Podcasts about value based care

America spends nearly double what the fourth-ranked country spends on healthcare per capita — and still ranks among the worst in outcomes. So what exactly are we paying for? In this episode of the Experiencing Healthcare Podcast, Jamie Preston and Your Health CEO Matt Staub examine what happens when healthcare gets treated like gasoline: something people expect to be available, can't easily compare on quality, and ultimately choose based on price or convenience. When brand and price stop mattering, the only differentiator left is how patients are made to feel — and whether they trust the person across from them enough to actually change. What you'll hear in this episode: Why Matt ranks service above outcomes and access — and the patient story that changed how he thinks about both The "Chick-fil-A problem": how your healthcare experience is now being compared to your best service experience anywhere, not just the clinic down the street What provider burnout really looks like when a clinician closes their notes at 11pm wondering if their patient listened How insurance billing creates distrust that bleeds directly into the patient-provider relationship — and what healthcare organizations can do about it Why the most caring thing a doctor can do sometimes feels like the worst customer service in the room If you've ever felt like a number in a waiting room — or if you've ever been the one trying to help someone who wouldn't listen — this conversation will stay with you. Press play.

Public health isn't just community clinics and county programs — it's shaping the future of healthcare from the inside out. In this episode of Y Health, BYU Public Health alum Sarah Harward shares how she's redefining population health as a Business Operations Coordinator for Intermountain's Children's Health Network, Utah's largest healthcare system. Sarah reveals how value-based care and proactive care models are transforming patient outcomes, the power of home-visiting programs like Nurse-Family Partnership, and why early childhood mental health screening is a game-changer for families. She also opens up about “finding your why — and your what” as a guiding principle for public health professionals. A must-listen for students, clinicians, and anyone curious about the intersection of hospital administration and public health in real-world healthcare. Recorded, Edited & Produced by Averee Bates, Christy Gonzalez, Harper Xinyu Zhang, Madison McArthur, Kailey Hopkins, and Tanya Gale

We've spoken with many guests about clinical and technological trends impacting healthcare providers, but less so about the trends on the business side of practicing medicine.  So on this episode, we're going to make up for that by spending our time with Dr. Alexander Vaccaro, an influential spine surgeon and president of one of the largest musculoskeletal practices in the U.S. -- Rothman Orthopaedic Institute -- which treats patients at over 40 locations in Pennsylvania, New Jersey, New York and Florida. While Dr. Vaccaro understands the desire for financial stability that's increasingly driving young physicians into the arms of hospital systems, he worries about what's being lost with the resulting decline in the number of independent practices.  “If you didn't have private practice advocating for the doctor, the insurance companies would bully the healthcare profession.” Join Raise the Line host Michael Carrese for a candid and lively conversation that also covers: How physician autonomy and entrepreneurship can drive innovation; The economic and policy forces reshaping private practice medicine; The role of research partnerships between private practices and universities. Mentioned in this episode:Rothman Orthopaedics 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

Dawn Carter, senior director of health policy and regulatory affairs at  Centauri Health Solutions, joins RISE Radio for a lively discussion on the five skills health care leaders need to succeed in value-based care, starting with how to turn analytics into decisions that actually change outcomes. During this hour-long episode, Carter shares practical frameworks for working with data, regulations, interoperability, strategic storytelling, and social determinants of health.To learn more, see Carter in person at RISE National March 23-25 in Orlando where she will lead an interactive "Bingo" game roundtable discussion to uncover smarter strategies for risk adjustment. She'll also speak at the upcoming RISE webinar on interoperability that powers SDoH referral loop closure in value-based care on April 28 at 2 p.m. EDT.About Dawn CarterDawn Carter, BSBA, MHA, CPC, CRC, CPMA, CDEO, CPCO, AAPC Fellow, is the senior director of health policy and regulatory affairs at  Centauri Health Solutions, with over 30 years of experience in the health care industry. She has a proven track record of success in developing innovative products and services for the Medicare Advantage, Medicaid, and commercial health plan markets and is a sought-after industry speaker and author as well as independent consultant and educator.She holds a Bachelor of Science in Business Administration and a Master of Science in Healthcare Administration and is currently pursuing a Doctorate in Business Administration and Healthcare Management. She is a member of the American College of Healthcare Executives (ACHE) and is a Fellow of the American Academy of Professional Coders (AAPC). Her extensive AAPC certifications and recent appointment to the AAPC National Advisory Board for the 2025 -2027 term further demonstrate her deep commitment to knowledge and expertise in the health care field.About Centauri Health SolutionsCentauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence—maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery future-proofed for interoperability.

In this episode, Krista Nelson, CEO of Optum Health, shares her vision for strengthening value based care through a more focused care delivery model, stronger clinician support, and expanded technology capabilities. She also discusses Medicare Advantage policy stability, the role of AI in reducing administrative burden, and how partnerships across the healthcare ecosystem can improve outcomes and patient experience.

In this episode, Ericka Powell, MD, Vice President of Medical Affairs at WellSpan Ephrata Community Hospital within WellSpan Health, discusses reducing length of stay variation, strengthening physician engagement, and using data driven care pathways to improve quality, workforce stability, and value based performance.

In this episode, Ericka Powell, MD, Vice President of Medical Affairs at WellSpan Ephrata Community Hospital within WellSpan Health, discusses reducing length of stay variation, strengthening physician engagement, and using data driven care pathways to improve quality, workforce stability, and value based performance.

What if the most powerful person on your care team isn't a nurse, a doctor, or a specialist — but someone showing up at 8:00 AM to check blood pressure, eat lunch with residents, and play vital signs bingo? In this episode, we go deep on the Community Health Worker role: what it is, what it isn't, and why most organizations are dramatically underusing it. Scott pulls no punches on the disconnect between what CHWs are doing and what they should be doing — and why the difference is costing patients their health and workers their bonuses. What you'll hear in this episode: Why the #1 complaint about CHW visits ("you're seeing our patients too much") is actually a communication failure, not a frequency problem — and how to fix it The specific visit types every community health worker should be scheduling: vital signs, medication reconciliation, lab draws, wound care, advanced care plans, and more How Mary White, a CHW in Gainesville, Georgia, goes in with 5 patients on her list and leaves having seen 15 — and what her approach reveals about what this role is really for Why buildings that aren't growing have either the wrong person or not enough people — and how to think through both The full compensation breakdown: base salary, guaranteed bonus, and how the right CHW can earn close to $80,000 a year If you hire, manage, or are a community health worker, this episode will reshape how you think about the role. Hit play. www.YourHealth.Org

We've had many conversations on Raise the Line about the challenges of health communication in today's world of information overload, but none of our guests have the kind of expertise Dr. Tesfa Alexander has acquired in a career that has taken him from Madison Avenue to the halls of government and academia. From guiding tobacco education research at the FDA to leading public health initiatives at MITRE, Dr. Alexander has developed a deep understanding of the science and strategy behind effective health communication. “Successful campaigns keep the long game in mind where you want to develop a lasting relationship with your target audience,” he tells host Lindsey Smith. That relationship needs to be built on understanding culture, beliefs, priorities and daily realities, and only then can you develop messaging that will resonate, he explains. Dr. Alexander also believes these relationships can be leveraged to help people sort out facts from misleading or inaccurate claims. “I strongly recommend shifting our focus from combating misinformation head on, and instead working with the communities who we are seeking to serve.” This fascinating look at communication science also covers: How stories drive belief; The importance of working with community partners who are trusted messengers;  The power of audience segmentation. Tune in as Dr. Alexander unpacks what it takes to influence beliefs, and ultimately behaviors, in an era defined by misinformation and institutional mistrust. Mentioned in this episode:Lerner Center for Public Health Advocacy 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 A Call to Action: the Primary Care Triple Double. Faisel and Dan are talking with Dr. Asaf Bitton, executive director of Ariadne Labs.Our conversation explores envisioning the next four years of advancement in primary care, breaking down the factors to achieve that vision, and identifying the outcomes of our efforts.Stay informed and learn more about Primary Care for America's triple double campaign here: www.primarycareforamerica.org/goals.

Value-based care can improve outcomes and lower costs, but only when the incentives, workflows, and data all pull in the same direction.In this episode of Straight Outta Health IT, Dr. Shannon Decker, founder and CEO of VBC One, unpacks the good, the bad, and the ugly of value-based care and what it takes to succeed beyond the buzzwords. She explains why many organizations struggle when they jump in without true readiness, especially when contracts shift risk faster than teams can build the infrastructure to manage it. The conversation spotlights the practical difference between chasing measures and building a system that reliably delivers prevention, coordination, and better patient experience.Dr. Decker shares lessons from years of hands-on work in Medicare, quality, and risk adjustment, including where performance quietly slips through the cracks. She breaks down risk adjustment in plain language and shows how incomplete documentation and messy data flow can translate into fewer resources for high-acuity patients. Instead of treating coding as a compliance task, she frames it as a visibility problem that affects staffing, care planning, and long-term sustainability.The episode also gets tactical about what actually moves the needle. Dr. Decker points to avoidable utilization as a major opportunity and discusses simple, repeatable practices such as tighter triage, clearer patient education, and post-discharge medication reconciliation that help prevent unnecessary ED visits and readmissions. She also cautions against the “ugly” side of incentives, including gaming behaviors, cherry-picking, and equity blind spots, and offers a grounded path forward that prioritizes outcomes over optics.Tune in to learn how to build a practical value-based strategy that improves performance, protects patients, and keeps incentives honest.ResourcesConnect with Dr. Shannon Decker on LinkedIn! Follow VBC One on LinkedIn, reach out via email, and visit their website.

In this episode, Dr. Kapil Dhingra, A Physician-in-Chief at The Permanente Medical Group, discusses guiding a diverse patient population, integrating AI to enhance care, and leading with purpose in a physician-led health system. He shares insights on lifelong learning, mentoring, and creating opportunities for emerging leaders to grow and impact healthcare.

What if the most powerful clinical tool in healthcare wasn't a drug, a device, or a data platform — but a word? In this episode of Experiencing Healthcare, Jamie and Matt have a conversation that starts with Disney World germs and ends with something that will change the way you lead your team tomorrow. They unpack the idea of Intentional Positive Reinforcement — not the hollow "great job" you throw over your shoulder in the hallway, but the kind of deliberate, meaningful recognition that creates a ripple effect all the way to the patient's bedside. Matt shares what a dental hygienist taught him about doing things right, why a pair of clicking heels in a nursing home hallway was actually a leadership strategy, and what happens to a healthcare team that only ever hears what they're doing wrong. This is a conversation for the bedside nurse and the C-suite executive. For the credentialing specialist who never sees a patient and the clinical coordinator who sees dozens. Because in healthcare, everyone plays a role in the patient experience — and the way we lead people determines the care those people deliver. If you've ever wondered whether your words are adding to your team or subtracting from them, this episode is your answer.

What does it actually take to say yes in healthcare when the system is wired to say no? In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up. Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day. From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare. If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you. www.YourHealth.Org

We're marking Rare Disease Month 2026 by highlighting the powerful story of Shanthi Hegde, a young patient advocate working to transform how bleeding disorders are understood, treated, and supported. This work is fueled by her own arduous journey with two rare bleeding disorders and immune dysregulatory syndrome, and an extended diagnostic odyssey marked by dismissal, underdiagnosis, and structural bias. “I was told many times by many providers that these disorders are not common in Indians and that my bruises were there just because I'm brown.” Admirably, Shanthi pushed past this mistreatment, advocated for her medical needs, and devoted herself to tackling a range of issues confronting rare disease patients from mental health access to affordable drug pricing to research equity. In this remarkable Year of the Zebra conversation with host Lindsey Smith, you'll also learn about: Shanti's work with the Hemophilia Federation of America; How gaps extend beyond treatment to include insurance coverage, provider training, and substance use care; What clinicians can do to improve the work they do with rare disease patients. Join us for a conversation that connects patient voice to system change, and explores what real equity for rare disease communities will require. Mentioned in this episode:Hemophilia Federation of AmericaShanthi's LinkedIn Profile 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

Few issues have tested public trust in medicine as deeply as vaccines, and few individuals have influenced that dialogue more than Dr. Paul Offit, director of the Vaccine Education Center at the Children's Hospital of Philadelphia and a longtime member of the FDA's Vaccine Advisory Committee. In this timely and candid interview with Raise the Line host Lindsey Smith, Dr. Offit points to this year's severe flu season and a resurgence of measles as alarming proof points of how a changing federal perspective on vaccine policy is having a real impact on public health. “You'd like to think you can educate about the importance of vaccines, but I fear at this point the viruses themselves are doing the educating.” In this wide ranging discussion, Dr. Offit also addresses: The rigorous and painstaking process of developing vaccines, based on his experience co-inventing the rotavirus vaccine. Shifting levels of public trust in scientific organizations. Promising innovations in vaccine development. Don't miss this deeply-informed perspective on the interplay of science, policy, and public education, and his encouraging message to young clinicians about managing the current challenges in public health.  Mentioned in this episode: Vaccine Education Center at Children's Hospital of PhiladelphiaPerelman School of Medicine If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

We're discussing Rural Collective Care: Primary Care That Shows Up! Faisel and Dan are joined by Dr. Jim Lancaster, from Main Street Health.Our conversation revolves around measuring value in both quality as well as outcomes, providing patient care that goes above and beyond the clinic walls, responding to natural disasters as a team to support the community, and making the bright future of rural healthcare into a reality.

In this episode, Alex Ding, MD, Enterprise Deputy Chief Medical Officer at Humana, discusses the findings from Humana's latest Value-Based Care Report, including lower hospital admissions and emergency department visits among Medicare Advantage members in value based arrangements. He shares how deeper primary care continuity, stronger payer provider alignment, and reduced administrative burden are key to scaling sustainable, outcomes driven care. Learn more here: https://humana.com/vbc

In this episode, Alex Ding, MD, Enterprise Deputy Chief Medical Officer at Humana, discusses the findings from Humana's latest Value-Based Care Report, including lower hospital admissions and emergency department visits among Medicare Advantage members in value based arrangements. He shares how deeper primary care continuity, stronger payer provider alignment, and reduced administrative burden are key to scaling sustainable, outcomes driven care. Learn more here: https://humana.com/vbc

In this 20-minute episode of RISE Radio, Editorial Director Ilene MacDonald sits down with Dr. Matt Lambert, the former chief medical officer at Reveleer, to unpack the rapidly evolving landscape of Medicare Advantage risk adjustment. Together, they discuss the implications of the 2027 Advance Notice, new OIG compliance guidance, and the industry's shift toward encounter-based, prospective risk adjustment. Dr. Lambert explains how hybrid AI—combining generative AI with long‑standing clinical rules—can improve accuracy, reduce false positives, and streamline workflows for providers, payers, and risk adjustment teams. He also shares practical strategies for organizations beginning this transition, emphasizing partnership, user‑friendly workflows, and technology that meets clinicians at the point of care.About Matt Lambert, M.D. Dr. Matt Lambert, is the former chief medical officer at Reveleer and a leader in health care innovation, blending clinical expertise with technology, policy, and payment strategies. He previously served as CMO of Curation Health (acquired by Reveleer in 2024) and led digital transformation at Clinovations and The Advisory Board. He has been CMIO for New York City Health + Hospitals, RWJ Barnabas, and Johns Hopkins, overseeing Epic and Cerner implementations. An emergency medicine physician for 20+ years, he authored two books on health care reform. He earned his MD from Marshall University and trained at West Virginia University. About ReveleerReveleer, a health care software and services company, uses machine learning and intelligent automation technology to empower health plans control over their quality improvement, risk adjustment, and member management programs. With one transformative solution, Reveleer allows plans to independently execute and manage provider outreach and data retrieval, coding, abstraction, member management, and reporting. Reveleer leverages proprietary technology, robust data sets, and subject matter expertise, so health plans can execute programs that deliver value and improved outcomes. Click here for Reveleer's Guide to AI in Value-Based Care.

In this episode, Dr. Sidney H. Raymond, Chief Medical Officer at Ochsner Health Network, discusses leading population health across more than 600,000 lives and advancing value based care beyond contract boundaries. He shares how care model redesign, prevention focused strategies, digital health, and patient centered culture are driving measurable gains in quality, cost, and care coordination across diverse communities.

“I do not believe we should be testing to test. We have to know, is this test going to change management and is it going to make a difference,” says pediatric allergist-immunologist Dr. Zachary Rubin. His knack for providing that sort of straightforward guidance explains why Dr. Rubin has become a trusted voice on allergies, asthma, and vaccines for his millions of followers on social media platforms. It's also why we couldn't ask for a better guide for our discussion on the rise in allergies, asthma, and immune-related conditions in children, and how families can navigate the quickly evolving science and rampant misinformation in the space. On this episode of Raise the Line, we also preview Dr. Rubin's new book, All About Allergies, in which he breaks down dozens of conditions and diseases, offering clear explanations and practical treatment options for families. Join host Lindsey Smith for this super informative conversation in which Dr. Rubin shares his thoughts on a wide range of topics including: What's behind the rise in allergic and immune-related conditions.Tips for managing misinformation, myths and misunderstandings. How digital platforms can be leveraged to strengthen public health.How to build back public trust in medicine.Mentioned in this episode:All About Allergies bookBench to Bedside PodcastInstagramTikTokYouTube Channel 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. Sidney H. Raymond, Chief Medical Officer at Ochsner Health Network, discusses leading population health across more than 600,000 lives and advancing value based care beyond contract boundaries. He shares how care model redesign, prevention focused strategies, digital health, and patient centered culture are driving measurable gains in quality, cost, and care coordination across diverse communities.

AI is poised to support value-based care by improving outcomes, reducing administrative burden and helping clinicians focus on what matters most: patient care. In this episode, Dr. Rob Bessler, CEO of Honest Health, and Seema Verma, Executive Vice President and General Manager at Oracle, explore how AI can be applied responsibly and effectively to advance healthcare transformation. Tune in for expert insights on: How AI is reducing administrative burden and helping clinicians focus on care What health systems should consider when evaluating AI solutions Guiding principles for making smart, sustainable AI investments

Artificial intelligence (AI) is rapidly reshaping healthcare, yet many provider organizations still struggle to move from interest to practical application particularly when it comes to value-based care contracts. While AI promises efficiency and insight, turning it into measurable performance and financial advantage remains a challenge. In this episode of Value-Based Care Insights, host Daniel Marino explores how AI can be used to address one of healthcare's most complex challenges: evaluating and managing value-based contracts. Drawing on real-world experience, Daniel explores how AI can be used to build performance models that connect contract design with operational outcomes across clinically integrated networks, ACOs, and other value-based arrangements.Joined by Eddie Diaz, a data scientist with more than 15 years of experience in value-based care analytics, the discussion highlights how AI can bring clarity to attribution, risk, quality, and financial performance to help CFOs, CMOs, and managed care leaders better understand contract opportunities, risks, and results. Together, they explore how AI can move beyond hype to deliver real, actionable value in value-based care contracts.

On this episode Dan explores how AI can be used to address one of healthcare's most complex challenges: evaluating and managing value-based contracts. Drawing on real-world experience, Daniel shares how Lumina Health Partners has leveraged AI to develop a performance model that connects contract design with operational outcomes across clinically integrated networks, ACOs, and other value-based arrangements. Joined by Eddie Diaz, a data scientist with more than 15 years of experience in value-based care analytics, the discussion highlights how AI can bring clarity to attribution, risk, quality, and financial performance to help CFOs, CMOs, and managed care leaders better understand contract opportunities, risks, and results. Together, they explore how AI can move beyond hype to deliver real, actionable value in value-based care contracts. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. 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

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 Physician as Patient: Navigating the Healthcare System in an Emergency. Faisel and Dan are talking with Dr. Lauren Hughes: Family Physician Executive and Health Policy Leader improving Primary Care and Rural Health.Our conversation explores how Dr. Hughes managed her patient experience after a car accident: the work required to navigate insurance coverage after a medical event, the impracticality of patient responsibility in a crisis, the factors that expedited resolution, and the policy action needed to address this universal issue.

In this episode, Kristie Spencer, Vice President of Provider Partnerships at Elevance Health, shares how the company is aligning incentives, leveraging digital tools, and using AI to simplify workflows. She explains how effective partnerships and actionable data are driving better outcomes, affordability, and sustainability in value-based care.

In this episode, Kristie Spencer, Vice President of Provider Partnerships at Elevance Health, shares how the company is aligning incentives, leveraging digital tools, and using AI to simplify workflows. She explains how effective partnerships and actionable data are driving better outcomes, affordability, and sustainability in value-based care.

In this episode, Howard Brill, Senior Vice President of Population Health and Quality at Monroe Plan for Medical Care, shares insights on value based contracting, rising cost pressures, and the persistent gap between strategy and execution in population health. He also discusses the role of data integration, AI, and regulatory practices in shaping affordability, access, and health plan performance in 2026.

In this episode, Howard Brill, Senior Vice President of Population Health and Quality at Monroe Plan for Medical Care, shares insights on value based contracting, rising cost pressures, and the persistent gap between strategy and execution in population health. He also discusses the role of data integration, AI, and regulatory practices in shaping affordability, access, and health plan performance in 2026.

“Climate change is the biggest health threat of our century, so we need to train clinicians for a future where it will alter disease patterns, the demand on health systems, and how care is delivered,” says Dr. Sandro Demaio, director of the WHO Asia-Pacific Centre for Environment and Health, underscoring the stakes behind the organization's first regionally-focused climate and health strategy. The five-year plan Dr. Demaio is leading aims to help governments in 38 countries with 2.2 billion people manage rising heat, extreme weather, sea-level change, air pollution and food insecurity by adapting health systems, protecting vulnerable populations, and reducing emissions from the healthcare sector itself. In this timely interview with Raise the Line host Michael Carrese, Dr. Demaio draws on his experiences in emergency medicine, global public health, pandemic response and climate policy to argue for an interconnected approach to strengthening systems and preparing a healthcare workforce to meet the heath impacts of growing environmental challenges. This is a great opportunity to learn how climate change is reshaping medicine, public health and the future of care delivery.  Mentioned in this episode: WHO Asia-Pacific Centre for Environment and Health If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

In this episode of The Pediatric Lounge, Dr. Rogu and Dr. Bravo welcome Chip Hart from PCC to discuss practical paths to fairer insurance reimbursement in pediatrics. They delve into the complexities of pediatric payment structures, including disparities in payments based on practice ownership and the impact of insurance models. The conversation also explores broader healthcare issues, including the economic implications of preventive care, the federal government's role in ensuring equitable healthcare, and potential solutions to make pediatric practices financially sustainable. Highlighting successful practices that have thrived, the discussion underscores the importance of vision, business acumen, and an abundance mindset in pediatrics. Additionally, the episode emphasizes the significance of the upcoming PMI (Pediatric Management Institute) conference, noting that it offers valuable opportunities for learning, networking, and professional growth. It is mentioned that PMI is fully sold out for in-person attendance but provides a streaming option, with speakers like Sandy Chung and Sue Kressley participating. Special attention is given to a T1D Mastermind Class at PMI with world-renowned pediatrician Dr. Kimber Simmons, showcasing the event as a pivotal occasion for anyone in the pediatric field.00:00 Welcome to The Pediatric Lounge00:32 Introducing Chip Hart and Today's Topic01:02 Understanding Insurance Payments in Pediatrics02:08 Private Equity and Practice Ownership03:04 Medicaid and Payment Disparities05:01 The Single Payer Model Debate06:34 Value-Based Care in Pediatrics07:55 Challenges in Preventive Care Funding10:29 The Role of Managed Medicaid14:02 Investment in Early Life Healthcare19:41 Universal Coverage and Moral Hazards20:14 Historical Context of Healthcare Policies26:28 The Importance of Preventive Care31:40 Public Schooling and Healthcare Parallels40:27 Revisiting the Original Question41:50 The Economics of Pediatric Care42:53 Challenges with Insurance and Cash Payments45:04 The Vaccine Debate and Physician Responsibility47:29 Incentivizing Preventive Care49:00 The Importance of Cash Systems in Healthcare51:33 The New MSMS Codes and Payment Issues01:01:39 Success Stories in Pediatric Practices01:08:51 Upcoming PMI Conference and Final ThoughtsSupport the show

On this episode Gil and Gregg welcome Mendel Erlenwein, Founder & CEO of CareCo and CEO of Previva Health Group, to unpack why care coordination is the hidden engine of value-based care, and why AI's most important job in healthcare may be restoring time, trust, and humanity to the patient relationship. They explore Mendel's “brain amplifies heart” thesis, the operational realities of chronic care management and care transitions, and why CMS's newly announced ACCESS Model signals a faster move toward outcome-aligned, technology-supported care in Original Medicare. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. 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

We have a special episode of Raise the Line on tap today featuring the debut of host Dr. Parsa Mohri, who will now be leading our NextGen Journeys series that highlights the fresh perspectives of learners and early career healthcare professionals around the world on education, medicine, and the future of care. Parsa was himself a NextGen guest in 2024 as a medical student at Acibadem University in Turkey. He's now a general physician working in the Adult Palliative Care Department at Şişli Etfal Research and Training Hospital in Istanbul.  Luckily for us, he's also continuing in his role as a Regional Lead for the Osmosis Health Leadership Initiative (OHLI). For his first guest, Parsa reached out to a former colleague in the Osmosis family, Negeen Farsio, who worked with him as a member of OHLI's predecessor organization, the Osmosis Medical Education Fellowship. Negeen is now a graduate student in medical anthropology at Brunel University of London, a degree which she hopes will inform her future work as a clinician. “Medical anthropology is a field that looks at healthcare systems and how human culture shapes the way we view different illnesses, diseases, and treatments and helps you to see the full picture of each patient.” You are sure to enjoy this heartfelt conversation on how Negeen's lived experience as a patient and caregiver have shaped her commitment to mental health and patient advocacy, and how she hopes to marry humanity with medicine in a world that yearns to heal. 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 Compass of Connection: Using Moral Insight to Guide Patient-Centered Care! Faisel and Dan are joined by Dr. Peter Murphy, from Mountain View Direct Care.Our conversation revolves around defining what sets Direct Primary Care apart from other models, considering the moral injury of financial harm as part of patients' health, and forging a new path based in quality relationship- and value-based care.

Dr. Abramson explains how the U.S. spends more but lives shorter lives than peer countries, and why high-tech medicine hasn't improved outcomes. #USHealthcareCrisis #PublicHealth #MedicalCosts

Value based care has a longer history than many realize. First conceived in 1967 and focused on sick children, the term “value based care” was coined only in 2005. Now, twenty years later, value based care arrangements cover almost half of health plan payments. My guest today helps practices adopt and use value based care programs, and she'll help us break down how you can as well.Dr. Shannon Decker is the Founder and CEO of VBC One, a consulting firm that partners with physician groups, health plans and vendors to optimize value-based care performance. With over 25 years of experience, including 17 in risk adjustment, quality and Medicare, she brings deep expertise in healthcare strategy, analytics, and operations. A published author and national speaker, Dr. Decker currently serves as a RISE fellow and on the faculty at Capella University.In this episode Carl White and Shannon Decker discuss:What Valued Based Care is and how it compares to fee for service payment modelWhat are things to consider when tackling risk and/or entering into a VBC contractHow private practices can participate in value based careWhy should practices consider engaging helpWant to be a guest on PracticeCare®?Have an experience with a business issue you think others will benefit from? Come on PracticeCare® and tell the world! Here's the link where you can get the process started.Connect with Shannon Deckerhttps://www.linkedin.com/in/shannon-decker/Connect with Carl WhiteWebsite: http://www.marketvisorygroup.comEmail:  whitec@marketvisorygroup.comFacebook:  https://www.facebook.com/marketvisorygroupYouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmigLinkedIn: http://www.linkedin.com/in/healthcaremktg

Aledade CEO Shares Real Results For Value-Based Care Join hosts Jared Johnson and Zain Ismail with Dr. Farzad Mostashari, Co-Founder and CEO of Aledade, sharing how they prevented 263,000 hospital and ED visits in 2025, other real results for value-based care, and why blood pressure control is one of his favorite KPIs.  All that, plus the the Flava of the Week about the Rap Remix in '26. Why does our show keep evolving, and how do we hope our new Rap intro encourages you to champion the consumer POV?  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/

New research is transforming the outlook for cervical and uterine cancers -- two of the most serious gynecologic malignancies worldwide – and we'll be hearing from one of the people shaping that progress, Dr. Mary McCormack, on this episode of Raise the Line. From her perch as the senior clinical oncologist for gynecological cancer at University College London Hospitals, Dr. McCormack has been a driving force in clinical research in the field, most notably as leader of the influential INTERLACE study, which changed global practice in the treatment of locally advanced cervical cancer, a key reason she was named to Time Magazine's 2025 list of the 100 most influential people in health. “In general, the protocol has been well received and it was adopted into the National Comprehensive Cancer Network guidelines which is a really big deal because lots of centers, particularly in South and Central America and Southeast Asia, follow the NCCN's lead.”In this conversation with host Michael Carrese, you'll learn about how Dr. McCormack overcame recruitment and funding challenges, the need for greater access to and affordability of treatments, and what lies ahead for women's cancer treatment worldwide. Mentioned in this episode:INTERLACE Cervical Cancer Trial 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

Dr. Ben Schwartz, Senior Advisor of Commons Clinic, joins MD-MBA candidate Abhi Balu to discuss how to make value-based care succeed in a specialty setting. We discuss what value in healthcare means, how value-based care has evolved over time, and dive into the unique care model Commons is building to make value-based care sustainable in a multi-specialty, integrated platform. You won't want to miss this!LinkedIn:Dr. Ben Schwartz, CMO Commons Clinic⁠Abhinav Balu, MD-MBA Candidate

In this episode of Your Health University, Jamie sits down with Dr. Jimmie Williamson, Chief Behavioral Health Officer at Your Health, to break down why behavioral health belongs inside primary care—not outside it. Jimmie explains how telehealth lowered stigma, how mental health diagnoses (“F codes”) often correlate with frequent ER use, and why Your Health moved from intuition to data-driven referral models using tools like Power BI. They also map the full behavioral health ecosystem—from psych nurse practitioners to therapists to the psych pharmacist—and clarify when and how teams should refer patients for the right level of support. The takeaway is simple: earlier behavioral health intervention can improve lives, reduce hospital visits, and strengthen value-based care outcomes system-wide. www.YourHealth.Org

In this episode of The Broker Link Podcast, Mike Papuc and Sonia Porras take a deep dive into UnitedHealthcare's growing role in the ACA market and what it means for agents and consumers. As a top-five Fortune 500 company, UHC continues to expand its footprint across multiple product lines, leveraging robust data and analytics to design plans that better meet member needs. The conversation highlights how UHC uses data to inform healthcare delivery while addressing social determinants of health, helping improve access, outcomes, and long-term member satisfaction. Mike and Sonia also discuss the potential impact of expiring enhanced premium tax credits, noting how consumer behavior may shift from Silver plans toward Bronze or Gold options as affordability becomes a key factor. A key focus of the episode is UHC's value-based care partnership with Sanitas in the San Antonio market, which brings primary care, preventive services, and specialty care together under one roof for a more integrated member experience. The episode wraps with encouragement for agents to diversify their portfolios, stay informed during market uncertainty, and continue delivering exceptional service to clients navigating ACA decisions. Learn more about partnering with The Brokerage Inc. by visiting our website, www.thebrokerageinc.com. Remember to like, share, and subscribe to our show!  New episodes are available every Tuesday. Join our Community! LinkedIn: https://www.linkedin.com/company/the-brokerage-inc-/   Facebook:  https://www.facebook.com/thebrokerageinc/  Instagram:  https://www.instagram.com/thebrokerageinc/  YouTube:  https://www.youtube.com/@TheBrokerageIncTexas  Website:  https://thebrokerageinc.com/       

“The world is a very volatile place, with currently 110 conflicts globally, and yet healthcare staff in the hospitals, even here in London, are not prepared to be the only clinician who can help in a crisis or hostile setting,” says Dr. David Gough, CEO of the David Nott Foundation, which equips providers with the skills and confidence needed to function in war and other extraordinary situations. A former British Army doctor injured in Afghanistan, Gough brings lived experience as well as a background in tech to his current role at the Foundation, which itself is anchored in decades of field work amassed by its namesake, a renowned war surgeon. As Dr. Gough points out to host Lindsey Smith, the cause could be helped by augmenting medical school curricula, but in the meantime, the Foundation is filling the knowledge gap by using prosthetics, virtual reality simulations and cadavers to train a broad swath of health workers including surgeons, anesthetists, and obstetricians. Tune in to this important Raise the Line conversation as Dr. Gough reflects on the strengths and weaknesses of NGOs in doing this work, his plans to expand the Foundation's footprint in the US, and the gratifying feedback he's received from trainees now operating on the frontlines in Ukraine and elsewhere. Mentioned in this episode:David Nott 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

We're discussing A Year in Review: Looking Forward to 2026! Faisel and Dan are reflecting on all we learned through our conversations in 2025, and projecting what's on the horizon this year.Our conversation revolves around improving the healthcare system for all patients, expanding access to Direct Primary Care through health savings accounts, and personalizing the way we coordinate care for better outcomes.

In this episode of SurgOnc Today, Casey Allen leads a discussion with Oluwadamilola Fayanju, Laura Dominici, Michael Egger, Cristina O'Donoghue, and Winta Mehtsun, exploring how value-based care principles intersect with access, equity, and health policy in surgical oncology. The conversation highlights social determinants of health, rural outreach, and global initiatives advancing high-quality, value-based cancer surgery.

“People are not looking for a perfect, polished answer. They're looking for a human to speak to them like a human,” says Jessica Malaty Rivera, an infectious disease epidemiologist and one of the most trusted science communicators in the U.S. to emerge from the COVID-19 pandemic. That philosophy explains her relatable, judgement-free approach to communications which aims to make science more human, more accessible and less institutional. In this wide-ranging Raise the Line discussion, host Lindsey Smith taps Rivera's expertise on how to elevate science understanding, build public trust, and equip people to recognize disinformation. She is also keen to help people understand the nuances of misinformation -- which she is careful to define – and the emotional drivers behind it in order to contain the “infodemics” that complicate battling epidemics and other public health threats. It's a thoughtful call to educate the general public about the science of information as well as the science behind medicine. Tune in for Rivera's take on the promise and peril of AI-generated content, why clinicians should see communication as part of their professional responsibility, and how to prepare children to navigate an increasingly complex information ecosystem.Mentioned in this episode:de Beaumont 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

This week on Faisel and Friends, we are discussing Following the Information Blueprint: Restoring Joy in Primary Care. Faisel and Dan are talking with Karen Johnson, PhD: Vice President of Practice Advancement at the American Academy of Family Physicians.Our conversation explores reducing the burdens of practice by utilizing AI, improving information-sharing and data flow to guide impactful action, and rebuilding trust within the healthcare workforce.Read the Primary Care Information Blueprint here: https://www.aafp.org/dam/AAFP/documents/practice_management/payment/primary-care-information-blueprint-aafp.pdf