Podcasts about valuebased

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Best podcasts about valuebased

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Latest podcast episodes about valuebased

Jen Lowry Writes - Authors and Readers Together
Introducing Bloom & Nectar Books: Clean, Value-Based Stories That Inspire

Jen Lowry Writes - Authors and Readers Together

Play Episode Listen Later Feb 15, 2026 27:24


Welcome to the official announcement of Bloom & Nectar Books, two new adult imprints from Monarch Educational Services built for safe shelves and readers who want Clean, Value-Based Stories That Inspire.Bloom Books publishes clean adult fiction in Romance (sweet, wholesome), Fantasy, and Science Fiction—no profanity, no explicit content, and no extreme violence.Nectar Books publishes mission-aligned adult nonfiction with family-friendly guardrails—books that strengthen homes, educators, and communities.This episode shares the vision behind Monarch's expansion, why “clean reads” is more than a label, and how we're building a trusted publishing home where families never have to second-guess the content.Visit our website:Want updates on releases, preorders, and submission openings? Join our email list on the website.“The LORD bless thee, and keep thee.” — Numbers 6:24 (KJV)www.monarcheducationalservices.com

Becker’s Healthcare Podcast
Dr. Sidney H. Raymond on Scaling Value Based Care at Ochsner Health Network

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 12, 2026 16:31


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.

Becker’s Healthcare - Clinical Leadership Podcast
Dr. Sidney H. Raymond on Scaling Value Based Care at Ochsner Health Network

Becker’s Healthcare - Clinical Leadership Podcast

Play Episode Listen Later Feb 11, 2026 16:31


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.

Modern Healthcare’s Healthcare Insider Podcast
What Health System Executives Need to Know About AI and Value-Based Care

Modern Healthcare’s Healthcare Insider Podcast

Play Episode Listen Later Feb 11, 2026 19:22


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

Value-Based Care Insights
Turning AI Into Performance in Value-Based Care Contracts

Value-Based Care Insights

Play Episode Listen Later Feb 9, 2026 27:38


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.

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
VBC Insights: Turning AI Into Performance in Value-Based Care Contracts

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Feb 8, 2026 27:38


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

Becker’s Healthcare Podcast
Building Strong Provider Partnerships for Value-Based Care

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 4, 2026 16:04


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.

Becker’s Payer Issues Podcast
Building Strong Provider Partnerships for Value-Based Care

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 3, 2026 16:04


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.

Copywriters Podcast
Value-Based Copywriting, With Harlan Kilstein

Copywriters Podcast

Play Episode Listen Later Feb 2, 2026


Today's show is for every talented copywriter stuck in the feast-or-famine cycle of business and would much rather get paid well, to reflect the enormous value their copy is bringing to their clients. We have a very special returning champion on the show today, Dr. Harlan Kilstein. He has just released a book called Value-Based Copywriting. Originally presented in a $997 seminar, this material has changed the lives and of course careers of some very fortunate copywriters. This book solves the problem faced by thousands of copywriters–not getting paid for what their work is worth. Harlan is a renowned entrepreneur and copywriting expert known for his innovative approaches in marketing, mindset, and personal development. With decades of experience at the intersection of psychology, persuasion, and business strategy, Harlan has built a reputation for helping individuals and companies unlock explosive growth through compelling communication and breakthrough thinking. He's also a former educator with a doctorate in education. And, Harlan's a very successful copywriter himself and an expert in NLP (Neuro-Linguistic Programming) and hypnosis. He'll bring all of this, and more, to bear today. So you may want to take notes while you're listening to today's podcast. Lots of money-making information you will be able to use immediately. Harlan's new book: Value-Based Copywriting: https://www.amazon.com/dp/B0GCCR64DC My book The Persuasion Story Code: https://www.amazon.com/dp/B0CFD2KXNQ Download.

Becker’s Healthcare Podcast
Value Based Care, Data Gaps, and Cost Pressures in Health Plans with Howard Brill

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 2, 2026 18:47


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.

Liz Career Coaching
Redefining Networking: A Value-Based Approach to Job Searching with Monique Kelley Gigliotti

Liz Career Coaching

Play Episode Listen Later Feb 2, 2026 37:36


In this episode, Liz Herrera sits down with Monique Kelley, professor at Boston University, consultant, and author of Redefining Networking to reframe networking for today's job search.You'll hear about:Why being told to “just network” feels frustrating and inauthentic for many job seekersHow to shift from transactional networking to value-based, relationship-driven connectionsWhy introverts may actually have an advantage when it comes to networkingHow clarity, storytelling, and visibility help others recognize the value you bringPractical ways to build and maintain connections without burnout or over-networkingWhy meaningful career opportunities often come from peers, former coworkers, and existing relationshipsIf you're job searching and looking for a more authentic, human approach to networking, this episode offers mindset shifts and practical insights you can apply right away.Connect with Monique:LinkedIn: https://www.linkedin.com/in/moniquekelleygigliotti/Book: https://www.redefiningnetworkingbook.com/Connect with me:LinkedIn: https://www.linkedin.com/in/lizherrera1/Instagram:  https://www.instagram.com/lizcareercoaching/Website: https://www.linkedin.com/in/lizcareercoaching/Email: lizcareercoaching@gmail.com40 Best Career Coach Podcasts100 Best Coaching PodcastsSupport the show

Becker’s Payer Issues Podcast
Value Based Care, Data Gaps, and Cost Pressures in Health Plans with Howard Brill

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 2, 2026 18:47


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.

Never Went to Business School
#121 Value-Based Pricing Made Easy: What To Factor Into Your Prices

Never Went to Business School

Play Episode Listen Later Jan 26, 2026 25:22


We break down the main things you should factor into your prices: creator factors like experience level and whether you are a solo freelancer or a team, commissioner factors like client size, funding stage, location and influence, and industry factors that change how much companies are willing to spend on design. We also talk about rush fees, discounts, payment provider fees and why most people forget to include them.Sign up to our newsletter: www.faktor.soFollow on LinkedInFollow on ThreadsFollow on Instagram

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Health UnaBASHEd: AI, Care Coordination and Value Based Care with Mendel Erlenwein

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jan 24, 2026 26:21


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

MedEvidence! Truth Behind the Data
Value-Based Insurance Design and the Focus on Patient Cost

MedEvidence! Truth Behind the Data

Play Episode Listen Later Jan 21, 2026 27:33 Transcription Available


Send us a textDr. A. Mark Fendrick joins Dr. Michael Koren to discuss his life and legacy promoting value-based insurance design (VBID). VBID is the idea is that procedures which are neccecary should cost patients less than thsoe that are optional, and is seen in the US with many insurance plans offering 100% coverage of preventative services. Dr. Fendrick recounts his career and how he managed to get VBID language in healthcare laws under both Republican and Democratic legislatures, and that focusing on out-of-pocket patient costs has proved a beneficial strategy to getting policy passed. Dr. Fendrick closes the discussion talking about the future of healthcare in America, from the devestating loss of coverage due to changing administrations to the promise and danger of AI in the healthcare space.Visit Dr. Fendrick at Vbidcenter.orgBe a part of advancing science by participating in clinical research.Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.comListen on SpotifyListen on Apple PodcastsWatch on YouTubeShare with a friend. Rate, Review, and Subscribe to the MedEvidence! podcast to be notified when new episodes are released.Follow us on Social Media:FacebookInstagramX (Formerly Twitter)LinkedInWant to learn more? Checkout our entire library of podcasts, videos, articles and presentations at www.MedEvidence.comMusic: Storyblocks - Corporate InspiredThank you for listening!

Marketing prawniczy w praktyce
MPP#128 Value based pricing w Twojej kancelarii: jak wdrożyć i na co uważać – Shaun Jardine

Marketing prawniczy w praktyce

Play Episode Listen Later Jan 21, 2026 70:21


Dlaczego value based pricing w kancelarii nie działa “od jutra” (i dlaczego to wcale nie jest zła wiadomość)? O projekcie zmiany: ludzi, procesu, komunikacji i odwagi do rozmów, których prawnicy zwykle unikają.Moim gościem w 128. odcinku podcastu jest Shaun Jardine – prawnik i autor książki Ditch the Billable Hour, który od lat pomaga kancelariom wdrażać pricing oparty o wartość, a nie o liczbę godzin.Tematy, które poruszyliśmy w rozmowie:

PracticeCare
Shannon Decker on Value Based Care

PracticeCare

Play Episode Listen Later Jan 20, 2026 46:02


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

Never Went to Business School
#120 Feminism In The Creative Industry: Defining Value And Shifting To Value-Based Pricing

Never Went to Business School

Play Episode Listen Later Jan 19, 2026 24:37


In this episode, we break down how hourly pricing emerged from male dominated consulting models, why it rewards speed and constant availability, and how that harms women, especially mothers and anyone who cannot or does not want to sell 40 hours a week. We explore value based pricing as a feminist position that centers impact, insight and emotional labor instead of hours, and what it means for women to step into roles as strategists, decision makers and value definers without simply reinforcing the existing system.

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Healthcare Rap: Aledade CEO Shares Real Results For Value-Based Care

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jan 16, 2026 31:18


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/

Healthscape
Commons Clinic, Dr. Ben Schwartz (Senior Advisor): Making Specialty Value-Based Care Work

Healthscape

Play Episode Listen Later Jan 15, 2026 30:52


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

The Broker Link
UnitedHealthcare in the ACA Market: Data, Value-Based Care, and What Agents Need to Know

The Broker Link

Play Episode Listen Later Jan 13, 2026 25:46


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/       

Everbros: Agency Growth Podcast
Understanding Value-Based Pricing for Agencies (ft. Jonathan Stark w/ "Hourly Billing is Nuts") | Episode 189

Everbros: Agency Growth Podcast

Play Episode Listen Later Jan 9, 2026 101:47


We are big fans of the productized service model and equate our rate to a set hourly limitation and internal billable rate. This isn't a secret. We've had multiple episodes on why knowing your internal hourly rate is crucial.Then we received an email from Jonathan Stark's team wanting to tell us why hourly billing and fixation on hourly tracking is "nuts".For an hour and a half, Jonathan steps into the ring with us to challenge the idea of hourly billing and time tracking with his value-based pricing model.Does he convince us his way is better? Or do we make him see the error of his value-based ways?-----Check out Jonathan at his website:https://jonathanstark.com/Learn more about his book, "Hourly Billing is Nuts":https://jonathanstark.com/hbin-----RESOURCES:Want the tools and resources we recommend for agencies? Check them out here:https://www.agencygrowthpod.com/tools-----NEWSLETTERWant the show in your inbox? Sign up for the newsletter!https://www.agencygrowthpod.com/newsletter-----COMMUNITYLooking to join a community of agency owners? Join our Discord!https://discord.gg/uvHRRRFVRD-----CONTACTGot something to say? Send us a message:https://www.agencygrowthpod.com/contact

SurgOnc Today
SSO Education Series: Value-Based Care in Cancer Surgery: Policy, Advocacy, Access, and Equity

SurgOnc Today

Play Episode Listen Later Jan 8, 2026 29:31


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.

Healthcare industry: medical transportation, medical billing, homecare business
Why Value-Based NEMT Is Replacing Volume-Driven Transportation

Healthcare industry: medical transportation, medical billing, homecare business

Play Episode Listen Later Jan 8, 2026 9:00


Value-based NEMT shifts the focus from ride volume to patient outcomes, service quality, and long-term efficiency. This article explains how the value-based model works in non-emergency medical transportation, why volume-driven approaches fall short, and how providers, healthcare partners, and payors benefit from prioritizing value over trips.What you will learnWhat value-based care means in the context of NEMTKey differences between value-based and volume-based transportation modelsHow value-based NEMT improves patient outcomes and service qualityWays providers can reduce costs while increasing efficiencyThe operational, compliance, and technology requirements for adopting a value-based approach

The Smart Passive Income Online Business and Blogging Podcast
SPI 909: Is Value-Based Content Dead?

The Smart Passive Income Online Business and Blogging Podcast

Play Episode Listen Later Jan 7, 2026 21:40


#909 This is how to gauge if something is worth posting. If people can get the same information from ChatGPT, your content isn't good enough! That's because what worked in the past doesn't cut it anymore. Tips, tricks, and how-tos are everywhere. And now, AI models are eating up our knowledge and sharing it with no intention of ever driving traffic to real creators. So, what is the key to audience growth in 2026? How do we build brands that stand out in the age of AI? And essentially, how do we not get replaced? In today's episode, I address these questions and share the mindset shift required to create content with viral potential. Listen in, and don't miss the opportunity to take action right away with my free 30-day video challenge. This is the best way to start posting and go into the New Year winning! Show notes and more at SmartPassiveIncome.com/session909.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Hospital Finance Podcast
The Value-Based Care Reckoning - Why Hospital Giants Are the Next Battleground in the War on Costs

The Hospital Finance Podcast

Play Episode Listen Later Dec 31, 2025 15:54


In this best of 2025 episode, Theresa Hush, Co-founder and CEO of Roji Health Intelligence, discusses The Value-Based Care Reckoning - Why Hospital Giants Are the Next Battleground in the War on Costs.

Jungunternehmer Podcast
Ingredient - Value-Based Pricing: Warum Struktur wichtig ist - mit Johannis Hatt

Jungunternehmer Podcast

Play Episode Listen Later Dec 22, 2025 17:12


Johannis Hatt, Gründer von ProductsUp, spricht über die Evolution des richtigen Pricings. Er teilt, warum sie von SKU-basiertem zu Tier-basiertem Pricing wechselten, wie sie durch Overage Pricing natürliche Upsell-Opportunitäten schufen und warum Value-Based Pricing der Schlüssel zum Erfolg ist. Was du lernst: Die Evolution von Pricing-Modellen Wie du Value-Based Pricing implementierst Warum Overage Pricing Sinn macht Den richtigen Mix aus Struktur und Flexibilität ALLES ZU UNICORN BAKERY: https://stan.store/fabiantausch   Johannis Hatt LinkedIn: https://www.linkedin.com/in/johannishatt/?originalSubdomain=de  Productsup: https://www.productsup.com/de/  Florian Dostert: LinkedIn: https://www.linkedin.com/in/florian-dostert/  Syntinels: www.syntinels.com  Join our Founder Tactics Newsletter: 2x die Woche bekommst du die Taktiken der besten Gründer der Welt direkt ins Postfach: https://www.tactics.unicornbakery.de/

Med Tech Gurus
From Innovation to Impact: The Value-Based Playbook

Med Tech Gurus

Play Episode Listen Later Dec 17, 2025 45:55


What happens when groundbreaking medtech isn't enough—when success depends on how well physicians and health plans actually adopt it? In this episode of Med Tech Gurus, we sit down with Dr. Shannon Decker, PhD, MBA, M.Ed., Founder & CEO of VBC1. With over 25 years of experience in healthcare transformation—including 17 years in Medicare, Medicaid, quality improvement, and risk adjustment—Shannon has become a nationally recognized strategist on aligning medical devices with real-world provider workflows. From helping health plans and physician groups improve outcomes, to showing medtech innovators why the best devices still fail without strong provider enablement, Shannon shares hard-earned lessons on education, incentives, and adoption. She explains how startups can avoid costly mistakes, when to engage with clinicians, and why intrinsic motivation often drives lasting change more than financial incentives. Whether you're a startup CEO, a commercial leader, or a clinician navigating the shift to value-based care, this conversation delivers a playbook for turning innovation into impact

The Porn Reboot Podcast
The Porn Reboot Podcast Episode 698: The Value Based Porn Addict

The Porn Reboot Podcast

Play Episode Listen Later Dec 15, 2025 22:04


Website: https://bit.ly/3iTrTHQ Apply for a Free Porn Addiction Evaluation Call: https://bit.ly/3gCemT1 Free Ebook:  https://bit.ly/3OQrOoF Free 7-Day Challenge:  https://bit.ly/ER7DayChallenge

addicts day challenge valuebased porn addict reboot podcast
Diagnosing Health Care Podcast
The Down-Low on Data for Value-Based Enterprises and Their Participating Providers

Diagnosing Health Care Podcast

Play Episode Listen Later Dec 11, 2025 27:12


Value-based enterprises depend on timely, accurate data, yet the rules that govern how that data moves between the Centers for Medicare & Medicaid Services (CMS), accountable care organizations, payors, and providers remain complex and often inconsistent. On this episode, Epstein Becker Green attorneys Kevin Malone and Karen Mandelbaum unpack the regulatory frameworks shaping data exchange in value-based care. They outline how federal privacy laws, CMS rules, the Health Insurance Portability and Accountability Act (HIPAA), and state requirements intersect; why CMS-sourced data operates under a different regime than Medicare Advantage; and where organizations face the biggest operational hurdles when using, sharing, and governing data across large networks. Key Takeaways: Distinct Legal Frameworks: CMS data is controlled by the Privacy Act, while Medicare Advantage data falls under HIPAA. Disclosure Tracking Requirements: CMS data use agreements demand strict tracking and downstream compliance. Operational Data Challenges: Silos and uneven data quality remain major barriers to effective value-based care. Tune in to learn how today's rules shape data access, data quality, and the real-world mechanics of value-based care. Visit our site for related resources and email contact information: https://www.ebglaw.com/dhc92 Subscribe for email notifications: https://www.ebglaw.com/subscribe. Visit: http://diagnosinghealthcare.com. - This podcast is presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

Modern Healthcare’s Healthcare Insider Podcast
Hospitals in the Value-Based Care Era: Navigating Today's Pressures and Tomorrow's Opportunities

Modern Healthcare’s Healthcare Insider Podcast

Play Episode Listen Later Dec 10, 2025 16:01


Hospitals are under mounting financial pressure while also navigating a complex shift toward value-based care. In this episode, Dr. Rob Bessler, CEO of Honest Health, and Rick Pollack, CEO of the American Hospital Association, examine the critical decisions health systems face today and the long-term strategies needed for success tomorrow. Tune in for a timely discussion on: Strategic considerations for internal development vs. external partnerships What "success" in value-based care could look like a decade from now Practical guidance for CEOs planning for long-term transformation

The Hospital Finance Podcast
Value-Based Care Meets the Bottom Line - Financial Strategies That Drive Meaningful Impact

The Hospital Finance Podcast

Play Episode Listen Later Dec 3, 2025 17:20


In this episode, Dr. Shannon Decker, Founder & CEO of VBC One, explores how value-based care aligns with financial success & shares strategies that create meaningful, lasting impact.

Impact Pricing
How to Quantify Customer Value: A Playbook for Winning B2B Deals with Ed Arnold

Impact Pricing

Play Episode Listen Later Nov 24, 2025 34:30


Ed Arnold, founder and managing partner at The Valorizer, brings decades of hands-on experience building customer value models, teaching value conversations, and guiding companies toward value-based pricing. After working directly with Tom Nagle at Monitor Group and leading value initiatives at LeveragePoint, Forrester, and Ibbaka, Ed has become one of the most respected practitioners of Economic Value Estimation (EVE) in B2B. In this episode, Ed and Mark dive deep into what "value" actually means, why B2B buyers define it differently than sellers, and how to quantify economic outcomes in a way that withstands scrutiny. They debate value vs. willingness to pay, unpack why value stories outperform case studies, and explore how real conversations—not spreadsheets—unlock premium pricing.   Why You Have to Check Out Today's Episode: Master the real meaning of "value" in B2B—and why most companies still get it wrong. Discover how to run a value conversation that reveals economic impact and customer priorities. Learn how to turn EVE models into persuasive value stories your buyers can resell internally.   "You need to quantify the value of the product you're selling—and you need to talk to customers about that to understand it and write their value story."  — Ed Arnold   Topics Covered: 05:09 – Value Perception in B2B: Why Customers Decide with Both Logic and Emotion 08:34 – Value vs. Willingness to Pay: The Debate Begins 12:06 – Why Willingness to Pay Is Not Value (And What It Actually Measures) 19:04 – Value Perception in B2B Sales: Influence, Trust, and Risk 20:41 – Value Is Always Relative (And Why Alternative Choices Change Everything) 24:26 – Value-Based vs. Competitor Pricing: Why They Aren't the Same Thing 28:03 – Value Story vs. Case Study: What Buyers Actually Need to Make Decisions 32:47– Quantifying Product Value: How to Build a Story Buyers Can Take to Their Executives   Key Takeaways: "Value comes from use, not purchase." — Ed Arnold "Willingness to pay is not value, if it were, we'd never talk about leaving money on the table." — Ed Arnold "In B2B, value is 80% logic, 20% emotion." — Ed Arnold "A value story is customized. A case study is generic." — Ed Arnold "You can't build a value story without having a value conversation first." — Ed Arnold "Sometimes the value model reveals there simply isn't a differentiated advantage—and you have to accept that." — Ed Arnold    People and Resources Mentioned: Tom Nagle: https://www.linkedin.com/in/thomas-tom-nagle LeveragePoint: https://www.leveragepoint.com/  Reed Holden: https://www.linkedin.com/in/reed-holden-913ab69/    Connect with Ed Arnold: LinkedIn: https://www.linkedin.com/in/edarnold1/  Newsletter: https://edarnold1.substack.com/    Connect with Mark Stiving: LinkedIn: https://www.linkedin.com/in/stiving/ Email: mark@impactpricing.com  

The Primary Care PT Podcast
S3E9: Value Based Care Opportunity in Primary Care PT

The Primary Care PT Podcast

Play Episode Listen Later Nov 21, 2025 48:17


In this episode, I sat down with Angela Diaz who is a physical therapist and business leader that saw the opportunity for PTs to be integrated into primary care... a long time ago! She has worked with accountable care organizations (ACOs) which help primary care doctors learn strategies to optimize patient care delivery in order to reduce cost under value-based payment arrangement. We broke down what all of this means and highlighted the tremendous opportunities for PTs to work for and/or partner with ACOs to manage musculoskeletal conditions effectively and efficiently to reduce unnecessary utilization outside of primary care. Check it out! Here's how to get in touch with Angela: LinkedIn: https://www.linkedin.com/in/angela-diaz-pt-mba-4b6ab867/

Outcomes Rocket
Smarter Diagnostics: Turning Lab Testing into a Strategic Advantage for Value-Based Care with Dr. Julie Schulz, Vice President of Product at Avalon Healthcare Solutions

Outcomes Rocket

Play Episode Listen Later Nov 19, 2025 13:13


This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Diagnostic intelligence is transforming healthcare by turning lab testing from a cost center into a strategic asset.  In this episode, Dr. Julie Schulz, Vice President of Product at Avalon Healthcare Solutions, discusses how integrating diagnostics into value-based care can lead to improved quality, lower costs, and enhanced preventive medicine. She notes that physicians are overwhelmed by the rapid growth of genetic testing and evolving clinical guidelines, leading to cognitive overload and inefficiencies. Diagnostic intelligence, she explains, can alleviate this by identifying the right tests at the right time and automating prior authorizations, reducing treatment timelines from 60 days to just 15. Dr. Schulz emphasizes that diagnostics inform 70% of healthcare decisions, making their effective use vital for improving access and outcomes, particularly among underserved populations, and underscores that simplifying data and embedding clinical decision support earlier can benefit both patients and providers. Tune in and learn how diagnostic intelligence is shaping the future of precision medicine and preventive care! Resources Connect with and follow Dr. Julie Schulz on LinkedIn. Follow Avalon Healthcare Solutions on LinkedIn and explore their website. Read Avalon Healthcare Solutions' Annual Lab Trend Report here.

B2B Sales Trends
84. How Coaching Culture Drives Customer Centricity & Value Based Selling

B2B Sales Trends

Play Episode Listen Later Nov 18, 2025 26:07


A strong coaching culture doesn't just improve performance - it rewires how your teams think, sell, and serve customers. In this episode of the B2B Sales Trends Podcast, we explore how sales coaching, autonomy, and cultural alignment become the foundation for customer centricity and truly value based selling. Harry Kendlbacher sits down with Andre Schindler, GM EMEA & SVP Global Sales at NinjaOne, to reveal how modern sales leadership builds resilient, high-performing teams in fast-scaling environments.

That Neuroscience Guy
The Neuroscience of Value-Based Decision Making

That Neuroscience Guy

Play Episode Listen Later Nov 16, 2025 12:45


In today's episode of That Neuroscience Guy, we discuss how your brain uses your values to make decisions. 

Jungunternehmer Podcast
Ingredient - Vom Seat-Based zum Value-Based: Der richtige Weg - mit Christoph Gerber, Talon.One

Jungunternehmer Podcast

Play Episode Listen Later Nov 15, 2025 13:46


Christoph Gerber, Gründer von Talon.One, spricht über die Realität von Value-Based Pricing im Enterprise-Software-Bereich. Er teilt, warum seat-based Pricing oft überschätzt wird, wie sie Business Cases mit Kunden aufbauen und warum der CFO heute jeden Deal prüft. Was du lernst: Wie du Value-Based Pricing implementierst Die richtige Preisstruktur finden Warum Business Cases entscheidend sind Den richtigen Mix aus Wachstum und Profitabilität ALLES ZU UNICORN BAKERY: https://stan.store/fabiantausch   Mehr zu Christoph: LinkedIn: de.linkedin.com/in/christophgerber  Website: https://www.talon.one/  Join our Founder Tactics Newsletter: 2x die Woche bekommst du die Taktiken der besten Gründer der Welt direkt ins Postfach: https://www.tactics.unicornbakery.de/ 

Grow Your B2B SaaS
S7E12 - SaaS Pricing Strategy 2026: Hybrid Models, AI Costs & Value-Based Pricing with Tjitte Joosten "T.J"

Grow Your B2B SaaS

Play Episode Listen Later Nov 13, 2025 19:28


What will be the SaaS Pricing Strategy 2026? In this episode, Joran sits down with Tjitte Joosten—known as T.J.—to discuss the evolving world of SaaS pricing and how founders can adapt to change without losing momentum. T.J. works full-time in pricing and packaging for SaaS and AI companies. Before that, he spent years in early-stage ventures, helping them find product-market fit and close major deals. Those experiences taught him how to win large accounts without over-discounting and how to leave room for long-term growth.Through that process, T.J. discovered that pricing is not just about numbers but also about psychology and behavioral economics. The same solution can sell for $10,000 or $50,000 depending on the story told. After meeting his co-founder, who was already working in pricing, T.J. transitioned into it full-time—and it became his passion.Their conversation explores how SaaS pricing is evolving, how to experiment with models safely, when to raise prices, how to communicate changes effectively, and how freemium models may evolve in the AI era.Key Timecodes(0:00) - B2B SaaS & AI Pricing Expert(0:05) - TJ Joosten on Value Storytelling(1:13) - Future of SaaS Pricing 2026(1:28) - Why Hybrid Pricing Wins(3:10) - The Pricing Switch Risk(3:27) - Technical Debt of Pricing(5:15) - How to Test New Pricing(6:40) - Entitlement & Packaging(7:13) - When to Raise Prices(8:49) - Timing Strategy: Netflix Case(10:04) - Communicating Price Changes(11:10) - Freemium in the AI Era(12:33) - The Cost of Free Users(13:38) - From $0 to $10K MRR(14:42) - Scaling to $10M ARR(15:56) - The Founder's Role in Pricing(16:32) - Connect with TJ Joosten

HLTH Matters
Smarter Diagnostics: Dr. Julie Schulz on Turning Lab Testing into a Strategic Advantage for Value-Based Care

HLTH Matters

Play Episode Listen Later Nov 12, 2025 12:28


About Dr. Julie Schulz:Dr. Julie Schulz, MD, MPH, is a physician executive and product leader based in Los Angeles with a proven track record of driving innovation at the intersection of healthcare, technology, and business. Over the past 15 years, she has built and led teams developing healthcare decision support, analytics, and consumer health products across value-based care, women's health, and life sciences. As VP of Product at Avalon Healthcare Solutions, she leads strategy for next-generation diagnostics platforms. Previously, at HALO Diagnostics and Doctor Evidence, she guided product and business development efforts that integrated imaging, laboratory, and evidence-based analytics to improve patient and physician experiences. Earlier roles at Lumere and Sg2 honed her expertise in clinical data, product-market fit, and scaling evidence-driven solutions. Published in leading journals, Dr. Schulz combines deep clinical insight with strategic leadership to advance innovations that improve healthcare outcomes and drive measurable business impact.Things You'll Learn:Diagnostic intelligence can transform diagnostics from a cost center into a strategic asset that improves quality and lowers costs.Physicians face overwhelming volumes of new tests and guidelines, and AI-powered decision support can ease their cognitive burden.By removing prior authorization barriers, patients can transition from diagnosis to treatment in just 15 days, rather than the typical 60 days.Data shows that healthier patients are more likely to receive GLP-1 prescriptions, revealing a need for better risk-adjusted care strategies.True innovation in healthcare depends on communication, simplifying complexity and aligning clinicians, payers, and technologists toward shared goals.Resources:Connect with and follow Dr. Julie Schulz on LinkedIn.Follow Avalon Healthcare Solutions on LinkedIn and explore their website.Read Avalon Healthcare Solutions' Annual Lab Trend Report here.

Together Digital Power Lounge
Attract Clients Who Pay What You're Worth

Together Digital Power Lounge

Play Episode Listen Later Nov 10, 2025 44:24 Transcription Available


In this week's episode of The Power Lounge, host Amy Vaughan welcomes Ilise Benun, acclaimed business coach, author, and founder of Marketing-Mentor.com, for a candid conversation about money, mindset, and marketing for creative professionals. Together they explore why so many talented freelancers and solopreneurs fall into the exhausting cycle of undercharging and overdelivering, and what it truly takes to build a business that reflects both your skill and your value.Ilise shares decades of wisdom on how to reframe pricing from a matter of self-worth to one of clear strategy and confident communication. She offers practical advice on having better money conversations, identifying ideal clients, and setting prices that feel fair to both sides. The discussion is packed with insight, from her signature “$500, $5,000, or $50,000” approach to budget talks, to the mindset shifts needed to escape desperation pricing and cultivate lasting client relationships.Amy and Ilise also dig into the art of consistent marketing, emphasizing that real success comes from showing up regularly and authentically. They discuss the power of simplicity, how to market yourself without making it about you, and why even small, steady efforts can transform your business over time. Whether you're a creative struggling to charge what you're worth or a seasoned professional ready to attract higher-value clients, this episode will challenge how you think about money and remind you that confidence, clarity, and communication are your strongest assets.Chapters:00:00 – Introduction & Welcome00:29 – Meet Ilise Benun: Guest Introduction01:22 – Ilise's Background & Podcast01:49 – Episode Overview: Pricing, Mindset, and Marketing02:28 – The “Spooky” Topic: Money03:53 – Why Creative Professionals Undervalue Their Work05:21 – The Power of Mindset in Pricing06:02 – Pricing Problems Need Marketing Solutions07:24 – Attracting the Right Clients & Using AI10:10 – Real-World Pricing Stories11:08 – The Importance of the Money Conversation12:31 – Mindset Shifts for Discussing Budgets13:44 – Avoiding Desperation Pricing15:10 – Transparency and Building Client Partnerships16:16 – Value-Based vs. Hourly Pricing17:32 – Common Marketing Mistakes19:58 – The Simplicity of Effective Marketing21:30 – Raising Rates & Upgrading Clients24:28 – Marketing Yourself vs. Marketing a Product27:30 – Power Round & Final AdviceQuotes:“There's this people-pleasing thing we tend to do, especially as women, and it gets all tied up in our so-called self-worth — which doesn't really belong in business. You have to take yourself out of it and look at your pricing objectively. Like I always say, ‘Like me a little less and pay me a little more.'” - Ilise Benun“Awareness is the key. Listen to that internal voice, notice the tone, and remember — just because you think it doesn't make it true. But if you believe in it long enough, you can think it into being true.” - Amy VaughanKey Takeaways:Pricing isn't about self-worth — it's about strategy.Mindset is built on your inner dialogue.Marketing solves pricing problems.Have the money conversation early.Stop people-pleasing your way into poverty.Price communicates value. Low rates often repel serious clients.Consistency beats complexity. Small marketing actions build stronger pipelines.Raise rates through conversation, not confrontation.Let go to level up. You can't grow while holding onto every client.Marketing isn't about you — it's about them. The best promotion focuses on solving your clients' problems, not bragSupport the show

The Broker Link
Bridging the Gap: UHC & Sanitas Clinics Bring Value-Based Care to San Antonio

The Broker Link

Play Episode Listen Later Oct 29, 2025 26:41


In this episode of The Broker Link, Mike Papuc and Sonia Porras dive into the exclusive ACA partnership between UnitedHealthcare and Sanitas Clinics, a collaboration that's reshaping access to care in the San Antonio community. Focused on value-based care, this partnership aims to deliver comprehensive, culturally aligned healthcare — from preventive medicine to mental health services — to better serve the Hispanic community, where more than 200,000 individuals remain uninsured. Listeners will learn how this partnership is designed to make coverage more accessible and sustainable through:

AHLA's Speaking of Health Law
Cracking the Code: Unlocking the Power of the Value-Based Exceptions and Safe Harbors

AHLA's Speaking of Health Law

Play Episode Listen Later Oct 28, 2025 44:52 Transcription Available


Scott Strickland, Shareholder, Hall Render Killian Heath & Lyman PC, Jim Carr, Co-Founder and Partner, InHealth Advisors, and Rachel Polzin, Assistant General Counsel, SSM Health, discuss the value-based enterprise (VBE) framework and the associated exceptions and safe harbors. They cover why the uptick in the framework has been a bit slower than anticipated, ways for health care organizations to take advantage of the VBE exceptions and safe harbors to mitigate risk, the future of traditional co-management arrangements, integrating new compliance processes, and how the Transforming Episode Accountability Model might promote the adoption of VBE. Scott, Jim, and Rachel spoke about this topic at AHLA's 2025 Annual Meeting in San Diego, CA.Watch this episode: https://www.youtube.com/watch?v=VBfiNQ8_AowLearn more about the AHLA 2025 Annual Meeting that took place in San Diego, CA: https://www.americanhealthlaw.org/annualmeeting Learn more about AHLA's 2025 Annual Meeting eProgram: https://educate.americanhealthlaw.org/local/catalog/view/product.php?productid=1472 Essential Legal Updates, Now in Audio AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast. Stay At the Forefront of Health Legal Education Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/.

Becker’s Healthcare Podcast
Inside Clever Care Health Plan's Growth: Blending Cultures, Community, and Value-Based Care

Becker’s Healthcare Podcast

Play Episode Listen Later Oct 25, 2025 9:42


This episode features Richard Greene, President of Clever Care Health Plan, discussing how the organization is growing through a unique model that combines Eastern and Western medicine, invests in culturally tailored community centers, and builds sustainable relationships with providers and members across California.

Faisel and Friends: A Primary Care Podcast
Ep. 178 Raising the Bar in Value Based Primary Care Payment w/ Purva Rawal, PhD

Faisel and Friends: A Primary Care Podcast

Play Episode Listen Later Oct 23, 2025 31:10


We're discussing Raising the Bar in Value Based Primary Care Payment! Faisel and Dan are joined by Purva Rawal, PhD, Former Chief Strategy Officer, CMS Innovation Center at Centers for Medicare & Medicaid Services.Our conversation revolves around navigating changing healthcare policies, unlearning fee for service as the default, and leveraging community relationships within alternative care models.

Value-Based Care Insights
Value-Based Care in Action: CMS's GUIDE Model for Caregiver Support

Value-Based Care Insights

Play Episode Listen Later Oct 20, 2025 26:33


As CMS continues to expand value-based care programs, one stands out for its focus on supporting some of our most vulnerable patients—and their caregivers. The GUIDE model (Guiding an Improved Dementia Experience) is designed to improve care for individuals with dementia and Alzheimer's, while providing essential resources and support for the family members and caregivers who support them. In this episode of Value-Based Care Insights, host Daniel J. Marino is joined by Seth Hyman, Co-Founder and Partner at JVS Health. Together, they explore the goals of the GUIDE model, why CMS is prioritizing dementia care, and how health systems can prepare to implement and benefit from this transformative initiative.

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
VBC Insights: Value Based Care in Action: CMS's GUIDE Model for Caregiver Support

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Oct 18, 2025 26:33


Episode 138 -Value-Based Care in Action: CMS's GUIDE Model for Caregiver Support As CMS continues to expand value-based care programs, one stands out for its focus on supporting some of our most vulnerable patients—and their caregivers. The GUIDE model (Guiding an Improved Dementia Experience) is designed to improve care for individuals with dementia and Alzheimer's, while providing essential resources and support for the family members and caregivers who support them. On this episode Dan is joined by Seth Hyman, Co-Founder and Partner at JVS Health. Together, they explore the goals of the GUIDE model, why CMS is prioritizing dementia care, and how health systems can prepare to implement and benefit from this transformative initiative. 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

Bright Spots in Healthcare Podcast
Savings, and Satisfaction with BCBS Michigan, Aetna, MVP & Vori

Bright Spots in Healthcare Podcast

Play Episode Listen Later Oct 7, 2025 58:32


In this Bright Spots in Healthcare episode, host Eric Glazer brings together an all-star panel of leaders who are reshaping the future of Medicaid and social care. Our guests include: Vanita Pindolia, Vice President, Medicare Star Ratings, Emergent Holdings (BlueCross BlueShield Michigan) Jason Merola, MD, Chief Medical Officer, MVP Health Care Charlotta Eriksson, Lead Director, National VBC Partnerships (Specialty), Aetna Mary O'Connor, MD, Chief Medical Officer & Co-Founder, Vori Together, they explore: How Medicare Advantage plans are embedding Stars, CAHPS, and adherence metrics directly into provider contracts to drive accountability, improve quality, and sustain year-over-year performance gains. How payers like Aetna are expanding value-based care into specialty domains—from CKD and oncology to musculoskeletal and cardiology—by partnering with specialty-aligned organizations rather than converting individual specialists to risk models. How MVP Health Care is designing hybrid incentive structures that reward specialists for closing quality gaps and improving outcomes, without requiring full downside risk. Why MSK care is becoming pivotal to Stars success, as physical and mental health measures grow in weight through 2027, and how holistic, physician-led models are improving activity, satisfaction, and cost savings simultaneously. How digital-first specialty networks are solving access challenges, reducing “ghost network” exposure, and creating new opportunities for plans to meet CMS adequacy standards while improving the member experience. How collaboration across utilization management, Stars, and member experience teams helps avoid trade-offs, ensuring that cost controls don't come at the expense of satisfaction or CAHPS performance. Panelist Bios: https://www.brightspotsinhealthcare.com/events/stars-savings-and-satisfaction-unlocking-msk-and-specialty-care-strategies-for-medicare-advantage-success/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://drive.google.com/file/d/1a_rX23Ev5VRrJKqb8_UwAYBd9tUBIfWA/view?usp=sharing Resources:  Maximizing 2026 Medicare Advantage Performance with Physician-Led MSK Care This report outlines how Vori's physician-led, virtual-first musculoskeletal (MSK) model helps Medicare Advantage plans:Improve up to 12 Star measures across preventive care, chronic condition management, and member experience Deliver faster access to care—appointments available within 48 hours Enhance outcomes for pain, fall prevention, and osteoporosis care while achieving an NPS of 87 Align with the new 2026 Star measures for Improving and Maintaining Physical and Mental Health To request your copy, email nroberts@brightspotsventures.com. Clinical Quality Performance of Value-Based and Fee-for-Service Models for Medicare Advantage: https://jamanetwork.com/journals/jama-health-forum/fullarticle/2839238 This JAMA Health Forum article compares clinical quality outcomes for Medicare Advantage patients whose care is delivered under value-based payment (VBP) models versus traditional fee-for-service (FFS). It finds that VBP arrangements, especially those with two-sided financial risk—in general are associated with better performance on standardized clinical quality measures than FFS. Thank you to our Episode Partner, Vori: Vori partners with health plans and providers to improve musculoskeletal (MSK) care through data-driven, physician-led solutions. Their approach helps reduce unnecessary surgeries, improve recovery outcomes, and enhance patient satisfaction—supporting plans in achieving better Stars performance and overall member experience. To learn more, visit vorihealth.com. Schedule a meeting with Mary O'Connor Chief Medical Officer, Vori: To dive deeper into how Vori can help your plan improve outcomes, reduce costs, and strengthen Medicare Advantage Star Ratings,or to schedule a meeting with Mary O'Connor. Reach out to nroberts@brightspsotsventures.com  to schedule the meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.   We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.  

Bio Eats World
Value-Based Oncology at Scale: Inside Thyme Care

Bio Eats World

Play Episode Listen Later Sep 29, 2025 41:16


Cancer care in the U.S. costs over $250 billion each year, and nearly 2 million Americans receive a new diagnosis annually, yet too often the journey begins with silence: no call, no plan, no guide.In this episode, a16z's Vineeta Agarwala and Jay Rughani talk with Thyme Care leaders Robin Shah (cofounder and CEO), Bobby Green, MD (president and CMO), and Brad Diephuis, MD (president and COO) about rebuilding oncology around the patient. They cover where the system breaks, how navigation plus value-based contracts align incentives, how AI can extend clinicians, and what scale looks like today, more than 83,000 active patients. A concise blueprint for truly patient-centered cancer care. Timecodes: 0:00  Introduction 1:47 Personal Stories & Early Days of Time Care5:27 Building the Team & Mission7:07 The Patient Journey: Where the System Fails9:58 Why Tech Hasn't Solved Cancer Care (Yet)15:45 Scaling Impact: Growth & Partnerships17:45 How Time Care Works: Value-Based Care Explained23:15 Technology, AI, and the Human Touch37:06 Building for the Future: Generational Impact Resources: Find Robin on LinkedIn: https://www.linkedin.com/in/robin-shah-8072bb35Find Bobby on LinkedIn: https://www.linkedin.com/in/drbobbygreen/FInd Brad on LinkedIn: https://www.linkedin.com/in/bdiephuis/Find Vineeta on X: https://x.com/vintweetaFind Jay on X: https://x.com/JayRughani Stay Updated: If you enjoyed this episode, be sure to like, subscribe, and share with your friends!Find a16z on X: https://x.com/a16zFind a16z on LinkedIn: https://www.linkedin.com/company/a16zListen to the Raising Health on Spotify: https://open.spotify.com/show/4fjb8YTzHDuPBgDXc3ElkRListen to Raising Health on Apple Podcasts: https://podcasts.apple.com/us/podcast/raising-health/id1529318900Please note that the content here is for informational purposes only; should NOT be taken as legal, business, tax, or investment advice or be used to evaluate any investment or security; and is not directed at any investors or potential investors in any a16z fund. a16z and its affiliates may maintain investments in the companies discussed. For more details please see a16z.com/disclosures. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.