Podcasts about apms

Neste episódio do Product Guru's, Paulo Chiodi recebe Joaquim Torres, o Joca, para discutir uma das dúvidas mais persistentes do universo de produtos: afinal, qual é a real diferença entre Product Owner (PO) e Product Manager (PM)? Com base em experiências práticas, postagens virais no LinkedIn e séries de artigos, Joka desmistifica a origem de ambos os papéis, contextualiza a confusão gerada por metodologias ágeis como o Scrum, e revela como nomenclaturas erradas podem impactar até salários e estrutura organizacional.Além disso, a conversa avança para a estrutura de carreira em produtos, falando sobre APM, GPM e o papel estratégico do PM. Joca também comenta sobre a importância de ter clareza nos papéis e responsabilidades, como isso afeta empresas grandes e a transição de profissionais de outras áreas para produto.O episódio fecha com dicas valiosas para quem está entrando na área ou quer ajudar seu RH a entender melhor a diferença entre cargo e disciplina na gestão de produtos./// Conteúdos completares:Vídeo POvsPM: 3 perspectivas: https://youtu.be/EfcmyA-c3s8?si=VBhxsQ4TVleuO8O7Post do Joca que viralizou: http://bit.ly/3ETH17QLivro do Joca: https://amzn.to/4m1NRJ8/// Viva a nova era de produtos digitais com a PM3. PM, chegou a hora de criar e delegar com mais inteligência! A PM3 vai realizar uma Masterclass exclusiva: ‘'O Roadmap da NOVA ERA de Produtos'' Lá, eles vão falar sobre o que PMs podem delegar com IA, quais ferramentas já estão moldando o mercado, e por que dominar essa habilidade é essencial para quem quer crescer na carreira. O evento é online, gratuito e acontece no dia 13/05.Acesse o link e faça a sua inscrição: https://go.pm3.com.br/Podcast-PG-NovaEra/// Onde encontrar os convidados:Joca Torres | Founder & Principal Consultant @ Gyaco:https://www.linkedin.com/in/jocatorres/// Nesse episódio abordamos:• PO é um papel do Scrum; PM é uma função de carreira.• Usar PO e PM como sinônimos pode achatar salários e gerar confusão organizacional.• GPM é o primeiro passo da liderança em produto em empresas maduras.• APM deve ter escopo pequeno, mas responsabilidade real e não ser "assistente de PM".• Cargos precisam de clareza de papéis e responsabilidades, isso evita disfunções.• RH muitas vezes força nomenclaturas incorretas por limitações em seus sistemas.• PM é responsável por entregar valor tanto para o cliente quanto para o negócio.• Certificações como CSPO não garantem experiência prática nem conhecimento profundo.• Produto é disciplina, não apenas um cargo; qualquer área pode praticar.• Muitas pessoas já praticam gestão de produto sem saber, é preciso traduzir experiências anteriores./// Capítulos00:00 Abertura02:14 Por que ainda falamos sobre PO vs PM03:00 A confusão entre os papéis e a viralização no LinkedIn06:30 A visão de PO e PM em startups vs empresas grandes07:05 A origem dos papéis e a evolução histórica11:03 Construindo a carreira: de BA a PM13:00 APM, PM e a estrutura ideal de crescimento16:40 Nomenclatura e impacto no RH21:37 O debate vai migrar para cargos de liderança?26:00 O papel real de um GPM29:42 Estrutura de produtos ideal: APMs, PMs e GPMs32:57 APM deve ter squad própria?35:53 A importância da clareza de papéis nas empresas39:50 Separação entre produto de negócio e produto digital44:51 Qual o papel real de um PM?48:37 Migração de outras áreas para produto50:45 Gestão de produto como disciplina, não só cargo53:09 Encerramento/// Onde encontrar a Product Guru's:WhatsApp: https://whatsapp.com/channel/0029Va7uwHS5fM5U0LIatu3XX (antigo Twitter): ⁠https://twitter.com/product_gurus⁠LinkedIn: ⁠https://www.linkedin.com/company/product-guru-s/⁠Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/product.gurus/⁠

Qenta, a global payments company, has announced the acquisition of Pipit Global, a B2B cross-border payments platform operating in over 45 countries. Pipit brings Qenta an international compliant network of over 1 million pay-in points and deep integrations with mobile money systems across Africa, Latin America, and Europe. Ollie Walsh, Co-Founder of Pipit, has been appointed President of Qenta and will lead the platform's expansion. Qenta will add Pipit's infrastructure to its own to accelerate access to cash, mobile money, and compliant digital payments internationally. Qenta specialises in serving remittance networks and migrant communities, facilitating cash, mobile money, alternative payment methods (APMs), and bank transactions in over 45 countries. By integrating regional payment infrastructures with blockchain technology, Qenta is expanding its reach and enabling businesses and individuals to send and receive funds quickly, securely, and cost-effectively. "Cross border payments have long been far too expensive, slow, and inaccessible, particularly for migrants or those without banking services," said Ollie Walsh, President of Qenta. "We saw clear alignment between our thesis of financial inclusion and the mission of Brent de Jong and Qenta. Together, we are delivering the financial services that people need, without sacrificing crucial security, compliance, or transparency standards." Walsh's vision was sparked by his own frustrations navigating remittance systems after relocating from Ireland to England. Under his leadership, Pipit evolved into a universal network of more than 1 million pay-in points and 300 million mobile money accounts, all while maintaining rigorous compliance and fraud prevention protocols. He joins Qenta alongside four other key team members, including Pipit co-founder and CTO Rory Ryan. "Payments keep us internationally connected, and ensuring these networks are efficient, accessible, and secure is paramount to our work at Qenta," said Brent de Jong, Chairman of Qenta. "This acquisition accelerates our vision of building an inclusive, blockchain-powered financial ecosystem that works for everyone, from those with minimal bank access to multinational enterprises. The Pipit team brings the experience and values that align with Qenta's global ambitions of building a resilient worldwide infrastructure." With these enhanced cash and remittance capabilities, Qenta is poised to lead the next chapter in global financial inclusion - bringing efficient tools to help people and regions leapfrog ahead and leave behind their legacy systems. The acquisition of Pipit and rebrand to Qenta under the leadership of Brent de Jong is the first step in the company's mission to build a next-generation financial technology platform designed to bridge traditional financial infrastructure with blockchain and AI. See more stories here.

Drs. Diana Mosquera and Neeju Ravikant discuss Alternative Payment Models (APMs) with Dr. Brooke Trainer.  Learn how APMs intersect with broader operational and financial goals, how they impact patients and physicians, and what implementation looks like in practice. Recorded February 2025.

The podcast is out a bit early this week because of the election.In this week's episode Emma and Nick discuss the BMA ballot on collective action, and look at the case of a practice in Cambridge that has handed back its contract despite having high patient satisfaction scores to explain why funding for general practice is now a critical issue. Nick also explains what action practices could take if the ballot is successful.They also talk about new NHS England pilots, which will be looking at how PCNs can develop new ways of working in general practice.And Emma speaks to GP and Green Party health spokesperson Dr Pallavi Devulapalli who is standing in this week's general election in South West Norfolk, a seat currently held by former Conservative prime minister Liz Truss.Our good news this week is about some inspiring GPs - as we look at the winners of the RCGP's Inspire Awards.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksThe GPs standing to be MPs'Devastated' partners at highly-rated GP practice hand back contractBetter-paid APMS provider to pilot new care model after partners hand back contractGP appointments cap will underpin collective action in general practiceRCGP demands halt to recruitment of physician associates amid safety fearsRCGP recognises achievements of members in its annual Inspire Awards Hosted on Acast. See acast.com/privacy for more information.

Ministerstvo kultury už má jasno, jak zvýšit poplatky za veřejnoprávní televizi a rozhlas. Ty by měly stoupnout a nově by je měly platit všechny domácnosti s připojením k internetu. Stihne vláda velkou mediální novelu prosadit?Hostem Ptám se já je ministr kultury a místopředseda ODS Martin Baxa.Ministerstvo kultury chce od roku 2025 zvýšit televizní poplatek o 15 korun na 150 korun měsíčně a rozhlasový poplatek o deset na 55 korun. Podle ministra kultury Martina Baxy (ODS) je to důležitý krok k zajištění finanční stability tuzemských veřejnoprávní médií. U ČT se poplatek neměnil od roku 2008, u ČRo od roku 2005.Návrh je součástí přepracované verze dlouho očekávaných mediálních novel. „Změnou oproti podzimní variantě je nižší zvýšení poplatku u ČT, zavedení indexace poplatku reagující na inflaci a úprava v platbách právnických osob,“ doplnil šéf rezortu kultury s tím, že v dalších letech by mohla vláda zvyšovat poplatky svým nařízením o šest procent, pokud by od poslední změny překročila inflace šest procent.Počítá se i s rozšířením počtu plátců. Nově mají poplatek hradit všichni, kteří mají chytrý telefon, tablet nebo počítač. O uživatelích mají ČT a ČRo mimo jiné informovat poskytovatelé internetového připojení. To kritizuje Asociace provozovatelů mobilních sítí (APMS), podle které návrh nabourává soukromí uživatelů. Podle Pirátů je další problém v tom, že veřejnoprávní média nemusí nutně sledovat všichni uživatelé internetu.Je návrh mediální novely domyšlený? Má šanci včas projít? A proč vládní Spolu vyrazilo do eurovoleb s tak ostrou a agresivní kampaní?---Ptám se já. Rozhovory s lidmi, kteří mají vliv, odpovědnost, informace.Sledujte na Seznam Zprávách, poslouchejte na Spotify, v Apple Podcasts a dalších podcastových aplikacích nebo na Podcasty.cz.Archiv všech dílů najdete tady, ostatní podcasty Seznam Zpráv tady. Své postřehy, připomínky nebo tipy nám pište prostřednictvím sociálních sítí pod hashtagem #ptamseja nebo na e-mail audio@sz.cz) 

Se você já se perguntou como empresas garantem que seus aplicativos funcionem de forma eficiente e sem falhas, este episódio é pra você!  Aperte o play e venha conosco explorar os bastidores da gestão de desempenho de aplicativos, desde a monitorização até a otimização, e entender como os APMs, ou Application Performance Monitoring, estão moldando o futuro da tecnologia.  Edição completa por Rádiofobia Podcast e Multimídia: https://radiofobia.com.br/ --- Nos siga no Twitter e no Instagram: @luizalabs @cabecadelab Dúvidas, cabeçadas e sugestões, mande e-mail para o cabecadelab@luizalabs.com ou uma DM no Instagram Participantes: YOHAN RODRIGUES | https://www.linkedin.com/in/yohan-rodrigues/ FERNANDO RAVAGNANI | https://www.linkedin.com/in/fernando-ravagnani/ ITHALO ALVES | https://www.linkedin.com/in/ithalo-theodoro-alves/ NATHALIE NADER | https://www.linkedin.com/in/nathalie-n-30533013/

Welcome to MattPAC*, a new Accelerators pilot concept!Radiation Oncologist Dr. Matt Spraker aims to introduce important healthcare policy concepts rooted in current events. Each show is designed to be efficient with your time and inspire you to get engaged with advocacy in around 30 minutes. In MattPAC #1, Matt covers quality payment programs (QPP). QPPs aim to incentivize "High Quality Care" by adjusting a portion of physician's pay according to performance on quality indicators, measures of healthcare quality. We'll discuss the rich history of care quality improvement in radiation medicine and examine how Medicare has approached the QPP with Merit-based Incentive Payment System (MIPS). After, we examine practice accreditation, the QPP approach proposed in ASTRO's ROCR and close with a brainstorm of a better QPP. Here are some good resources for further reading on these topics:Albert and Das reviews, Quality Assessment in Oncology and Quality Indicators in Radiation OncologyMedPAC report, Examining MACRA implementation and the road aheadMedPAC report, Moving beyond the MIPsGAO Report, Provider Performance and Experiences under the Merit-based Incentive Payment SystemPatel et al., Oncologist Participation and Performance in the Merit-Based Incentive Payment SystemLuh, Radiation Oncology Alternative Payment Model's Impact on Small and Rural PracticesJones et al., Merit-Based Incentive Payment System (MIPS) Participation in Radiation Oncology Practices — A Simple SurveyChera et al., Improving Quality of Patient Care by Improving Daily Practice of Radiation OncologyCoia and Hanks, Quality Assessment in the USA: How the Patterns of Care Study Has Made a Difference Hanks et al., Patters of Care Studies: Past, Present, and FutureVisit the CMS QPP page for a lot of info: check your participation status, MIPs guides, APMs, and moreASTRO ROCR FAQ pageThe Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.*MattPAC is not a political action committee, it's just a cute name. If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

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

On today's show, Dr. Duncan Syme discusses the cancellation of the AHPRA gag order and the WHO and the IHR amendments. Later, Joseph Robertson discusses the Digital Euro and its effects on our financial freedoms and privacy. GUEST 1 OVERVIEW: Dr. Duncan Syme has been in clinical practice for 34 years, initially in the UK and later in Australia. For the past 10 years, he has been working in a large public hospital in their Hospital in the Home program as a consultant. In that role, he developed a particular interest in complex wound management. He also has a good understanding of the ethics approval process for clinical trials and monitoring adverse events for clinical trials. Dr. Syme is the Vice President of APMS, the Australian Medical Professionals' Society. GUEST 2 OVERVIEW: Joseph Robertson is a journalist at Epoch Times who specializes in political affairs, net-zero policies, and free speech issues, providing insightful coverage of key national stories.  

Join us this week, as we navigate the complexities of the new provider selection regime and what it means for general practice with our guest, Ross Clark, a partner at Hemsons. The new provider selection regime, he explains, will allow integrated care boards to award contracts to providers including PCNs, GP provider companies, and federations without a competitive procurement process. Ross discusses the concept of direct award and the selection of suitable providers, which may streamline the merger and acquisition of practices. However, he also explores how these changes may complicate matters for commissioners wanting to switch providers. Alongside this, we discuss exceptions to these processes and their applicability in particular situations. This episode offers invaluable insights on how the new regime will impact practices, PCNs and federations.. Introduction (0:09) What is the Provider Selection Regime? (1:19) Thoughts behind the change.. (5:06) What does this mean in practice? (7:08) Being awarded the ‘Most Suitable Provider'.. (10:11) When an APMS contract comes to an end.. (10:41) Are we starting to see contracts being directly awarded to PCNs? (11:44) Exceptions to these rules.. (14:01) Encouraging mergers and PCN level services.. (15:10) Can the regime work the other way? (16:27) Impact on GP federations.. (19:27) A federation of federations.. (21:04) NHS Guidance updates.. (23:36) Subcontracting contracts.. (24:21) Timescales for the Provider Selection Regime.. (26:48) Access The New Provider Selection Regime here and the Provider Selection Regime Guidance here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Why Are APMs and Full-Risk Contracts Still Too Hot to Handle? David Johnson and Julie Murchinson shared their ideas on how to spark more provider participation in alternative payment models and full-risk contracts on the new episode of the 4sight Health Roundup podcast moderated by David Burda. 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/

Provider participation in alternative payment models and full-risk contracting is spotty at best. What can we do to spark more interest? David W. Johnson and Julie Murchinson shared their ideas on the new episode of the 4sight Health Roundup podcast, “Why Are APMs and Full-Risk Contracts Still Too Hot to Handle?” moderated by David Burda. #Healthcare #ValueBased #Innovation #Physicians #ACOs #Medicare #FTC #CMMI #Hibernation #Podcast

In the Race to Value, we must recognize that quality of life is the ultimate currency of healthcare, and this aim is all the more important in senior living facilities.  Transforming health outcomes for skilled nursing and senior living populations is not just a goal; it's a commitment to providing the care and dignity our elders deserve.  This week, we profile a leader in the value movement who leads a company on a mission “to improve the health, happiness, and dignity of senior living residents”. We are joined by Mark Price, CEO of Curana Health – a leader who lives by the mantra that “extreme passion” is the single most important ingredient to reform the American healthcare system. Curana Health is a provider of value-based primary care services exclusively for the senior living industry, including in nursing homes, assisted/independent living facilities, CCRC/life plan communities and affordable senior housing communities. Curana Health serves more than 1,100 senior living community partners across 30 states and participates in the MSSP ACO, ACO Reach and Medicare Advantage programs with CMS. Backed by more than $300M in venture capital funding, the organization is poised to disrupt care delivery in senior living on a meaningful scale through innovative care models and applied analytics. In this episode, you will learn about how to transform health outcomes for skilled nursing and senior living populations through extreme passion.  We cover such topics as how to leverage APMs such as MSSP and ACO REACH in the senior living setting, the performance results of Curana Health across their value-based portfolio, technology innovation, palliative care, the state of the nursing home industry, and future trends in the shift to home-based care delivery. Episode Bookmarks: 01:30 Introduction to Mark Price, CEO of Curana Health. 03:45 An estimated 27M more people are aging into the 75+ cohort through 2050, resulting in rising age and higher health acuity levels of residents moving into senior living. 05:00 Curana Health has achieved a 39% reduction in 30-day hospital readmissions and a 37% reduction in total hospital admissions among Medicare Advantage I-SNP members. 06:00 “There are many subsectors in the industry where value-based care can succeed.  The important thing is ensuring that your people have an extreme amount of passion for making it work.” 07:00 Founding story of Curana Health based on how we would want our loved ones to be cared for at the end of life. 08:45 The majority of Americans will spend some time in senior living or skilled nursing in the final years of their life. 10:00 Elite Patient Care ACO performed in the top 1% of ACOs in its first year of operation, achieving PBPY savings amount of $2,235—the highest PBPY for any first-year MSSP ACO since 2012. 11:30 Curana Health also has one of the top performing ACO REACH and risk-based MA I-SNP programs in the country. 11:45 “Our core business is not a payment model. It is a clinical model that produces health outcomes which, in turn, enables affordability as well.” 13:00 Developing a population health playbook for the senior living space. 14:00 Success in developing a level of clinical integration within a senior living facility that is now owned by the company. 15:00 MA Institutional Special Needs Plans (I-SNPs) are designed to meet the needs of people living in long-term care settings such as long-term care nursing, skilled nursing facilities, and inpatient psychiatric facilities. 16:45 Facilities are taking an ownership position of MA plans for senior living and skilled nursing residents. 17:00 Mark provides perspective on I-SNPs and how the Curana Health clinical model is achieving results to improve clinical outcomes. 18:30 Performing well by recognizing the commonality between MSSP, ACO REACH, and Medicare Advantage. 20:00 How CMS and CMMI is incorporating innovation to value-based payment models (e.g.SNF 3-Day Rule Waiver).

In this episode, we explore the world of Alternative Payment Models (APMs) in healthcare. APMs offer a revolutionary approach to incentivizing high-quality, cost-efficient care delivery. CCI's own, Jessica Ortiz, is joined by Amit Pabla of Valley Community Healthcare in Los Angeles, in this engaging conversation around the changing landscape of healthcare payments. From his unique operational perspective, Amit offers practical insights for healthcare organizations considering a transition to this model, and discusses the diverse applications of APMs as it pertains to social drivers of health. He also unveils essential elements of this cultural shift in healthcare and the journey towards a value-driven and quality-centric approach. Learn more about the people, places, and ideas in this episode: Amit Pabla, Chief Operating Officer at Valley Community HealthcareCal AIM explained (California Health Care Foundation)Alternative Payment Models (Centers for Medicare & Medicaid Services)Technology Hub, a CCI program that helps organizations vet, pilot, evaluate, and spread innovative digital health solutions targeting Medicaid markets and historically underinvested communities

Back by popular demand, we're excited to welcome back Naj Seedat and Andy Pow for another insightful episode.The topic of conversation has come to light due to an ICB that awarded what was an APMS contract, converted to a GMS contract to a PCN, Naj and Andy share their valuable insights and perspectives on this matter. Naj also shares his experience with having both APMS and GMS practices within his patch, shedding light on the approaches they've adopted. The three of them engage in a conversation about the potential future of APMS contracts, the crucial issue of General Practice funding, and their visions for what lies ahead in this ever-evolving landscape.   Introduction (0:09)   Independent Contractor Model (1:16)   Naj's thoughts.. (2:44)   APMs contract reviews.. (4:58)   The end for APMS contracts? (6:43)   Andy's thoughts.. (9:09)   How do PCN's hold a GMS contract? (10:10)   Ben's thoughts on the future for integration? (12:40)   Naj & Andy's salaries & integration thoughts... (15:40)   Shift in the funding.. (18:32)   Distribution of funding.. (19:29)   PCN's are here to stay.. (21:28)   For all enquiries about the Ockham podcast, please contact Ben Gowland here.  

GUEST 1 OVERVIEW: Dr Duncan Syme has been in clinical practice for 34 years, initially in the UK and then later in Australia, For the past 10 years, he has been working in a large public hospital in their Hospital in the Home program as a consultant. In that role he developed a particular interest in complex wound management.He is good understanding of the ethics approval process for a clinical trials and monitoring adverse events for clinical trials. Dr Syme is Vice President of APMS, Australian Medical Professionals' Society. GUEST 2 OVERVIEW: Dr. Jeyanthi Kunadhasan was a Consultant Anaesthetist at a major regional Victorian public hospital, and was in practice for more than 12 years. She has a clinical interest in Patient Blood Management where she spearheaded many initiatives for improved patient outcomes. She is also a member of the Daily Clout/Warroom Pfizer Documents Analysis Volunteers and Treasurer of AMPS.

The Centers for Medicare & Medicaid Services is trying to cut physician Medicare payment yet again. Jennifer Hananoki, JD, assistant director on the AMA Federal Affairs team, joins to address the proposed 2024 Medicare physician pay schedule. She breaks down the 3.36% cut to physician reimbursement, plus what the MIPS scores for 2022 and Oct. 9 deadline to file an appeal mean for physicians. American Medical Association CXO Todd Unger hosts.

Democratizing access to value in healthcare through primary care enablement is the compass guiding us toward a future where health is a universal right, not a privilege, and where the promise of value-based care is accessible to all. It represents a fundamental shift in our approach to healthcare delivery. By prioritizing primary care and leveraging technology, we can extend the reach of healthcare services, making them more affordable and accessible to diverse populations. This approach emphasizes preventive care, early intervention, and patient education, reducing the burden on emergency rooms and hospital admissions. Ultimately, primary care enablement has the potential to transform the healthcare landscape, promoting healthier communities and improving the overall well-being of individuals while also making healthcare a more equitable and sustainable system for everyone. Joining us this week on the Race to Value is Michael Kopko, the CEO of Pearl Health – a company that is on a mission to democratize access to value in healthcare. More than 800 primary care providers across the country partnered with Pearl to align payments with patient health and leverage emerging data and technology to achieve better outcomes more efficiently. And earlier this year, they closed on a $75M Series B funding round to bring even more capability to the health value economy, by empowering providers to transition to a more proactive care model, enabling them with a technology solution that surfaces urgent cases before they become emergent, and rewarding them for outcomes aligned with value. This is a company that you need to know about, and it is my pleasure to have Mike on the podcast this week to discuss the challenges facing our industry and how Pearl Health is accelerating the development of innovative solutions that place providers at the center of healthcare delivery and cost management. Episode Bookmarks: 01:30 Introduction to Michael Kopko and Pearl Health -- a company that is on a mission to democratize access to value in healthcare. 03:30 After more than a decade of value-based care efforts, the U.S. still pays about twice as much for healthcare than any other country, despite underperforming in quality and outcomes. 04:00 How do we reach a critical mass with ACOs and other APMs to save the Medicare Trust Fund from insolvency by catalyzing care delivery transformation? 05:45 There is reason for optimism for healthcare in the long-term, e.g. R&D in the health sector, the steady march to value since Michael Porter coined the term in 2006. 07:00 The increasing adoption of Medicare APMs and value-based Medicare Advantage (see HCP-LAN APM Measurement Effort). 07:30 “The underlying infrastructure and operating system for healthcare is positioned well for value.” 07:45 More work needs to be done, e.g. Medicare negotiations with pharma companies to lower drug costs, further realignment of incentives. 08:00 Medicare cost growth has abated.  (See recent NYT article: “A Huge Threat to the U.S. Budget Has Receded. And No One is Sure Why.”) 08:30 The need to balance ACO Shared Savings performance over time with the democratization of data to improve population health outcomes. 09:00 “We are starting to get the highways and freeways established for data interoperability to be very proactive in creating health value.” 09:30 “Our healthcare system has so much money that with the right capability sets and incentives, we will solve any problem as long as we have the will to do so.” 10:00 Pearl has seen 10X year-over-year growth, expanding from 10 to 29 states, since its founding in November 2020. 11:00 Technology enablement requires the harmonization of the platform with the wisdom of experienced healthcare professionals. 12:30 Michael shares key learnings in his healthcare leadership journey and how that led to the founding of Pearl Health. 14:45 The realization that the missing piece of value transformation was the enablement of PC...

Crossing the Value-Based Healthcare Rubicon isn't just a journey, it's a revolution in care, where the currency is quality, and the compass is compassion. This transformation is both an economic and moral imperative, and in the alchemy of healthcare, transforming economics isn't just about numbers; it's the catalyst for transmuting care outcomes into golden results that enrich both lives and ledgers. This week you have access to two of the leading minds in value transformation. We are joined by Dr. Edward McEachern (Executive Vice President and Chief Medical Officer for PacificSource) and Jenni Gudapati (Value-Based Healthcare Program Director and Clinical Associate Professor at Boise State University). In this illuminating episode, we delve into the transformative realm of value-based healthcare with a diverse range of topics. Our insightful interview explores the value movement and its profound impact on economics and care outcomes. We unravel the intricate dynamics of care management, particularly in the context of chronic diseases, while shedding light on the crucial aspects of risk adjustment, Annual Wellness Visits, and Quality Improvement. We also investigate the concept of "Gold Carding" and the role it plays in healthcare transformation. Furthermore, we delve into higher education's pivotal role in shaping the future of healthcare value, emphasizing the essential skills that healthcare leaders of tomorrow must possess. Tune in for an enlightening discussion that navigates the evolving landscape of healthcare, economics, and leadership! This week's episode is brought to you by Edifecs – an EMR-agnostic, interoperable, and AI-enabled technology helps providers unify and utilize data for a more complete digital portrait of patient populations. The result: better clinical, financial, and compliance outcomes.  To learn how Edifecs' applications can enhance prospective risk adjustment and value-based contract performance, visit edifecs.com today. Episode Bookmarks: 01:30 Introduction Edward McEachern, M.D. and Jenni Gudapati, MBA, RN 06:50 The slow uptake of accountable care (HCP-LAN: only 20% of healthcare payments flow through Categories 3B and 4 APMs). 07:20 Provider challenges: supply chain disruptions, labor shortages, high inflation, and the end of COVID-19 relief payments. 08:20 Congressional Budget Office projects insolvency of the Medicare Trust Fund by 2026. 08:50 The economic necessity of value-based health care to reduce unnecessary spending. 09:35 “In the shadow of COVID we have crossed this Rubicon where there is a push on the current paradigms of care delivery and payment.” 10:15 Stressor #1: The retirement of the Boomer workforce will create a 14% structural deficit in accessible labor. 10:30 Stressor #2: FFS infrastructure collides with APM adoption strategies and cannot support value transformation. 11:20 Stressor #3: Shift of hospital care delivery to the outpatient and home setting. (“It is never coming back.”) 11:50 “This chronic complex system of care that takes care of people in the post-acute setting is not adequately available in most communities.” 12:20 “LAN 3B and 4 payments will only help in the context of the operational reshaping of the health delivery system.” 12:50 Value-based consumer perspective needed: 46% cannot afford out-of-pocket healthcare expenses! 13:20 Low value services that do not track to best patient outcomes. 13:50 Revenue dependency on a sick-care model of fee-for-service medicine. 14:35 “Too many health inequities exist. We need to financially incentivize providers to take care of underserved populations.” 15:20 “Healthcare is the only industry that is Yelp proof.” (the dislocation between costs and consumerism) 16:20 What if we created a well-financed and integrated SDOH health system to work alongside the sick care health system? 17:50 The power of the Annual Wellness Visit (AWV) in patient-centered care.

Center director Dr. Jay Ferrell hosts a special trivia game episode with Aquatic Plant Management Society (APMS) board members! Trivia categories include plant facts, boating facts, APMS facts, and a mystery question. — Working In The Weeds is a podcast by the ⁠University of Florida/IFAS Center for Aquatics and Invasive Plants⁠. This series connects scientists with stakeholders to clarify and discuss issues surrounding aquatic and invasive plants, while also highlighting the research being conducted at the Center. Do you have topics or questions you would like us to discuss on this podcast? Email us at ⁠caip@ifas.ufl.edu⁠. For more information and resources, visit our ⁠website⁠. Follow UF/IFAS CAIP on ⁠Instagram⁠, ⁠Facebook⁠, and ⁠Twitter⁠.

Picture this: A fearless group of experts, clad in lab coats adorned with glitter and neon colors, gathered around a conference table, ready to shake up the status quo. They've got their thinking caps on, equipped with LED lights that flash with every ingenious idea!But don't let their quirky attire fool you—these trailblazers are serious about transforming community health through alternative payment models. From lightning-fast brainstorming sessions to futuristic visions of a world where healthcare teams provide amazing care to patient populations, the Chispas leave no stone unturned!Does your organization already have APM contracts? Are they thinking about it? Have you heard of APMs? No matter where you are, this conversation will help you think about how to get ready for APMs!Get ready to ignite your curiosity with the Chispas, a team that's setting the world of healthcare ablaze! Join us in this sizzling episode as we delve into the realm of Alternative Payment Models. Follow us on LinkedIn, send us an email,  follow us on Facebook, or check out our website.Host:Adrienne MannGuests:Brizzia Burgos Gabriel Del MuroMelissa StratmanSharae Huff

From WEDI's 2023 Spring Conference. The Health Care Payment and Learning and Action Network (HCPLAN) established the Health Equity Advisory Team (HEAT) to help identify and prioritize opportunities to advance health equity through alternative payment models (APMs). The HEAT's goal is person-centered and focuses on leveraging APMs to help make needed care more accessible, drive better patient outcomes, and reduce disparities.  We welcomed HEAT's co-chairs, Dr Marshall Chin from the University of Chicago and Karen Dales from Amerihealth Caritas to discuss the group's work and their mission to address and eliminate health disparities while identifying payment models that aid communities. The session was moderated by Michael Pattwell from Edifecs who also serves as WEDI's Payment Model Workgroup Co-Chair.  

In this episode, we're diving headfirst into the world of Alternative Payment Models (APMs).  You don't need to be a CFO to care about this episode. If you care about quality care for patients and the future of healthcare, this episode is for you!So strap on your thinking caps and prepare to be surprised at your interest in healthcare finance in this interview with  Curt Degenfelder!Follow us on LinkedIn, send us an email,  follow us on Facebook, or check out our website.Host:Adrienne MannGuests:Curt Degenfelder

Join Ben, Tara, Andy and Gandhi as we review the GP contract for you live and find out more at https://bit.ly/PCNPLUS00:00 PCN PLUS GP contract review00:55 Who is PCN PLUS?02:12 GP contract changes07:28 IIF and QoF changes08:07 Capacity and Improvement plan UPDATE10:40 GPC update21:08 PCN PLUS26:04 Your comments 28:13 Andy's reflections and actions31:09 Ben's reflections and actions34:17 Tara's Reflections and actions37:50 Gandhi's reflections and actions41:18 Practical actions from Andy46:12 More reflections by PCN PLUS50:10 Your questions answered1:02:30 PCN PLUS bit.ly/PCNPLUShttps://www.pulsetoday.co.uk/news/bre...  GMS & PMS Contract varied using Statutory Instrument 2023 No. 436 https://www.legislation.gov.uk/uksi/2...  What about APMS? What is a Statutory Instrument?  Join us for GP5T5 - the best online GP trainers conferenceRegister: bit.ly/GP5T523 Learn how to use TPP SystmOne as a clinician in this comprehensive online course with a full money back guaratneeSign up by bit.ly/TPPS1Course

In episode 57 of o11ycast, Jess and Martin speak with Shahar Azulay of Groundcover about monitoring Kubernetes applications, improving the UI experience of observability tools, and utilizing APMs. Shahar shares lessons learned from his storied career in R&D leadership positions, cyber security, machine learning and AI, as well as general advice for developers, SREs, project leaders, and executives.

In episode 57 of o11ycast, Jess and Martin speak with Shahar Azulay of Groundcover about monitoring Kubernetes applications, improving the UI experience of observability tools, and utilizing APMs. Shahar shares lessons learned from his storied career in R&D leadership positions, cyber security, machine learning and AI, as well as general advice for developers, SREs, project leaders, and executives.

2022-12-27 Weekly News - Episode 177Watch the video version on YouTube at https://youtu.be/EtTWj20ThRYHosts:  Eric Peterson - Senior Developer at Ortus Solutions Daniel Garcia - Senior Developer at Ortus Solutions Thanks to our Sponsor - Ortus SolutionsThe makers of ColdBox, CommandBox, ForgeBox, TestBox and all your favorite box-es out there. A few ways  to say thanks back to Ortus Solutions: Like and subscribe to our videos on YouTube.  Help ORTUS reach for the Stars - Star and Fork our ReposStar all of your Github Box Dependencies from CommandBox with https://www.forgebox.io/view/commandbox-github  Subscribe to our Podcast on your Podcast Apps and leave us a review Sign up for a free or paid account on CFCasts, which is releasing new content every week BOXLife store: https://www.ortussolutions.com/about-us/shop Buy Ortus's Books 102 ColdBox HMVC Quick Tips and Tricks on GumRoad (http://gum.co/coldbox-tips) Learn Modern ColdFusion (CFML) in 100+ Minutes - Free online https://modern-cfml.ortusbooks.com/ or buy an EBook or Paper copy https://www.ortussolutions.com/learn/books/coldfusion-in-100-minutes  Patreon Support ( prodigious )Goal 1 - We have 43 patreons providing 100% of the funding for our Modernize or Die Podcasts via our Patreon site: https://www.patreon.com/ortussolutions. Goal 2 - We are 39% of the way to fully fund the hosting of ForgeBox.io Patreon Sponsored Job Announcement - Tomorrows GuidesTomorrows Guides is a fast paced leader in the UK care sector, catering for care seekers across three areas: Care Homes, Nurseries and Home Care. We are often called the Trip Advisor of the care sector. Current Roles - More in the job section Senior Cf Developer – UK Only | Remote | Permanent | Circa £60k -  https://app.occupop.com/shared/job/senior-coldfusion-developer-5925b/ Automation Test Engineer – UK Only | Remote | Permanent | Crica £40k - https://app.occupop.com/shared/job/automation-test-engineer-a6545/  News and AnnouncementsICYMI - CFML Blog Aggregator - CFBlogs.org 2.0 ReleasedThe new version of CFBlogs ColdFusion Blog Aggregator has been released.This version displays all of the blog posts in an attractive three-column card layout and displays the open graph image or a site image at the top of the post. The card images should allow the user to quickly convey the author of the post. Users can sort the grids by author by clicking on the card image.https://www.gregoryalexander.com/blog/2022/12/5/CFBlogsorg-20-Released ICYMI - ColdBox Master Class - Completely Free until the end of the Year!Want to learn about modern web apps in ColdFusion (CFML)? We have our ColdBox Master Class for FREE until the end of the year!  A gift to the community, so we can all build amazing apps together! Watch all the videos!  Binge Coding Anyone? Enjoy! https://www.cfcasts.com/series/cb-master-class?utm_source=podcast&utm_medium=PODCAST&utm_campaign=LM-PODCAST Webinar / Meetups and WorkshopsOrtus Event Calendar for Googlehttps://calendar.google.com/calendar/u/0?cid=Y181NjJhMWVmNjFjNGIxZTJlNmQ4OGVkNzg0NTcyOGQ1Njg5N2RkNGJiNjhjMTQwZjc3Mzc2ODk1MmIyOTQyMWVkQGdyb3VwLmNhbGVuZGFyLmdvb2dsZS5jb20 Ortus Fridays are back in Full Effect in 2023 Ortus Office Hours - Jan 6th, 2023 Software Craftsmanship Book Club - Jan 13th, 2023 Ortus Webinar - Jan 20th 2023 Koding with the Kiwi - Jan 27th, 2023 CFCasts Content Updateshttps://www.cfcasts.comRecent Releases ITB - 12 Days of Xmas - ITB 2022 - All videos released to subscribers Software Craftsmanship Book Club - Clean Code - Chapter 2 https://cfcasts.com/series/ortus-software-craftsmanship-book-club---clean-code/videos/ortus-software-craftsmanship-book-club-clean-code-2  ColdBox Master Class - ddFREE for 4 more days 2022 ForgeBox Module of the Week Series - 1 new Video https://cfcasts.com/series/2022-forgebox-modules-of-the-week 2022 VS Code Hint tip and Trick of the Week Series - 1 new Video https://cfcasts.com/series/2022-vs-code-hint-tip-and-trick-of-the-week  Coming Soon More ForgeBox and VS Code Podcast snippet videos Box-ifying a 3rd Party Library from Gavin ColdBox Elixir from Eric Getting Started with ContentBox from Daniel Brad with more CommandBox Videos  Conferences and TrainingCF Summit Online All the webinars, all the speakers from Adobe ColdFusion Summit 2022 – brought right to your screen. All sessions will soon be streamed online, for your convenience. Stay tuned for more! MODERNIZING THROUGH EVOLUTION NOT REVOLUTIONGuust NieuwenhuisJanuary 10, 2023 | 15:00 - 16:00 EST (1 hour)Our company has grown over a quarter of a century, and across those years we have matured as developers and IT companies, refining both our tools and practices to a degree that the past seems hardly recognizable. Counter to this are the inevitable compromises, products of constrained timeframes, limited client budgets or strained resources. Projects inevitably lean more towards growth and depth than general modernization, to the point that they become difficult to maintain. So, what happens when the bugs add up and the monster emerges? Refactor? Rewrite from scratch? We've been involved in many such projects, internally and inherited both, and have learned there is no simple answer to the question “how do we move forward?” Through case studies and anecdotes I will explain what to look out for, from both a technical and business perspective.EASIER API DEVELOPMENT AND TESTING - USE POSTMAN, WEBHOOK.SITE, AND NGROK TO ENHANCE YOUR WORKFLOWDaniel GarciaJanuary 12, 2023 | 12:00 - 13:00 EST (1 hour)Postman, Webhook.site, and ngrok are great tools that can really enhance your API development and testing workflow. PostMan is a cross-platform API Testing Tool with lots of awesome features, Webhook.site allows you to easily inspect, test, and automate any incoming HTTP request or e-mails, and ngrok enables you to expose a web server running on your local machine to the internet. These are must-have tools for any API developer (either creating or consuming). In short, these tools solve problems and best of all, they all have free versions which allow you to be very productive. My goal is that after this conference, you will start using at least one, if not all three, tools when you get home. I'm not saying using these tools will be life-changing, but I am also not not saying that eitherSPREADSHEET MAGICKevin WrightJanuary 19 | 12:00 - 13:00pm EST (1 hour)Microsoft Office is the 'de facto' standard in most business environments. In this session we will look at different ways of integrating with one of the most used applications of the MS office suite, Excel. Come learn how to create, access and manipulate spreadsheets programmatically with the CFSPREADSHEET tag in ColdFusion. We will go beyond basic read and write features, and will delve into more advanced techniques like working with formulas and formatting, and creating multiple sheets. We will also look at examples of more complex types of spreadsheets by using lookups and even creating and embedding dynamic charts. FORMAT: Presentation with slides / live code reviewOPPORTUNITIES FOR BLOCKCHAIN TECHNOLOGY AND NFTS IN THE REAL WORLDMasha Edelen and Nick JuntillaJanuary 24 | 14:00 - 15:00pm EST (1 hour)Understanding the value and practical use cases of Non-Fungible Tokens in modern business applications. Learn how to get started using the blockchain and building your Web 3 strategy.Website for CF Summit Onlinehttps://cfsummit-online.meetus.adobeevents.com/VUE.JS NATION CONFERENCEJanuary 25th & 26th 2023 https://vuejsnation.com/VUEJS AMSTERDAM 20239-10 February 2023, Theater AmsterdamWorld's Most Special and Largest Vue ConferenceCALL FOR PAPERS AND BLIND TICKETS AVAILABLE NOW!Call for Papers: https://forms.gle/GopxfjYHfpE8fKa57 Blind Tickets: https://eventix.shop/abzrx3b5 https://vuejs.amsterdam/ Dev NexusApril 4-6th in AtlantaGeorgia World Congress Center285 Andrew Young International Blvd NWAtlanta, GA 30313USAApril 4th – 6th, 2023https://devnexus.com/ VueJS Live MAY 12 & 15, 2023ONLINE + LONDON, UKCODE / CREATE / COMMUNICATE35 SPEAKERS, 10 WORKSHOPS10000+ JOINING ONLINE GLOBALLY300 LUCKIES MEETING IN LONDONGet Early Bird Tickets: https://ti.to/gitnation/vuejs-london-2022  Watch 2021 Recordings: https://portal.gitnation.org/events/vuejs-london-2021 https://vuejslive.com/ Into the Box 2023 - 10th EditionMay 17-19, 2023 The conference will be held in The Woodlands (Houston), TexasThis year we will continue the tradition of training and offering a pre-conference hands-on training day on May 17th and our live Mariachi Band Party! However, we are back to our Spring schedule and beautiful weather in The Woodlands! Also, this 2023 will mark our 10 year anniversary. So we might have two live bands and much more!!!We are pleased to announce the call for speakers for the Into The Box Conference for 2023 is now officially open.CFP CLOSES IN 3 DAYS!https://www.intothebox.org/blog/into-the-box-2023-call-for-speakers https://itb2023.eventbrite.com/CFCamp is backJune, 22-23rd 2023Marriott Hotel Munich Airport, FreisingCall for Speakers coming in the New yearhttps://www.cfcamp.org/ More conferencesNeed more conferences, this site has a huge list of conferences for almost any language/community.https://confs.tech/https://github.com/scraly/developers-conferences-agenda Blogs, Tweets, and Videos of the Week 12/26/22 - Blog - Ben Nadel - Setting And Clearing Nullable Values In A Data Access Layer In ColdFusionAs much as possible, I try to avoid NULL values in my database schema design. But, sometimes, NULL is actually helpful in reducing schema complexity. Unfortunately, ColdFusion only has partial support for null values (by default); which makes it a bit tricky to pass a "required-but-null arguments" into a data access layer (DAL) method. To play nicely with both ColdFusion and SQL, I've been leaning on "magic values" when interacting with the my data gateways.https://www.bennadel.com/blog/4375-setting-and-clearing-nullable-values-in-a-data-access-layer-in-coldfusion.htm Full Null Support in Lucee and ACF Quick has a concept of `nullValue` to work around this as well  12/27/22 - Blog - Ben Nadel - Considering Nullable Date Columns As A Representation Of State In SQLIn my post yesterday on clearing NULLable database values in ColdFusion, I was using the concept of "Task Management" as my exploratory context. And, in the task database table that I created for the demo, I included both an isComplete column and a completedAt column. In theory, I could have written the demo using a single column, completedAt, since a non-NULL value within the completedAt column would indicate that the Task in question had been completed. But, I ended up using two columns because I believe they actually answer two different semantic questions.https://www.bennadel.com/blog/4376-considering-nullable-date-columns-as-a-representation-of-state-in-sql.htm “Similar” is not “the same” Quick Scopes solve the semantic issue nicely DRY is about Knowledge https://verraes.net/2014/08/dry-is-about-knowledge/  12/22/22 - Blog - Fusion Reactor - How AI Impacts APMAI is rapidly transforming how businesses operate; our article “3 Ways To Achieve Digital Transformation With AI” explains that the technology simulates human intelligence to execute capabilities like learning, problem-solving, optical recognition, speech recognition, and planning.One key area that AI is transforming is application performance monitoring (APM) software. Websites, mobile apps, and business software use APMs to monitor performance metrics. It ensures that your networks, servers, and database execute their functions without error. Such is the demand that the global market for APM software is projected to be worth $13.3 Billion by 2027. With more businesses taking advantage of the performance capabilities of AI, many are using it to improve their APM software. Below are three ways AI is making APM more efficienthttps://www.fusion-reactor.com/blog/how-ai-impacts-apm/ 12/21/22 - Blog - Ben Nadel - Fixing GitHub Gist's Sudden Case Of Line WrappingYesterday, when I was giving my post on pagination using LIMIT and OFFSET in MySQL a once-over, I noticed that my code samples - which are powered by GitHub Gists - were rendering super wonky. When I inspected the runtime styles of the page, it appears that GitHub made a recent breaking change to the white-space property used within their "line of code" CSS class. To "fix" this (ie, turn off "word wrap" for my code snippets), I had to upload a CSS override to my blog. https://www.bennadel.com/blog/4373-fixing-github-gists-sudden-case-of-line-wrapping.htm 12/21/22 - Blog - Jim Priest - Visual Studio Code ExtensionsMainly posting this for my own reference. I used Sublime Text for years and blogged about it quite a bit. A few years ago I finally bit the bullet and started using Visual Studio Code. I still think the CFML plugin in Sublime is the best for editing ColdFusion code, but when editing anything else besides CFML VSCode wins and switching between them isn't really realistic (I tried). I'm setting up a new computer and thought I'd make a list of my favorite VSCode extensions, settings, etc.https://www.thecrumb.com/posts/2022-12-21-my-vscode-extensions/ 12/22/22 - Gist - James Moberg - mergeQbSqlBindingsCFML UDF to be used with QB parameterized SQL string & binding array to generate reusable SQL https://gist.github.com/JamoCA/bb681afd2eb1a0d6d380f3b714ccc138 12/22/22 - Tweet - James Moberg - cf_dump custom tagRegarding using cfdump/writedump with strings, I prefer Lucee's #cfml approach over #ColdFusion.An even better solution IMHO is the cf_dump CFTag by @Kwaschny. It encapsulates, identifies type, hints at length & has leading/trailing space indicators.https://twitter.com/gamesover/status/1605985349234094080https://github.com/kwaschny/cf_dumpA reminder that in Lucee you can hover over a dump output to see the file and line that outputed the dump. 12/20/22 - Tweet - Brad Wood - cfdump eval attribute#TIL @lucee_server's CFDump has an "eval" attribute you can use instead of "var" which also defaults the "label" attribute to show you what it is dumping.which is the same as:https://twitter.com/bdw429s/status/1605289984319279114 CFML JobsSeveral positions available on https://www.getcfmljobs.com/Listing over 37 ColdFusion positions from 25 companies across 22 locations in 5 Countries.0 new jobs listed this weekPatreon Sponsored Job Announcement - Tomorrows GuidesTomorrows Guides is a fast paced leader in the UK care sector, catering for care seekers across three areas: Care Homes, Nurseries and Home Care. We are often called the Trip Advisor of the care sector. Our Product team consists of over 20 individuals across the UK working remotely to expand and improve our offering with regular expansion in teams year on year. We work with both Coldfuson 2021 and Node.js/React in the Azure cloud, while also using both MSSQL and MongoDB databases. Currently we are looking for Senior Coldfusion developers and Automation Testers with training paths to node.js available as well. We offer a wide variety of perks from our company wide £4k bonus scheme, and quarterly nights out with the whole company and the Product team to a 6% company pension contribution. Current Roles in detail All roles: https://www.tomorrows.co.uk/jobs.cfm Senior Cf Developer – UK Only | Remote | Permanent | Circa £60k -  https://app.occupop.com/shared/job/senior-coldfusion-developer-5925b/-  Minimum three years' experience with ColdFusion-  Database design, normalisation and ability to write/understand complex queries using MSSQL Server 2019-  Familiarity with Git-  Flexible skillset covering a wide range of development Automation Test Engineer – UK Only | Remote | Permanent | Circa £40k - https://app.occupop.com/shared/job/automation-test-engineer-a6545/-  Minimum three years experience with automated testing-  Experience with automated testing tools such as selenium-  Experience with API test tools such as Postman/Fiddler etc Benefits of both roles:-  £4,000 per annum discretionary company bonus scheme-  25 days annual leave + bank holidays-  6% employer pension contribution-  Access to free perks and discounts through Perkbox-  Long Service Awards-  Cycle to Work Scheme-  Company and Team nights outOther Job Links Ortus Solutions https://www.ortussolutions.com/about-us/careers  There is a jobs channel in the CFML slack team, and in the box team slack now too ForgeBox Module of the WeekPassifierBy Michael BornA password strength checker based on zxcvbn4j. Measures the strength of a password and can give feedback or show how long the password would take to crack.https://forgebox.io/view/passifierVS Code Hint Tips and Tricks of the WeekCode GPTBy Daniel SanUsing the official OpenAI API inside the IDE with Code GPT you can improve your code.Features: Ask CodeGPT: CodeGPT will open a new Editor and respond the question Explain CodeGPT: CodeGPT will open a new Editor and explain the code Refactor CodeGPT: CodeGPT will open a new Editor and refactor the code Document CodeGPT: CodeGPT will open a new Editor and Document the code Find Problems CodeGPT: CodeGPT will open a new Editor and find problems in the code https://marketplace.visualstudio.com/items?itemName=DanielSanMedium.dscodegptThank you to all of our Patreon SupportersThese individuals are personally supporting our open source initiatives to ensure the great toolings like CommandBox, ForgeBox, ColdBox,  ContentBox, TestBox and all the other boxes keep getting the continuous development they need, and funds the cloud infrastructure at our community relies on like ForgeBox for our Package Management with CommandBox. You can support us on Patreon here https://www.patreon.com/ortussolutionsDon't forget, we have Annual Memberships, pay for the year and save 10% - great for businesses. Bronze Packages and up, now get a ForgeBox Pro and CFCasts subscriptions as a perk for their Patreon Subscription. All Patreon supporters have a Profile badge on the Community Website All Patreon supporters have their own Private Forum access on the Community Website All Patreon supporters have their own Private Channel access BoxTeam Slack Live Stream Access to streams like “Koding with the Kiwi + Friends” and Ortus Software Craftsmanship Book Club https://community.ortussolutions.com/ Patreons John Wilson - Synaptrix Tomorrows Guides Jordan Clark Gary Knight Mario Rodrigues Giancarlo Gomez David Belanger  Dan Card Jeffry McGee - Sunstar Media Dean Maunder Nolan Erck  Wil De Bruin Abdul Raheen Don Bellamy Joseph Lamoree Jonathan Perret Jan Jannek Laksma Tirtohadi Brian Ghidinelli - Hagerty MotorsportReg Carl Von Stetten Jeremy Adams Didier Lesnicki Matthew Clemente Scott Steinbeck - Agri Tracking Systems Daniel Garcia Ben Nadel  Richard Herbet Brett DeLine Kai Koenig Charlie Arehart Jason Daiger Shawn Oden Ross Phillips Matthew Darby Edgardo Cabezas Patrick Flynn Stephany Monge Kevin Wright John Whish Peter Amiri Cavan Vannice John Nessim Tia You can see an up to date list of all sponsors on Ortus Solutions' Websitehttps://ortussolutions.com/about-us/sponsors Thanks everyone!!! ★ Support this podcast on Patreon ★

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!

The Health Care Payment Learning & Action Network (HCP LAN or LAN) is an active group of public and private health care leaders dedicated to providing thought leadership, strategic direction, and ongoing support to accelerate our care system's adoption of alternative payment models (APMs). The LAN mobilizes payers, providers, purchasers, patients, product manufacturers, policymakers, and others in a shared mission to lower care costs, improve patient experiences and outcomes, reduce the barriers to APM participation, and promote shared accountability. Last month the LAN held their 2022 Summit, and this year's event featured appearances by CMS and CMS Innovation Center leadership, the release of the 2022 APM Measurement Effort results, a discussion on the HEAT's Social Risk Adjustment Guidance for APMs, and the announcement of the LAN's 2030 APM Adoption Goals for Medicare, Medicaid, and commercial plans.  Joining us this week in the Race to Value are LAN Executive Forum Co-Chairs, Dr. Judy Zerzan-Thul and Dr. Mark McClellan.  They discuss the overall goal of the LAN and the LAN Summit is to collaborate and act on strategies that will accelerate the transition to innovative, patient-centered payment models by focusing on equity, access to high-quality and affordable care, engagement of patients, and reduced provider burden. https://www.advancinghealthvalue.org/hpclan_summit_22/ Visit the Institute for Advancing Health Value's website. Download their recently released Intelligence Brief summarizing the 2022 LAN Summit. Visit the LAN's website: Learn more about 2020 & 2021 APM Measurement Efforts Consult the HEAT's APM Design Guidance  –  Advancing Health Equity Through APMs   Episode Bookmarks: 01:30 The purpose of the Health Care Payment Learning & Action Network (HCP LAN) 03:00 Introduction to Dr. Mark McClellan and Dr. Judy Zerzan-Thul 05:45 Dr. Mark McClellan speaks to the impact of the pandemic on value-based health reforms 06:45 “Payment flexibilities are one of the unsung heroes in the pandemic when it comes to value transformation.” 07:15 How capitation enabled some to navigate the pandemic favorably, while others struggled with FFS revenue disruption, team-based care, and telehealth deployment. 08:45 CMS payment flexibilities will soon go away so prepare for continued focus on patient-longitudinal well-being and outcomes tracking. 09:45 The especially challenging times of high inflation and workforce resilience and how value transformation is a strategy for sustainability. 12:00 Dr. Zerzan-Thul speaks about the Accountable Care Commitment Curve and how that can guide organizations to advancements in Health Equity. 13:30 The LAN's Health Equity Advisory Team (HEAT) and its recommendations for developing a Health Equity action plan. 14:30 Measuring equity outcomes through an enhanced data infrastructure and community partnerships. 15:45 Dr. McClellan speaks to how Social Risk Adjustment (SRA) can advance health equity through APMs (starting with ACO REACH) 17:30 The challenges of implicit biases in individual measures of social risk. 18:15 “Risk factors like food insecurity and transportation will eventually get more built in to our approach to health care.” 19:00 The additional considerations of community engagement, peer transformation, and other payment incentives to advance health equity. 20:30 The recent release of the APM Measurement Effort (survey data compiled the HCP LAN). 21:30 Dr. McClellan discusses the current status of 2022 APM adoption (see interactive graphic showing that nearly 20% of payments flowing through Category 3B-4 models.) 24:30 Dr. Zerzan-Thul comments on trajectory of APM adoption and current status of Medicaid transformation in population-based payment. 27:00 Dr. McClellan discusses the Accountable Care Commitment Curve more at length. 29:00 “You can't get to a critical mass of value transformation in the U.S.

Rob Allen, FACHE, President and Chief Executive Officer, Intermountain HealthcareRob Allen, FACHE, was named as the new president and chief executive officer of Intermountain Healthcare and began serving in that role on December 1, 2022. Previously, Rob served as the organization's senior vice president and chief operating officer. In addition to Rob's 25-plus years of executive leadership at Intermountain, he has also held CEO roles at hospitals and health systems in Wyoming, New Jersey, and Massachusetts.A fellow of the American College of Healthcare Executives, Rob has served on many foundation, chamber, and service boards. Rob earned a Master of Business Administration degree from Utah State University and a Bachelor of Science degree in operations management from Brigham Young University. His passion for healthcare began during his childhood as he was raised on a farm in Star Valley, Wyoming, where his mother served as a nurse and later as administrator at Star Valley Hospital. He and his wife, Becky, have three children and four grandchildren.Intermountain Healthcare is headquartered in Utah with locations in eight states and additional operations across the western U.S. Intermountain is a nonprofit system of 33 hospitals, 385 clinics, 60,000 employees, medical groups with some 3,900 employed physicians and advanced care providers, a health plans division called SelectHealth with more than one million members, and other health services. With its mission of “Helping people live the healthiest lives possible,” Intermountain is committed to improving community health and is widely recognized as a leader in transforming healthcare by using evidence-based best practices to consistently deliver high-quality outcomes at sustainable costs.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.

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.

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.

Value-Based Care is at a tipping point.  But it's not just about whether providers adopt alternative payment models (APMs) or ACOs. The real tipping point is whether traditional health systems can get on board fast enough to survive the corporate health care business that is poaching providers and patients. Corporate health care is not only unfazed by downside risk of APMs, but also have built their business models on population-based payments. The pendulum is clearly swinging away from fee-for-service and future success will be dependent on a transition strategy to APM success. Joining us this week on the Race to Value is Terry Hush, CEO and Co-Founder of Roji Health Intelligence. Terry is a health care strategist and change management expert with experience across the health care spectrum. An expert at creating consensus for desired change through education and collaboration, Terry helps organizations take actions that will direct their future through meaningful technology and programs. In this podcast episode, Terry discusses the impact of private equity on physician consolidation and how that landscape change will impact value-based care adoption.  She also provides strategic guidance on how to build a population health infrastructure and develop a successful APM adoption strategy.   Episode Bookmarks: 01:30 Register today for the “Population Health Equity: The North Star for Value” Virtual Event (December 1, 2022) 03:00 Introduction to Terry Hush (CEO and Co-Founder of Roji Health Intelligence) and Free E-Book (“Smart Guide to APM Success”) 06:00 The regulations behind value-based care – are they moving us fast enough to a tipping point? 06:30 “Private equity-backed physician medical groups, ACO enablement companies, and other corporate healthcare ventures are forcing legacy health systems to change.” 07:00 Population-based payments within APMs are predictable revenue streams for health systems. 07:30 “Going forward, the driver of VBC will be the competition between corporate interests and legacy health systems – not health policy.” 08:00 Major financial losses within national health systems are a wakeup call to reimagine care delivery as a strategy for survival. 09:00 “Health systems that do not adopt APMs will ultimately be in jeopardy and will need to start devolving unprofitable lines of services.” 10:00 The alignment of financial incentives in the overall health economy favoring value over volume are virtually non-existent. 11:30 Changing the care delivery system as a requirement for APM success with investment motivation predicated on reforming fee-for-service. 12:30 “Advanced EHR adoption is not the same as a value-based care technology adoption strategy.” 13:00 Preferred VBC technology functionalities (e.g. risk stratification, outcomes and cost driver analysis, episodes of care tracking, platform for managing patient-centric interventions) 13:30 Managing data (e.g. claims, patient-reported outcomes, biometrics, prescriptions) 14:30 Non-EHR technologies in value-based care (e.g. patient engagement, behavioral health, CRM and consumerism, virtual care and telehealth, AI, wearables) 15:30 APM adoption will often happen first before the technology infrastructure is built to adequately assess cost and risk. 16:30 Lack of connectivity between EHRs and VBC technology platforms due to data blocking and lack of advancement in FHIR interoperability. 17:00 Technology integration is the substrate of population health activities. 18:00 Unstructured EHR data that is unreportable and cannot be queried (e.g. diagnostics, cancer staging information, genomic risk data) 19:00 SDOH and health risk assessment data (how should this data be used and structured?) 19:30 Prescription drug usage and treatment plan adherence data (lack of data integration makes treatment plans ineffective) 20:45 Tracking data to determine the effects of clinical and non-clinical Interventions (e.g. community services,

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!

Our guest today is Misty Hickman, chief informatics officer at Galen Medical. Misty is this year's recipient of the MGMA Legislative Liaison of the Year Award. The award recognizes a medical practice professional serving as a state MGMA Legislative Liaison who has provided outstanding leadership in the education and motivation of MGMA members through grassroots and advocacy involvement on legislative and regulatory issues of importance to medical group practices. Resources: MGMA Award Winners: www.mgma.com/membership/get-inv…s/2021-mgma-awards 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. Veradigm: Are you looking to strengthen your medical practice by boosting practice profitability and streamlining communications with payers and patients? Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions that interface seamlessly with all major PM systems. For more information, go to www.veradigm.com Contact Information: If you have feedback on this episode or have someone you want us to interview contact us at podcasts@mgma.com

About the Episode Mirela Mus is a product manager, product leader, mentor, coach, advisor and company founder who wanted to solve a problem that she kept seeing when she spoke to company leaders; the need to spin up product teams to cover hiring gaps and parental leave. She's doing this with her firm Product People.   A message from this episode's sponsor - Product People   This episode is sponsored by Product People. If you're a company founder or product leader who needs to get a product management team up and running quickly or cover parental leave check out Product People. They've got a thriving community and 40 in-house product managers, product ops pros, and product leaders. They onboard fast, align teams and deliver outcomes. Check out Product People to book a free intro chat and quote code OKIP to get a 5% discount.     Episode highlights:   It's important to support promising new product managers   Mirela is committed to bringing talent into product management with the Product People operating model which gives APMs real-world product experience whilst maintaining quality for clients   You don't have to start a SaaS startup to be an entrepreneur   Mirela wasn't excited by building a SaaS product to solve everyday problems, and she found lots of problems through her own consulting which showed her the real problem and why a product agency is needed   Companies can be pretty bad at onboarding in general   But it's not always the case that good onboarding = a good experience. There are plenty of examples of great onboarding into poor company culture and bad onboarding into a great culture. It's the culture that's important!   Onboarding for product managers is harder than for most roles   Product managers are at the centre of everything and the requirements of the role can be really ambiguous depending on the company. The product culture is often underdeveloped which can drag product managers down.   There's a playbook for this stuff and a structured approach that PMs can take   You need to come up with a plan. There are things you can ask for in advance, stakeholders to map and sensitive topics to uncover. These can help you work out where you need to focus to be successful.   Contact Mirela   You can check out Mirela's blog post, Blazing Fast Onboarding for Product Managers. You can connect with Mirela on LinkedIn.

Our guest today is Natalia Szczygiel, director of operations, Psychiatry and Behavioral Medicine, Corewell Health. Natalia is this year's recipient of the MGMA Harwick Innovation Award for her work in mental health programs and suicide prevention. Resources: MGMA Award Winners: https://www.mgma.com/membership/get-involved/awards/2021-mgma-awards 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. Veradigm: Are you looking to strengthen your medical practice by boosting practice profitability and streamlining communications with payers and patients? Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions that interface seamlessly with all major PM systems. For more information, go to www.veradigm.com Contact Information: If you have feedback on this episode or have someone you want us to interview contact us at podcasts@mgma.com

The Institute for Advancing Health Value has recently released two new Intelligence Briefs highlighting two major impactful events in the movement to value-based care. 2021 MSSP Performance Results Analysis:  The Institute analyzes 2021 performance data, sharing high-level program performance and examining savings across participation tracks, by the provider type, size and location of ACOs, and their experience in the program, and reflects on the future of the MSSP in light of the recently proposed changes to the program and the beginning of CMS's new capitated total cost of care model, ACO REACH. The ACO REACH Final Cohort:  The Institute analyzes the incoming final cohort of provisionally-accepted REACH ACOs within the context of the model's history, analyzing the roster relative to GPDC's current participants, and sharing expectations for the future.  (This Intelligence Brief was sponsored by Bamboo Health.) Check out this special bonus episode where Eric and Dan interview Kate de Lisle on her research analysis on these recent CMS announcements.  You may also download these Intelligence Briefs at  https://www.advancinghealthvalue.org/analysis-of-mssp-2021-and-aco-reach-2023/ Episode Bookmarks: 01:30 Download the new Institute intelligence briefs on the 2021 MSSP Performance Results and the ACO REACH Final Cohort 02:30 Background on Kate de Lisle, Senior Manager of Payment & Delivery Transformation at Leavitt Partners 04:00 Recently announced MSSP Results as an important bellwether for the success of the value movement 05:30 Total program savings of nearly $5.4 billion over the model's lifetime 06:30 5th consecutive year of net savings – has the MSSP demonstrated proof of concept? 07:00 Was 2021 a good year for the MSSP since the net savings wasn't quite as large as the year prior? 07:30 The average per beneficiary PMPM savings amount was $164 (double what it was in 2019) 08:00 81% of ACOs generated savings and 58% earned a Shared Savings bonus.  Quality scores were also high. 08:45 89% of ACOs taking downside risk generated savings (compared to 76% that saved in an upside-only track) 09:15 Risk-bearing ACOs generated $5.3M per ACO (compared to $2.9M for non-risk bearing) 09:45 ACOs led by physician groups realized the most savings. 10:00 Hospital-led ACOs realized a decline in savings. 10:30 Years of experience in the MSSP is no longer a straightforward predictive indicator of performance success. 14:00 Last month, CMS released the names of the 110 provisionally-accepted organizations selected to join the ACO REACH model starting in 2023 15:30 Only 47% of REACH applicants were provisionally accepted. 17:30 New cohort had similar profiles of selected groups accepting Global and Professional Risk. 18:00 New entrants are serving vulnerable and high-risk populations. 19:00 Groups moving from Next Gen ACO to ACO REACH 20:30 Far fewer payer-led ACOs in the new REACH cohort 21:30 What considerations did CMS take into account when selecting for participation in the new REACH program? 22:00 Sustained interest in ACO REACH from VBP enablement companies (e.g.Aledade, agilon health) 23:30 Provider-owned enablement companies participating REACH (e.g. Castell Health) 24:30 Upstart primary care companies accepted into ACO REACH (e.g. Oak Street Health, Iora Primary Care, ChenMed, Cano Health, Cityblock, ConcertoCare) 25:00 ChenMed  (a leading full-risk MA primary care practice in the country) is included in the new ACO REACH cohort. 25:30 OneMedical has also been accepted into the program. 26:30 The Institute for Advancing Health Value has a complimentary membership for provider organizations! 27:00 Will CMMI be sunsetting various APMs, including specialty care models like BPCI and CJR programs? 28:30 Kate speaks about the “weak signals” being broadcasted by CMMI around the future of the APM portfolio. 30:00 What impact will ACO REACH have on the CMS 2030 Goal?

Fee-for-service healthcare has destroyed the physician-patient relationship by de-personalizing care delivery.  Patient encounters are looked at as transactions, instead of as opportunities to forge long-term healing relationships. Consequently, the healthcare system delivers inexorably bad cost and quality outcomes, and  primary care is marginalized in lieu of high cost specialists who perform procedures. This has created a perfect storm for physician burnout and moral injury, and we can only regain the humanity of health care by reinstating the primacy of the physician-patient relationship and empowering independent primary care physicians. Dr. David Pak is an entrepreneurial Internal Medicine physician leader with over 25 years of direct patient care.  His medical practice (Pak Medical Group) is a leading example of a patient-centered, holistic, relationship-based, tech-enabled model that is transforming the lives of seniors. Dr. Pak is an entrepreneur with masterful skill at aggregating local market physicians to build value-based models of care.  He has formed an ACO and Medicare Advantage risk-bearing entity (Zenith Independent Physicians Network) that is moving primary care practices to fully-capitated risk. Dr. Pak is passionate about the personalization of primary care, technology enablement through remote patient monitoring, perpetuation of physician independence through value-based programs, and the creation of Human AI staffing support models that can transform care delivery and physician culture.  While he is an expert on value-based care and care delivery innovation, he is also a proponent of medicine revisiting its roots to a more simpler time where relationships were paramount. This episode is a must-listen for entrepreneurial primary care physicians who seek independence through value-based care. By following Dr. Pak's approach, they can reclaim their joy in medicine and propel their practices to business success in the race to value. Episode Bookmarks: 01:30 Introduction to Dr. David Pak and his healthcare ventures (Pak Medical Group, Zenith IPN, and Eleos Staffing) 04:30 Dr. Pak's early success as a physician entrepreneur that resulted in his practice to Humana 05:30 Dr. Pak speaks to his career as an entrepreneur in creating value-based, innovative care delivery models for seniors 07:00 “Fee-for-service is a broken model that rewards bad behavior that is not conducive to good outcomes.” 08:00 Holistic patient care only occur in a full-risk medical practice. Will this lead to mandated APMs? 10:00 The explosive growth and enrollment trajectory of Medicare Advantage. 11:00 Learning how to succeed in Medicare Advantage from more advanced models in Florida. 12:15 Identifying vulnerable populations in Medicare Advantage through appropriate risk adjustment coding. 13:00 Delivering customized care delivery care models for different segments of the MA population. 14:30 The need for primary care physician autonomy and independence to overcome current financial challenges. 15:30 Is a massive corporate takeover of primary care necessary for PCPs to succeed in capitated revenue models? 18:00 Comparing PMPM reimbursement to traditional FFS reimbursement and overcoming the physician “education gap” in risk 18:45 The importance of physician leadership and education in value-based care 20:00 It is possible for PCPs to get off the “hamster wheel” (and it doesn't require a corporate takeover) 21:30 The need for independent physicians to take on a capital partner to support their value journey. 23:00 Dr. Pak explains the importance of physician education and a robust risk-based contract portfolio. 24:00 The aggregation of primary care physicians in local markets. 25:00 “The road to value-based care should be paved by physicians…especially primary care physicians.” 25:30 The difficulties in meeting ROI expectations from PE investors and why physician aggregation is crucial to success.

Many roads will bring us to health value, but some roads will get us there faster than others. As we reimagine our nation's healthcare system, we must build alternative avenues to value beyond the conventional fee-for-service approaches to transformation. In building a superhighway that fully unleashes the power of independent and accountable physician groups, we will produce faster and better results. Joining us this week on the Race to Value is Susan Dentzer, the President and Chief Executive Officer of America's Physician Groups (APG), the organization of more than 335 physician practices that provide patient-centered, coordinated, and integrated care for patients while being accountable for cost and quality.  APG members provide care to nearly 90 million patients nationwide and are leading this nation's superhighway in the race to value. In this podcast episode, we discuss advanced primary care transformation, restructuring of payment models to reach scalability and impact, health policy reforms, PCP employment trends, the M&A landscape in provider consolidation, Medicare Advantage, and the power of tech-enabled asset-light care delivery. Episode Bookmarks: 01:30 Introduction to Susan Dentzer, President and Chief Executive Officer of America's Physician Groups (APG) 04:30 More than 60% of health care payments in 2020 included some form of quality and value component 05:30 Despite traction, moving to value at a glacial pace (reference recent surveys fromMGMA and HCP-LAN) 06:30 Susan discusses the entrenchment of FFS and how difficult it is to change the payment edifice in U.S. healthcare 09:00 Overcoming the extraordinary backlash and resistance to realigning payment incentives in American healthcare 12:00 How APG is approaching the national transition to value 13:30 The need for advanced primary care in helping CMS achieving its 2030 goal to drive accountable care 14:45 The systematic undervaluing of primary care and overemphasis on hospitalizations 16:00 How the payment structure was hijacked by proceduralists and specialty care 16:30 Clinton era health policy reforms that attempted to restructure Medicare payments to primary care 17:30 Where would we have been if we tackled primary care reimbursement and workforce challenges in the 1990's? 18:30 Limited progress in voluntary innovation models to advance primary care effectiveness (e.g. PCMH, team-based care) 19:30 How the NHS in England created state-of-the-art primary care through 24/7 access 20:45 The private sector stepping up to modernize care delivery access and infrastructure where public policy failed 21:30 Investment in primary and secondary prevention to address chronic disease 22:00 Transitioning from a cottage industry to a well-funded, risk-based primary care strategy to improve population health 24:00 PCP employment by hospitals often not an driver of value-based care due to referral maximization objectives 24:30 Independent PCPs will need to find investment partners to advance risk-based transformation 24:45 Susan discusses the success of Central Ohio Primary Care's partnership with agilon health 29:00 Medicare Trust Fund solvency will be depleted by 2026, but APM adoption could help avoid this fate. 30:30 “Many roads can bring you to value, but some roads will get you there faster than others.” 31:00 MACRA legislation created MIPS and APMs using the current fee-for-service chassis 31:45 The importance of the 5% bonus/incentive payments to QPP participants that are a part of Advanced APM models 32:30 Hospitals pocketing APM incentive payments for employed providers will not accelerate path to value. 32:45 Results comparison between physician-led and hospital-led ACOs 34:00 Susan explains why America's physicians are the superhighway to Value Transformation 36:00 Capitation within the ACO REACH model as a continuation of full-risk success in Medicare Advantage 38:00 “Alternative avenues to value – beyond the conventional F...

Welcome to Connect, a podcast featuring one-on-one interviews with some of the top movers and shakers in the mortgage industry. Our 119th episode features Ned Payant, President, American Pacific Mortgage. Topics of Discussion: 1:35 - I always like to get started with a little personal background, how did you get into the mortgage industry? 4:53 - You've had a long history in the mortgage industry, 2022 is definitely a tough year for originators. How can a company be competitive in a purchase market like this? 8:42 - How does APM set themselves apart from competitors? 13:26 - American Pacific Mortgage has a very specific corporate culture/motto. What can you share with our listeners about how that culture was developed? 16:56 - Being a leader in a hot market is much different than being a leader in a challenging one. What are some leadership values that can help companies navigate tough times? 22:28 - Increasing diversity in the mortgage market is a high priority for the California MBA. What are APMs priorities/best practices around DE&I? 26:01 - American Pacific Mortgage has been a long-time supporter of the California MBA. What can you tell our listeners about the importance of supporting the California MBA? Thank you to our sponsor, Insellerate. To learn more visit insellerate.com or call 855-973-1646 To learn more about the California MBA visit www.cmba.com and don't forget to subscribe to our podcast and stay tuned for our next episode!

In this episode, we are joined by Marlen Prato, Senior Payments Product Manager at RevSpring, to discuss Alternative Payment Methods (APMs) and why they should be a consideration in your payment strategy. Tune in to learn more about the advantages to APMs. This episode is sponsored by RevSpring.

Jeff Micklos is the Executive Director of the Health Care Transformation Task Force, an industry consortium that brings together patients, payers, providers and purchasers to align private and public sector efforts to clear the way for a sweeping value transformation of the U.S. health care system. Under Jeff's leadership, the Task Force provides a critical mass of business, operational and policy expertise from the private sector that, when combined with the efforts of the Centers for Medicare & Medicaid Services and other public and private sector stakeholders, can accelerate the pace of delivery system transformation. Jeff is a great ally in this Race to Value, and the Task Force is doing its part to catalyze value-based payment adoption.  In January 2015, the task force was formed based on a commitment to the triple objective of better care, better health and lower costs. As a unique private sector coalition under Jeff's executive leadership, the task force has an unrelenting vision to accelerate the pace of value-based care transformation.  Consequently, they have set the goal for payer and provider members in the Task Force to have 75% of their business in value-based payment arrangements by the end of 2025. Listen to this episode to learn everything you need to know about the health policy landscape, strategic implications for payment and delivery transformation, and how redesigned payment models will help us seek sustainable improvements in health equity, patient outcomes, and consumer experience. Episode Bookmarks: 01:40 Introduction to Jeff Micklos and the Health Care Transformation Task Force 03:30 The grim stats on the U.S. health system and the need to accelerate value-based care transformation 05:00 “Change is hard. And change is even more difficult when the status quo is so lucrative in fee-for-service medicine.” 05:30 30% of fee-for-service healthcare is related to low-value care (changing this is a major opportunity to sustain in the long-term!) 05:45 Changes to payment models and the market-driving force of Medicare reforms in healthcare transformation 06:00 HCTTF Transformation Goal: 75% of members operating under value-based payment arrangements by 2025 (progress made by reaching 61% in 2020) 06:55 CMS Innovation Center (CMMI) Strategy Refresh Target Goal:  All Medicare FFS beneficiaries in a accountable care relationship by 2030 07:15 “A financial spend metric (in and of itself) is not an indicator of success in value transformation.” (qualitative measures just as important!) 08:20 COVID-19 has only emphasized the need for significant payment and delivery transformation 09:30 The uncertain political climate and how that is shaping current delivery system reform efforts and private sector momentum for value-based transformation 10:00 Extension of the MACRA 5-percent Advanced APM incentive payment (currently scheduled to sunset in 2024) 11:00 The Build Back Better Act and its potential impact on improving health care and lowering costs 11:30 Increased coverage in the ACA marketplace exchanges as a success of the Biden Administration 11:50 The impact of the Russia-Ukraine situation on advancing health policy objectives in the near term 12:00 The upcoming midterm election and how the projected electorate change towards full GOP control may shift the political dynamics of the value movement 12:45 The CMMI Strategy Refresh as a guidepost for the future direction of the value movement 15:00 Reflecting back on the 1st 10 years of the CMS Innovation Center and lessons learned from theMedicare Shared Savings Program (MSSP) 15:50 “ACOs overall have played a key role in transforming the health care system by creating incentives for providers to deliver high quality, cost efficient care.” 16:10 Leveraging MSSP as a platform to scale provider adoption of other APMs 16:45 The failure to reach rural areas with APMs and the need for continued investmen...

Ian Leslie, Senior Director of Retail Advocacy at Bolt, joined Retail Refined for a live chat at NRF 2020. Bolt is a San Francisco-based one-click checkout solution powering checkout across e-commerce merchants across the internet.“We're trying to bring one-click checkout to all merchants whether they're big or small,” Leslie said. “Give them a best-in-class experience, and also allow them to be able to identify their customers and allow their customers to checkout as seamlessly as possible.”Once Bolt gets installed on a merchant's website, they have immediate access to the millions of shoppers on the Bolt Network. When a Bolt customer comes to that merchant's website for the first time and has an existing Bolt account, having shopped on another Bolt site, they can quickly check out with a code they receive via text message or email they are in and out fast.Many of the trends Leslie saw the industry heading towards involved more effortless online shopping experiences. And Bolt's commitment was to help these merchants from enterprise to SMB make those easy purchase experiences possible. And with the growth of installment plans and APMs such as Apple Pay or PayPal check out, these are expectations the shopper has, and merchants need to deliver. “What's great about Bolt is we're gateway agnostic, so whether you check out via credit card or you check out via Apple Pay, Amazon Pay, or Klarna, it doesn't matter to us,” Leslie said. “We just want the checkout to occur.”

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Join Health Affairs Insider.June is shaping to be a busy month in the health policy space. Two major events happened this week alone.First, the Affordable Care Act (ACA) survived its latest legal challenge in the Supreme Court. After facing many court challenges, the 2010 policy is still the law of the land.Also, the Medicare Payment Advisory Commission (MedPAC) sent a report to Congress on Tuesday making many recommendations to revamp Medicare payments. It's recommendations are not binding but the group is influential in the health policy community. In the report, the advisory group called for streamlining alternative payment models (APMs) and changing how Medicare Advantage benchmarks are calculated.On this episode of Health Affairs This Week, Senior Editors Leslie Erdelack and Jessica Bylander discuss the recent Supreme Court decision and try and demystify what MedPAC is and highlight some of the agency's recommendations from the recent report. Related Links: MedPAC June 2021 Report Affordable Care Act Survives Latest Supreme Court Challenge (The New York Times) LIVE with Liz Fowler, Director Of The Center for Medicare & Medicaid Innovation (A Health Podyssey) Private Equity Investments In Health Care: An Overview Of Hospital And Health System Leveraged Buyouts, 2003-17 (Health Affairs) Understanding Private Equity Investment In Hospitals (A Health Podyssey) Subscribe: RSS | Apple Podcasts | Spotify | Castro | Stitcher | Deezer | Overcast

The all-too-common visualization of balancing between the two canoes of fee-for-service (FFS) and value-based care (VBC) is an appropriate illustration of the pressure that providers feel, but maintaining balance is clearly focused on staying upright, on survival. The challenge is that the FFS canoe has a motor, and the paddle for the VBC canoe is not enough to change direction – clearly the tools used to optimize reimbursement in the two worlds are oftentimes diametrically opposed. The mission behind VBC (lower cost, better outcomes, better care) has not been sufficient for many to overcome the momentum of the status quo, the requirement for margin that is the focus of FFS. This week's episode features two leaders in the race to value who have vital insights focused on achieving margin in risk, giving provider leaders more clarity to make the best decisions for their organizations in positioning for the future. François de Brantes serves as Senior Vice President of Commercial Business Development at Signify Health. He leads customer development of the Medicare Advantage, Self-Insured Employer, and Commercial Payer markets. He has spent close to two decades working to transform the U.S. healthcare system by improving incentives for providers and consumers in order to encourage value-based decisions.  He is the foremost expert on designing and implementing episodes of care programs for employers, providers and health plans. Joe Fifer is president and CEO of the Healthcare Financial Management Association. HFMA's mission is to lead the financial management of health care. With more than 50,000 members, HFMA is the nation's leading membership organization of healthcare finance executives and leaders. Prior to assuming this position in 2012, Joe spent 11 years as vice president of hospital finance at Spectrum Health in Grand Rapids, Mich. He also spent time with McLaren Health Care Corporation, Ingham Regional Medical Center and Ernst & Young.   Episode Bookmarks: 02:00 Introduction to our Mission-Oriented Expert on Value-Based Care, François de Brantes (SVP, Signify Health) 02:20 Introduction to our Margin-Focused Healthcare Finance Executive, Joe Fifer (President & CEO, HFMA) 03:40 Healthcare organizations must position themselves for value-based payment without going bankrupt in the process! 05:00 The recently released report entitled, "The Future of Value-Based Payment: A Road Map to 2030” 07:00 François provides his perspective on the current state of value-based care and the current track record of CMS and CMMI payment models 11:30 Joe explains how excessive healthcare spending has forced the U.S. under-invested in infrastructure 13:00 Moving from payment model experimentation to a more focused set a models with the right incentives to move the industry forward 14:30 Performance Results of the Bundled Payments for Care Improvement (BPCI) initiative 16:00 How François and Joe initially met 10+ years ago while working on a bundled payment program 17:45 François explains how making better decisions in post-acute care when managing an episode of care can generate margin at the patient-level 21:00 Joe on why CFOs are leery of value-based payment because of the variation and uncertainty of the financial model, and how to create an attitudinal change 23:30 CMMI needs to develop a core set of APMs that show evidence in helping the delivery system make the right decisions around resource allocation to optimize their organizational structures. 25:00 Is there an organizational tipping point for value-based care based on the percentage of their revenue portfolio at risk? 26:00 François explains the “CFO's Dilemma” (i.e. shifting a portion of FFS revenue to risk with increased associated margin per patient that can offset the decrease in the overall margin from the loss of incremental hospitalization revenue in FFS) 27:40 The “CFO's Dilemma” is all about reaching a tipping point...

It's not a secret, the broken healthcare system is exquisitely tuned to react after patients get sick. For the most part, profits are made after we FAIL patients. And it hurts all of the caregivers who face the daily internal conflict of doing what is right for the patient or doing what is right for the business. But there are a few who are positioned differently. When the strategy and business are unconflicted they're not worried about demand destruction and leakage but are instead focused on prevention and true care management. It all begins with prioritizing and properly aligning primary care. A group of 100 adult primary care physicians can influence $1 billion in healthcare spend. This is the source of potential power and change in a value-based world, where health will improve for patients and their providers while costs are decreased. Aledade is such a place – by allowing providers to remain independent and unfettered by the constraints of fee for service, Aledade is blazing the path toward true health value. Episode Bookmarks: 03:30 Comparison of Healthcare Spending ($6M per minute) to Niagara Falls (6M cubic feet per minute) 04:55 Aledade's success in short lifespan of company (now at 800 practice partnerships with $360 million in healthcare cost savings) 06:05 The misalignment of incentives creating a perverse incentive for poor outcomes (e.g. profitability of treatments following a stroke) 06:45 Dr. Mostashari spending his career trying to find answers to the question, “How do we save the most lives?” 07:20 Adoption of electronic health records (“We succeeded in the battle, but we lost the war.”) 07:45 Provider workflow redesign and optimization (Regional Extension Centers) 08:25 “How can we create incentives so that private profit creates public good?" 09:30 “The Paradox of Primary Care Physician Leadership”  (the influence of primary care on downstream healthcare spend) 11:30 Consolidation of primary care by Optum and private equity firms 12:00 The resiliency of independent primary care practices 12:30 “Independent practices can do what they believe is in the patients' best interest, without worrying that they're obligation to the patient conflicts with their obligation to the corporation.” 13:00 Data shows remarkably little change in hospital employment of PCPs, thereby showing resilience in the primary care market 15:00 Movements are led by effective storytelling and these stories can revitalize communities of people 17:00 Primary care heroes during COVID-19, and how society neglected them by failures in supply chains, testing, and vaccines 18:40 Aledade's support of primary care practices during the pandemic 20:00 “It is remarkable what happens when you do the right thing.” 22:00 Dr. Mostashari's terror in seeing early ER utilization data in knowing that a pandemic was coming (before the media was covering it) 23:00 Implementation of telehealth, finding PPE, and securing loans for practices in early stages of pandemic 23:25 “The idea of practices going out of business during the pandemic highlights the insanity of fee-for-service payment for primary care.” 24:00 The lessons of COVID-19: 1) Healthcare can change, 2) Primary care doesn't have to be an in-person visit, 3) Capitation in primary care is preferrable to fee-for-service 25:40 “Primary care is about the relationship between a practice and patient --  it's not about the 99213 visit.” 27:30 Dr. Mostashari addresses recent delays by CMMI in new APMs and what we should expect in future health policy 28:30 Scaling the models that work is the job of good health policy.  (MSSP compared to CMMI programs) 29:00 The ACO Investment Model (AIM) program was successful and a model for future provider and patient incentive programs 30:30 CMMI delays should not be considered as a question to the direction of value-based models. 32:00 The progress of the ONC in standardizing health in...

Achieving health value demands the formation of a new social construct, one that puts aside self-interest and builds systems of care for the common good. One that prioritizes health and equity for all, including the underserved and most vulnerable among us. This effort requires stronger leaders and better leadership than ever before. Getting Medicaid right, transforming addiction and substance use disorder treatment, reframing behavioral health, and removing silos – these are a few of the efforts of this week's guest as his work exemplifies the mission of achieving health as the seminal American institution to drive social connectedness and economic prosperity. Our guest is David Smith, CEO and founder of Third Horizon Strategies (THS), a Chicago-based, boutique advisory firm focused on maximizing human potential through a better health system. David serves on the Health Care Council of Chicago, the Alliance for Addiction Payment Reform, the board of the Sinai Hospital System, the Founder's Council of United States of Care and as a Senior Advisor at AVIA and a Project Executive for their Medicaid Transformation Project. 04:55 Facts on Medicaid: 75 million Americans covered (1 in 5 Americans), 50% of US births, $600B annual spend 05:40 Medicaid beneficiaries may even approach 100M in the next five years 06:00 Background on the Medicaid Transformation Project (MTP) 08:00 “The Medicaid program is the single most important endeavor in our country, PERIOD. And that's not just in healthcare, I'm talking about in total.” 09:00 Health is required to serve in the function in the full human capacity. 09:45 The neglect of the Medicaid program over the years and why we need to get it right to improve health in underserved communities 10:18 “Getting Medicaid right improves health, and improving health creates economic development.” 10:30 Disparities in public health are drawn across racial lines 11:00 Transformation Factor #1:  Evolution of payment models and realignment of incentives 11:45 Transformation Factor #2:  An evidence-based approach to Care Model research and implementation 12:15 Transformation Factor #3: Leveraging technology innovation for underserving communities 12:40 Transformation Factor #4: Social impact investments to fuel innovation 13:00 Transformation Factor #5: Social determinants of health 13:30 Transformation Factor #6: Growth in Medicaid enrollment requiring scalable solutions 14:10 Lack of government boldness, states not moving fast enough, MCOs not eager to develop new payment models 14:40 Partnering with health systems in the MTP to look for disruptive solutions that with financial self-sustainability 16:40 Facts about Substance Use Disorder (SUD): 23.4 million Americans affected, 81,000 drug overdose deaths per year, 1 in 5 Medicaid beneficiaries, 46% of the total Medicaid spending 18:40 David shares how he has personally been impacted by drug overdose through the loss of his father, brother, and sister 21:25 The role of Big Pharma in creating the opioid problem and how Addiction (the “dopamine rush”) is the #1 most common human failing 23:00 How the system of care is setup to treat patients with SUD as “bad people” 23:35 “If we think our fee-for-service system is bad for our physical health, it is a dumpster fire for people who struggle with addiction.” 24:15 The total cost of care for a patient with high acuity SUD is $31-32k per year, and how that creates a $17k value gap. 25:20 “There is no “cure” for Substance Use Disorder; there is only reducing a person's risk to a baseline.” 25:50 The Value Gap due to waste and inefficiency in the treatment of SUD that also results in poor outcomes in long-term recovery. 27:05 The Alliance for Addiction Payment Reform and its role in advocating for a new value-based payment model for long-term recovery of SUD 29:30 Partnering with commercial payers to develop APMs for Substance Use Diso...

APMs have been and will be examined again in SBR. You need to know what they are, why they might be useful and how they are regulated. I am also going to delve into the meaning of EBITDA.