Podcasts about value based care

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Best podcasts about value based care

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Latest podcast episodes about value based care

LTC University Podcast
What If Your Company Trained You to Outgrow Your Job?

LTC University Podcast

Play Episode Listen Later Jun 15, 2026 36:10


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

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Raise the Line
Dismantling Structural Barriers to Healthcare: Robyn Bussey, “Just Health” Director at the Partnership for Southern Equity

Raise the Line

Play Episode Listen Later Jun 11, 2026 29:46


"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

Inside Health Care: Presented by NCQA
Beyond the App: What Meaningful Digital Engagement Really Looks Like

Inside Health Care: Presented by NCQA

Play Episode Listen Later Jun 11, 2026 47:05


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.

The Dish on Health IT
Beyond Compliance: How Standards Communities Shape Health IT Policy

The Dish on Health IT

Play Episode Listen Later Jun 10, 2026 55:26


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.  

LTC University Podcast
Christopher Laffey, NP: What Happens When Healthcare Follows You Home

LTC University Podcast

Play Episode Listen Later Jun 8, 2026 37:48


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

The Disrupted Podcast
If You Didn't Document It, Medicare Thinks It Never Happened

The Disrupted Podcast

Play Episode Listen Later Jun 8, 2026 32:39


It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system. In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering. What you'll hear in this episode: The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing. www.YourHealth.Org

Raise the Line
Marshalling Effective Response to Health Crises: Sir Peter Piot, Professor of Global Health, London School of Hygiene & Tropical Medicine

Raise the Line

Play Episode Listen Later Jun 4, 2026 30:11


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

Faisel and Friends: A Primary Care Podcast
Ep. 193 Doubling Down on the Triple Double: Fresh Thoughts on Primary Care

Faisel and Friends: A Primary Care Podcast

Play Episode Listen Later Jun 4, 2026 27:46


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.

CareTalk Podcast: Healthcare. Unfiltered.
Can Healthcare Claims Be Adjudicated in Real-Time? w/ Don Peterson, Founder & CEO, PIM Health

CareTalk Podcast: Healthcare. Unfiltered.

Play Episode Listen Later Jun 3, 2026 38:05 Transcription Available


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.

Becker’s Payer Issues Podcast
Rethinking Risk Adjustment and Payer Provider Alignment in Value-Based Care

Becker’s Payer Issues Podcast

Play Episode Listen Later Jun 3, 2026 17:49 Transcription Available


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.

Healthcare IT Today Interviews
Aledade Assist Brings Value-Based Care Data Into the Doctor's EHR Workflow

Healthcare IT Today Interviews

Play Episode Listen Later Jun 3, 2026 47:33


Aledade has been supporting primary care organizations to succeed in value-based care arrangements since 2014. By providing the resources, technology, and data necessary for success, Aledade enables clinicians to focus on what matters most: the patient. As Aledade's Co-founder and CEO, Farzad Mostashari, MD, often says, the company's goal is to make it more profitable to prevent a stroke than to treat one.We recently sat down with Jonas Goldstein, Senior Vice President of Transformation at Aledade, and Jeremy Presley, MD, who runs a primary care practice in Kansas, and also serves as an Aledade Regional Medical Director in that area, to discuss Aledade Assist. In our discussion, they both dive into how Aledade Assist is surfacing relevant health data and insights at the point of care. Plus, they share their unique approach to integrating this data and information within the EHR workflow.Learn more about Aledade: https://aledade.com/Healthcare IT Community: https://www.healthcareittoday.com/

LTC University Podcast
Afraid of the Unknown with Dr. Jimmie Williamson

LTC University Podcast

Play Episode Listen Later Jun 1, 2026 44:16


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

The Disrupted Podcast

What does it actually cost when a doctor writes a verbal order over the phone instead of seeing the patient? Scott Middleton has the receipts — and the answer is going to make you rethink everything about how American healthcare spends its money. In this episode of The Disrupted Podcast, Scott announces a landmark three-way merger bringing Your Health together with Transitional Care Professionals of America (TCPA) out of Georgia and Providence Care, a hospice organization in South Carolina. The combined organization will serve approximately 55,000 active patients — not patients on a list, but people being seen regularly — and Scott lays out exactly how he's going to run it. What you'll hear in this episode: Why Scott's family owning 80% of the merged company changes everything about how decisions get made — and who they get made for The difference between fee-for-service and value-based care, and why the ACO model means every unnecessary hospitalization literally comes out of Your Health's pocket How Your Health's risk-adjustment-based visit model (16 visits per year per risk point) was independently validated by a new government study — and why it works The three things Scott is asking every new employee to do in the first weeks: align with a nurse practitioner, track every minute of care management, and recruit like their livelihood depends on it — because it does Why Scott's new management philosophy is six words: "Keep them out of the hospital and see your damn patients" This isn't a corporate announcement. It's a playbook for how healthcare can actually work when operators run the company, providers see their patients, and every minute of care gets counted. www.YourHealth.Org

SurgOnc Today
SSO Education Series: Introduction to Value-Based Care in Surgical Oncology

SurgOnc Today

Play Episode Listen Later May 28, 2026 27:03


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.

Raise the Line
A Global Expert Helps Us Understand the Hantavirus Outbreak: Dr. Jamie Childs, Senior Research Scientist in Epidemiology of Microbial Diseases at Yale School of Public Health

Raise the Line

Play Episode Listen Later May 26, 2026 22:06


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

Becker’s Healthcare Podcast
Accelerating Value Based Care Through Operational Transformation with Dr. Angelo Sinopoli & Deepak Sadagopan

Becker’s Healthcare Podcast

Play Episode Listen Later May 23, 2026 18:26


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.

LTC University Podcast
A Nurse Practitioner's Field Guide to Whole-Person Care — with Jaclyn Taylor, PART 2

LTC University Podcast

Play Episode Listen Later May 22, 2026 37:10


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

CareTalk Podcast: Healthcare. Unfiltered.
Why Health Insurance Needs Transparency w/ Ty Wang, Co-Founder & CEO, Angle Health

CareTalk Podcast: Healthcare. Unfiltered.

Play Episode Listen Later May 22, 2026 27:16 Transcription Available


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.

Slice of Healthcare
#533 - Why technology alone can't fix value-based care | Tim Elliott (CEO, Navvis)

Slice of Healthcare

Play Episode Listen Later May 21, 2026 15:56


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/

Raise the Line
The Biggest Obstacles to Improving Mental Health: Dr. Steve Strakowski, Professor and Vice Chair for Research in Psychiatry at Indiana University School of Medicine

Raise the Line

Play Episode Listen Later May 21, 2026 23:37


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

Faisel and Friends: A Primary Care Podcast
Ep. 192 Family Medicine Revolution: Physician Leadership in Action w/ Dr. Jay Lee

Faisel and Friends: A Primary Care Podcast

Play Episode Listen Later May 21, 2026 30:30


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.

The Dr Brian McDonough Show: Coronavirus Today
Value Based Care: An encore Presentation of The Executive Pulse Podcast on The Dr Brian McDonough Show

The Dr Brian McDonough Show: Coronavirus Today

Play Episode Listen Later May 21, 2026 18:00


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

My DPC Story
Tools That Serve You: AI, Tech, and Autonomy in Pediatric DPC with Dr. Michael Hobbs

My DPC Story

Play Episode Listen Later May 17, 2026 53:30 Transcription Available


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.

The Real Truth About Health Free 17 Day Live Online Conference Podcast
Elderly patients, PCSK9 drugs, and guideline pressure

The Real Truth About Health Free 17 Day Live Online Conference Podcast

Play Episode Listen Later May 17, 2026 16:16


Statin use in the elderly, push for PCSK9 drugs, and pressures on clinicians show how economic interests shape patient care. #StatinsAndSeniors #PCSK9 #DrugMarketing #HealthTalks

LTC University Podcast
A Nurse Practitioner's Field Guide to Whole-Person Care — with Jaclyn Taylor, PART 1

LTC University Podcast

Play Episode Listen Later May 15, 2026 26:42


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

CareTalk Podcast: Healthcare. Unfiltered.
Why Value-Based Care Is Finally Hitting Its Tipping Point w/ David Snow, CEO, Cedar Gate Technologies, an IQVIA business

CareTalk Podcast: Healthcare. Unfiltered.

Play Episode Listen Later May 15, 2026 30:14 Transcription Available


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.

Raise the Line
A Diverse Workforce Is Essential to Quality of Care: Dr. Tina Loarte-Rodriguez, CEO of Latinas in Nursing

Raise the Line

Play Episode Listen Later May 14, 2026 25:51


"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

Cancer Buzz
Designing Care That Creates Value for Patients and the Health System

Cancer Buzz

Play Episode Listen Later May 12, 2026 8:03


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  

Healthcare Now Podcast
HEALTHCARE NOW: Value based care.

Healthcare Now Podcast

Play Episode Listen Later May 12, 2026 28:02


Value based care and personal accountability was discussed.See omnystudio.com/listener for privacy information.

Becker’s Healthcare Podcast
Innovation, Workforce Transformation, and the Future of Value Based Care with Stephen Parodi

Becker’s Healthcare Podcast

Play Episode Listen Later May 11, 2026 10:02


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.

Becker’s Healthcare Podcast
Value-Based Care, Consumerism, and Leading Leaders with Dan Tasset

Becker’s Healthcare Podcast

Play Episode Listen Later May 8, 2026 16:17


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.

LTC University Podcast
Our Values Series: Service

LTC University Podcast

Play Episode Listen Later May 8, 2026 34:47


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

Practice Made Perfect
he Future of Cardiovascular Leadership - Innovation and Value-Based Care

Practice Made Perfect

Play Episode Listen Later May 8, 2026 31:15


In this episode, sponsored by the CV Management Section, we look ahead at the forces shaping the future of cardiovascular leadership. Our guests reflect on how shifts toward value-based care, emerging technologies, and a changing healthcare landscape are redefining what cardiovascular service lines need from their leaders. The discussion explores how dyad partnerships can stay adaptable, strategic, and innovation focused as they prepare for the decade ahead. 

Raise the Line
Bringing Holographic Technology Into Healthcare: David Nussbaum, Founder and Chairman of Proto Hologram

Raise the Line

Play Episode Listen Later May 7, 2026 35:39


The doctor is in....the box.  That's one way to describe how patients are now encountering their physicians in what's being described as the future of telehealth. Imagine that instead of a cancer patient in a rural area driving hours for an appointment to see their specialist at an academic health center, they can go to their local clinic and see a life-size, real-time, 3-D projection of them in a seven foot tall light box.  The doctor can see the patient through two-way video, and is assisted by a clinician in the exam room. The technology behind this remarkable scene is provided by a Los Angeles based start-up called Proto Hologram, whose founder and chairman, David Nussbaum, joins us on this episode of Raise the Line from Elsevier. "Our holograms start where Zoom ends and where physically being there begins," says Nussbaum, a TIME Healthcare100 honoree who has spent the last decade developing commercial and educational applications for holograms.  In addition to clinical settings, Proto units are being used at medical schools and senior living facilities and are playing a role in public health campaigns about breast cancer and vaccines. Join host Lindsey Smith for a fascinating conversation that covers: The role of holograms in extending access to specialty care; How the technology could be used to combat loneliness among seniors; Nussbaum's philosophy of "commercializing the impossible". Mentioned in this episode: Proto Hologram 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

Faisel and Friends: A Primary Care Podcast
Ep. 191 Sharing Care: Expanding Primary Care Delivery w/ Dr. Yasir Abdul-Rahman

Faisel and Friends: A Primary Care Podcast

Play Episode Listen Later May 7, 2026 30:33


This week on Faisel and Friends, we are discussing Sharing Care: Expanding Primary Care Delivery. Faisel and Dan are talking with Dr. Yasir Abdul-Rahman, Physician and Innovator.Our conversation explores scaling primary care accessibility through virtual group visits, improving patient outcomes while reducing physician burnout, and building community within shared medical care.

LTC University Podcast
Our Values Series: Mutual Respect

LTC University Podcast

Play Episode Listen Later May 1, 2026 30:53


Mutual respect is easy when everyone agrees. The real test comes when the pressure is on, the roles clash, and the person across from you sees things completely differently — and you have to choose, in that moment, what kind of teammate you're going to be. In this episode of Your Health University, host Jamie Preston is joined by the Your Health Patient Experience Team — Jennifer Kistler, Kim Metz, Whitney Myers, Carlos Heyward, and Rebecca Dillard — to explore one of the most demanding values in healthcare: Mutual Respect. Not as a concept, but as a daily practice that shows up in how we listen, how we disagree, how we treat the people we serve, and how much we're willing to learn from someone who doesn't look, think, or live like we do. What you'll hear in this episode: Why active listening is the foundation of all mutual respect — and what it looks like when someone has already "checked out" of a conversation Rebecca's moving story of a nurse who protected a patient's dignity in a single, graceful moment — without missing a beat How reverse mentoring flips the hierarchy and why Rebecca learned one of her most valuable lessons from Whitney Carlos's quiet act of mutual respect that resolved a conflict the room couldn't — just by listening Why conflict isn't the enemy of respect — and how Disney's creative process models what happens when mutual respect stays in the room Every patient is valued. Every voice belongs. That's not a slogan at Your Health — it's a practice. Press play and find out what it takes to really live it. www.YourHealth.Org

Becker’s Healthcare Podcast
Reimagining Workforce and Value Based Care in the Home with Andrew Molosky

Becker’s Healthcare Podcast

Play Episode Listen Later Apr 30, 2026 7:26


This episode recorded live at the Becker's 16th Annual Meeting features Andrew Molosky, President and Chief Executive Officer, Chapters Health System, discussing building a purpose driven workforce, fully committing to value based care, and embracing uncertainty as a catalyst for innovation in home and community based care.

Raise the Line
Elevating True Expertise In a Time Of Self-Proclaimed Knowledge: Dr. Mel Herbert, Writer and Consultant on HBO Max's The Pitt

Raise the Line

Play Episode Listen Later Apr 30, 2026 33:26


“One of the reasons The Pitt has been so successful is because it's showing real expertise in a time when everybody thinks they're an expert,” says Dr. Mel Herbert, who brings decades of experience as an emergency medicine specialist to his work as a writer and consultant on the hit HBO Max show. Dr. Herbert, who was also a consultant on the groundbreaking TV drama ER, is one of seven physicians on The Pitt's writing and production team, which explains the high degree of medical accuracy that is a hallmark of the show. But Dr. Herbert is also proud of the emotional accuracy captured on screen. “It's about the emotions. It's about the stress. It's about how it really affects the doctors and the nurses that I've found the most interesting to write about.” In this candid conversation with host Lindsey Smith, Dr. Herbert talks about his own struggles coping with the demands of life in the emergency room and the importance of letting clinicians know that help is available. “You don't have to suffer. We can help you now in ways we couldn't even do ten years ago. That's the story I want to tell.”  In addition to his work using TV as an educational vehicle, Lindsey and Dr. Herbert discuss his real world efforts to provide emergency medicine education across the globe through his companies EM:RAP and EM:RAP GO.  Stay tuned to this very special episode of Raise the Line with Elsevier in which you will also: Learn how writers tackle misinformation and hot button health topics; Get a behind the scenes look at how actors learn complex medical terminology; Discover who Dr. Herbert's favorite characters are. Mentioned in this episode: The PittMental Health Resources from American College of Emergency PhysiciansEM:RAPThe Extraordinary Power of Being Average 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

Vanguards of Health Care by Bloomberg Intelligence
Cortica's Plan to Bring Value-Based Care to Autism

Vanguards of Health Care by Bloomberg Intelligence

Play Episode Listen Later Apr 30, 2026 55:13 Transcription Available


“It’s crazy to think that that would be the expectation in cancer care, yet we expect that of families in autism,” says Neil Hattangadi, CEO and co-founder of Cortica. Hattangadi joins Bloomberg Intelligence analyst Jonathan Palmer to explain why autism care remains so fragmented and how Cortica is trying to replace siloed services with a coordinated whole-child model. They discuss why applied behavior analysis (ABA) should be one tool, not the whole answer, how Cortica integrates medical and behavioral care, and why better coordination could ease the burden on families while improving outcomes.See omnystudio.com/listener for privacy information.

Becker’s Healthcare Podcast
Driving Economic Sustainability in Value-Based Care Through Aligning Data, AI, & Care Delivery

Becker’s Healthcare Podcast

Play Episode Listen Later Apr 27, 2026 21:41


In this episode, Michael Meucci, President and Chief Executive Officer, Arcadia and Dr. Sanjay Doddamani, Founder and CEO, Guidehealth discuss how aligning data, AI, and payment models is reshaping value-based care. They explore evolving risk, cost dynamics, and how AI can scale access, improve outcomes, and support financial sustainability across healthcare systems.This episode is sponsored by Guidehealth and Arcadia.

LTC University Podcast
Our Values Series: Integrity

LTC University Podcast

Play Episode Listen Later Apr 24, 2026 30:53


What if the most powerful thing you could do for your patients, your teammates, and your own career is simply to say: I made a mistake? In this episode of Your Health University, host Jamie Preston is joined by the Your Health Patient Experience Team — Jennifer Kistler, Kim Metz, Whitney Myers, Carlos Heyward, and Rebecca Dillard — for one of the most honest conversations in this Values Series yet: a deep dive into integrity. Not the word on the wall, but the daily practice of accountability, consistency, and courage that defines who we really are. What you'll hear in this episode: Why fear is the single biggest barrier to integrity in healthcare — and what leadership must do about it The real-time story of Rebecca owning a patient complaint oversight at 5:45 AM, and why it made all the difference Whitney's powerful reframe: integrity isn't just doing the right thing when no one's watching — it's consistency, whether it's easy or hard Jennifer's insight on how strong patient-provider relationships reduce malpractice suits — and why that starts with honesty The unforgettable story of a million-dollar mistake, a resignation letter, and a CEO who said: "Why would I let you go? I just spent a million dollars training you." Integrity matters here. At Your Health, it's not a policy — it's a promise. Press play and find out what it looks and feels like when an entire team commits to living it every single day. www.YourHealth.Org

Raise the Line
Understanding Migraine Syndrome And Its Impact on Women: Dr. Regina Krel, Director of Headache Medicine at Hackensack University Medical Center

Raise the Line

Play Episode Listen Later Apr 23, 2026 28:13


"Headache is just a teeny piece of the puzzle," says Dr. Regina Krel, an insight that's at the heart of why migraine syndrome, one of the leading causes of disability worldwide, remains so persistently misunderstood. In this informative conversation with Raise the Line from Elsevier host Michael Carrese, Dr. Krel, the director of Headache Medicine at Hackensack University Medical Center, explains migraine as a storm that sensitizes the entire brain, not just the site of the headache, which explains the long list of symptoms people experience including sensitivity to light and sound, brain fog, fatigue and problems with balance. “The headaches can be severe, but it's the other symptoms that really kind of take over your whole body that make patients dysfunctional.” Dr. Krel also explains why migraine disproportionately impacts women in the prime of their working and caregiving years, and offers guidance for treating migraines in women, whose symptoms are commonly dismissed by non-specialists. Stay tuned to also learn about: The "migraine triangle"; Why stigma around migraine persists even in doctors' offices; New treatment options including neuromodulation devices. Mentioned in this episode: Headache Center at Hackensack University Medical Center 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

Empowered Patient Podcast
ACOs Using Value-Based Care to Improve Outcomes and Reduce Hospital Readmissions with Dr. Tom Kim Sound Long-Term Care Management

Empowered Patient Podcast

Play Episode Listen Later Apr 22, 2026 20:25


Tom Kim, Chief Medical Officer at Sound Long-Term Care Management, discusses the role of accountable care organizations, ACOs, in improving healthcare for the long-term care population. The unique complexities and challenges of these patients include multiple medical conditions, frequent hospitalizations, and fragmented care.  By using predictive analytics, telemedicine, and value-based care principles to deliver more coordinated care, patients are avoiding hospitalizations, receiving higher-quality care, and experiencing reduced costs. Tom explains, "So, in essence, an accountable care organization (ACO) is a group of healthcare providers that come together with a commitment to Medicare to improve the quality of care for the Medicare beneficiaries they serve and to decrease the cost of care for that population. And it's a way to really better coordinate care for those residents or for those Medicare beneficiaries to really receive the best outcome possible."   "Yes, so in the fee-for-service world, there is a lot of focus, at least from a provider standpoint, on volume. So you're really focused on seeing as many patients as you can. In a value-based care model, we're really moving away from the volume model toward one focused more on quality. So, instead of being rewarded for high volume, you're being rewarded as a provider for the quality of care you provide. And not only is this beneficial to the provider, but it's also beneficial to the patients. So, there's having more time with their provider, receiving better care, and hopefully avoiding unnecessary or avoidable care. And so it's really a win across the board, from both a provider and a patient standpoint."  "Our patient population tends to be more complex with more medical problems. They tend to be hospitalized more often. They tend to rely on others to make healthcare decisions and closer to the end of life. And so, care is really different from those who are still living at home and in the community. And on top of that, in terms of the long-term care space, and why it's so challenging is that you just kind of mentioned it a little bit, is that the population is aging."   #SLTCM #ACO #AccountableCareOrganizations #AccountableCare #LongTermCare #ValueBasedCare #HealthcareInnovation #Telemedicine #SeniorCare #HealthcareLeadership #PatientCare #HealthTech #Medicare sltcm.soundphysicians.com Download the transcript here

Empowered Patient Podcast
ACOs Using Value-Based Care to Improve Outcomes and Reduce Hospital Readmissions with Dr. Tom Kim Sound Long-Term Care Management TRANSCRIPT

Empowered Patient Podcast

Play Episode Listen Later Apr 22, 2026


Tom Kim, Chief Medical Officer at Sound Long-Term Care Management, discusses the role of accountable care organizations, ACOs, in improving healthcare for the long-term care population. The unique complexities and challenges of these patients include multiple medical conditions, frequent hospitalizations, and fragmented care.  By using predictive analytics, telemedicine, and value-based care principles to deliver more coordinated care, patients are avoiding hospitalizations, receiving higher-quality care, and experiencing reduced costs. Tom explains, "So, in essence, an accountable care organization (ACO) is a group of healthcare providers that come together with a commitment to Medicare to improve the quality of care for the Medicare beneficiaries they serve and to decrease the cost of care for that population. And it's a way to really better coordinate care for those residents or for those Medicare beneficiaries to really receive the best outcome possible."   "Yes, so in the fee-for-service world, there is a lot of focus, at least from a provider standpoint, on volume. So you're really focused on seeing as many patients as you can. In a value-based care model, we're really moving away from the volume model toward one focused more on quality. So, instead of being rewarded for high volume, you're being rewarded as a provider for the quality of care you provide. And not only is this beneficial to the provider, but it's also beneficial to the patients. So, there's having more time with their provider, receiving better care, and hopefully avoiding unnecessary or avoidable care. And so it's really a win across the board, from both a provider and a patient standpoint."  "Our patient population tends to be more complex with more medical problems. They tend to be hospitalized more often. They tend to rely on others to make healthcare decisions and closer to the end of life. And so, care is really different from those who are still living at home and in the community. And on top of that, in terms of the long-term care space, and why it's so challenging is that you just kind of mentioned it a little bit, is that the population is aging."   #SLTCM #ACO #AccountableCareOrganizations #AccountableCare #LongTermCare #ValueBasedCare #HealthcareInnovation #Telemedicine #SeniorCare #HealthcareLeadership #PatientCare #HealthTech #Medicare sltcm.soundphysicians.com Listen to the podcast here

ABA on Tap
A Fresh Keg of Value-Based Care: Optum's 'Low Hours, High Impact' with Mike and Dan (Part II)

ABA on Tap

Play Episode Listen Later Apr 19, 2026 60:55


Send us Fan Mail(Part 2 of 2) Grab a seat and pour yourself a cold one! In this episode, Mike and Dan are cracking open the white paper from Optum, titled "Low Hours, High Impact".For years, the "more is better" 40-hour-a-week model has been the industry standard, but the data is starting to tell a different story. We're diving deep into the science and the shift toward Value-Based Care, exploring how focused, high-quality interventions can sometimes move the needle further than pure volume.In this "pour," we're serving up:The 40-Hour Hangover: Why the "intensive" model might not always be the most effective for every learner, especially the little ones.Efficiency on Tap: Breaking down Optum's findings on how lower-intensity, high-precision services can drive meaningful clinical outcomes.The Payer's Perspective: A look at how major payers like Optum are redefining "Medical Necessity" and what that means for your clinic's billing and documentation in 2026.Quality over Quantity: How to advocate for the right amount of hours without sacrificing progress or burning out your RBTs.Whether you're a BCBA navigating authorization battles or a business owner looking at the future of ABA funding, this episode delivers the straight talk you need—minus the boring jargon.Tune in, drink up, and always analyze responsibly. Support the show

The Podcast by KevinMD
Clinicians are failing at value-based care because no one taught them the system

The Podcast by KevinMD

Play Episode Listen Later Apr 17, 2026 17:00


What happens when you ask clinicians to hit dozens of quality metrics but never explain why those metrics matter or how to manage them? Kenneth Botelho, founding program director of the Doctor of Medical Science program at the College of St. Scholastica, joins to discuss his KevinMD article, "Value-based care workforce: Bridging the gap in clinical education," and why medical education still trains you to treat one patient at a time in a world that demands population health thinking. He breaks down the disconnect between fee-for-service training and value-based care realities, from dashboard management and HCC coding to compensation tied to screening rates you were never taught to influence. You will hear why this knowledge gap fuels burnout and early career attrition, what PA and NP programs are starting to do about it, and how postgraduate training could give clinicians the framework they need to regain control over their day-to-day work. If you have ever felt graded on a system no one explained to you, this episode will change how you see your role in it. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Raise the Line
Saving Lives Using Repurposed Medications: Dr. David Fajgenbaum, Co-Founder of Every Cure

Raise the Line

Play Episode Listen Later Apr 16, 2026 26:08


To mark the sixth anniversary of Raise the Line from Elsevier we're revisiting one of the most remarkable stories we've had the privilege of sharing over the last 575 episodes. To do that, we're delighted to welcome back Dr. David Fajgenbaum, a physician-scientist who repurposed an existing medication that saved his own life from Castleman disease, an ultra-rare condition that nearly killed him on five occasions. Because there was no treatment specifically for Castleman, Dr. Fajgenbaum set out to find a previously approved medication that might work. “I eventually found a drug that was made for another disease 50 years ago. It's been over 12 years that I've been doing great on this medicine.”   When he first joined us in 2022, Dr. Fajgenbaum was just launching a non-profit organization called Every Cure with the hope of replicating the success he achieved in his own case, and as you'll learn in this inspiring interview with host Lindsey Smith, its work has already saved thousands of lives. “It's a tragedy if someone dies while there's already a drug in their local hospital that could help them.”  In the latest installment of our Year of the Zebra series on rare conditions, you'll hear an inspiring example of a life saved by this approach and also learn about: The role of artificial intelligence in scanning thousands of medications and diseases to find possible matches; How Every Cure decides which drugs merit the costly research needed to confirm a match;  Dr. Fajgenbaum's philosophy of “living in overtime.” Mentioned in this episode:Every Cure Osmosis Video on Castleman Disease Dr. Fajgenbaum's Bestselling Memoir, Chasing My Cure 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

Faisel and Friends: A Primary Care Podcast
Ep. 190 More than Just Mom: the Role of Family and Community in Maternal Health w/ Dr. Esa Davis

Faisel and Friends: A Primary Care Podcast

Play Episode Listen Later Apr 16, 2026 32:21


We're discussing More than Just Mom: the Role of Family and Community in Maternal Health! Faisel and Dan are joined by Dr. Esa Davis from the University of Maryland School of Medicine.Our conversation revolves around providing value through continuity during and beyond perinatal care, partnering with community health professionals for holistic patient care, and considering how to utilize AI without bias.

LTC University Podcast
The Silo Problem: Our Values Series

LTC University Podcast

Play Episode Listen Later Apr 10, 2026 45:56


Most organizations put "Collaboration" on a wall. Few actually live it — and in healthcare, the cost of not living it isn't a missed deadline. It's a missed patient. In the first episode of Your Health University's brand-new Most organizations put "collaboration" on a wall. Few actually live it — and in healthcare, the cost of not living it isn't a missed deadline. It's a missed patient. In the first episode of Your Health University's brand-new Our Values Series, host Jamie Preston gathers four members of Your Health's patient experience team — Rebecca Dillard (VP of Organizational Experience), Jennifer Kessler (Division President of Product), Whitney Myers (Senior Solutions Advisor), and Carlos Hayward (Business Office Manager) — for an unfiltered conversation about what genuine collaboration looks like inside a fast-moving, mission-driven healthcare organization. No theory. No platitudes. Just the real, messy, mundane, and occasionally remarkable daily practice of people choosing to work together when it would be easier to go it alone. What you'll hear in this episode: Why real collaboration means recognizing what the person next to you brings that you simply cannot replicate — and building toward that, not around it The true story of a patient found living in an RV without his medication — and how cross-team collaboration made the difference between crisis and care Where collaboration most commonly breaks down in healthcare settings, and the small documentation and communication habits that prevent it The one question — "How can I do my job differently to make yours better?" — that builds trust across departments faster than almost anything else The daily habits these four healthcare professionals actually practice to keep collaboration alive, from weekly team check-ins to learning someone's preferred communication style before you assume Collaboration isn't a value you perform. It's a choice you make — one conversation, one phone call, one honest mistake admitted at a time. Values Series, host Jamie Preston gathers four members of Your Health's patient experience team — Rebecca Dillard (VP of Organizational Experience), Jennifer Kessler (Division President of Product), Whitney Myers (Senior Solutions Advisor), and Carlos Hayward (Business Office Manager) — for an unfiltered conversation about what genuine collaboration looks like inside a fast-moving, mission-driven healthcare organization. No theory. No platitudes. Just the real, messy, mundane, and occasionally remarkable daily practice of people choosing to work together when it would be easier to go it alone. What you'll hear in this episode: Why real collaboration means recognizing what the person next to you brings that you simply cannot replicate — and building toward that, not around it The true story of a patient found living in an RV without his medication — and how cross-team collaboration made the difference between crisis and care Where collaboration most commonly breaks down in healthcare settings, and the small documentation and communication habits that prevent it The one question — "How can I do my job differently to make yours better?" — that builds trust across departments faster than almost anything else The daily habits these four healthcare professionals actually practice to keep collaboration alive, from weekly team check-ins to learning someone's preferred communication style before you assume Collaboration isn't a value you perform. It's a choice you make — one conversation, one phone call, one honest mistake admitted at a time. www.YourHealth.Org

Raise the Line
How AI Could Strengthen the Doctor-Patient Relationship: Dr. Ashwin Vasan, Senior Fellow in Health Policy and Global Affairs at Yale School of Public Health

Raise the Line

Play Episode Listen Later Apr 9, 2026 40:59


How AI Could Strengthen the Doctor-Patient Relationship: Dr. Ashwin Vasan, Senior Fellow in Health Policy and Global Affairs at Yale School of Public Health and Affiliate Faculty at Yale Jackson School of Global Affairs “Ultimately, AI needs to be a tool that doesn't break down trust or empathy or clinical judgment, but rather helps enhance those things.” That aspirational perspective from Dr. Ashwin Vasan, Senior Fellow in Health Policy and Global Affairs at the Yale School of Public Health and Affiliate Faculty at the Yale Jackson School of Global Affairs, frames a nuanced conversation about one of healthcare's most consequential changes. Drawing on his experience as New York City Health Commissioner during the COVID-19 crisis and decades in global and public health, Dr. Vasan argues that the future of AI in medicine should be shaped less by the technology itself than by the values guiding its implementation, and that physicians need to play an active role in this process. “I think it behooves us to engage with this technology and steer it in the directions that we want as a society.” This timely discussion also offers Dr. Vasan's thoughtful perspectives on: How AI could allow physicians to focus on the human side of care; The risks of AI reinforcing inequities and driving costs higher; Public health as the marriage of science, society and trust. Join host Lindsey Smith for a valuable Raise the Line episode on how AI can be harnessed to benefit patients and provides alike.  Mentioned in this episode: Yale School of Public Health Yale Jackson School of Public Affairs 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