Podcasts about remedy partners

Our guest today is Vanessa Villaverde, the senior program investment officer at the CHCF Innovation Fund, which invests in technology and service companies with the potential to significantly lower the cost of care or to improve access to care for Californians with low incomes. Vanessa is an exceptional health leader with her eye on expanding the contributions of Latina/o/x innovators in health technologies,Before joining CHCF, Vanessa worked at health tech companies Caresyntax and Remedy Partners, where she developed value-based care programs and products. She worked at the Centers for Medicare & Medicaid Services for 10 years advising on innovative payment models, state Medicaid policy, and 1115 waivers. She has invested into health care companies through special purpose vehicles and Angel networks, created a nonprofit to further readiness for Black and Latino/x founders looking to fundraise, and served as a venture scout for Vamos Ventures, an LA-based and Latino/x-led VC fund providing capital to Latino/x and diverse teams in health care, wellness, workforce, fintech, and sustainability.HealthCare UnTold expresses its gratitude to Vanessa for her dedication and hard work in enhancing the health and prosperity for our communities.#VaneesaVillaverde#CAHealthCareFoundation#HealthCareInnovation#LatinoTechnologyStartups

Branko Kolvek, SVP of Operations at Pager, discusses the company's virtual care collaboration platform while exploring the differences between telehealth and virtual care. He'll also provide insight into how digital platforms can control healthcare costs, limit telehealth overutilization, and improve the patient experience. Offered through health plans, Pager's platform provides access to a care coordination team and combines omni-channel communications, artificial intelligence, and machine learning to deliver high-touch concierge services that guide patients along the entire care path, from chat and triage, to scheduling, customer service, e-prescribing, and follow-up care. Branko Kolvek is Senior Vice President of Operations at Pager, a virtual care collaboration platform that offers whole-person healthcare and hi-tech, hi-touch concierge services to connect patients with the care and services they need. In his current role, Mr. Kolvek oversees operational processes and care services to drive performance and create an improved patient experience through Pager's platform. Prior to his time at Pager, Mr. Kolvek served as the Vice President of Operations at Remedy Partners (now Signify Health: NYSE SGFY) where he implemented value-based initiatives with providers. As a Senior Associate at Alvarez & Marsal Healthcare Industry Group Mr. Kolvek executed financial and operational turnaround strategies with provider organization. With nearly 15 years of experience in the healthcare industry, Mr. Kolvek has worked with a number of different companies and startups to help them navigate the healthcare ecosystem. Mr. Kolvek is a graduate of Brown University where he earned a Sc.B. in Biology, and a graduate of Johns Hopkins Bloomberg School of Public Health, where he received his MHS in Health Finance and Management. #Pager #VirtualCare #Telehealth

When Dave Terry started his career in healthcare three decades ago, he noticed something odd and disturbing. The fee-for-service model meant doctors were paid for quantity, not for quality or cost effectiveness. Since then he’s been working to do something about it: for the first twenty years at American Practice Management, then Partners Healthcare and Harborside Healthcare. He made progress, but also learned the limitations of acting against entrenched interests.For the last decade he’s gotten even more serious, co-founding Remedy Partners in the wake of the Affordable Care Act and then Archway Health, where he is CEO. Archway helps physicians jump into the meaningful risk-based payment models that are finally on offer from the Feds and private carriers.I compared Dave’s quest to the Thirty Years’ War, but reminded him that there was a Hundred Years’ War, too, so he better gird himself.Show notes:Dave’s LinkedIn profile https://www.linkedin.com/in/david-terry-19b370/Archway Health https://www.archwayhealth.com/ BPCI Advanced https://innovation.cms.gov/innovation-models/bpci-advancedNo Rules Rules by Reed Hastings and Erin Meyer https://www.penguinrandomhouse.com/books/606529/no-rules-rules-by-reed-hastings-and-erin-meyer/ The Everything Store by Bard Stone https://www.littlebrown.com/titles/brad-stone/the-everything-store/9780316219266/ Health Business Group https://healthbusinessgroup.com/ David’s LinkedIn profile https://www.linkedin.com/in/davideugenewilliams/

Listen NowAs has been widely reported the US spends upwards of twice what other OCED countries on medical care however with worse or similar outcomes.  What explains this is in part the fact the US spends about one-third of what other OECD countries spend on social services such as food aid, housing assistance and transportation.  This despite knowing research shows basic measures of health are more closely and positively associated with social service spending.  “It's hard to escape the conclusion,” a 2016 Brookings Institute op-ed concluded, “that we should gradually be redirecting a lot of money from medical series to so-called upstream factors [or social factors] that are associated with health.”  This was precisely the same conclusion drawn by a recent/September National Academies of Science's (NAS) consensus study titled, “Integrating Social Care Into the Delivery of Health Care.”  The NAS report concluded health care be redesigned to integrate social care into health care and that financing of health care integrate social care spending. During this 30 minute conversation Mr. Palmieri briefly discusses CCA's business lines, moreover its One Care its Senior Care Options health plans that serve Medicaid-Medicare  beneficiaries (so called "Duals") and Medicare beneficiaries under a a Special Need Plan (SNP) designation.  He discusses how his patient population is recruited and moreover CCA's  whole person care approach, accomplished in part via care navigators, that includes providing CCA's patients with social service supports, e.g., CCA's medically tailored meals plan and its mobile integrated health program.  He also discusses how CCA care is financed and the spending efficiency CCA care achieves.  He concludes with a brief description of CCA's WinterStreet Ventures, a CCA affiliate that pilots/develops innovations in care delivery. Mr. Chris Palmieri has served since 2015 as President and Chief Executive Officer of the Massachusetts' Commonwealth Care Alliance (CCA).  Immediately prior, Mr. Palmieri served as the CEO of Remedy Partners, a bundled payment organization.  Prior still, Mr. Palmieri worked for ten years with Visiting Nurse Service of New York (VNSNY), as President and Chief Executive Officer of VNSNY Health Plans where he developed a $2 billion safety-net insurance organization.   Mr. Palmieri has also held senior positions with Amerigroup Corporation, Metropolitan Jewish Health System, Inc., and Faxton-St. Luke's Health Care/Mohawk Valley Network.  In 2012, Chris was named one of Crain's New York “40 Under 40,” a distinction for the top business leaders.  Mr. Palmieri currently serves as the Chair of the Association for Community Affiliated Plans (ACAP), and the Vice Chair of the national Managed Long-Term Services and Supports (MLTSS) Association.For more information on CCA go to: http://www.commonwealthcarealliance.org/. The Brookings' op-ed is at: https://www.brookings.edu/opinions/social-spending-not-medical-spending-is-key-to-health/.The National Academy of Science report, again titled, "Integrating Social Care in to the Delivery of Health Care," is at: http://nationalacademies.org/hmd/Reports/2019/integrating-social-care-into-the-delivery-of-health-care.  This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

In today’s Our Take read-in, here’s our lead story: Good Neighbor Pharmacy tops the list of chain drugstores in customer satisfaction, according to a new survey by J.D. Power and Associates. The network of independent pharmacies received the highest overall score among brick-and-mortar chain store pharmacies, with a score of 914 out of 1,000 possible points, followed by Health Mart (893), Rite Aid Pharmacy (865), Walgreens (840), and CVS (834). To sign up for the weekly email brief, click here. Note that we’re not uploading a read-in next week due to the Labor Day holiday. Other briefs include: CMS announced that quality star ratings for qualified health plans offered on the Health Insurance Marketplace will be available in 2020. Signify Health and Remedy Partners signed a definitive agreement to merge. SSM Health formed a joint venture with Denver-based Paladina Health to offer direct-to-employer primary care in the St. Louis area. Three new drug approvals for AbbVie, Genentech, and Nabriva Therapeutics. About Darwin Research Group Darwin 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.

Win Whitcomb, MD is the CMO for Remedy Partners - the largest convener in the United States. He & Craig McAllister, MD talk about the nation's reliance on fee for service and the opportunity and challenges of scaling value-based care programs. Listen to find out the benefits and challenges of value-based care for payers, purchasers, and providers.

Steve Wiggins has seen a thing or two in his more than three decades as a healthcare entrepreneur. His Oxford Health Plans introduced “pods,” a precursor of the Accountable Care Organization and he led HealthMarket, an early player in the consumer directed health plan space. He’s carried the same themes into his current  role as Read More The post Remedy Partners founder Steve Wiggins explains why he’s high on bundled payments (podcast) appeared first on Health Business Group.

Today we’re talking episodes of care payment models, otherwise known as bundled payments. Just to catch you up if you’re unfamiliar, this type of payment model means that a health care provider packaging together all the services needed during an episode and charges a guaranteed price for guaranteed quality of care. If we’re talking about government payments, about 50% of, for example, knee surgeries are paid for right now in an episode of care fashion. In the private pay landscape, that number is lower but growing. Bundles have advantages to purchasers (ie, employers or taxpayers who are the ultimate payers) because it’s possible to predict and compare the target price they’ll pay. But it’s also important for consumers who are partial payers in most cases. Bundles make health care prices transparent in a way that fee for service (FFS) can never manage. Today I speak with François de Brantes, senior vice president at Remedy Partners and a noted expert in episodes of care and bundled payment initiatives. François also actively supported the launch of the Leapfrog Group, created Bridges to Excellence, and led the development and implementation of PROMETHEUS Payment. You can learn more at remedypartners.com. François de Brantes is senior vice president of commercial business development at Remedy Partners. He has spent nearly 20 years advocating for, and working to transform, the US health care system by improving incentives for providers and consumers to encourage value-based decisions. Prior to joining Remedy Partners, he was executive director of the Health Care Incentives Improvement Institute (HCI3), a not-for-profit company that designed programs to motivate physicians and hospitals to improve the quality and affordability of health care delivery. Early in his career at General Electric, he was involved in many strategic programs that rewarded providers for better performance. He has written extensively about the topic, including his 2013 book, The Incentive Cure: The Real Relief for Health Care. 02:04 The new Medicare Shared Savings Program (MSSP) and how it intersects in this conversation. 03:02 Why physicians need an advanced alternative payment model. 04:01 Why episode of care makes sense. 04:40 Why upside-only deals are not financially sustainable. 06:16 A manageable financial risk. 07:34 Taking on total cost of care and the small percentage of significant potential variability. 08:37 “The only way to avoid the almost-certain variability that is going to accrue on that half of 1% is if you have a lot of patients.” 09:12 The “danger zone” of Medicare beneficiaries. 11:55 “Either you’re in total cost of care, or it’s episodes.” 13:59 Quality of care vs bundled payments. 18:20 “Let’s not forget … that the reason why we’re doing … this … is because consumers, directly and indirectly, are paying the price.” 19:00 Dave Chase’s books and health care in the middle class. 19:42 The wealth of savings in post-acute care. 21:19 How to demonstrate the value you’re bringing to that episode of care. 21:47 Broad strokes of integrated delivery systems that provide value. 22:08 The next logical solution in integrated delivery systems and episode of care payment programs. 22:28 “They’re going to take on much more of the role of the care coordinator.” 23:43 “It’s not just the integrated systems; it’s really the physicians who … are taking responsibility for what happens.” 24:00 Michael Hunt and formalized, evidenced-based ways to evaluate post-acute facilities. 24:22 Remedy Partners and François’s role in episodes of care. You can learn more at remedypartners.com.

On this episode, we talk with François de Brantes, Senior Vice President of Commercial Business Development at Remedy, about the future of value-based payment. François shares with us the importance of transparency, measurement, and responsibility and tells us why payment reform is such an effective lever to drive change. You'll hear about models that have been successful, how employers are driving change, and what you can expect from the next generation of value-based payment. In addition, François shares his insights on how we can account for the social determinants of health (SDOH) in our program design.  This section led to a significant "aha" moment for me and underscores the importance of incorporating community-based organizations (CBOs) more tightly with our traditional healthcare delivery system.   View full post and show notes on the web   François de Brantes will be a keynote speaker at the inaugural VBP Forward Conference in Buffalo, NY on February 20th and 21st, 2019.   This episode is sponsored by VBP Forward: VBP Forward will host its inaugural conference February 20-21, 2019 in Buffalo, NY at the Hyatt Regency Buffalo. The conference will bring together over 200 professionals who serve Medicaid and Medicare special needs or complex populations or have an interest in that value chain. Participants will gain insight into the next generation of value-based payment and will be provided with a roadmap for their path towards effective value payment for special needs populations. In addition to clinical providers, VBP Forward will have a track and focus on guiding community-based organizations down the right path for the collection of social determinants of health and how they can become not only an integral part of care delivery but also the revenue cycle associated with that delivery.   About François de Brantes:  François de Brantes serves as Senior Vice President of Commercial Business Development at Remedy Partners. 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. Prior to joining Remedy Partners, he served as Vice President of Altarum, a national nonprofit. From 2006 to 2016, he was Executive Director of the Health Care Incentives Improvement Institute (HCI3), a not-for-profit company that designed programs to motivate physicians and hospitals to improve the quality and affordability of healthcare delivery. The organization, which merged with Altarum in December 2017, was responsible for the Bridges to Excellence® (BTE) and PROMETHEUS Payment® programs, which compensate and reward clinicians that focus on episodes of care and performance measures. Prior to HCI3, François was Chief Operating Officer of the eHealth Initiative (eHI), which promotes adoption of health information technology in the U.S. He led the development of eHI's HIE Value and Sustainability Model, a method to value services offered by Health Information Exchanges. Early in his career working in General Electric's corporate health care department, he was involved in many strategic programs that created, connected and supported Active Consumers, and defined market mechanisms to reward providers for better performance. François holds a master's degree in Economics and Finance from the University of Paris IX-Dauphine and a master's degree in Business Administration from the Tuck School of Business Administration at Dartmouth College. LinkedIn Twitter   About Remedy:  Remedy operates the nation's largest bundled payment network. Remedy is not only an operator of bundled payment programs, but actively manages and assumes financial risk with providers that are contracted for at-risk bundles. Remedy works hand in hand with the payer and the providers to deliver bankable savings by implementing double-sided risk programs. We believe that it's only by sharing financial risk that bundled payment operators can truly become partners with the payer and the providers in the transformation of the delivery system and achieve better quality and cost outcomes. All of the bundled payment programs that Remedy has participated in and implements are risk-based. https://www.remedypartners.com/   Related and/or Mentioned on the Show:  Quality of Healthcare in America Report   Join our Community!  Trying to drive change within your healthcare organization? Launching a new product? Having trouble getting decision makers attention and buy-in? We'll help you understand the whole picture so that you can align your innovation with the things decision makers care about. And then we'll help you execute It's not easy, but it's possible and we'll help you get there.  Sign up here and we'll keep you up to date on healthcare industry news with podcasts, blog posts, conference announcements and more. No fluff. No hype. Just the valuable (and often not-so-obvious) information you need to get things done. Sign up here   The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media. Music by StudioEtar

The seventh episode of the Home Health Care News (HHCN) podcast, Disrupt, is now available! Listen to our conversation with Hometeam CEO Randy Klein and learn about: - His background as senior vice president of partner development for Remedy Partners, his work in operations with the Visiting Nurse Service of New York (VNSNY), one of the nation’s largest not-for-profit community-based health care organizations. - The switch of its business model from a payment structure based on private-pay home care and Medicaid reimbursement, to nearly a sole focus on Medicare-Medicaid dual eligibles and some Medicare beneficiaries. - How the company is looking ahead as a tech-forward organization looking to accelerate its integration into the broader health system with Medicare Advantage and those who want to age in place This episode of Disrupt is sponsored by Homecare Homebase, whose powerful, cloud-based home health software streamlines virtually every aspect of your business. spend less time on paperwork and more time delivering quality care to the patients who need you. Visit hchb.com to learn more.

No matter the struggle, I believe there is always a path and impossible is nothing. You have to go out and build your dream. Hello Happy Doc Family! This week we have a fellow podcaster and Chief Medical Resident in Internal Medicine at Carney Hospital, Dr. Gregory Goodman, M.D. He is the host of The Modern MD, and has interviewed some of the most influential physician innovators.   Prior to his entry into the digital communication of podcasts, he served as an Innovation Fellow at Remedy Partners, and was responsible for physician quality performance and clinical technology innovation. During his enrollment at Tufts University, School of Medicine, he co-founded CEO in a Box, a custom venture-incubator, focused on developing and training young leaders and visionaries.   What you may not know about Dr. Goodman is his challenges with severe dyslexia, but that hasn't stopped him from making an impact in the world! He recalls this challenge as one of the biggest blessings in his life and he believes "impossible is nothing." He has launched a summit to help train physicians to become innovators. Please check out www.physiciansummit.com to learn more! In this episode we discuss: 1. Why Dr. Goodman went into medicine 2. We learn about Dr. Goodman's unusual journey, not going that "well-worn path”  3. We learn about the difference between a physician and a physician entrepreneur 4. We discuss the importance of "quick speed of action" 5. We discuss Dr. Goodman's struggle with severe dyslexia and how it has been one of his greatest blessings 6. We learn about Dr. Goodman's ModernMD podcast 7. We discuss The Physician Entrepreneur Summit and a tip he has for the listeners.    The Physician Entrepreneur Summit Physician Entrepreneur Summit (PES) is an online conference with a mission to inspire the next generation of physician entrepreneurs to solve healthcare's biggest problems and drive the future of healthcare through innovation. Physicians must lead healthcare transformation with the adoption of new payment models, innovative technologies, and a passion for improving the patient experience.  Please Help The Happy Doc! Please subscribe to our podcast on iTunes by searching "The Happy Doc." Please leave us a review on iTunes. Don't forget to share this with your friends and on social media. Tag us and we will give you a shout out! Who we are: The Happy Doc is a podcast and website about physician and medical student fulfillment. Our goal is to make Medical culture happier from the ground up. We do this by learning from awesome examples such as our recent guest.

Following the Deerfield Management and Oxeon Partners-sponsored event, Breaking into the Boardroom, hosts and attendees gathered to reflect on the lack of female representation at senior levels of healthcare companies, boards, and investment firms. Leslie Henshaw, Partner at Deerfield, Kate Ryder, Founder & CEO of Maven, Carolyn Magill, CEO of Remedy Partners, and Mia Jung, Co-President of the Oxeon executive search practice highlight the unique position and responsibility of healthcare leaders and investors to make an impact on an industry where women are the majority of the decision makers and make up 75% of the work force.

A serial entrepreneur, Steve Wiggins made his bones in health care two decades ago running Oxford Health Plans, a company he describes as being a mix between Castlight and Oscar. Today, Wiggins is chairman of Remedy Partners, a company that’s offering itself to providers as go-between in managing bundled payments from CMS. “We’re the cheapest way into the pro-gram,” Wiggins tells Breaking Health Host Steve Krupa in this week’s podcast. “It would cost a provider anywhere between 4-5% on these bundles to manage them themselves.” Remedy Partners, which manages $5 billion in payments, is able to do the same job for less. Hear Wiggins’ unique take on how companies like Remedy can help fix health care. Guest Bio: Steve Wiggins has over 30 years of experience launching and managing health care companies and has founded seven health care companies including Oxford Health Plans, which grew into a Fortune 300 company under his leadership. Steve is a Managing Director of Essex Woodlands, one of the oldest and largest health care venture capital and growth equity firms. He was also the Founder, Chairman and CEO of HealthMarket, Inc., an insurance company that gave birth to innovative Consumer Driven Health Plans. He co-founded Health Partners, Inc, a physician practice management company. He was also a co-Founder of Intelliclaim, Inc., which provided claim auditing and productivity software and services to over twenty health insurance companies before it was sold to McKesson, and he was the founding investor in Ben-efitPort, LLC, a consolidation of health insurance general agencies. Steve graduated from Macalester College and has an MBA from Harvard Business School.

Dr. Win Whitcomb shares his entrepreneurial journey running the nation's first 24/7 hospitalist program, starting the Society of Hospital Medicine, and his exciting work in bundled payments at Remedy Partners. The ModernMD: Dr. Win Whitcomb Win Whitcomb, MD, MHM, is Chief Medical Officer of Remedy Partners, where he oversees all aspects of the clinical enterprise, and the intersection between clinical, technology, and business areas. A practicing hospitalist for the past twenty years, Win has led the development of the hospitalist specialty since 1994, when he assumed leadership of the nation's first 24/7 on-site hospitalist program. Dr. Whitcomb is cofounder and past president of the Society of Hospital Medicine. Dr. Whitcomb was one of the first three to receive hospital medicine's most prestigious achievement award, the Master in Hospital Medicine, in April 2010. Success Quote: “Eighty percent of success is showing up.” - Woody Allen White Coat to Business Suit: Dr. Whitcomb trained in internal medicine and lead the nation's first 24/7 hospitalist program at Mercy Hospital in Springfield MA. Dr. Whitcomb shares his journey starting the Society of Hospital Medicine (SHM), pioneering the field of hospitalist medicine, and his transition to full time entrepreneur. Idea to Venture: The Idea: Can bundled payments improve quality care and reduce cost? Bundled payments are an innovative new payment model that includes financial and performance accountability in episodes of care. Listen as Dr. Whitcomb shares his work at Remedy Partners and their big vision to improve the efficiency of healthcare delivery, quality of care, and increase patient satisfaction. Biggest Lesson Learned: Physician leadership is critical for any healthcare organization to successfully to transition into value based payments. Listen as Wins shares his insights for physicians looking to lead the charge! Business Rounds: Best Advice: Fail, Fail fast if you are going to fail, and don't be afraid to fail. Take chances, and get a little crazy! Daily Success Habit: Go off the beaten path and read bodies of knowledge related to medicine. The exciting insights and innovations come from connecting these dots at the major intersections.    Healthcare Trends: Empathy: At the core of the medical profession, physicians must be able to deeply connect, understand, and empathize with their patients.  By enhancing our empathy, we can improve the patient experience. Transitional Care: Patient transitions between care setting and venues with limited access to immediate primary care. New payment models and delivery systems are creating a new business case for a transitional care company to create and specialize in outpatient clinics that leverage technology and new care codes to improve transitions of care. Links: http://www.remedypartners.com/ http://zatohealth.com/ http://www.hospitalmedicine.org/