Podcasts about value based care

Send us Fan MailAmerican healthcare spends an estimated $110 per member per month just to administer itself, before a single service is ever delivered. Most of that cost exists because health data still cannot move freely between the systems that need it.Michael Meucci, CEO of Arcadia, joins host John Driscoll to discuss why two decades of interoperability policy have failed to solve the data fragmentation problem facing health systems and payers, and why liberating that data and redirecting the administrative spend it currently requires could be the single biggest lever available for improving both the cost and quality of American healthcare.

The Financial Math of Value-Based Care Fails + How TPMG Cracked the CodeValue-based care is the goal for everyone. Achieving it in a financially sustainable way is a completely different story. Most independent groups struggle to align their technology and processes with risk contracts without drowning in overhead.Healthcare IT Today sat down with Jeff Morrison, Vice President and CMIO at TPMG. We discussed how his independent medical group maximizes the eClinicalWorks platform to make value-based care actually work. You will learn how they made smart decisions and made organizational changes to capture new revenue streams, automate patient outreach, and eliminate the quality reporting slog.

The American healthcare system is built around a simple idea: get sick, get treated. But what if the problem isn't how we treat illness — it's that we've never seriously tried to prevent it? In this first installment of a two-part conversation, Jamie sits down with Brody Wall, Division President of Operations at Your Health, to trace the arc from a broken, reactive healthcare system to one where data tells you what's coming before the patient even knows something is wrong. Brody's path to healthcare wasn't through a textbook — it was through a father who was a Methodist minister and a mother who spent her career caring for underprivileged children. The mission was always there. The data just became the most honest way to fulfill it. In Part 1, Jamie and Brody cover: Why fee-for-service healthcare financially rewards volume of sick visits — not health — and how that one incentive structure explains why 17-20% of America's GDP goes to healthcare costs with outcomes that still lag behind other developed nations What Your Health was flying blind on before it committed to building a real data infrastructure — and what gut-feeling decisions look like when data finally proves them wrong How social determinants of health (Z codes) and behavioral health conditions (F codes) reveal which patients are actually at the highest risk of hospitalization The finding that changed everything: patients with four or more behavioral health conditions were ten times more likely to have multiple ER visits — and the clinical response that followed This isn't just a conversation about numbers. It's about what happens when an organization decides that preventing the crisis matters more than reacting to it. Part 2 drops next week. www.YourHealth.Org

In this episode, Jason Scalise, MD, Chief Value Officer at Healthcare Outcomes Performance Company, discusses expanding HOPCO's value-based care platform, building physician-led networks, and improving outcomes across musculoskeletal care. He also shares how analytics, collaboration, and specialty-focused strategies can help bend the cost curve.

In this episode, Jason Scalise, MD, Chief Value Officer at Healthcare Outcomes Performance Company, discusses expanding HOPCO's value-based care platform, building physician-led networks, and improving outcomes across musculoskeletal care. He also shares how analytics, collaboration, and specialty-focused strategies can help bend the cost curve.

In this episode, Jason Scalise, MD, Chief Value Officer at Healthcare Outcomes Performance Company, discusses expanding HOPCO's value-based care platform, building physician-led networks, and improving outcomes across musculoskeletal care. He also shares how analytics, collaboration, and specialty-focused strategies can help bend the cost curve.

In this episode, Dr. Ken Cohen, Chief Medical Officer at Optum Health, discusses new research on Medicare Advantage, social vulnerability, and how full-risk care models can improve quality, efficiency, and patient outcomes. He also shares insights on the infrastructure, technology, and strategies needed to advance value-based care.

In this episode, Dr. Ken Cohen, Chief Medical Officer at Optum Health, discusses new research on Medicare Advantage, social vulnerability, and how full-risk care models can improve quality, efficiency, and patient outcomes. He also shares insights on the infrastructure, technology, and strategies needed to advance value-based care.

Most companies recruit interns to take work off someone's plate. Your Health does the opposite — and it's why several of its current executives, including a Chief Information Officer, first walked in the door as interns. In this episode, Jamie sits down with Heather Bower, Director of Experiential Learning, who has taken the reins of Your Health's internship, mentorship, preceptorship, and apprenticeship programs. Heather shares how a long-standing program is being rebuilt with structure, data, and intention — organized into semester cohorts, anchored by a four-day all-company orientation, and designed so every intern owns a project with genuine stakes. In this conversation, you'll hear: Why "get interns because they're cheap" is exactly the wrong spirit — and what replaces it How one MBA intern's shadowing experience redirected him toward nursing school The "spreadsheet whisperer" intern who taught regional leadership to pull data faster What surprises interns most once they're inside healthcare: the human complexity How Your Health uses feedback loops to move interns toward roles where they'll actually shine If you're early in your career and unsure where you fit, this episode is a map to possibilities you may not know exist. Press play and rethink what an internship can really be. www.YourHealth.Org

In this episode, Shelby Decosta, SVP and Chief Business Development Officer at Kaiser Permanente, discusses how strategic partnerships are expanding access to value-based care while improving quality, affordability, and patient outcomes.

In this episode, Shelby Decosta, SVP and Chief Business Development Officer at Kaiser Permanente, discusses how strategic partnerships are expanding access to value-based care while improving quality, affordability, and patient outcomes.

On this episode of The Dish on Health IT, Tony Schueth, CEO of Point-of-Care Partners (POCP), welcomes Pooja Babbrah, Executive Vice President of Strategy and Industry Alignment at NCPDP, and Anna Taylor, Associate Vice President of Population Health and Value-Based Care at MultiCare Health System and Steering Committee member of the HL7 Da Vinci Project, for a discussion on the relationship between standards development and policymaking. Using the CMS “Interoperability Standards and Prior Authorization for Drugs” Proposed Rule (CMS-0062-P) as a backdrop, the conversation explores how standards communities, implementation accelerators, pilot programs, and industry collaboration influence healthcare interoperability long before requirements appear in federal regulations. 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

It's hard to overstate how important it is for OTs and PTs to understand the new value-based care models.But, let's be honest—they are an overwhelming and confusing alphabet soup (TEAM, LEAD, GUIDE, ACO REACH), and that's just the acronyms.For OTs and PTs, understanding these models will be the difference between being embedded in the healthcare team of the future—where we deliver highly valued care—and falling into obscurity while our patients receive sub-par care.Luckily, we have a master at demystifying the complex, Dana Strauss, back on the podcast. You'll learn:-How to analyze new models-How to understand your potential role in them-How to move your career and your organization forwardI know therapists are so busy on the ground, but we can't afford to miss this one.See full course details here:https://otpotential.com/continuing-education/course/therapy-and-value-based-care-modelsSee all OT CEU courses here:https://otpotential.com/ceu-podcast-coursesCheck our our live webinar schedule here:https://otpotential.com/live-ot-ceu-webinarsSupport the show by using the OTPOTENTIAL Medbridge Code:https://otpotential.com/blog/promo-code-for-medbridgeTry 2 free OT Potential courses here:https://otpotential.com/free-ot-ceusSupport the show

Everyone knows that rural health care systems are stressed: costly populations, low reimbursements, staffing shortages, transportation problems—and the 900 billion to one trillion dollar cuts upcoming in Medicaid will severely add to those stresses. But rural providers also have advantages when it comes to the chances for transformation. In a recent video interview, we explore the opportunities in rural health, particularly the use of technology for value-based care with Pranam Ben, Founder & CEO at The Garage and Brittany Sachdeva, COO at Cibolo Health.Learn more about The Garage: https://www.thegaragein.com/Learn more about Cibolo Health: https://cibolohealth.com/Healthcare IT Community: https://www.healthcareittoday.com/

While Elsevier's most recent Clinician of the Future Report shows increasing adoption of artificial intelligence tools among physicians and nurses, and optimism that they will improve quality of care in the future, a majority raised concerns about trust and reliability. To increase the level of trust, 60% said transparent citations of evidence-based and peer-reviewed research will be key. How to provide that transparency is our focus today as Raise the Line host Lindsey Smith welcomes Elsevier colleagues Rhett Alden and Raman Kaur to guide us through the complexities involved, including the concept of traceability and what role it plays in how AI tools such as Elsevier's ClinicalKey AI are built and deployed.  “Traceability changes the confidence that a clinician has in an AI tool so that they aren't trusting the AI, they're trusting the underlying evidence they're consuming from the AI-assisted platform,” says Raman, who brings years of experience as a primary care practitioner to her work.  It's also important, Rhett adds, to provide additional information, pulled from both the clinician's query and the patient's medical record, to inform clinical thinking. “ClinicalKey AI can be more than a response engine by establishing a larger context to provide a more precise answer for that individual patient.” In this thought-provoking discussion, these experts also provide insights on: Mitigating bias in AI results; Using AI responsibly with sustainability in mind; What type of clinician will benefit most from AI Mentioned in this episode: ClinicalKey AI Clinician of the Future Report If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

As value-based care continues to evolve, independent practices face growing pressure to improve outcomes while navigating an increasingly complex healthcare environment. In the latest episode of the athenahealth podcast, we're joined by Sean Cavanaugh, Chief Policy Officer at Aledade, to discuss why accountable care is reaching an important inflection point, how technology can reduce administrative burden, and why strong partnerships are helping practices succeed while delivering better care for patients. Check out the Aledade's page on the athenahealth marketplace to learn more here: https://athenaconnect.athenahealth.com/marketplace/product/aledade-app

PQS Quality Corner Show Host Nick Dorich sits down with Davis Porcari, who leads the PQS customer support team, to answer the most frequently asked EQUIPP questions of 2026. The goal: help pharmacists and pharmacy technicians get more out of the platform and spend less time on administrative friction, more time on patient care. 

What if the patient never noticed the merger at all? For Matt Staub, that's not a failure — it's the goal. In this episode, Your Health CEO Matt Staub sits down with Jamie to talk through the company's merger with TCPA and Providence Care — a move that brings together similar footprints in primary care, palliative, hospice, skilled nursing, and assisted living across South Carolina and Georgia. As a 23-year healthcare veteran going through his first merger, Matt is candid about the tedious due-diligence "earnest money" phase, the EMR transitions ahead, and why he refuses to let "what could go wrong" crowd out "what could go right." You'll hear: Why "mass moves mass" — and what scale actually buys patients in care management and data analytics How Your Health breaks 50,000 patients into groups, teams, and "hubs" so no one falls through the cracks The "change is hard" philosophy and the discipline of productive (not just effective) communication How the spirit of agape — godly love — still threads through a company that's evolved far past its original name What success looks like in six months: patient retention, mission and margin If you lead through change — or live through it — this one will reframe how you think about getting bigger without losing what made you matter.

The Big Unlock · Marshall Glanzer, Chief Technology Officer, Town Square Health In this episode, Marshall Glanzer, Chief Technology Officer of Town Square Health, outlines a bold model for scaling fully capitated risk programs for Medicare recipients. Transitioning from food-delivery logistics at GrubHub, Marshall brings critical structural insights for digital health innovators seeking to scale clinical models without eroding patient trust. The core theme of the discussion centers on a counter-intuitive tech strategy: utilizing advanced digital infrastructure to intentionally deepen human relationships rather than automate them away. Town Square orchestrates unified “coordinated care visits,” bringing the patient, primary clinician, and a remote specialist into a single conversation to act as a multi-disciplinary “healthcare oracle” at the point of care. For technology vendors, Marshall defines a safe clinical AI deployment roadmap using an “augmented clinician” framework. Advanced workflows, like chat-first patient portals managed by an automated “AI judge,” rely on the licensed physician as the ultimate orchestrator. This approach elegantly bypasses commercial barriers like malpractice liability, credentialing, and fractured billing, leveraging the financial alignment of value-based care to fully absorb modern R&D costs. Take a listen.

It's been one year since the U.S. Centers for Disease Control and Prevention, in an unprecedented move, dismissed all the members of its Advisory Committee on Immunization Practices (ACIP), kicking off what would turn out to be a very concerning and busy year for infectious disease specialists.  We're going to recap this turbulent period – which includes a resurgence of measles, an unusually rough flu season, the emergence of a new COVID strain and outbreaks of hantavirus and Ebola – with Dr. William Schaffner, one of the country's most frequently quoted medical experts on infectious disease, vaccination, and public health. As a member of ACIP for decades, Dr. Schaffner brings unique insight into the dismantling of the committee and the distrust of vaccines that lies at the root of the changes. As he explains to Raise the Line host Lindsey Smith, while many vaccine critics are beyond reach, there are those he describes as vaccine hesitant that may be persuadable if the right approach is taken. “Beyond providing facts, we have to listen to them and respond to their concerns and make them feel comfortable. Information is fundamental, but behavior change only comes with a change in attitude.” Tune in for a wealth of wisdom and context that includes observations on: What's complicating containment of the Ebola outbreak; Challenges in public health communication in the current social media environment; What grade health authorities should get on their response to the hantavirus outbreak. Mentioned in this episode:Vanderbilt University School of Medicine If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

This week on Faisel and Friends, we are discussing Fostering a Sustainable Workforce. Faisel and Dan are talking with Bergen Morehouse and Mahima Sangtani from HOSA—Future Healthcare Professionals.Our conversation explores the value of introducing clinical knowledge to young people, the importance of teaching leadership and communication skills in medicine, and the advantage from early involvement with HOSA in empathetic patient care.

Healthcare is filled with great ideas, promising technologies, and passionate clinicians, but why do so many innovation efforts fail? In this episode, Dale Ellicott joins Dr. Andrea Austin to explore what it really takes to create sustainable change in healthcare. From his early experiences introducing groundbreaking rehabilitation technologies to his current work at Rely Health, Dale shares lessons about resistance to change, organizational alignment, and the importance of putting patients first. Together, they discuss the realities of value-based care, the challenges clinicians face when navigating fragmented healthcare systems, and the growing role of AI in supporting, not replacing human connection. Dale explains how Rely Health combines agentic AI with human care navigators to help patients schedule appointments, access transportation, connect with primary care, and overcome barriers that often lead to poor outcomes and avoidable readmissions. The conversation offers practical guidance for clinicians, leaders, and innovators who want to move beyond pilot programs and build solutions that truly improve healthcare delivery. They discussed: How a values-based decision shaped Dale's career in healthcare innovation Why healthcare organizations struggle to adopt new technology The dangers of "pilotitis" and failed innovation projects How AI-powered care navigation improves patient follow-up Lessons for clinicians who want to become successful change-makers

What if the most important care in the entire healthcare system is also the most underfunded? While hospitals and inpatient reimbursements rise with inflation, the physician fee schedule has quietly declined roughly 33% in real terms over 25 years — and this year it's facing another cut. In this episode, Jamie Preston sits down with Your Health CEO Matt Staub, just back from Capitol Hill, where he spent a record-setting 95-degree day meeting with seven legislative offices to advocate for physicians, providers, and the patients they serve across rural South Carolina, Georgia, and beyond. What follows is part field report, part reflection on why preventive primary care saves money and lives — and why we plan meticulously for weddings, retirement, and vacations, but treat our own health with a "call us if something happens" approach. In this conversation: Why a 2.5–5% physician fee cut hits frontline rural practices hardest The bipartisan doctors' caucus and the real appetite for reform Why winning can come from a loss — the Kobe Bryant mindset on process over outcome How a Disney ride (Spaceship Earth) reframes humanity's whole story around communication The case for proactive, team-based primary care over reactive sick visits Press play for a conversation about advocacy, communication, and a simple, powerful idea: the change you need to make starts with you.

What if educating your people so well that they could leave was exactly the point? At Your Health, that's not a risk to manage — it's the philosophy that built an entire learning ecosystem. In this episode, Jamie talks with Aubrey Wall, who came to Your Health from a background in education and now leads Your Health University, the organization's learning management system and continuous-development engine. Aubrey brings an educator's eye to a fast-evolving healthcare environment, where best practice changes by the day and meeting patients where they are demands that staff never stop learning. Here's what you'll hear: Why a healthcare company runs 12-month, Department of Labor–registered apprenticeships — including programs in management, value-based care, population health, and hospice aide preparation How gamification is being built into nurse instruction (straight from Aubrey's dissertation research) The difference between Your Health University (your classroom) and the Hub (your resource library) How LinkedIn Learning delivered roughly $4.2 million in CEUs to staff last year Meeting Leah — the new AI assistant that helps employees find exactly the right course If you've ever believed growing your people is a cost rather than the whole point, this conversation will change how you think. Press play, then go ask Leah a question. www.YourHealth.Org

"Do nothing for us without us." According to today's guest Robyn Bussey, that operating principle is the basis for effective community health work. "You don't go into a community and dictate. You go and listen and trust and be a partner," she adds. As you'll learn in this enlightening conversation, Bussey is following that approach in her current work as Just Health Director at the Partnership for Southern Equity, an Atlanta-based nonprofit advancing racial equity and shared prosperity across the South.  On this episode of Raise the Line from Elsevier, Bussey provides illuminating  examples of community-rooted work in South Fulton County and rural Georgia, and explains why community health workers may be the most underutilized asset in addressing health disparities. This wide-ranging interview with host Michael Carrese also explores: Bussey's candid perspective on what happened to the surge of interest in health equity that occurred during COVID; Why life expectancy gains in many Southern states have lagged behind the rest of the country; Her advice to students and early-career clinicians about where they're needed most.   Mentioned in this episode:  Partnership for Southern Equity If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

This episode of Quality Matters examines the growing role of digital wellness and chronic condition management programs and the challenge of measuring what truly matters. Host Rachel Harrington is joined by Peter Robertson of the Purchasing Business Group on Health and California Quality Collaborative and Kevin Masci of Omada Health to discuss how digital health solutions can help address rising healthcare costs, workforce shortages and fragmented care experiences. Peter and Kevin explain why meaningful engagement goes far beyond app downloads and login counts. Instead, successful programs focus on sustained participation, patient-centered goal setting, integration with primary care and measurable improvements in health outcomes. The conversation explores how employers, health plans and providers are evaluating digital solutions through clinical outcomes, patient-reported outcomes, utilization measures and value-based contracting arrangements. The guests also discuss one of the most important challenges facing digital health: trust. Privacy, transparency, data security and clear communication about how patient data is collected and used all play critical roles in long-term adoption. The episode concludes with a Patient Voice segment featuring Brandee Hicks, who shares her firsthand experiences using digital health tools, highlighting both the convenience they offer and the ongoing challenges around interoperability, digital literacy and maintaining support after programs end.     Highlights Beyond Logins and Clicks Meaningful engagement isn't about how often patients open an app. It's about helping people achieve their health goals through sustained participation and measurable outcomes. Measuring What Matters Guests discuss the growing use of clinical outcomes, patient-reported outcomes, utilization data and value-based contracting to assess digital health program performance. Trust Is Essential Digital health solutions must address concerns around privacy, transparency, data security and how patient information is stored and shared. The Patient Perspective Brandee Hicks shares how digital tools can improve organization, access and self-management while also revealing gaps in continuity, support and interoperability. Looking Ahead The future of digital health depends on better integration with primary care, more personalized engagement strategies and stronger measurement frameworks that prioritize patient outcomes.     Key Quote: "If we're really serious about improving health outcomes, we have to move beyond measuring clicks and logins. The real question is whether people are achieving meaningful progress toward their health goals—and whether these programs are creating lasting value for patients, providers and purchasers alike." — Kevin Masci     Time Stamps: (02:20) Meet Peter Robertson (03:45) Meet Kevin Masci (05:53) Why Digital Solutions Matter (10:01) Care Coordination, Not Care Fragmentation (11:52) Defining Meaningful Patient Engagement (15:07) Why Consistent Measurement Matters (18:32) Measuring Outcomes in Value-Based Contracts (21:12) Data Stratification, Risk Adjustment and Performance Guarantees (27:22) Privacy, Trust and Transparency in Digital Health (30:44) The Future of Digital Wellness and Chronic Care Management (35:08) Patient Voice: Brandee Hicks (40:25) Patient Challenges, Access and Continuity of Care (45:23) Key Takeaways and Closing Thoughts     Dive Deeper: Connect with Peter Robertson Connect with Kevin Masci Connect with Brandee Hicks Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of The Dish on Health IT, Tony Schueth, CEO of Point-of-Care Partners (POCP), welcomes Pooja Babbrah, Executive Vice President of Strategy and Industry Alignment at NCPDP, and Anna Taylor, Associate Vice President of Population Health and Value-Based Care at MultiCare Health System and Steering Committee member of the HL7 Da Vinci Project, for a discussion on the relationship between standards development and policymaking.  Using the CMS “Interoperability Standards and Prior Authorization for Drugs” Proposed Rule (CMS-0062-P) as a backdrop, the conversation explores how standards communities, implementation accelerators, pilot programs, and industry collaboration influence healthcare interoperability long before requirements appear in federal regulations. Tony opens the discussion by asking how organizations should think about the relationship between standards development and policymaking today. Pooja and Anna explain that organizations such as the HL7 Da Vinci Project and NCPDP Standards are often viewed as technical standards bodies, when in reality they serve as collaborative forums where providers, payers, vendors, pharmacists, regulators, and other stakeholders work through real-world operational challenges. The conversation then shifts to the value of participating early. Tony asks what organizations miss when they wait for final rules before becoming involved. Anna discusses the operational, strategic, and financial advantages organizations can gain by participating in standards development activities, implementation guide development, pilots, testing events, and implementation communities. As part of that discussion, Tony and Anna touch on the growing body of production implementations supported by Da Vinci. Organizations interested in understanding how these implementation guides are being deployed across the industry can explore the Da Vinci In-Action Implementation Tracker, which documents real-world adoption efforts and implementation progress. Pooja expands on the importance of creating opportunities for broader industry participation. She describes NCPDP Collab, an interactive forum open to both members and non-members that provides a venue for discussing workflow challenges, implementation barriers, and emerging industry needs before formal standards development begins. The discussion naturally progresses into the CMS “Interoperability Standards and Prior Authorization for Drugs” Proposed Rule (CMS-0062-P), which directly references standards and implementation approaches developed by both NCPDP and Da Vinci. As Tony guides the conversation toward implementation, Anna discusses how Da Vinci's collaborative testing model and initiatives such as Trebuchet help organizations evaluate interoperability workflows in real-world settings before widespread adoption. The discussion then turns to one of the central themes of CMS-0062-P: the convergence of pharmacy and medical benefit workflows. Pooja explains that while patients and providers simply want access to treatment, healthcare organizations continue to operate within separate medical and pharmacy benefit structures. She argues that future interoperability efforts must focus less on the underlying standards and more on creating workflows that deliver a seamless experience for providers and patients regardless of where coverage resides. Building on that theme, Tony asks how healthcare organizations should think differently about workflow design. Drawing on her background in human factors engineering, Anna argues that healthcare has historically allowed technology to dictate workflows rather than designing technology around how people actually work. She advocates for starting with desired outcomes and user experience, then working backward to determine how standards, automation, and technology can support those goals. The conversation then moves to trust, adoption, and data quality. Tony observes that interoperability is no longer simply about moving data but about delivering the right information at the right time and within the right workflow. Anna discusses the importance of consistency and reliability in building trust, while Pooja shares examples of how incomplete implementations can undermine provider confidence even when standards and technology are technically available. Together, they argue that adoption depends as much on usability and trust as it does on technical capability. Returning to CMS-0062-P, Tony asks where organizations should focus their feedback beyond timelines and compliance concerns. Both guests encourage stakeholders to look closely at the broader strategic questions embedded throughout the proposed rule, particularly the requests for information that may signal future policy priorities. Rather than focusing solely on implementation challenges, they encourage organizations to use the comment process as an opportunity to help shape how healthcare workflows should function in the future. The episode concludes with Tony's signature question: what should healthcare stakeholders think differently about or start doing differently tomorrow? Pooja highlights the expanding role pharmacists can play in care coordination, medication management, and prior authorization workflows, arguing that pharmacists remain an underutilized resource within the healthcare ecosystem. Anna closes with a call for broader participation across healthcare, encouraging providers, employers, patients, vendors, and other stakeholders to engage with standards communities and implementation efforts. She emphasizes that meaningful progress happens when stakeholders move beyond identifying problems and actively participate in building solutions. Throughout the discussion, Tony reinforces a central theme: the future of healthcare interoperability is not being shaped solely through regulation. It is shaped through the collaboration, testing, implementation, and problem-solving taking place every day within standards organizations, implementation accelerators, pilot programs, and stakeholder communities. Organizations that want to influence the future of healthcare should not wait for final rules to arrive. They should participate in the conversations that help create them.  

What if your healthcare team already knew what happened during your hospital stay — before you even explained it? What if someone on your care team noticed you were struggling on a Saturday and simply showed up? In this episode, Jamie sits down with Christopher Laffey, Nurse Practitioner at Your Health, to break down what a truly connected, proactive model of care actually looks like when it's working. Christopher practices in North Charleston, SC, where his team — nurses, therapists, social workers, community health workers, and more — functions less like a traditional office practice and more like a living, breathing safety net woven around each patient's real life. What you'll hear in this episode: Why most patients are failing not because nobody cares, but because the system itself is fragmented — and what doing it differently actually looks like on a Tuesday morning The real difference between "patient-centered" as a marketing phrase and patient-centered as a daily practice (hint: it involves seeing the medication bottles on the kitchen table) A powerful real-life story of a bedbound patient whose caregiver suddenly disappeared — and how the team mobilized over a weekend, on their own time, to prevent a hospitalization The single mindset shift every clinician needs to make the transition from visit-based thinking to longitudinal care Why "value-based care" doesn't mean discounted care — it means the organization is accountable for your outcomes, not just your appointments If you've ever left a doctor's appointment feeling more confused than when you walked in, this episode will show you what healthcare can feel like when it's actually designed around you. www.YourHealth.Org

As concerns escalate about the deadly Ebola virus outbreak in Africa, we bring you the unique insights of Dr. Peter Piot, a renowned microbiologist who co-discovered the virus 50 years ago during the first recorded outbreak of the disease. His on-the-ground account of that crisis was provided to us in April before the current outbreak was declared, but it contains valuable historical perspective and shares lessons learned that he carried forward in his consequential career.  “What I saw from the beginning is the most important thing is to listen to people and that you need to act fast to save lives, before you have the evidence you would like to have.”    He followed his contributions on Ebola by diving into the fight against HIV/AIDS, eventually reshaping global response in leadership roles at the World Health Organization and United Nations. As he shares with host Lindsey Smith, the learnings in that case were more pragmatic than scientific. “We had to redefine HIV/AIDS not as a medical problem but as an economic and security problem in order to get it on the political agenda.”  Tune in for a fascinating episode that takes you from the gritty frontlines of public health crises to the battles for funding and attention in the halls of power as Dr. Piot shares what it actually takes to move the world to respond effectively to health threats. Mentioned in this episode: London School of Hygiene & Tropical Medicine If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Having just attended an energizing event hosted by Primary Care for America, Faisel and Dan are discussing Doubling Down on the Triple Double: Fresh Thoughts on Primary Care!Our conversation revolves around the impact of the Triple Double national campaign to transform healthcare, the value of primary care as the most influential specialty to improve outcomes, and the challenges of our present care delivery system.

Send us Fan MailAmerican hospitals now spend nearly $2 on administrative overhead for every dollar that touches direct patient care. Insurers earn billions in float by sitting on claims for weeks, providers borrow money just to stay liquid, and patients open bills for visits they barely remember.Don Peterson, Founder and CEO of PIM Health, joins host David E. Williams to discuss why healthcare's payment system is working exactly as it was designed to work, and how real-time claims adjudication at the point of care could eliminate prior authorization as it currently exists, cut administrative overhead from 12 to 15 percent down to 2 to 3 percent, and return hundreds of billions of dollars in waste back to patients, providers, and plan sponsors.

In this episode, Carey Ketelsen, President of Virtix Health, joins the podcast to discuss how healthcare organizations are transforming risk adjustment through prospective outreach, AI-enabled workflows, and stronger payer-provider collaboration. She shares insights on improving documentation integrity, aligning incentives, and building patient-centered risk adjustment programs that support long-term success in value-based care.

Most people don't fear change itself — they fear the moment before they know if they're going to be okay. And according to Dr. Jimmie Williamson, that gap between uncertainty and clarity is where organizations either hold their people together or quietly lose them. In this episode of Your Health University, Jamie sits down with Dr. Jimmie Williamson, Chief Behavioral Health Officer at Your Health, in the middle of a real organizational merger — making this conversation as timely and personal as it gets. Dr. Williamson draws on decades of clinical experience, behavioral health expertise, and his own career pivots (including leaving a 28-year career to step into healthcare) to walk us through what change actually does to the human brain and body — and what it takes to move through it well. Key topics include: Why even positive change triggers a physiological threat response — and what science says is actually happening in your brain The five stages of change people move through (shock, resistance, exploration, and beyond) and why getting stuck isn't a character flaw Dr. David Rock's SCARF model — the five psychological domains (Status, Certainty, Autonomy, Relatedness, Fairness) that determine whether people feel safe or threatened during transitions What leaders most commonly get wrong when communicating change — and the one mistake that always creates a narrative vacuum Why insecurity in leadership is more dangerous than the change itself The one self-care practice you can start today if you're feeling the weight of uncertainty Change is positive. It is good. And it is inevitable. This episode will help you believe that — and act like it. www.YourHealth.Org

In this episode of SurgOnc Today, we explore the evolving role of value-based care in surgical oncology. Drs. Casey Allen, Matthew Katz, and Cristina O'Donoghue join the discussion to define what "value" truly means in cancer care, examine the evidence behind programs such as ERAS and prehabilitation, and review emerging frameworks used to assess value in oncology. The conversation also addresses stakeholder collaboration and the critical intersection between value-based care and health equity. This episode offers practical insights for surgical oncologists seeking to deliver high-quality, patient-centered, and sustainable cancer care.

The ongoing outbreak of hantavirus infections that originated with passengers on the Dutch cruise ship MV Hondius in April has generated concerns across the globe. This very rare occurrence has led to a number of deaths, required quarantining of passengers and prompted emergency responses from public health authorities in multiple countries.  On this episode of Raise the Line from Elsevier, we're tapping the expertise of a leading authority on the subject, Dr. Jamie Childs of Yale University, to provide you with a scientific understanding of hantaviruses and what level of threat is posed by this situation. In short, Dr. Childs believes this is not the start of a pandemic. “The Andes variant involved here is one of the most dangerous hantaviruses, but it is totally controllable with contact tracing.” This timely conversation with host Lindsey Smith is informed by Dr. Childs' decades of hantavirus research as well as learnings from his role leading the CDC's environmental investigation during the landmark 1993 hantavirus outbreak in the Four Corners region of the American Southwest. And be sure to stay tuned to hear his concerns about the factors complicating containment of the current Ebola outbreak in East Africa. Note: this conversation was recorded on May 19th, 2026. Mentioned in this episode: Yale School of Public Health Yale Institute for Global Health If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

In this episode, Angelo Sinopoli, MD, Executive Vice President, Value Based Care, Cone Health, and Deepak Sadagopan, MHCDS, Business Lead, Value Based Platform, Risant Health, discuss how evidence based tools, operational transformation, and care coordination are advancing value based care and improving patient outcomes across the healthcare continuum.

Heads up — this is Part 2 of Jamie's conversation with Jaclyn Taylor If you haven't heard Part 1 yet, go back and start there. It sets up everything we unpack today. Most healthcare teams are working hard. They're just not working together. And the patient is the one absorbing the cost. In this second half of the conversation, Jamie and Jaclyn move from the why into the how. What does it actually look like when a provider stops responding to today's schedule and starts managing an entire patient panel? How do you turn a community health worker, a pharmacist, a PT, and a social worker into one coordinated team instead of four parallel ones? And what's the difference between data that produces reports and data that produces decisions? You'll hear: Why "frequent touches" only work when they're connected — and how fragmented touches still land patients back in the hospital The quarterback model — what it actually means for a provider to own a patient's trajectory, not just their visit The shift from seeing patients to managing a population — and why most providers were never taught how Why we don't have a resource problem in healthcare — we have an orchestration opportunity How to use technology and data without drowning in either What "showing up" really means inside a system that isn't perfect yet This is the episode for anyone trying to lead change from inside a system that's still catching up. Press play. www.YourHealth.Org

Send us Fan MailNearly half of all Americans get their health insurance through a small business. Most of those businesses have no idea why their premiums go up every year and no real power to do anything about it.Ty Wang, Co-Founder and CEO of Angle Health, joins host John Driscoll to discuss why legacy insurers benefit from keeping small businesses in the dark on costs, and how rebuilding the health plan stack from the ground up on modern, AI-native infrastructure is finally making transparency and customization possible for the employers who have always needed it most.

Tim Elliott is the CEO of Navvis, a value-based enablement company that works with health systems, health plans, physician groups, and employers to drive performance under value-based agreements. Navvis takes a cross-continuum view of care — supporting patients before, during, and after the physician visit — and operates across the full spectrum of payment models, from full-risk MA and MSSP ACOs to bundled payments, TEAMS, and CJR. Tim's core conviction is that physicians are the linchpin of any sustainable change in value-based care, and that the "last mile" of transformation is change management — not technology. Navvis doesn't show up with a blank piece of paper or a mandatory platform; they bring a point of view on what world-class looks like and engage physicians in the refinement and rollout.We discuss:What AI consistently misses in value-based care — and why "human in the loop" needs to be on steroids in healthcare, not just a check on the modelHow to recognize when a health system is rolling tools out faster than clinicians can absorb them — and why bottom-up physician demand is reshaping the AI rollout playbookThe real difference between a care model physicians co-designed and one that was handed to them — and how Navvis approaches refinement vs. a blank-paper exerciseWhat surprises health systems most when they move into real downside risk for the first time — the misalignment between contract incentives and operational behaviorWhy "two standards of care" is the wrong frame for value-based vs. fee-for-service patients — and what the EMR needs to recognize at the point of encounterThe alignment problem at the executive and physician level that quietly kills downside-risk contracts before the year is outThe lesson Tim hopes the industry finally learns 20 years from now — why the 3-5% of patients driving 60-80% of cost are the unfinished work of this eraWho Navvis is built for, and why their model is to optimize existing technology rather than force a 12-to-18-month rip-and-replace— Brought to you by: Sage Growth Partners — Value-focused strategy and marketing for growth-driven healthcare organizations. — Where to find Jared: • X: https://x.com/jaredstaylor • LinkedIn: https://www.linkedin.com/in/jaredstaylor/

We mark National Mental Health Awareness Month on this episode by tapping the expertise of Dr. Steve Strakowski, an internationally recognized expert in bipolar disorder, who has spent decades studying the neurobiology and treatment of mood conditions while pushing just as hard on the structural barriers that keep effective treatments out of reach for more than half the people who need them. In this conversation with Raise the Line from Elsevier host Michael Carrese, Dr. Strakowski explains why access, not science, is now the biggest obstacle to improving mental health outcomes. He also addresses the heavy toll society pays for underfunding mental health prevention and treatment programs. “The money is spent eventually, but in the most expensive places like emergency rooms and prisons, and there is the human cost of suffering and suicides." This important discussion also covers: The persistent problem of Black patients presenting with mania being misdiagnosed with schizophrenia;  Why he describes bipolar disorder as a reward-processing illness;  The emerging therapies he finds encouraging. Mentioned in this episode:Indiana University School of Medicine If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

We're discussing Family Medicine Revolution: Physician Leadership in Action! Faisel and Dan are joined by Dr. Jay Lee, co-founder of #FMRevolution.Our conversation revolves around starting an ongoing movement to inspire the family medicine workforce, defining success in leadership and advocacy, and fulfilling your values through current technology and alternative care models.

Executive Puls podcasts are originally seen and heard at AMGA.org.Periodically we present encore presentations

This month on the My DPC Story podcast we are talking about the tools that serve us, and Dr. Michael Hobbs is a voice you do not want to miss.Dr. Hobbs is a pediatrician and founder of Lakes Pediatrics, the first pediatric Direct Primary Care practice in the Minneapolis area, serving families across Edina, Wayzata, and the western suburbs. He brings over twenty years in Twin Cities pediatrics, more than a decade as an adjunct professor at the University of Minnesota Medical School, Top Doctor recognition from Mpls.St.Paul Magazine and Minnesota Monthly, subspecialty training in infectious diseases and Group A Strep, and a Reach Institute mini-fellowship in pediatric mental health care.What makes this episode essential listening is Dr. Hobbs himself. A self-described knowledgeable hacker who grew up alongside the technology, from a Commodore 64 to writing early web pages, he has watched the entire arc of medical documentation: index cards, paper charts, dictation, the EHR, templates, and now AI scribes. He knows what gets better and what gets worse when tech enters the exam room.In this conversation, Dr. Hobbs covers:The one question to ask before adopting any tool, EHR, phone system, or AIWhy building your own tools is more doable than you thinkWhy now is not the time to lock into a long term software contractThe difference between AI that serves you and AI that turns you into a liability machinePatient transparency, shadow AI, BAAs, and using tools safelyWhy LLMs are terrible at math, learned the hard wayThe best first AI investment for a new DPC doctor on a small budgetAI as a clinical decision support thought partner, not a guideline machineAnd because both Dr. Concepcion and Dr. Hobbs are recovering anthropology buffs, they keep returning to the truth underneath the technology: people like people. The tools only matter if they give us more room to be human with the families we serve.Whether you are deep into building AI workflows or you hear the word AI and want to run, this episode meets you where you are.New to DPC or ready to go deeper? Visit the Start Here page at mydpcstory.com. Have a question for the show? Leave a voice message on the Contact page. Loved this episode? Leave a five star review on Apple Podcasts and follow @mydpcstory on socials.Connect with Dr. Hobbs at lakespediatrics.com.Learn more about VIVID VAULT HEALTH SOLUTIONS TODAY! Find a My DPC Story Event near you! State Summits in CA, IL, a My DPC Story LIVE event and the DPC Women's Summit are all coming! Learn more at mydpcstory.com/upcoming-events! The DPC Directory: If you're a DPC doctor, you'll find resources to grow your practice! If you serve the DPC world, grab a FREE listing today and get discovered by doctors who need your services.

What if every "non-compliant" patient was actually a signal that the system isn't working for them? In this episode, Jamie sits down with Jaclyn Taylor, Clinical Strategy Director at Your Health and a nurse practitioner who started her career as a home-based provider in 2020 — thrown straight into the fire of COVID, isolated patients, and a healthcare world rewriting itself in real time. What she saw inside patients' homes — medications scattered on tables, food insecurity, missing transportation — changed how she thinks about every chart she's ever read. You'll hear: Why a nurse-first pathway gives nurse practitioners a fundamentally different lens than a medical school pathway — and why patients feel it What working across home care, telehealth, trauma, and wellness teaches you about treating the whole human, not just the diagnosis Why trauma surgery turned Jacqueline into a believer in proactive, longitudinal care — and what gets missed when we only meet patients after something has already gone wrong The two words she uses to describe what's most broken in traditional healthcare: fragmentation and misalignment How empathy stops being a poster and starts being operational — built into the design of care itself If you've ever felt invisible inside the healthcare system, or if you're the one trying to fix it, this conversation reframes the whole game. Press play. www.YourHealth.Org

Send us Fan MailFor decades, value-based care has been healthcare's promised future. Most health systems have stayed in upside-only arrangements, and the data infrastructure needed to manage real risk has never quite caught up to the ambition.That may finally be changing. David Snow, Chairman & CEO of Cedar Gate Technologies, an IQVIA business, joins host David E. Williams to discuss why CMS's first mandatory bundled payment model signals the end of voluntary experimentation, and why the fragmented data problem that has undermined value-based care for a generation is only now finding a real solution.

"When the workforce does not align with the population, your system is misaligned by design." That candid observation comes from Tina Loarte-Rodríguez, DP, RN who has spent much of her two decade career in patient safety, risk management, and systems leadership as the only Latina in the room, which she sees as a signal of a systemic failure that demands structural solutions. As we mark National Nurses Month, Dr. Loarte-Rodríguez joins Raise the Line from Elsevier  host Lindsey Smith to explain why a culturally congruent workforce has important implications for access, trust and quality of care. This wide-ranging discussion also covers: What Dr. Loarte-Rodriguez means by "narrative infrastructure" and how a book series born during COVID is now shaping workforce conversations nationwide;   The case for making mentorship a core institutional system;   Why nursing burnout is not about a lack of resiliency.  Mentioned in this episode: Latinas in NursingThe Connecticut Center for Nursing Workforce If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

At the inaugural ACCC Leadership Summit, C-suite executives and senior-level decision makers in oncology convened for strategic dialogue, panel discussions, and peer-to-peer exchange focused on the most pressing issues in cancer care today. In this episode, CANCER BUZZ speaks with Misha Kaur, chief operating officer at Cureety, about her key takeaways as a member of the panel: Value-Based Care in Oncology: From Pilots to Scale. Kaur discusses the importance of keeping quality and affordability at the heart of value-based care, and how Cureety's remote monitoring solution effectively captures nuanced patient insights in precision oncology care. "[Value-based care] was never meant to be a contract. The original spirit was [about] aligning incentives [and creating] better outcomes for patients. But in practice, over time...it can sometimes become just a contracting discussion [about] targets, benchmarking, reporting, utilization, [and] cost reduction." – Misha Kaur Guest: Misha Kaur Chief Operating Officer Cureety Resources: 2026 ACCC Leadership Summit Innovation, Policy, and Partnership: Key Takeaways From the Inaugural ACCC Leadership Summit From Hospital to Home: A Solution for Proactive Symptom Monitoring and Precise Care Staying Connected Between Visits: A Sustainable Model for Remote Monitoring  

This episode recorded live at the Becker's 16th Annual Meeting features Stephen Parodi, EVP, External Affairs, Communications & Brand, The Permanente Federation & The Permanente Medical Group. He discusses leading through healthcare transformation, expanding value-based care into new markets, leveraging technology to improve outcomes, and building authentic leadership cultures that support innovation and workforce resilience.

In this episode,  Daniel R. Tasset, Founder and Executive Chairman of NueHealth and Nueterra Capital, shares his perspective on the shift toward value-based care, rising consumerism, and the future of ambulatory healthcare. He also offers practical leadership advice on building habits, anticipating change, and developing leaders who can scale impact.

What if the most important thing you did today wasn't on your task list? In the final episode of Your Health University's Values Series, host Jamie Preston brings back the full Patient Experience Team — Jennifer Kistler, Kim Metz, Whitney Myers, Carlos Heyward, and Rebecca Dillard — to explore the value that brings every other one to life: Service. Not the idea of it. The real, daily, roll-up-your-sleeves version that shows up in 60 extra seconds, one extra phone call, and the moments when you decide not to leave someone when they need you most. What you'll hear in this episode: Whitney's story of refusing to leave a patient on his worst day — and what true service looks like when the moments count most Carlos's creative solution for a patient in Charleston who keeps falling — and the phone call she made just to say thank you Rebecca's respiratory therapists who change cat litter boxes and wheel trash cans to the curb — because they noticed, and they could Kim's ICU story: braiding the hair of ventilated patients who couldn't do it themselves, because I would want someone to do that for me Jamie's deeply personal account of his wife's breast cancer diagnosis — and the profound difference between a healthcare team that says "this is what you need to do" and one that asks "what do you think?" Carlos's challenge to every listener: don't just adopt these values at work — make them yours Service is the reason you got into this. It's the thing that makes the hard days worth it and wakes you up the next morning ready to go again. Press play — and let this episode remind you exactly why what you do matters. www.YourHealth.Org