Podcast appearances and mentions of don crane

We are on an enlightening journey to transform American healthcare in the race to value. Medicare Advantage increasingly stands out as a superior vehicle for value transformation due to its ability to catalyze care delivery innovation through full-risk capitation. By promoting coordinated care and integration among healthcare providers, MA plans foster a patient-centric approach that improves overall care quality and health equity. Additionally, these plans prioritize preventive care and wellness initiatives and enable early identification and management of chronic disease, ultimately reducing healthcare costs. By incentivizing providers to prioritize outcomes over volume, Medicare Advantage is our path forward to a uniquely American healthcare system that we can be proud of. Joining us this week on the podcast is Don Crane, former CEO of America's Physicians Groups. In this episode, he shares his valuable insights and expertise on Medicare Advantage and how it will shape our future in healthcare transformation. Join us as we explore the challenges and opportunities that lie ahead for Medicare Advantage and discuss the potential impact on the healthcare landscape! Episode Bookmarks: 01:30 Introduction to Don Crane (Former President and CEO of APG) and the potential for Medicare Advantage to transform American healthcare. 03:30 Support Race to Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts. 04:00 Don Crane joins the Race to Value again as returning guest. (Check out his prior episode on Primary Care Transformation!) 05:00 The explosive growth of MA and the evidence showing that MA plans deliver better economic and clinical outcomes. 06:30 How a capitation in Medicare Advantage enables population health outcomes through effective SDOH interventions. 08:00 The criticisms of Medicare Advantage from notable thought leaders Richard Gilfillan and Don Berwick. 09:30 Protection of the Medicare Trust Fund is the common point of agreement between MA proponents and opponents. 10:00 Don addresses the criticisms of risk adjustment gaming and the program's overall spend. 10:45 Is it necessarily a bad thing if MA costs more than Traditional Medicare if it provides better care outcomes and supplemental benefits? 11:30 “Spending more on Medicare Advantage makes all the sense in the world to me if it provides better outcomes and value for seniors.” 12:00 The perspective from seniors enrolled in Medicare Advantage on the appropriateness of spending for supplemental benefits. 12:30 “The astronomical growth of Medicare Advantage should be celebrated.” 13:00 The V28 HCC changes to the Risk Adjustment model for payment year 2024 will decrease the number of codes by more than 2,000 from the HCC model. 14:00 The adverse impacts of risk adjustment coding changes will increase administrative complexity and hurt seniors by reducing MA funding to the tune of $10B. 15:45 The need to evaluate both Traditional Medicare and MA to determine the best path forward. 16:30 Risk adjustment is grounded on the premise of fairness to both the payer and provider and should prevent both over- and under-payment. 17:30 “Risk adjustment is such an important ingredient in capitated payment models and provides a business case for addressing inequities in underserved communities.” 18:30 Concerns about the elimination of risk adjustment and how that will adversely affect sicker patent populations through “cherry picking” during MA enrollment. 19:30 Don compares the bad actors in MA who perform upcoding to the overpayments and overutilization that occurs in Traditional Medicare. 20:00 Is the potential for upcoding exaggerated by detractors of Medicare Advantage? 20:30 Eliminated risk adjustment in Medicare Advantage is an example of throwing out the baby with the bathwater. 21:00 How Star Ratings work in Medicare Advantage to unlock bonuses and rebates when improving care quality.

Some of the questions addressed by this podcast include when to start giving an allowance, how much allowance to give, mistakes that parents make in giving an allowance, and how children should be expected to use the allowance. Answers to these and other questions will be provided from a Biblical perspective and also from Ellen G. White's writings. This episode is the first of a series of four (1/4). It is aimed at parents wanting to provide a Christian financial education to their children and to prepare them to put God first in their adult life. It is also part of the Family Finance Seminar, presented by Marcos Bomfim, the General Conference Stewardship Ministries Director. Segments of three videos produced by the General Conference Stewardship Ministries department were inserted: #47 – Simple Life - https://www.youtube.com/watch?v=x5ZDyYEFerw #34 – Is it Sin Not to Give Freewill Offerings? - https://www.youtube.com/watch?v=9D5Bszb8ZvU #26 – Learning by Experience - https://www.youtube.com/watch?v=-FXgrOXWr5E This presentation is based on Don Crane's "Family Finance Seminar." You may watch this episode on YouTube here: https://youtu.be/J-sBQc1TwkM

The need to strengthen and empower primary care, like the drive towards health equity, is one of the great causes célèbre of American healthcare. As David Blumenthal and Lovisa Gustafsson recently wrote in the Harvard Business Review: "America's health care system seems, paradoxically, both endlessly innovative and profoundly dysfunctional. On the one hand, we hear almost daily about flashy new ventures like, most recently, Amazon's recent purchase of One Medical, a large provider of primary care, that promise transformative improvements in health care efficiency, quality, and service. On the other hand, the day-to-day performance of the U.S. health care system is an international embarrassment. The United States spends twice as much as any other high-income country on health services while its maternal mortality, infant mortality, preventable mortality, overdose deaths, levels of chronic illness, levels of obesity, and deaths from Covid-19 put it at the bottom of the pack in the developed world. The American public is awash in personal medical debt, and even the best-connected struggle to find a primary care physician." In this week's episode of the Race to Value, we are going to highlight the plight of primary care in the US and share real-time updates of what is actually happening in the marketplace. This important dialogue will help us understand how to improve the role, standing, supply and compensation of primary care practitioners in the US.  Joining us the week is Don Crane, Former President and CEO of America's Physicians Groups. Don recently served as the Co-Chair of the National Primary Care Transformation Summit that occurred on July 25-29th, and we will be discussing with him the key insights from this important meeting. This was an event that the Institute for Advancing Health Value proudly sponsored, along with other key groups such as the Commonwealth Fund, Heritage Provider Network, Upstream, PCORI, Equality Health, Signify Health, and other important organizations leading in the value movement.  This event was made possible by our mutual friend Peter Grant, and Don served as a co-chair along with other healthcare luminaries Francois de Brantes, Dr. Clive Fields, Anne Greiner, Shawn Martin, and Elizabeth Mitchell.   Episode Bookmarks: 01:30 The need to strengthen and empower primary care, like the drive towards health equity, is one of the great causes célèbre of American healthcare. 02:00 “The American public is awash in personal medical debt, and even the best-connected struggle to find a primary care physician."  (Amazon's Foray into Primary Care Won't be Easy) 03:00 Introduction to Don Crane, Former President and CEO of America's Physicians Groups and the recent National Primary Care Transformation Summit 04:00 The PCT Summit had over 4,800 registrants, with 33 mini-summits, 26 plenary sessions and 150 faculty that were a veritable Who's Who in American Healthcare! 05:00 “Staying the same is the first step to getting worse.  We must change the way we do Primary Care, and the crazy ideas of today will be the genesis of breakthroughs tomorrow.”  - Dr. Richard Merkin 05:30 Primary care is that no longer in the backwaters of medicine; it is now being seen as the backbone of the value movement. 06:30 Types of Primary Care: Suboptimal, Fragmented PPO Model vs. Optimal, Integrated HMO/Capitated Model 07:00 Reflections from Dr. Christopher Chen on the need for Primary Care Transformation 08:00 Primary Care Demand-Side: 96% of Medicare spend relates to individuals with multiple chronic diseases. 09:00 The need for coordination processes in primary care to improving quality and moderating costs. 09:30 Care Variation and Waste: 35% of healthcare is related to unnecessary, avoidable care that is wasteful. 10:00 The Improvement of Health as the Ultimate Goal: Better, Personal, Whole-Person Care to Prevent and Predict Disease to Reduce System Demand

The fee-for-service hospital-based system is rewarded for transactions, not impact. Each interaction has a dollar amount tied to it. The goal is to generate revenue by billing. We must transition away from a culture of reactively responding to sickness, towards one of proactively making healthier decisions to prolong the quality of life. Don Crane joins us this week to discuss leading towards value. Being a doctor is your calling because you couldn't imagine doing anything else. Let's talk about your career goals in medicine. Connect with us and tell us how you dream of practicing medicine. Want to learn more about how we do healthcare? Visit our resource center and check out how we are transforming healthcare. Don't forget to subscribe to ChenMed Rx to receive the latest news and articles from ChenMed.

What does the only physician in Congress who has personally managed the delivery of care in a capitated integrated physician group have to say about the future of the #valuebasedcare movement? Listen to this compelling and lively podcast conversation about the politics impacting our ability to change the #healthcare system to capitation as APG President and CEO Don Crane interviews Ami Bera, MD, U.S. Congressman from #CA07. @AmerPhysGrps @DonCrane @RepBera  

How does reading a book to a child under age four affect their adult health, ability to learn, and succeed in life? Epigenetics tells us that cancer, asthma, diabetes, and other #healthcare problems can be significantly reduced with a simple addition of books into the home. Join APG President and CEO Don Crane as he interviews George Halvorson, Chair and CEO of the Institute for InterGroup Understanding and co-author of the Better Care Plan. Mr. Halvorson explains why we must focus on early childhood development, why #Medicaid expansion is a great idea, and the need for a more sophisticated purchasing model for healthcare. @GCHalvorson @IntergroupPeace @DonCrane @AmerPhysGrps #healthequity #healthdisparities

APG President and value-based care nationall pillar Don Crane rejoins the show to share updates on the continued move from "volume to value."  APG's members include some of the largest medical groups across the country, including those from 45 states and including some of the biggest names in the healthcare industry, with a focus on outcomes instead of fee for service.

Consolidation in the healthcare industry is not automatically good or bad for consumers, but the details matter. Join APG President and CEO, Don Crane as he talks with Glenn Melnick, PhD, Professor at USC Sol Price School of Public Policy and world-renowned expert in health economics and finance, about how horizontal and vertical consolidation in healthcare can generate value for patients, but too much consolidation can take away market pressure for competition and raise costs. @USCPrice @DonCrane @AmerPhysGrps www.apg.org  

What does the consolidation and merger trend in the healthcare industry mean for patient care and costs? How has the COVID-19 pandemic impacted the number of medical liability cases? Listen to this podcast episode where APG President and CEO Don Crane talks with Richard E. Anderson, MD, FACP, Chair and CEO of The Doctors Company, Leader of the TDC Group of Companies, as they explore these topics and more, including the rise of consumer-driven care and retail medicine, the need for decent electronic health records and better patient data, and the future of value-based care. @DonCrane @AmerPhysGrps @doctorscompany www.apg.org

How does a successful integrated healthcare delivery system work? APG President and CEO Don Crane talks with Raj Shrestha, CEO of Intermountain Healthcare, about the strategy behind the success of the Intermountain healthcare model: Grow and retain membership, keep people healthy, and provide the best care at the lowest cost. Shrestha also explains how Castell launched its successful hospital-at-home program in just four weeks to help alleviate pressure on the healthcare system from the COVID-19 pandemic.

The COVID-19 pandemic has highlighted the downside of America's fee-for-service reimbursement system. Take a listen as Don Crane, APG President and CEO, talks with Mark McClellan, MD, former head of CMS, FDA, and current Professor at the Margolis Center for Health Policy at Duke University, about where he sees things headed with value-based care. Dr. McClellan says the pandemic provides a real opportunity that we haven’t had before to engage the public around the value of care models that are centered on them and are flexible enough to deliver the best care they need to stay well.

What does the founding CEO of the California Health Care Foundation, Mark Smith, MD, believe will help fix American healthcare? APG President and CEO Don Crane sat down with Dr. Smith, now Professor of Clinical Medicine at the University of California-San Francisco, to find out. Smith says getting all Americans covered by health insurance, focusing more attention on value-based payment for big-ticket medical devices and drugs, establishing a more rigorous scientific standard for what Medicare will cover, and accelerating people towards value-based payment are key items that will help improve healthcare in the U.S.

Europe and other wealthy developed democracies spend about half as much on healthcare as we do in the United States. But these countries get much better outcomes than the U.S. because they spend twice as much on social care. APG President and CEO Don Crane talks with June Simmons, MSW, CEO of Partners in Care about the importance of social determinants of health. June explains how assessing patients for social determinants like nutrition, safe housing, mental health, family support, fall risks, and proper prescription medication usage all help to improve health outcomes, lower costs, and avoid unnecessary hospitalizations.

How do you successfully convert a practice based on volume to one based on value? What are the challenges? Don Crane talks with Bob Margolis, MD, former CEO of HealthCare Partners and Founder of the Duke-Margolis Center on Health Policy, about his career and about what it took to develop HealthCare Partners (now Optum) into a highly successful multi-state, physician-owned-and-operated medical group, independent physician association, and management services organization. Dr. Margolis also discusses why he thinks we need a national health czar.

It is possible to fix our broken healthcare system with a holistic and preventive approach. Don Crane talks with Chris Chen, MD, CEO of ChenMed, a successful globally capitated, primary care organization focusing on providing preventive healthcare for seniors that’s caught the eye of the whole country. Listen as Dr. Chen describes how ChenMed became such a successful model of value-based care. You will also hear Dr. Chen, a cardiologist, talk about his own harrowing experience with COVID-19 infection and what he learned from being a patient in the ICU.

What does our healthcare system look like post-COVID? How is healthcare innovating to meet the many challenges? How will this pandemic impact the value-based care movement? APG President and CEO, Don Crane, talks frankly with Ian Morrison, author, futurist, internationally known consultant and speaker specializing in the future of healthcare and the changing business environment. Morrison gives his insight about the changes and challenges ahead for employer-sponsored commercial insurance, Medicare, and Medicaid.

On This Week in Health Innovation my guest is Don Crane, President and CEO of America’s Physician Groups (APG). APG is the nation’s leading professional association representing medical groups and independent practice associations modeling best in class in coordinated care. APG is the nation’s largest trade association that explicitly promotes capitation as the payment model for its members, all of whom accept various forms of risk-based capitation or other population-based payment. America’s Physician Groups mission is to provide advocacy and education for physicians, and to lead the coordinated care movement across the nation. APG is a professional association, representing over 300 medical groups, IPAs and integrated healthcare systems across the nation. Its members are committed to responsible payment models that assume accountability for both cost and quality, believing that patient-centered, coordinated, and accountable care offers the highest quality, most efficient delivery mechanism, and greatest value for patients. APG members have successfully operated under this budget-responsible model for several decades. Follow APG and Don’s work on twitter via @AmerPhysGrps and @DonCrane, respectively. And for more information on the APG Colloquium - a virtual event - scheduled for November 17th - 19th, go to www.apg.org ==##==  

The COVID-19 pandemic has focused a spotlight on our healthcare system and our government’s ability to respond to a national health crisis. Join APG President and CEO Don Crane for a candid discussion with Andy Slavitt, Chair of the United States of Care, and former Acting Administrator for CMS. Slavitt, host of the popular podcast “In the Bubble with Andy Slavitt,” shares his views on our nations’ response to dealing with COVID-19 and its impact on the value-based care movement. You’ll also hear Slavitt’s thoughts on the future of healthcare in the U.S. and why talking to patients is key to transforming it.

Since COVID-19 hit the US earlier this year, we have heard plenty about how American hospitals are dealing with the pandemic. But what about the physician groups that are on the front lines with patients—how are they coping and adapting? What impact has COVID-19 had on the way primary care physicians operate? How have medical groups dealt with the rapid deployment of telehealth services? What will healthcare look like, post-pandemic? Listen in as APG President and CEO Don Crane talks with John Jenrette, MD, Executive Vice President of Cedars-Sinai Medical Network in Los Angeles about how his prominent organization is pivoting to meet the needs of its patients in the time of an unprecedented worldwide pandemic.

On This Wek in Health Innovation my guest is Don Crane, President & CEO of America’s Physician Groups aka APG, the nation’s leading professional association representing medical groups and independent practice associations practicing and advancing the art of coordinated care. APG is the nation’s largest trade association that explicitly promotes capitation as the payment model for its members, all of whom accept various forms of risk-based capitation or other population-based payment. These groups are in the forefront of the healthcare reform and represent the care model and payment methodologies adopted by federal legislation for the entire nation. For more information on Don and APGs work in the value based healthcare economy space, do follow them on twitter via @DonCRane and @AmerPhysGrps respectively. And for more information including a rich library of thought leadership resources and member benefits, go to: www.apg.org Enjoy! ==##==  

In this episode listeners will gain valuable insight and strategies for healthcare delivery systems from Dr. John Kitzhaber, former Governor of Oregon, who is later joined by APG's President & CEO, Don Crane to discuss Oregon's healthcare reform as a potential for the rest of the nation. This audio is taken from a General Session at the APG 2018 Annual Conference in San Diego.

The organization formerly known as CAPG has grown rapidly since we last had CEO Don Crane on the pod.  Re-branded as America’s Physician Groups (APG), the organization has expanded their influence nationwide and continued its rapid growth.  Ahead of their upcoming national conference in San Diego, Don sits down with the guys to discuss the “new” organization, his view for the future of healthcare and how APG is exercising its influence in Washington.

Tuesday, February 6th 2018 on This Week in Accountable CareDon Crane, CEO of America's Physician Groups (follow on twitter via @AmerPhysGrps) makes his second appearance weighing in on accountable care, Medicare Advantage and the latest developments emanating from Wasington, DC. More about Don: Don Crane is the President and CEO of America's Physician Groups, a national professional association composed of physician groups dedicated to coordinated, accountable care. It is the nation’s largest trade association that explicitly promotes capitation as the payment model for its members, all of whom accept various forms of risk-based capitation or other population-based payment. These groups are in the forefront of national healthcare reform and represent the care model and payment methodologies adopted by federal legislation for the entire nation.  Full bio here. Join APG at their annual meeting April 19-21st, 2018 in San Diego. For more information or to register, click here.  

On the July 25th, 2017 broadcast our special guest is Don Crane, the CEO of CAPG: 'the leading association in the country representing physician organizations practicing capitated, coordinated care. Our membership currently comprises close to 300 multispecialty medical groups and independent practice associations (IPAs) across 42 states, the District of Columbia, and Puerto Rico.' Join National ACO co-founders Drs. Andre Berger and Alex Foxman as they engage Don Crane in an informative conversation about the state of value based care, CAPG's role advancing successful provider risk assumption and the general state of the market duing an unsettled period of survival of the ACA and it's likely replacement in the event of a successfu repeal.For more information on CAPG click here and for more on Don Crane, here. A featured piece on CAPG will be posted toi ACO Watch shortly. For more information on National ACO, click here.

On the July 25th, 2017 broadcast our special guest isDon Crane, the CEO of CAPG: 'the leading association in the country representing physician organizations practicing capitated, coordinated care. Our membership currently comprises close to 300 multispecialty medical groups and independent practice associations (IPAs) across 42 states, the District of Columbia, and Puerto Rico.' Join National ACOco-foundersDrs. Andre Berger and Alex Foxman as they engage Don in an informative conversation about the state of value based care, CAPG's role advancing successful provider risk assumption and the general state of the market duing an unsettled period of survival of the ACA and it's likely replacement in the event of a successfu repeal.For more information on CAPG click here and for more on Don Crane, here. For a featured piece on CAPG checkout 'The Value Pivot': The CAPG Story. For more information on National ACO, click here.  

Pat Clarey, Chief State Health Programs & Regulatory Relations Officer, HealthNet, Don Crane, Chief Executive Offiver, CAPG and Diana Dooley, Secretary, California Health and Human Services made up our Lunch Executive Keynote Panel at our 2017 Northern California State of Reform Health Policy Conference. What does the path ahead look like for California within the context of the changing federal policy landscape, both in Congress and the administration? Is there a unique role that California can play – in terms of leading other states but also in local implementation – where California can continue to innovate beyond (or in spite of) the federal policy discussion? This panel of experts took up the topic during our lunch program on April 27.

This week the guys interview Masshole specialist and son of 2 librarians, Dan Crane, aka Don Crane, to be their new lab assistant. Cause if you all remember Lauren shit the bed. I guess they learn science too. Something to do with force, motion and gravity or some shit. Emperor Palpatine stops by, but the guys don't give him any respect. The guys give Don a bunch of hypotheticals for their hypothetically failed experiments. Then out of nowhere, Don flips the script on Chris and Rob, and no one can tell who's interviewing who. Turns out the modern day paper deliveryman is creepier then we thought and everyone wants a air hockey table bed. The guys perform their second experiment with Don and discover a new planet, Cat Planet! Will Don get the job? Will Rob get that air hockey table bed? Will Palpatine be in the new Star Wars movie? Does Chris care? All these questions and more on this episode on the The Dunce Caps.