Podcasts about value based care

Most people think occupational therapy is what happens after something goes wrong. Tyler Broome is here to tell you that's exactly the framing that's costing patients their independence. In this episode of the Your Health University Podcast, Jamie sits down with Tyler Broome, a Certified Occupational Therapist Assistant at Your Health, to explore what OT actually is, how it fits into a truly integrated care model, and why the therapy team often sees the earliest signs of decline — before anyone else on the care team does. Tyler brings a uniquely grounded perspective, shaped by a baseball career, a grandmother's fall, and years of working inside the homes of real patients. He articulates something most healthcare systems have yet to fully grasp: that medical outcomes and functional outcomes are deeply connected, and that a care team working in silos is a care team leaving gaps. In this episode: Why occupational therapy is defined by daily function — bathing, dressing, meal prep, medication management — not just physical recovery How OT's presence in the home gives the care team "functional health intelligence" no clinic visit can replicate The difference between saying your system is integrated and actually delivering integrated care Two real patient stories where early cross-disciplinary communication prevented a crisis from becoming a catastrophe Why the shift to value-based care makes therapy's role not just important — but essential If you work inside the Your Health system — or if you've ever wondered what the therapy team actually contributes — this conversation will change how you think about the care happening around your patients every day. www.YourHealth.Org

"I'd already finished my cardiovascular unit. I'd finished my pulmonary unit. I had never heard about this in any of my classes." That was Dr. Joel Bervell's reaction to discovering that a device used every day in hospitals -- the pulse oximeter -- reads less accurately on darker skin tones. He posted a 30-second video about this consequential discrepancy that, to his utter surprise, gained over 500,000 views by the next morning. That video launched Dr. Bervell into orbit as a social media presence and created his identity as The Medical Mythbuster. In just a few years, he's built a following of two million people, earned a Peabody Award and was named to the inaugural Time 100 Creators list, all while finishing his residency.  On this episode of Raise the Line, host Lindsey Smith welcomes Dr. Bervell to explore the roots of this kind of bias and the real world impact of drawing attention to it. “The most impactful biases in medicine exist because no one stops to ask who was included in the original data and who was left out,” Dr. Bervell explains. Stay tuned to also learn about: His YouTube animated series The Doctor is In which helps kids understand how their bodies work, as well as providing medical role models; How to build trust with marginalized communities; His forthcoming book, The Default Body which examines who medicine was actually designed for. Mentioned in this episode:Dr. Bervell on InstagramTikTok ChannelFacebook"The Doctor Is In" Show 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, Dr. Ali Khan, Chief Medical Officer, Aetna Medicare, discusses new findings showing how value-based care improves clinical outcomes, preventive care and hospital utilization for Medicare members. He also shares how Aetna is supporting providers with risk-based arrangements, interoperability and care coordination.

There's a number attached to every patient's chart that quietly shapes the resources they receive, the care they're offered, and whether their health conditions are fully seen — and most providers don't fully understand it. In this episode, Jamie sits down with Ericka Bauman, Director of Quality Assurance at Your Health, to break down the Risk Adjustment Factor — better known as the RAF score. Ericka has spent years traveling across Georgia and South Carolina, walking into provider offices, sitting with care teams, and doing the work of turning confusing data into meaningful patient outcomes. What you'll hear in this episode: What the RAF score actually is — explained the way Erica explains it to every team she visits, from providers to front desk staff Why most RAF scores are too low — and how underdocumenting a patient's conditions leaves them exposed to missed care, hospitalizations, and unmet needs The biggest misconception providers have about RAF (hint: it's not another box to check) How RAF and quality measurement are really asking the same question from two different angles — and why treating them separately is a mistake What changes for patients when care teams show up prepared, proactive, and looking at the whole person — not just the reason for today's visit The numbers will follow when you take care of the patient. This episode will show you how. www.YourHealth.Org

Despite gains in recent years, Black, Hispanic, and Asian communities are still under-represented in the U.S. nursing workforce. We're going to explore that gap and how to close it on this episode of Raise the Line from Elsevier with Dr. Ernest Grant, Vice Dean for Diversity, Equity, Inclusion and Belonging at the Duke University School of Nursing. "You get a patient who is more compliant when they see someone who looks like them, who is from their culture and who can advocate on their behalf," he tells host Lindsey Smith.  Dr. Grant bases that and other insights on a rich professional background that includes 50 years in nursing, being a leading advocate for his profession and breaking down barriers himself as a male nurse of color and the first man elected president of the American Nurses Association.  In this thoughtful conversation, Dr. Grant reflects on what it took to earn credibility in leadership roles, how he's navigating the political climate on DEI initiatives, and the causes and solutions to the persistent shortage in nursing faculty, among other pressing issues. Tune in for a uniquely-informed look at what it will take to build a stronger, more representative nursing profession. Mentioned in this episode: Duke University School of Nursing American Nurses Association 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

Listen in as host Dr. Alex Crespo chats with Caryn Lindsey about her OTAI editorial entitled, "Treating mental and social health: A call for alternative payment models in orthopaedic trauma." Click here for the link to the editorial. To have further discussion with Alex or Caryn, please reach out to them by email: Amcrespomd@gmail.com or Caryn.Lindsey@csmc.edu For additional educational resources visit OTA.org

Most nursing homes think they're measuring success by how many patients move through their building. What they're not measuring is how many of those same patients end up right back in the hospital — and who pays the price when they do. In this episode of The Disrupted Podcast, Scott Middleton — Owner of Your Health and Chief Disruption Officer — pulls back the curtain on the facility partnership model Your Health is rolling out across the Southeast. It's a model that doesn't just serve patients in skilled nursing facilities; it pays those facilities for the care coordination work their staff is already doing, while creating the kind of presence that actually moves the needle on outcomes. Scott and Jamie cover the mechanics, the competitive landscape, and the cultural shift required to make it all work: Why Your Health is contracting with nursing homes to pay up to $20,000 a month for care coordination — and what that's worth annually to a facility with 200 Medicare patients The difference between "popping in" and genuine presence — and why only one of them drives real cost savings and keeps patients from bouncing back to the hospital Why physicians working in isolation are the biggest liability in a team-based care model, and how a September 1st bonus restructure is designed to change that culture How 80% of what used to require an in-person visit can now happen via telehealth — and the one thing technology will never replace: the relationship that makes a patient actually follow through Scott's 10-year urgency: why Your Health is already three steps ahead of the competition — and why that lead only matters if the model scales fast enough If you work in a nursing facility, lead a care team, run a healthcare organization, or believe the system needs a fundamentally better architecture — this is what building it actually looks like. Press play. www.YourHealth.Org

In this episode, Steven Blair, MD, MBA, President and Chief Executive Officer of Sutter North Medical Group, discusses the group's growth, expanding access to care in rural communities, and the role of value-based care in sustaining services amid rising costs and reimbursement pressures. He also shares how Sutter North is using its broader system network, technology and innovative care models to meet growing patient demand.

What does it take to compete on the world's biggest stage and then pivot to one of the most demanding training paths in professional life? Today's guest, Samantha "Sammy" Kolowrat, has done both, and she has some fascinating insights into the commonalities of those two worlds on this episode of Raise the Line. “Something that really drew me to medicine is the team atmosphere that's there as you work towards a common goal, and there's this level of intensity that's very reminiscent of the experiences I had as a professional athlete.” Originally from Prague, Kolowrat represented Czechia at six IIHF Women's World Championships and the 2022 Beijing Olympics, and also captained the Division I women's hockey team at the University of Vermont while earning degrees in biology and pharmacology.  As she starts an anesthesiology residency at Vanderbilt University, she credits her athletic career with shaping how she handles pressure, feedback, and teamwork in medicine. "The more I improve, the more knowledge I acquire, the more skills I hone, the better care my patients get," she tells host Lindsey Smith, describing what drew her to a field that rewards the same relentless fine-tuning as elite sports. This engaging conversation also explores: How crippling performance anxiety as a Division I athlete ended up preparing Kolowrat for the operating room; Why she was drawn to anesthesiology's "well-oiled machine" atmosphere; The mentorship gap she's working to close for the next generation of athlete-physicians. Mentioned in this episode: Vanderbilt University Anesthesiology Residency Program 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 The Beautiful Mess of Primary Care! Faisel and Dan are joined by Rebecca Etz, PhD from The Larry A. Green Center.Our conversation revolves around working with the system and the technology we have,  addressing outcomes from different care models, and investing time and humanity to foster depth of connection with patients.

In this episode, Suzanne Spradley and Chase Cannon discuss the rise of value-based care (VBC) arrangements and break down the compliance considerations employers should consider when implementing them. Suzanne begins with a description of ERISA's fiduciary obligations as they relate to VBC arrangements. Chase and Suzanne then discuss how a fiduciary checklist can assist with those obligations, as well as the other compliance rules that need to be reviewed in connection with VBC arrangements.

Host Nick Dorich and PQS teammates Terilyn Flores, Josh Elyash, and Rosalyn "Roz" Otting recap three summer 2026 independent pharmacy trade shows (McKesson ideaShare, Cardinal RBC, and Cencora ThoughtSpot) where they met with over 500 pharmacies. Find out what the biggest takeaways were from each event on how to make the most of EQUIPP in your pharmacy.  Common questions covered accessing EQUIPP and the Copilot, training resources, and how often to check for new opportunities. 

What if the biggest threat to your healthcare organization isn't competition or reimbursement rates — it's the moment one of your team members decided that the policy was more important than the person in front of them? In this episode, Jamie sits down with Matt Staub, CEO of Your Health, to explore the timeless "Give 'Em the Pickle" philosophy — born in a burger joint, but almost perfectly designed for healthcare. Matt and Jamie unpack the four pillars of the pickle framework — service, attitude, consistency, and teamwork — and trace each one directly into the reality of patient care, care team dynamics, and organizational culture. Video LinkGive Em The Pickle Youtube Video   What you'll hear in this episode: Why charging a loyal customer 75 cents for extra pickles is the same mistake healthcare makes every day — and how the Ritz Carlton's $2,500 employee empowerment policy points to a better way How attitude isn't just a soft skill — it's the infrastructure of every patient interaction, including the ones where you're already having a bad day Why mistakes in healthcare aren't failures — they're invitations, and the patients who complained and felt heard often become your fiercest advocates What real consistency looks like in care delivery: not doing the same thing robotically, but doing ordinary things extraordinarily well, every single time How teamwork in healthcare means every person in the organization — from the CEO to the community health worker — has a role in whether the patient feels seen and served This episode will challenge you to look at service not as a department or a satisfaction score, but as the very soul of what your organization stands for. Give 'em the pickle.

Rose Bernards is a believer in value-based care. It's been a driving force in her career. But it was put to the test when she suffered a family tragedy in late 2025. She wrote about that experience in a three-part series for LinkedIn I highly recommend: The Good, the Bad, and the Ugly. Link in the show notes. We get into those ups and downs, Rose's wide-ranging educational career, and expert insights and opinions of all things risk adjustment and the mid-revenue cycle in today's episode of Off the Record. Listen in as we discuss: Where are we today, nationally, with the state of value-based care. Is it fulfilling its mission of improving health outcomes, enhancing patient experiences, and lowering overall costs by rewarding doctors for the quality of care they deliver rather than the quantity of services they provide? What do people consistently misunderstand about risk adjustment?  Common audit findings Rose is seeing in her daily work related to documentation/coding/regulatory adherence. Great example of acute MI. Career stops at high profile organizations including Optum, First Choice Health, and working as an adjunct professor at Pacific University. The common thread? Education. What makes for a good educator? Advice for educating providers with a lesson that sticks. The story of her personal loss and how it changed her views on the healthcare system What she's most proud of in her career, one do-over she wishes she had back, and a fine guitar-forward selection for the OTR Spotify playlist  Rose's article “The Good, the Bad, and the Ugly (part 1 of 3)”: https://www.linkedin.com/pulse/good-bad-ugly-part-1-3-rose-bernards-l57fc  Part 2: https://www.linkedin.com/pulse/good-bad-ugly-part-2-3-rose-bernards-s3fpc/  Part 3: https://www.linkedin.com/pulse/good-bad-ugly-part-3-rose-bernards-y3ofc/  

Most nursing home administrators don't realize they're sitting on one of the most underutilized revenue streams in all of Medicare — and until someone shows up and tells them what it's worth, they never will. In this episode, Scott Middleton — founder and Chief Disruption Officer of Your Health — calls in from the road as he travels across rural Georgia on a multi-day facility tour, fresh off completing a major merger with TCPA. What follows is an unfiltered, on-the-ground breakdown of two transformational opportunities Scott is actively building: chronic care management (CCM) reimbursement and ACO cost savings — and the very specific reasons most of the industry is getting both wrong. In this episode, you'll hear: Why Medicare already pays $65/hour for care management performed by nurses, community health workers, and social workers — and how Your Health is now contracting with nursing home facilities to perform it, paying them up to $100 per patient per month The "Fuse" platform — a communication and documentation tool that routes care management notes directly into billing-ready buckets, syncing with point-of-care software so the minutes get captured and billed automatically How ACO risk scores work, why Your Health's scores have grown 30% under their current plan, and what failing to see hospice patients could cost the organization — up to $22 million in a single year The $4,800 per patient per year problem: how one physician in their network was quietly rated one of the worst under the ACO model simply because his patients were going home without any follow-up Scott's announcement that SSAs and TCPs are being restructured to report directly to peer group administrators — and why the confusion about their roles has cost the company If you lead a nursing home, an assisted living facility, a physician group, or any organization inside the long-term care ecosystem, this episode will change how you look at what you're already doing — and what you're leaving behind. www.YourHealth.Org

An 11-year-old boy in rural Zambia once told Dr. Genesis Mwamba that he was about to attend school wearing shoes for the first time in his life. That moment, Dr. Mwamba says, crystallized why he started the Lead Me Back Foundation to provide school supplies and other support to marginalized communities in his native country.   As you'll learn in this inspiring installment in our NextGen Journeys series, Dr. Mwamba started the foundation in 2021while still a medical student because he had experienced the power of education as an “equalizer” in his own life, taking him from humble roots to a career in medicine. He and his colleagues have grown the bootstrapped organization to a point where it now provides hundreds of thousands of people across the country with educational access, climate education and community health clinics. “I've always been drawn to opportunities and initiatives that bring help to humankind,” he tells Raise the Line host Dr. Parsa Mohri. This episode also explores: What building "with" a community rather than "for" it looks like in practice; The storytelling strategy that attracted donors and partners; How his mother's untimely death inspired his commitment to preventive medicine.   Mentioned in this episode: Lead Me Back Foundation 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

Value-based care continues to evolve as healthcare organizations balance new policy priorities, growing technology capabilities and the realities of delivering coordinated, patient-centered care. In this episode of Healthcare Insider, host Shannon Mortland sits down with Dan Brillman, deputy administrator at the Centers for Medicare & Medicaid Services (CMS) and director of the Center for Medicaid & CHIP Services (CMCS), and Dr. Rob Bessler, CEO of Honest Health, for a timely discussion on what's driving the next generation of value-based care. Drawing on experience from both the public and private sectors, Brillman and Bessler explore how CMS is shaping policies that support coordinated care, the role of technology and data connectivity in improving outcomes, and the practical challenges health systems and physicians face as they transition to increasingly sophisticated value-based care models. The conversation also examines how organizations can simplify risk for clinicians, invest strategically in infrastructure and prepare for the future of healthcare transformation.  

As healthcare continues its transition toward value-based care, clinical decision support (CDS) is becoming an essential tool for improving appropriate utilization while reducing administrative burden. On this episode, guest hosts Dr Sandy Rolfe (Optum, WEDI Genomics Workgroup) and Julie Brown-Georgi (AMA, WEDI's Value-Based Care Workgroup) interview Rachael Hulshizer from Mayo Clinic and Elizabeth Zobel from CareSelect® Lab to discuss how EHR-integrated, point-of-order CDS is transforming laboratory and genomic test ordering through evidence-based guidance, interoperability standards, and actionable analytics. The conversation explores how structured data, FHIR-enabled exchange, and clinician-centered workflows can help advance stewardship, improve patient care, and support the future of precision medicine

"We have an untapped army of 200,000 PAs that really could step up and drive some change in the healthcare system if we weren't restricted,” says Dr. Jennifer Kolb, capturing her motivation for pushing to update practice regulations for physician associates that date back more than 50 years.  As Chief Medical Officer and Senior Vice President of Clinical Affairs at the American Academy of Physician Associates, Dr. Kolb has been in the middle of the fight at the state and federal level to grant PAs more independence from physicians, full billing rights, and the increased ability to practice across state lines, among other changes.  In this pertinent conversation with Raise the Line host Lindsey Smith, Dr. Kolb explains how these updates could help close huge gaps in access to healthcare, better manage the fight against chronic diseases and improve patient outcomes.   Dr. Kolb also addresses:  Why the name shift from "assistant" to "associate" took her years to fully appreciate; How a 10-year gap in life expectancy across Chicago zip codes shapes her view of health equity; Why PA's shouldn't wait for permission to start making change in their communities. Mentioned in this episode:American Academy of Physician Associates   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 Improving the Match: The Resident Perspective. Faisel and Dan are talking with Dr. Amanda Lilley and Dr. Molly Stegman, residents involved in shaping the AAFP's Residency Selection Improvement Initiative (RSII).Our conversation explores identifying factors of the match that are in need of improvement, participating in efforts that will impact the future for domestic and international medical students, and creating a system to support shifting the culture around applying for residency.

Healthcare organizations are under increasing pressure to improve patient outcomes while controlling costs—but doing both requires more than new technology or payment models. In this episode, Stewart Gandolf speaks with Michele Paige, Chief Growth Officer at Strive Health, about how patient-centered design, proactive care navigation, predictive analytics, and AI-powered engagement are helping healthcare organizations deliver more personalized care, reduce unnecessary hospitalizations, and improve the patient experience. Using value-based kidney care as a real-world example, Michele shares practical lessons that healthcare leaders can apply across virtually any specialty or care setting.

Dr. Abramson advocates for public manufacturing of drugs, independent data review, and better sources like FDA labels and “Worst Pills, Best Pills.” #SystemicReform #PublicHealth #EvidenceFirst

Can a scalable, technology-enabled platform make value-based care work across fragmented health care systems? Early results from Risant Health suggests it can.

In this episode, Ashley Vertuno, President Arizona Market, Healthcare Outcomes Performance Company, shares her priorities for strengthening physician engagement, expanding patient access, and driving sustainable growth through value-based care. She also discusses the importance of innovation, technology, and leadership in navigating healthcare's evolving landscape.

Most adults who smoke want to quit, and about half try to do so in any given year, yet fewer than one in ten succeed. That persistent gap between intention and outcome is one of the central challenges in public health, and it's exactly the kind of problem that calls for new thinking about how to communicate with people to support behavior change.  Dr. Amanda Graham has been a leading force in doing just that in her role as chief health officer at Truth Initiative, the nation's largest non-profit public health organization dedicated to preventing addiction among young people and helping people of all ages to quit tobacco. On this episode of Raise the Line from Elsevier, Dr. Graham, who holds a PhD in clinical health psychology and has done 25 years of NIH-funded research focused on technology-based cessation interventions, helps us understand the interplay between behavioral science and digital communications in the field. "A well-timed message can really be powerful in interrupting what for many people is kind of an automatic behavior, especially via text, which data tell us is an extraordinarily powerful modality,” she explains to host Lindsey Smith.  Tune-in to understand where the field is heading, and to learn about: Why "push" technology may work better than apps and websites when it comes to breaking automatic behaviors; How the rise of e-cigarettes, nicotine pouches, and heated tobacco has scrambled decades of public health messaging; How highschool smoking rates plunged from over 30% to less than 2%. Mentioned in this episode: Truth Initiative Program with Mayo Clinic 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

The global healthcare landscape is being redefined, creating new opportunities for healthcare leaders to improve outcomes and expand access. In this episode we sat down with Eugene Sayan, Founder and CEO of Softheon, to explore how AI is empowering consumers, and driving a new era of innovation across the industry. With more than three decades of experience in healthcare technology, Eugene shares his perspective on the forces transforming healthcare delivery, from patient engagement and personalized care to interoperability, affordability, and the growing role of AI agents. He discusses the shift to a proactive approach that leverages data, automation, and intelligent systems to improve outcomes while reducing costs. The conversation also examines the future of healthcare organizations, the importance of responsible AI adoption, and the opportunities healthcare leaders have to build more connected, sustainable, and patient-focused experiences.  Chapter Timestamps: 00:00 Preview Clip 00:57 Introduction 01:33 Eugene's Background and Journey to Softheon 04:17 Consumer Engagement, Analytics, and Healthcare Innovation 06:29 AI, Personalization, and the Future of Care 09:13 AI Agents, Automation, and the Importance of Human Oversight 12:45 Consumer Empowerment and Rising Healthcare Costs 17:33 Provider Sponsored Health Plans and Value Based Care 18:19 Enabling Healthcare at Home Through Technology 23:18 The Power of Digital Engagement and Automation 24:25 Global Healthcare Innovation and Expanding Access 29:15 Ethical AI, Governance, and the Path to AGI 33:21 Interoperability, Data Portability, and What's Next If you're a healthcare executive, provider, payer leader, or healthcare innovator, this conversation offers valuable insights into the opportunities and challenges shaping the future of care. Connect with Eugene on LinkedIn at https://www.linkedin.com/in/eugenesayan Find Eugene's work at https://softheon.com Subscribe and stay at the forefront of the digital healthcare revolution. Find out why we're the fastest growing digital health channel on YouTube!  The Digital Healthcare Experience is a hub to connect healthcare leaders and tech enthusiasts. Powered by Taylor Healthcare, this podcast is your gateway to the latest trends and breakthroughs in digital health. Learn more about The Digital Healthcare Experience here. Taylor Healthcare empowers healthcare organizations to thrive in the digital world. Our technology streamlines critical workflows such as procedural & surgical informed consent with patented mobile signature capture, ransomware downtime mitigation, patient engagement and more. For more information about Taylor Healthcare, please visit imedhealth.com   The Digital Healthcare Experience Podcast: Powered by Taylor Healthcare Produced by Naomi Schwimmer  Hosted by Chris Civitarese Edited by Eli Banks Music by Nicholas Bach  

In this episode, Edward Sankary, MD, FACP, FAMIA, ABPM-CI, Vice President, Chief Health Informatics Officer and Chief Value Officer, UT Health San Antonio; President, Regional Physician Network ACO, discusses how AI, digital health platforms, and governance are reshaping clinical workflows and value-based care.

An ER nurse who spent 15 years on the night shift says she can predict which patients heal fastest — and it has nothing to do with diet or exercise. It's whether someone showed up for them and refused to stay quiet. In this episode, Matt Staub, CEO of Your Health, sits down with Jamie Preston to unpack that idea from every angle: as a son who once filled a hospital waiting room with 20 advocates for his mother's liver transplant, as a nursing home administrator who sat with a dying patient who had no one else, and as a cancer patient who carried a notebook into every appointment so he wouldn't forget the questions that mattered. Together they explore: Why family advocates get prioritized in the ER — and it isn't about fear of being sued The data behind advocacy: a 65% drop in 30-day hospital readmissions and a 98% staff satisfaction rate when patients have someone in their corner How to ask a "dumb" question without ever sounding dumb — and why staff want you to ask it What to do when a well-meaning advocate crosses the line into disrespect, and how healthcare workers can hold the line with empathy intact The "teach-back" method that helps patients actually retain what they were told Why the best advocates aren't the loudest in the room — they're the most present This is a conversation about the most overlooked job in healthcare: the one nobody's officially hired for, but everybody eventually needs. Whether you're a caregiver, a patient, or the clinician on the other side of the exam table, you'll walk away knowing exactly what to do differently at your next appointment.

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.

"I always remember feeling like I was part of the clean plate club," says Dr. Christle Guevarra, recalling a childhood spent quietly convinced that her weight was a matter of willpower. That belief followed her through a competitive powerlifting career and medical practice until she finally tried a GLP-1 medication herself and, as she describes it, the constant mental noise around food quieted down. Now a board-certified family and sports medicine physician, traveling team doctor for U.S. Figure Skating, and author of The Beginner's Guide to GLP-1s, Dr. Guevarra brings a rare combination of clinical authority and lived experience to the conversation around obesity medicine.  In this episode of Raise the Line from Elsevier, host Lindsey Smith talks with her about what's actually changed in how physicians understand the issue and what it means for patients. "The biggest thing is reframing how we approach weight loss. It's not just a willpower problem, it is a neurobiological problem." Tune in to learn about: Why she said no to a GLP-1 prescription for two years and what finally changed her mind; The real story behind concerns about muscle loss on these medications; What happens when the “food noise" goes silent and a new set of challenges takes its place.   Mentioned in this episode:  Dr. Christle's website 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 Street Medicine: Meeting Patients Where They Are! Faisel and Dan are joined by Dr. Sarah Brown & Dr. Michaela Kowalewski from Emplify Health.Our conversation revolves around building a street medicine program from grassroots relationship-based community service, building trust with populations who may be resistant to seeking care, and teaching residents the value of a physicial exam with clinical diagnostic tools.

Healthcare organizations have more data than ever before, but turning that data into actionable insights remains one of the industry's biggest challenges. In this episode of The Beat AI in Healthcare Podcast, host Sandy Vance sits down with Nabil Jallouli, CEO and co-founder of Rollstack, to discuss how AI-powered reporting is helping healthcare organizations simplify value-based care reporting, improve decision-making, and scale personalized reporting without overwhelming their teams. Nabil shares why dashboards alone are no longer enough, why executives need trusted narratives instead of raw data, and how healthcare organizations can automate reporting while maintaining governance, security, and accuracy. Whether you work in healthcare leadership, data analytics, customer success, value-based care, or digital transformation, this conversation offers practical insights into using AI responsibly to improve reporting and business outcomes.  In this episode, they talk about: Why value-based care requires an entirely different approach to healthcare reporting The hidden "last mile" problem between business intelligence dashboards and executive decision-making Why healthcare organizations struggle with manual reporting despite major investments in analytics platforms How AI can automate repetitive reporting while keeping humans focused on strategy and relationships The importance of governance and trusted data in healthcare AI Why executives rarely spend more than a few seconds reviewing dashboards How personalized reporting improves payer, provider, and customer relationships The role of automation in scaling reporting across hundreds of healthcare partners Measuring ROI from AI reporting solutions and why reporting automation often delivers significant business value Why healthy skepticism around AI is actually helping healthcare adopt better long-term solutions How Rollstack protects sensitive healthcare data with enterprise-grade security and zero data retention policies What healthcare leaders should prioritize as AI adoption continues to accelerate A Little About Nabil: Nabil Jallouli is the co-founder and CEO of Rollstack, an enterprise platform helping companies like SoFi, Zillow, and Whirlpool automate their data-driven presentations and documents. Rollstack leverages deep integrations with leading business intelligence tools (Tableau, Power BI, Looker, and others) and AI to streamline reporting processes, including business reviews, EHR and HCP reporting, financial reporting, and client presentations. By eliminating manual copy-paste, reducing errors, and ensuring accuracy, Rollstack enables organizations to operate more efficiently and focus on decision-making rather than document preparation. The company is backed by Y Combinator and Insight Partners and is fully SOC 2 Type II and HIPAA compliant, meeting the highest standards of security and data protection for enterprise and healthcare customers. Before founding Rollstack, Nabil built his career leading data analytics and revenue strategy teams at Pinterest, Deel, and Groupon. Across these experiences, he observed a common problem: highly skilled professionals spending countless hours preparing slides and reports instead of focusing on high-value work and strategy. This recurring pain point ultimately inspired the creation of Rollstack. Nabil holds a Master of Engineering and dual Bachelor's degrees in Mathematics, Physics, and Computer Science from École Centrale Paris.

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.

Millions of Americans were saddened and outraged by the Sandy Hook Elementary shooting in 2012 that took the lives of twenty children and six adults, and were left feeling helpless about the epidemic of gun violence in the U.S. that, sadly, continues to this day. But for our guest today, Shannon Watts, her feelings of devastation about the shooting turned to rage and fueled her unlikely rise to leading Moms Demand Action, which she grew into one of the largest grassroots organizations in the country, mobilizing millions of volunteers to push for stronger gun safety laws. “I wanted to stand shoulder to shoulder with a badass army of women because that's who gets things done in this country,” she says.    In this inspiring conversation with Raise the Line host Michael Carrese, Watts pulls back the curtain on how the group achieved its successes and the philosophy of "losing forward" that kept volunteers showing up year after year. In her recent book Fired Up, Watts describes how she is bringing insights from that experience to a new mission: helping women identify their values, abilities, and desires and acting on them without waiting until everything is perfect. Tune-in to learn about:  The "false fires" women mistake for passion; Why losing estrogen and testosterone in midlife might actually make women braver, not less so; The one exercise she does with every woman she coaches.  Mentioned in this episode: Fired Up book Moms Demand Action 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

Credentialing rarely makes headlines, but it plays a critical role in determining how quickly patients can access care, how providers join health plan networks, and how healthcare organizations maintain quality at scale. In this episode of Quality Matters, host Tsveta Polhemus examines why credentialing has become one of the most important foundations for modern healthcare delivery—especially as virtual care continues expanding across states and specialties. Joining the conversation are Sharon Meers, President and Co-Founder of Midi Health, and Greg Smith, Director of Operations at Evernorth Health Services. Together, they explore how credentialing impacts providers, payers, and patients alike, and why standardized, trusted processes are essential for improving access while maintaining confidence in care. Sharon shares Midi Health's remarkable growth from approximately 20 clinicians to nearly 800 providers serving patients nationwide. As the organization rapidly expanded across all 50 states, credentialing and payer enrollment became one of its greatest operational challenges. She explains how achieving NCQA Credentialing Accreditation enabled delegated credentialing with major national payers, reducing enrollment timelines from months to just days and allowing patients to access care sooner. Greg offers the payer perspective, discussing how credentialing supports network adequacy, strengthens audit readiness, and creates greater consistency across provider networks. He explains why recognized standards help reduce administrative friction while giving health plans greater confidence in the organizations they partner with. The episode concludes with a Patient Voice segment featuring Carroll Schreibman, who shares her experience navigating perimenopause symptoms after years of searching for answers. She reflects on how quickly accessing virtual care through Midi Health transformed her health, work, and quality of life—and why listening to patients remains central to delivering meaningful care. As healthcare delivery continues evolving, one message becomes clear: credentialing isn't simply a compliance exercise. It's the infrastructure that enables trusted, timely, and equitable access to quality care. Highlights Credentialing Enables Access Credentialing determines how quickly providers can begin seeing patients, making it one of the most important drivers of timely access to care. Scaling Virtual Care Responsibly Midi Health shares how standardized credentialing supported rapid national expansion while maintaining consistency and quality. Trusted Standards Build Confidence NCQA Credentialing Accreditation creates a common framework that strengthens relationships between providers, payers, and patients. The Payer Perspective Credentialing helps health plans improve network adequacy, streamline oversight, and reduce administrative burden while supporting quality care. A Patient's Experience Carroll Schreibman shares how timely virtual access to menopause care helped restore her quality of life after years of unanswered questions.     Key Quote "Credentialing isn't just a compliance requirement—it's the infrastructure that makes timely, trusted, high-quality care possible." — Sharon Meers     Time Stamps - Waiting on Final File (00:00) Why Credentialing Matters More Than Ever (01:52) Meet Sharon Meers & Greg Smith (05:43) A Patient's Journey to Virtual Care (09:25) Credentialing 101: Why It Matters (12:12) How Delegated Credentialing Improves Access (14:36) Scaling Midi Health from 20 to 800 Clinicians (18:00) Balancing Speed, Quality, and Trust (24:44) Measuring Patient Access and Outcomes (28:47) The Future of Credentialing and Virtual Care (33:25) Patient Voice: Carroll Schreibman's Story (42:47) Key Takeaways and Closing Thoughts     Links & Resources NCQA Credentialing Accreditation Learn more about Midi Health Learn more about Evernorth Health Services Connect with Sharon Meers Connect with Greg Smith Connect with Carroll Schreibman Connect with Tsveta Polhemus 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, 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 the United States, nearly 70% of people say they want to die at home, yet the majority still die in medical settings, often after receiving care that may not match their goals and values. Closing that gap between preference and reality is at the heart of the work being done by End Well, a nonprofit dedicated to transforming how we think about, plan for, and experience the end of life. "The gap isn't about people wanting the wrong things. It's that our culture and our incentives aren't aligned with helping those wishes actually happen at the end of life,” says Dr. Shoshana Ungerleider, End Well's founder and president.  As Dr. Ungerleider explains to Raise the Line host Michael Carrese, End Well sponsors an annual symposium and year-round activities to bring together clinicians, patients, caregivers, and innovators to improve that alignment. Key steps include earlier integration of palliative care, allowing providers time for listening and goal setting with patients, and normalizing conversations about what matters most to people. This compelling conversation on reframing end of life care also covers how to bring wonder, joy, and hope into end-of-life conversations, and End Well's work to change how death is portrayed in the media. Mentioned in this episode:End Well 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, 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

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

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.