Leader where he currently serves as CEO. According to the company's mission, Mo and his team had identified that “The current work environment and leadership methods of a majority of organizations are leading to record levels of workplace loneliness, depression, anxiety, and burnout. In a world with increasing complexity, volatility, uncertainty, and record change, things are only getting more difficult. Mindful Leader is examining what good leadership is, what a healthy workplace culture looks like, and ultimately making work a place for growth and flourishing. Dr. Jeff Comer, PhD, MHA, FACHE (https://drjeffcomer.com/), who has spent more than 20 years as an interim and permanent acute and behavioral hospital CEO. The hospitals have ranged from rural critical access hospitals to large urban facilities and have included non-profit, for-profit and government-owned models. Education Opportunity: THDC Certificate Program: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs, including MIPS and APMs. Go to https://www.mgma.com/practice-resources/products/certificate-program-transformative-healthcare-(1) to access this certificate program on demand. Sponsor: Zoll Data Systems: The ZOLL A.R. Boost solution suite increases revenue from payers and patients in compliance with the No Surprises Act while reducing front-end workload and freeing up staff for higher-value activities. Visit www.zolldata.com/arboost to learn how you can ensure no payments are left on the table. Contact Information: If you would like additional tools and resources related to workplace stress management email us at podcasts@mgma.com. Thank you again for taking time to listen to MGMA's Mindful Medicine. Have a good day!

Have you felt like there has been something missing in your practice? I think it might be insurance. I'm a HUGE fan of being an insurance provider and I know it can be beyond confusing and scary. Y'all have asked so many times for this show and I am excited to welcome our guest! In today's session, I chat with Ingrid Knight about insurance and if being an insurance provider is right for you, how to start, and most importantly, what to do with denials! ABOUT INGRID KNIGHT Our mission at Ingrid Knight, RD & Associates, Inc. is to improve lives through behavioral and educational therapy provided by the experts in nutrition and health. Ingrid Knight is an expert in nutrition counseling as well as insurance reimbursement. She served on the Academy of Nutrition and Dietetics' Nutrition Services Payment Committee, which advocates for expanded coverage and payment for Registered Dietitian Nutritionists. Her knowledge base includes Accountable Care Organizations (ACO), Patient-Centered Medical Homes (PCMH), the Affordable Care Act (ACA), and future healthcare changes as it relates to Registered Dietitian Nutritionists. She is available for individual and group nutrition counseling and serves as a speaker on the local and national levels. TOPICS DISCUSSED IN THIS EPISODE: Systems and people - the tools you need to be successful at insurance Hiring and your admin team Your target market will dictate if you should accept insurance Do you know the popular insurance in your area? Denials are not that big of a deal - when your systems set up Medicaid is state-based and you need to look into for your state Take action this week - end of the year what can you do to nurture referral sources and community MORE FROM INGRID KNIGHT Website Nutrition Practice Network Facebook Instagram NOURISH Interested in Joining Nourish? Learn more HERE and make sure you mention you heard it on the show! MORE FROM ADRIEN Marketing Wednesdays Action Steps Driven Goal Planner What is my Next Step as a Practitioner - Take the Quiz Foundations of Private Practice Building Your Dream Practice Apply for Business Coaching Resources for Your Practice Schedule Your FREE 15 Min Fearless Steps Call Connect with Adrien on Instagram and Facebook Private Practice Paperwork Templates Subscribe & Review on iTunes Click here to subscribe to iTunes! Subscribe to Fearless Practitioners! Be sure you are subscribed to this podcast to automatically receive your episodes!!! Go to Programs and see what you need to become a Fearless Practitioner TODAY!! Connect with me on your fav social platform: * Instagram: https://www.instagram.com/adrienpaczosa/ * Facebook: https://www.facebook.com/adrien.paczosa/ * YouTube: https://www.youtube.com/user/Apaczosa Hey! Send me a message and tell me what you think about the show! Use the Hashtag #FearlessPractitioner so I know you're a friend! XOXO Adrien Sign up for my weekly newsletter and you'll get FREE tips on how to live a ridiculously amazing fun-filled life! Get episode show notes here: https://fearlesspractitioners.com/fearless-podcast/

In this episode of the MGMA Week in Review podcast, we feature articles on medical practice resolutions, the final days before the Medicare update, and patient hostility toward physicians and clinicians. Sources: Medical Practice Resolutions: https://www.mgma.com/data/data-stories/what's-your-2023-resolution-for-improving-patient Contact Congress Portal -- mgma.com/advocacy/get-involve…Uq8aMonwZec5-etCoA#/ MGMA Letter to Congress -- mgma.com/news-insights/press/…zd6CkDovpOsn4Uibqlqw Hostility Toward Physicians in Patient Messages: https://healthexec.com/topics/health-it/medical-records/ehr-review-burnout-hostility-physicians-messages?mkt_tok=MTQ0LUFNSi02MzkAAAGIqyV-t9JtKVVWYS20ZliMcHyIyn4HjjqthF0s3mOO8BItWtifDb3bFY39bmp1sYXSL0bDaggzV5O30-Mw2JPaDsvOtbRQ4lyeCmGYIQGE3A Educational opportunity: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs. Go tohttps://mgma.com/certification/acmpe-certificates/certificate-programs/certificate-program-transformative-healthcare-(1) to access this certificate program on demand so you can gain valuable insights and earn the THDC certificate! Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

In this episode of the MGMA Week in Review podcast, we feature articles on collecting patient A/R, more updates on Medicare, and bots and burnout. Sources in this episode: Collecting Patient A/R: https://www.mgma.com/data/data-stories/a-structured-approach-to-collecting-patient-a-r Contact Congress Portal -- mgma.com/advocacy/get-involve…Uq8aMonwZec5-etCoA#/ MGMA Letter to Congress -- mgma.com/news-insights/press/…zd6CkDovpOsn4Uibqlqw Bots and Burnout: https://www.fiercehealthcare.com/ai-and-machine-learning/how-ai-decreasing-burnout-allowing-health-professionals-work-top-their The Medicare Outlook Webinar: mgma.com/events/2023-medicare…ZwG5szFJTsD6xOjg5Ekw Educational opportunity: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs. Go to https://mgma.com/certification/acmpe-certificates/certificate-programs/certificate-program-transformative-healthcare-deli to sign up for this certificate program on demand so you can gain valuable insights and earn the THDC certificate! Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

In this episode of the MGMA Week in Review podcast, we feature articles on the great resignation and healthcare, more letters to Congress, and a Medicare outlook webinar Sources in this episode: Contact Congress Portal -- mgma.com/advocacy/get-involve…Uq8aMonwZec5-etCoA#/ MGMA Letter to Congress -- mgma.com/news-insights/press/…zd6CkDovpOsn4Uibqlqw The Great Resignation and Healthcare: https://www.mgma.com/data/data-stories/the-great-resignation-and-healthcare-executives-wh The Medicare Outlook Webinar: https://mgma.com/events/2023-medicare-outlook?utm_source=email&utm_medium=marketo&utm_campaign=gov-washingtonconnection-dec-2022-newsletter1201&mkt_tok=MTQ0LUFNSi02MzkAAAGIbMI6IvZhveEEKbPBh4aqPM4cEsKbQIeHa_cmuEiBLXsyLglR9gWpCMRweavsOsF9SrmIYXq9zA5MQ6mEu3-iBhZwG5szFJTsD6xOjg5Ekw Educational opportunity: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs. Go to mgma.com/event to attend this certificate program December 6-7 to gain valuable insights and earn the THDC certificate! Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

Our guest today is Deb Wiggs, FACMPE. Deb has dedicated her career to improving medical practices and the care patients receive and is the 2022 MGMA Lifetime Achievement Award winner. Deb is a former board chair of MGMA and was once the interim CEO of the organization, but her lasting impact on the industry may be her steadfast commitment to mentoring other healthcare leaders. Sponsor: This episode is brought to you by the MGMA Emerald Card* (https://about.mgma.cards/), the premier card built specifically for medical practice owners. With 1.5% cashback, paid MGMA dues bonus, no impact on personal credit, and vendor rebates, it's tailor-made to medical practices. So what are you waiting for? Go to about.mgma.cards/ to get started today. *Conditions apply. Subject to approval. Mercantile Financial Technologies, Inc. is a financial technology company, not a bank. The MGMA Credit Cards are issued by Hatch Bank pursuant to a license from Mastercard. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Review the cardholder agreement at https://about.mgma.cards/terms. Education Opportunity: THDC Certificate Program: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs, including MIPS and APMs. Go to www.mgma.com/events to attend this certificate program December 6-7 to gain valuable insights into these new healthcare models. Contact Information: If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's Insights podcast. If you have opportunities you'd like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.

In this episode of the MGMA Week in Review podcast, we look at articles on Medicare, scheduling troubles, and physician burnout. Sources in this episode: Physician Burnout -- https://www.medicaleconomics.com/view/covid-19-pandemic-intensified-burnout-in-primary-care-physicians-around-the-world Scheduing Troubles -- troubles-force-61-of-patients-to-skip-medical-care/?utm_source=email&utm_medium=marketo&utm_campaign=con-gen-nov-2022-newsletter1108-11-22&mkt_tok=MTQ0LUFNSi02MzkAAAGIPv80Cfqtr8txMz0uv2taCvChXPLtYe- Medicare Analysis: https://mgma.com/practice-resources/government-programs/analysis-final-2023-medicare-physician-payment-and?utm_source=email&utm_medium=marketo&utm_campaign=gov-washingtonconnection-nov-2022-regalert1122&mkt_tok=MTQ0LUFNSi02MzkAAAGIQD9JkvuOQ2RoECS5-w2VfaQQZq86McnmG7mntgXvo6WwFrN7OhRSJ5p50gvkRNogG7NNECDyK5RQIZNvQ_m71OoMW24Txlsmu92e7YoKiw Medicare Webinar: https://www.mgma.com/events/2023-medicare-outlook?utm_source=email&utm_medium=marketo&utm_campaign=gov-washingtonconnection-nov-2022-regalert1122&mkt_tok=MTQ0LUFNSi02MzkAAAGIQD9JkrP7V7x6UP1wf24Po8pCMOHnOL7dByLTvb6p6ihug7TEMbcFr4UJknePhVyhD6doqncPw7ttvKhQIP8xlWkL7wp8XXxMXIo3Pg00zw Educational opportunity: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs. Go to mgma.com/event to attend this certificate program December 6-7 to gain valuable insights and earn the THDC certificate! Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

Our guest today is Sam Poirier, CEO at Mercantile Financial, the industry-specific credit card platform designed to meet the unique needs of small businesses. Sources: MGMA Emerald Card: https://about.mgma.cards/ Sam Poirier LinkedIn: https://www.linkedin.com/in/samuelpoirier/ Mercantile: https://www.getmercantile.com/about Mercantile Industry News: https://www.prweb.com/releases/2022/10/prweb18949642.htm Education Opportunity: THDC Certificate Program: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs, including MIPS and APMs. Go to www.mgma.com/events to attend this certificate program December 6-7 to gain valuable insights into these new healthcare models. Sponsors: This episode is brought to you by the MGMA business credit card (https://about.mgma.cards/). With 1.5% cashback, paid MGMA dues bonus, no impact on personal credit, and vendor rebates, it's tailor-made to medical practices. So what are you waiting for? Go to https://about.mgma.cards/ to get started today. Contact Information: If you would like additional tools and resources related to workplace stress management email us at podcasts@mgma.com. Thank you again for taking the time to listen to MGMA's Business Solutions. If you have opportunities you'd like to share, go to https://www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.

In this episode of the MGMA Week in Review podcast, we feature articles on practice productivity, a letter to Congress, and doctors and telehealth. Sources in this episode: Contact Congress Portal -- https://mgma.com/advocacy/get-involved/contact-congress?mkt_tok=MTQ0LUFNSi02MzkAAAGIJKhuOEUGbRiKZ86fKx1Kxu7ldDx5637rWZ9rWmcLLDTYCrRcFAJQDHMwSnZ3-0zNpcLl6X-0rB5Udb0BIsogK7BCUq8aMonwZec5-etCoA#/ MGMA Letter to Congress -- https://mgma.com/news-insights/press/november-14,-2022-mgma-legislative-recommendations?utm_source=email&utm_medium=marketo&utm_campaign=gov-washingtonconnection-nov-2022-newsletter1117&mkt_tok=MTQ0LUFNSi02MzkAAAGIJKhuOCfrKv4nOkZRQrRvj16IRwBMlymqkyrP26tVcZwusn6kt9TLIPMSQ8eem2rkRA4kgvymbKeeh0Q4nesSdAzd6CkDovpOsn4Uibqlqw Doctors and Telehealth: https://www.ama-assn.org/practice-management/digital/4-must-haves-doctors-stick-telehealth?utm_source=email&utm_medium=marketo&utm_campaign=con-gen-nov-2022-newsletter1108-11-15&mkt_tok=MTQ0LUFNSi02MzkAAAGIGvLGPX9r47x5jKcwuZEA3z9BE-djAHn-PZPCzrcF9o4NQM9HHBUDeIR1ao1lhp8khnuFVsN1ezs4bMqYLfMupQZyQZFvrQpg_GqWvj08ug Educational opportunity: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs. Go to mgma.com/event to attend this certificate program December 6-7 to gain valuable insights and earn the THDC certificate! Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

As you know, burnout, stress and other mental health-related issues are at all-time highs for healthcare professionals. According to a recent MGMA Stat poll, 80% of healthcare leaders said their level of stress or burnout had increased in 2022. Because of this stress-related epidemic, MGMA is offering a new podcast series, Mindful Medicine, where each episode we will talk with experts in the fields of psychology, neurology, leadership and mindfulness to help explain workplace stress and provide tools and resources to combat it. Our guest, for this initial episode, is Dr. Jeff Comer, PhD, MHA, FACHE, who has spent more than 20 years as an interim and permanent acute and behavioral hospital CEO. The hospitals have ranged from rural critical access hospitals to large urban facilities and have included non-profit, for-profit and government-owned models. On the podcast, Dr. Comer discusses strategies for "Beating Burnout for More Effective Leadership." He also talks about the positive impact of kindness in the workplace. Education Opportunity: THDC Certificate Program: The Transformative Healthcare Delivery Certificate Program is an in-depth online learning experience that provides healthcare leaders with a mastery of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Commercial Value-Based Care Programs and CMS' Value-Based Care Programs, including MIPS and APMs. Go to www.mgma.com/events to attend this certificate program December 6-7 to gain valuable insights into these new healthcare models. Sponsors: Zoll Data Systems: The ZOLL A.R. Boost solution suite increases revenue from payers and patients in compliance with the No Surprises Act while reducing front-end workload and freeing up staff for higher-value activities. Visit www.zolldata.com/arboost to learn how you can ensure no payments are left on the table. Contact Information: If you would like additional tools and resources related to workplace stress management email us at podcasts@mgma.com. Thank you again for taking time to listen to MGMA's Mindful Medicine. Have a good day!

In his role as Strive Health's Vice President of Strategy & Development, Jackson Brasher draws on more than 15 years of experience to lead Strive Health's system team in their company mission to transform kidney care.Before joining the leadership team at Strive, Jackson held corporate strategy and business development roles at The Advisory Board Company, Trilliant Health, and Cardinal Health –  working with hospitals, health systems, and provider practices across the country on various innovation and growth initiatives. Jackson holds a B.A. from the University of Virginia and an M.B.A. from Duke. A Nashville native, Jackson enjoys spending time with his wife, daughter and the family's playful black lab. Outside of the office, he can be found on the lake, at a concert, or planning his next big trip. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group. He is leading ongoing, in-depth research initiatives on integrated health systems, accountable care organizations, and value-based care models. He is a faculty associate in the W.P. Carey School of Business and the graduate College of Health Solutions at Arizona State University.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow. About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin's client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Do not sign-up for Medicare Advantage! We don't care what Joe Namath tells you. That's the message of healthcare expert, Kip Sullivan, who returns to remind us why Medicare Advantage is simply a further for-profit corporate takeover of Medicare. Plus, we rifle through the mailbag where Ralph answers your questions and comments on your feedback about past programs.Kip Sullivan is a Health Care Advisor with Health Care for All Minnesota, and has written several hundred articles on health policy. He is an active member of Physicians for a National Health Program, which advocates for universal, comprehensive single-payer national health insurance.With the original Medicare you know what you're buying. The two parts of this scam that we're talking about is United Healthcare puts out this brochure making it sound like because they're so efficient that they can offer these extra services. It's not true. They're overpaid. We're wasting money on them. And the other piece of the scam is when you get sick you may very well not get the coverage that is described in the policy.Kip SullivanYou can't overstate the enthusiasm with which the Biden administration is promoting the takeover of Medicare by both Medicare Advantage plans and this new breed of parasite called the Accountable Care Organization, or ACO.Kip SullivanThere are multiple reasons to oppose the takeover of Medicare by these corporations. But the Democrats ought to be thinking about their own political future and looking ahead to this so-called crisis in 2028.Kip SullivanWe're underinvesting in the consequences of global warming— the climate disruption, droughts, gigantic wildfires, floods, surges from the sea, hurricanes. But we're overinvesting in blowing up countries overseas that do not threaten us… This is a sign of the collective insanity of the corporate state.Ralph NaderThis article by Diane Archer would be very useful for any listeners just turning 65 and trying to figure out whether to enroll in MA or stay in traditional Medicare:Four things to think about when choosing a plan to fill gaps in Medicare, a “Medigap” or Medicare supplemental insurance plan This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit ralphnader.substack.com

Paul Hiltz is President and CEO of NCH Healthcare System in Naples, Florida. With over 30 years of experience innovating and improving organizations, Paul is committed to maintaining high standards in clinical quality and patient satisfaction. Prior to joining NCH in 2019, Paul served as the President and CEO of Mercy Medical Center, where he was responsible for implementing and heading Mercy Health's Accountable Care Organization, Mercy Health Select, one of the top ACO's in the United States. Hiltz is an accomplished strategist who can translate vision and policy into action. With his vast experience in working with communities, hospital boards, and healthcare systems across America, Paul Hiltz leads NCH into the future of healthcare as a top-tier medical institution, not only in Southwest Florida but across the country, as well.   Paul joins the show today to talk about the work he's accomplished at NCH. He explains how he uses vulnerability in his leadership and asks the leadership team for advice when he is trying to problem solve. In addition, Paul walks us through how the NCH handled Covid 19 and the new protocols they put in place. Perhaps the most impressive feat Paul has accomplished at his time at NCH is cutting down the time on “door to balloon” treatments, which you'll hear about in the episode.   "Burnout comes because people don't feel like they've been heard" -Paul Hiltz   "At every level of the organization I try to be very transparent about goals and I encourage people to give me their opinions and suggestions, that creates a strong team." -Paul Hiltz   “Healthcare is a team sport, we can do very little things on our own. We need community partners.” -Paul Hiltz   This Week on The Wow Factor: Paul's simple idea of gratitude Paul's drive to take the hospital to the highest level The hospitals culture of volunteers Pau's willingness to ask for help The collaboration between NCH and the community Cutting down on their “door to balloon” time NCH's goal of raising over 200 million dollars to build a state of the art heart facility   Paul Hiltz's Words of Wisdom: The importance of practicing gratitude and service in your workplace.   Connect with Paul Hiltz: Paul Hiltz on LinkedIn NCH Healthcare System NCH Florida Facebook NCH Florida YouTube NCH Florida Twitter   Connect with The WOW Factor: The WOW Factor Website Connect with Brad Formsma via email Brad Formsma on LinkedIn Brad Formsma on Instagram Brad Formsma on Facebook Brad Formsma on Twitter