Podcasts about vbc

Believe it or not, 60% of healthcare payments in the US are tied to value. But it's still surprisingly hard to find examples of health systems that have been doing VBC at scale, successfully, over time. So that's what Advisory Board researchers set out to do. And across 66 conversations with 44 systems, we found four systems with approaches worth emulating. This week, we're unpacking the approach at one of those systems: Advocate Health. Host Abby Burns sits down with Don Calcagno, Chief Population Health Officer and President of Advocate's largest clinically integrated network, Advocate Physician Partners. Don lays out how putting operations at the center has led Advocate to become one of the top-performing systems in Medicare risk models, generate millions of dollars in savings, and, most importantly, improve quality of care. Not to mention, juggle over 100 VBC contracts across 13 accountable care organizations and clinically integrated networks, and carry $1 billion in capitated risk. Links: Read the case study: Inside Advocate Health's VBC approach that saved $136M VBC self-assessment: Find out where your organization stands 2025 Advisory Board Summit- Carlsbad, CA - join us for the full event, and check out our session featuring another VBC case study Registration is live for our VBC Roundtable in October: HOME - How to deliver the next era of VBC Ep. 243: What's now and what's next in value-based care How UNC Health made VBC sustainable in an academic health system Optum Advisory can help you create a VBC strategy for growth and profitability. Connect with an expert. How to succeed in VBC — according to Optum experts VBC success is possible. Here's how. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

This episode of the Astonishing Healthcare podcast with Dr. Sunil Budhrani (Chief Innovation & Medical Officer) highlights the transformative potential of Judi Health™, the first Unified Claims Processing™ platform offering a combined medical and pharmacy benefit experience (with vision and dental soon to follow)! Why is unifying claim administration necessary to reach a value-based world? Well, everyone has been talking about VBC for years, and it's proved to be an elusive target. On Episode 7, Dr. Budhrani explained why pharmacy must be included in the equation along with providers, patients, and payers, and today we go a level deeper, explaining why "everything" - all the patient's data - must be in one system to be able to achieve better health outcomes at a lower cost. On AH054 - Judi Health™: Going Beyond Pharmacy and into Medical Claims, with AJ Loiacono and Dr. Sunil Budhrani, we revealed what we're doing and why.Today, Sunil discusses our experience thus far - 5 months into our unified claims experience - and the importance of flexibility in plan design to achieve a plan's goals. He also explains how Judi Health helps to empower providers and the provider-patient relationship via a "transparent architecture." What should the experience be like for patients? How about the plan sponsor/HR team side of the equation? Tune in to find out and hear why Judi Health represents an "opportunity to see - and achieve - what many people in healthcare say cannot exist" (hint: it's a win for all stakeholders). Related Content:Judi Health™ Earns Best Healthcare InsurTech Solution in the 9th Annual MedTech Breakthrough Awards ProgramCapital Rx Unveils Healthcare's First Unified Pharmacy and Medical Claims Processing PlatformAH058 - Building Judi®, the Healthcare Infrastructure of the Future, with Liya LomsadzeReplay - Build a Lasting Pharmacy Benefit Strategy with Never Move Again™Setting a New Standard for the Future of Pharmacy Benefit AdministrationFor more information about Capital Rx and this episode, please visit Capital Rx Insights.

(This episode originally aired on October 22, 2024.) For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you've been paying attention in recent months, you'll have seen headlines announcing that payers that are scaling back their MA offerings and providers are exiting MA contracts. The MA market has gone from “untouchable” to “volatile.” The question is: why is this happening, and what does it mean for payers, providers, and seniors moving forward? In this episode, hosts Rachel (Rae) Woods and Abby Burns invite health plan experts Max Hakanson and Chelsea Needham to dissect what is going on in MA and how plans and providers are—or should be—navigating the changing tide. Links: Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes. Ep. 149: Senior Care (Part 1): Specialized primary care for an aging population Ep. 150: Senior Care (Part 2): The rapid growth of Medicare Advantage 3 traits health plans want in a provider partner 4 traits providers want in a health plan partner Around the nation: CMS releases Medicare Advantage Star Ratings Q&A: Cardiologist Navin Kapur discusses the future of complex PCI

Jacob and Nikhil sit down with Dr. Rushika Fernandopulle. Rushika is the former CEO and Co-Founder of Iora Health, a primary care provider centered around value-based care and Medicare that One Medical acquired for $2.1 billion. They discuss why we're still in the second inning of value-based care, intersections of tech and healthcare, what it takes for VBC to succeed, and more. [0:00] Intro[0:29] Early Days of Value-Based Care[2:34] Challenges in Commercial Value-Based Care[5:20] Adapting Care Models for Different Populations[13:08] Medicaid and Long-Term Care Issues[16:30] Big Tech's Foray into Healthcare[20:37] Amazon's Healthcare Strategy[21:09] Challenges in Serving Low-Income Seniors[21:43] Innovative Solutions for Patient Transportation[22:16] The Economics of Healthcare Visits[23:22] Building a Custom EHR System[27:34] The Role of AI in Modern Healthcare[33:17] Future of Primary Care and Policy Implications Out-Of-Pocket: https://www.outofpocket.health/

This episode of Foresight Radio explores the concept of Value-Based Care (VBC) and why it's a hot topic in healthcare and senior living. Guest Brian Fuller, explains how VBC is shifting healthcare from a fee-for-service model to an outcome-driven approach focused on both cost and quality. He highlights that accountability is at the core of VBC, meaning organizations must take ownership of patient outcomes and financial risk.   The episode covers: ✅ VBC = Accountability – Organizations are responsible for both quality of care and cost management. ✅ Three Core Models of VBC: 1️⃣ ACOs – Full accountability for a patient population. 2️⃣ Episodes of Care – Managing costs within a set timeframe. 3️⃣ SNPs – Specialized Medicare Advantage plans for high-need groups. ✅ Why is VBC a Hot Topic Now? The aging population is moving into higher-risk categories (75+ and 85+). Healthcare costs are growing at an unsustainable rate. VBC is the only bipartisan-backed solution to improve care and reduce costs. ✅ Senior Living's Role in VBC Senior living is shifting from hospitality to healthcare. Residents expect integrated, whole-person care. Providers must start engaging in VBC strategies now to stay relevant. ✅ Getting Started with VBC Understand your market and unique opportunities. Invest in data, analytics, and care models. Plan for scalability and long-term success.   Is your organization ready to embrace Value-Based Care?

There is a lot happening in federal policy that may affect healthcare payment transformation and care delivery. But we've said it before: healthcare leaders can't afford to focus on fighting near-term fires at the expense of driving long-term success and sustainability. Amidst the uncertainty, it's more important than ever to push forward conversations about how we can structurally evolve our systems to align incentives to patient health. So, in this episode, we're talking about value-based care. Host Abby Burns invites Advisory Board expert Clare Wirth and Optum Advisory expert Erik Johnson to unpack the state of VBC in early 2025, and where they see it going next. They debate whether bundles can truly be considered “value-based care,” how specialty care will fit into the future VBC landscape, and which payer lines of business they have their eyes on. Links: VBC in 2025: What's now and what's next Inside Advocate Health's VBC approach that saved $136M How UNC Health made VBC sustainable in an academic health system The obstacles between health systems and VBC success Ep. 201: Value series: What does health system VBC adoption actually look like? Ep. 231: Big deal, little deal, or no deal? A 2024 health policy retrospective Value-based care landing page Enjoying this episode? Discover how Optum Advisory experts can help you design a VBC strategy to drive sustainable growth and profitability for your organization. Connect with one of our experts today. Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

In a recent interview, Ed Yurcisin, Chief Technology Officer of the National Committee for Quality Assurance (NCQA), shed light on key advancements that aim to streamline quality measurement, improve interoperability, and accelerate the shift toward value-based care (VBC).Healthcare IT Today caught up with Yurcisin at the 2024 NCQA Health Innovation Summit in Nashville, TN.Learn more about NCQA athttps://www.ncqa.org/Find more great health IT content athttps://www.healthcareittoday.com/

In this episode, Melea sits down with Sam Nielsen to explore the rich history and lasting impact of the Von Braun Center (VBC) in Huntsville, Alabama. From unforgettable concerts and Broadway shows to hockey games and graduations, the VBC has been at the heart of the community for generations. Sam shares how the center continues to evolve while preserving its legacy. Whether you've attended a dance recital, your first big concert, or a major event at the VBC, this episode will remind you why this iconic venue holds a special place in so many hearts. Von Braun Center Follow North Alabama on Social Media! Website Instagram TikTok LinkedIn YouTube Twitter Facebook The Unexpected Adventures in North Alabama Podcast is a part of the Destination Marketing Podcast Network. It is hosted by Melea Hames and produced by Brand Revolt. To learn more about the Destination Marketing Podcast Network and to listen to our other shows, please visit https://thedmpn.com/. If you are interested in becoming a part of the network, please email adam@thebrandrevolt.com.

Dr. Harlan Levine began his career practicing internal medicine but soon moved into business leadership roles at national healthcare organizations to help improve the dysfunction with payer-provider relationships that he experienced firsthand as a physician.At United Health Group, Dr. Levine joined as clinical lead of the team that launched Optum, where he subsequently served as chief medical officer for more than six years. He also led the health management practice at Towers Watson and served as executive vice president of comprehensive health solutions at WellPoint, among other roles.In 2013, Dr. Levine joined City of Hope, one of the country's largest and most advanced cancer research and treatment organizations. City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.In addition to currently serving as president of health innovation and policy at City of Hope, Dr. Levine is also chair of the board of AccessHope. A spinout from City of Hope, AccessHope partners with the nation's most prestigious cancer research centers to help make leading-edge cancer care available to all, regardless of geographical location.Dr. Levine joined Keith Figlioli for the second episode of a Healthcare is Hard series exploring opportunities in oncology. Some of the topics they discussed include:Community practice vs. academic medical centers. Delivering personalized care and giving patients access to cutting-edge treatment is equally important, yet historically difficult to balance. In the first episode of this series, Dr. Stephen Schleicher from Tennessee Oncology shared how one of the nation's most successful community oncology practices is tackling the challenge. In this episode, Dr. Levine discussed City of Hope's model of putting academic research at the center and connecting it with community practices. He described how City of Hope is changing the direction of cancer care – not just delivering it – by giving patients faster access to emerging science.Defining value in oncology. Dr. Levine calls himself an outlier when it comes to value-based care in oncology because he thinks the industry missed a critical first step – defining what the term means. In most circumstances, discussions around value are centered around reducing cost. But Dr. Levine points out that a cancer patient defines value very differently. They define it as survival. They think about whether or not they returned to normal functionality in normal life, and what their experience was through the entire treatment process. He says the industry needs to recognize and customize models for these unique aspects of cancer care before the term VBC should be used in oncology.AI in oncology. Dr. Levine shared his outlook for the many ways artificial intelligence will change oncology – from drug discovery to care delivery. He believes AI will completely disrupt the approach to cancer care and that the revolution will happen quickly – not in seven to 10 years, but in three to five. He talked about the ways he sees AI changing how doctors deliver care, and why he's even more optimistic about its ability to accelerate research.To hear Dr. Levine and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Host Dr. Lawrence Kosinski is joined by Dr. Terry “Lee” Mills, Chief Medical Officer of Aetna Better Health of Oklahoma, to explore the evolving role of value-based care (VBC) from both the provider and payer perspectives. With his extensive background spanning health systems, payers, and pharmacy benefit management, Dr. Mills offers a rare perspective on how the industry can align incentives to improve patient care and reduce costs. Tune in for a compelling discussion on the future of VBC and what it means for GI specialists, payers, and policymakers alike. 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

This is a recording of the 2024 Verbal Behavior Conference Panel Discussion, which I had the honor of moderating along with VBC founder, Kelle Rich. The participants included Drs. Patrick McGreevey, Eb Blakely, Alice Shillingsburg, Mirela Cengher, Hank Schlinger, and the incomparable Lina Slim. As you'll hear, this was a lively conversation, and what I love about this event is that there was not only lots of audience participation, but we had tons of people chiming in from the BehaviorLive virtual feed. In this panel discussion, we discussed the following: Dr. Patrick McGreevey's thoughts on mastery criteria. Dr. Eb Blakely's discussion of a case study for a learner who's reinforcers include signs of damage. Collaboration, rapport building, and consultation skills with public school teachers and SLPs. Considerations for manual signs vs. picture selection. Echoic skill development for children of non-hearing parents. Dr. Slim's thoughts on Gestalt Language Processing. Whether Standard Celeration Charting is making a comeback. And lots more! If this kind of event sounds like fun for you, please consider joining us for the 2025 VBC. This year's VBC is taking place March 27-28 and will feature talks from Drs. Pat McGreevy, Tiffany Kodak, Judah Axe, April Kisamore-Hunter, Barbara Esch, and Caio Miguel. The day before the conference will feature a full day workshop from the aforementioned Dr. Barbara Esch. The conference itself provides 13 CEUs, and when combined with Dr. Esch's workshop, it's 19 CEUs total. As always, the in-person event is in Austin, TX. If you decide to go in person, expect to have many opportunities before and after the talks to interact directly with the presenters. It always amazes me how generous these folks are with their time. If you can't make it to Austin, we'll certainly miss you, but the virtual experience provided by BehaviorLive is second-to-none. I think this comes through, again, as evidenced by the virtual audience's participation in these panel discussions. If you want to check out all of Behavioral Observations' past VBC content, click here. This podcast is brought to you by: ACE Approved CEUs from .... Behavioral Observations. That's right, get your CEUs while driving, walking your dog, doing the dishes, or whatever else you might have going on, all while learning from your favorite podcast guests! The Behavioral Toolbox. thebehavioraltoolbox.com is a new education and training site that my colleagues Anika Costa and Dr. Paulie Gavoni and I have been working on for over two years. Check out our latest course, Motivational Interviewing: Getting Educator Buy-In as well as the hugely popular When Not to FBA: 5 Quick Strategies for Improving Behavior in Classrooms. Behavior University. Their mission is to provide university quality professional development for the busy Behavior Analyst. Learn about their CEU offerings, including their 8-hour Supervision Course, as well as their RBT offerings over at behavioruniversity.com/observations. Don't forget to use the coupon code, PODCAST to save at checkout! If you'd like to get BOP episodes a little earlier than everyone else, with no ads... just the interview itself, consider supporting the show with a Patreon subscription.

What is value-based care? How does value-based care work? How to optimize value-based care? What is population health management? What is cost control in healthcare? Our guest is Lori Prestesater, senior vice president of Health Solutions at the American Medical Association, discusses the evolution of value-based care delivery and the the three pillars of value-based care: population health and quality management, cost management, and alternative payment models. She shares CPT code news and examples of CPT code changes in healthcare payment models, like the rise of digitally enabled care during the COVID pandemic for telehealth and telemedicine services. AMA CXO Todd Unger hosts.

As Juliet asks, "what's in a name?" in that Shakespeare play every 9th grader reads, I too ask the put the same question to today's guest, Dr. Caio Miguel. Welcome to Session 287 of the Behavioral Observations Podcast! Literary allusions aside, in this episode, Caio walks us through the concept of Bidirectional Naming, and its implications for research and practice. In this conversation, we use his 2016 paper, Common and Intraverbal Bidirectional Naming, from the Analysis of Verbal Behavior, as a springboard for this discussion. One of the things that I took away from this conversation is to be more careful using terms like tacting, naming, and labeling interchangeably. In this podcast, you'll learn why these distinctions are important. We also talk about why terms like receptive and expressive labeling aren't conceptually systematic, and should be avoided in the Behavior Analytic literature. If that sounds like a hot take to you, please tune in to hear the rationale. Caio is also presenting at this year's Verbal Behavior Conference, which is taking place March 27-28, 2025, both in Austin, TX, as well as virtually through BehaviorLive. If you like to nerd out on all things verbal behavior, this is your event. And during our conversation, Caio provides a preview of what he plans to talk about at the VBC. Here are some links to resources that came up during this episode: Verbale - Consult with Drs. Miguel and LaFrance. Miguel (2016). Common and Intraverbal Bidirectional Naming. Miguel (2018). Problem-Solving, Bidirectional Naming, and the Development of Verbal Repertoires. Miguel (2021). Jack and Me. The Verbal Behavior Research Lab. Sacramento State's ABA Ma Inside JABA Series #2: Big Idea Papers and Their Impact (CEU available). Horne and Lowe (1996). On the origins of naming and other symbolic behavior. Preventative Systems, Assent, and The Naming Experience: Session 278 with Jim Moore. Sivaraman et al. (2023). Verbal behavior development theory and relational frame theory: Reflecting on similarities and differences. Session 282: A Behavioral Analysis of Problem Solving (CEU available). Carbone et al. (2010). The Role of the Reflexive-Conditioned Motivating Operation (CMO-R) During Discrete Trial Instruction of Children With Autism. Palmer (2016). On Intraverbal Control and the Definition of the Intraverbal. Schlinger (1995). A Behavior Analytic View of Child Development. Endicott's Ph.D. in ABA Program. Sacramento State's MS in ABA Program. This podcast is brought to you with the support of: HRIC Recruting. Cut out the middleman and speak directly with Barbara Voss, who's been placing BCBAs in great jobs all across the US for 15 years.  CEUs from Behavioral Observations. Learn from your favorite podcast guests while you're commuting, walking the dog, or whatever else you do while listening to podcasts. New events are being added all the time, so check them out here.  The Behavioral Toolbox. Check out our courses for school-based and other behavioral professionals, including our newest one, Motivational Interviewing: Getting Educator Buy-In. The Verbal Behavior Conference. Whether you attend in-person in Austin, TX, or online via BehaviorLive, you're going to love this year's Verbal Behavior Conference! Click here to get all the details! If you'd like to get BOP episodes a little earlier than everyone else, with no ads... just the interview itself, consider supporting the show with a Patreon subscription.

The value-based care (VBC) philosophy is centered around improving patient outcomes while reducing costs by rewarding providers for quality over quantity of services. But in reality, it's just this era's term for cost containment and restricted care. And don't get us started on Medicare Advantage VBC programs and how they approach end-of-life care. ...or maybe we'll poke it at it quickly.

In this episode of Mavericks in Healthcare, hosts Ajay Mody and Asher Perzigian talk with Beth Ratliff, COO of Premise Health, to explore the innovative direct healthcare model that is transforming employee health services.  Beth discusses Premise Health's history, their unique value-based approach, rapid growth, and the implementation of advanced technology systems to improve care efficiency.  Learn how Premise Health integrates pharmacy and behavioral health into comprehensive care and hear inspiring stories, including how data-driven care saves lives.

Reporting Back from the Behavioral Health Tech 2024 Conference Curt and Katie chat about Katie's attendance at the 2024 Behavioral Health Teach conference. Katie reported back on investment trends, how Value Based Care is being understood and implemented, and how therapists can navigate these tech disruptors and evolving business models.   Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we report back on updates in the behavioral health tech space We decided to have Katie go to the Behavioral Health Tech 2024 conference to learn about innovations and leaders in the behavioral health tech space. This episode is an out brief with updates for all clinicians. What is the Behavioral Health Tech conference? ·       This is a newer conference that brings together VCs, founders, insurance payors, and clinicians ·       The focus of this conference is on innovation, especially technology solutions for what they were describing as a broken mental health system Investment trends in the Behavioral Health space ·       AI Therapy ·       Self-help tools ·       VR for social skills (i.e., in the Autism space) ·       Measurement-based care (including wearables, journals, and assessment tools) ·       Integrated EHR systems that include the ability to have “interoperability” between providers What is Value-Based Care and what does that mean for behavioral health providers? ·       There is a stepped or tiered process to implement Value-Based Care ·       First step is enhanced fee for service, with augmented fees for better outcomes ·       The next step is a rate per client model with incentives and penalties (upside/downside) ·       The final step is a fully capitated model where the clinician provides comprehensive care, with potential risk (you underestimated the costs) and potential benefit (you price appropriately and have the opportunity for higher per client reimbursement than in a fee-for-service model) ·       Solo (or “single shingle”) practitioners will have difficulty with the aggregated data that is needed to negotiate these contracts with payors. ·       Larger, potentially VC funded groups are aggregating this data and negotiating higher rates, but may not be passing on much of this increased rate to the clinicians they hire or contract with What are the opportunities and challenges facing therapists with the advances in tech? ·       It is critical for therapists to become more efficient, look for opportunities to collaborate, and incorporate technology effectively to be able to success in VBC models (or in the new marketplace) ·       Group or specialized practices are better-situated to navigate these challenges than individual practitioners ·       Outcome measures may be key to competing in the new marketplace How can mental health clinicians advocate related to these new advances in technology? ·       Clinicians should be involved in these conversations around how therapy and business models are evolving ·       Advocacy to make sure there is clinician and client input on how these systems are put together What should therapists do now to future-proof their practice? ·       Identify and integrate outcome measures into your therapy practice ·       Stay informed about what is up and coming in the field ·       Streamline your operations to increase efficiency and prepare for VBC models ·       Join advocacy groups to make sure therapist perspectives are represented in the new care models. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Host Dr. Lawrence Kosinski and Don Calcagno dive into the future of value-based care and why it's essential for healthcare's evolution. Don highlights the importance of fully committing to VBC, investing in the right infrastructure, and how AI could revolutionize risk adjustment models. They also explore the challenges of patient attribution, fragmentation of care, and the need for more integrated payment models that reward the right work. If you're curious about how these changes could shape the future of healthcare, especially in the face of shifting policy landscapes, this is an episode you don't want to miss! 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

Veterans Day Open Conversation ranges far and wide settling on this first opening question: is it right and proper to wish a veteran a "Happy Veterans Day." The consensus among our veterans is that it isn't, though Todd offers a tepid dissent.  In the course of the conversation, we also examine the distinctions made between Veterans and "Combat Veterans," "Vietnam Veterans" and "Vietnam Era Veterans," and the propriety of saying "thank you for your service." Some veterans feel awkward or uncomfortable when people say "Happy Veterans Day" or "Thank you for your service." Younger veterans, in particular, often feel these phrases are too generic. It seems an empty, overused phrase that lacks genuine understanding. Some don't view their service as extraordinary, but rather as a job they signed up for and completed. For them, the phrase “thank you for your service” can feel impersonal, as if it's used to satisfy social etiquette rather than express true appreciation. Some even feel it allows civilians to alleviate guilt about not having served themselves, without truly engaging with the challenges veterans face. For some, the recognition doesn't align with the pride they take in their service or with the fact that they volunteered for it, unlike those who served in past wars when there was a draft. Acknowledging a veteran in a way that opens the door to more meaningful interaction can feel more genuine. Instead of only expressing thanks, some veterans suggest engaging more personally: ask about their specific roles, current lives, or goals. For those who wish to show appreciation, actions like volunteering or educating oneself on veterans' issues are more meaningful ways to honor their sacrifices and uphold the freedoms they served to protect. The Veterans Breakfast Club isn't  just for veterans. It's for everyone who wants to understand the lives of those who served. Whether you're a veteran seeking camaraderie, a civilian wanting to learn, or simply someone who appreciates the value of service, the VBC welcomes you . Join us online – become part of their mission to honor stories, build bridges, and ensure that every day is Veterans Day. We're grateful to UPMC for Life and Tobacco Free Adagio Health for sponsoring this event!

Jay catches up with the founder of the Vintage Bodyboard Collectors Facebook Ground Damien Alexander on his recent trip to Australia.  VBC is credited for spearheading the "Board Again" movement- older riders returning to the sport to recapture the magic of their youth which accelerated dramatically during Covid.  Damien recounts how it all began around the mid-2000s.

In this episode, we sit down with healthcare expert Dana Strauss to dive into the transformative potential of value-based care (VBC) for physical therapists. Dana breaks down why the traditional fee-for-service model is failing, how VBC focuses on improving patient outcomes while reducing costs, and the critical role PTs can play in this new healthcare landscape.Learn how PTs can integrate into primary care teams, reduce unnecessary specialist visits, and enhance patient care. Chapters0:00 – Introduction and guest welcome: Dana Strauss2:30 – What is value-based care (VBC)? Breaking down the concept5:15 – Why VBC is a game changer for healthcare and physical therapists8:20 – The limitations of the traditional fee-for-service model12:00 – How physical therapists can thrive in VBC models14:45 – The importance of PTs in reducing unnecessary healthcare spending18:30 – Barriers to VBC adoption and the need for awareness22:10 – Why CMS is a key player in healthcare transformation26:45 – Building relationships with payers and demonstrating PT's value31:00 – Q&A: Who needs to hear this message?35:50 – Final thoughts and how PTs can get involved in the future of VBCWhether you're a practicing PT, clinic owner, or healthcare professional, this conversation will give you practical insights into the future of healthcare delivery.Key topics:Understanding value-based care in physical therapyHow PTs can reduce healthcare costs and improve outcomesIntegrating PTs into primary care teamsThe shift from transactional care to relationship-based careWhy policymakers and payers should invest in PT

For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you've been paying attention in recent months, you'll have seen headlines announcing that payers that are scaling back their MA offerings and providers are exiting MA contracts. The MA market has gone from “untouchable” to “volatile.” The question is: why is this happening, and what does it mean for payers, providers, and seniors moving forward? In this episode, hosts Rachel (Rae) Woods and Abby Burns invite health plan experts Max Hakanson and Chelsea Needham to dissect what is going on in MA and how plans and providers are—or should be—navigating the changing tide. Links: Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes. Ep. 149: Senior Care (Part 1): Specialized primary care for an aging population Ep. 150: Senior Care (Part 2): The rapid growth of Medicare Advantage 3 traits health plans want in a provider partner 4 traits providers want in a health plan partner Around the nation: CMS releases Medicare Advantage Star Ratings [Webinar, 10/24] How the 2024 elections could impact the healthcare industry A transcript of this episode as well as more information and resources can be found on www.advisory.com/RadioAdvisory.

Value-based care (VBC) is critical to the evolving healthcare landscape. As the U.S. population ages and healthcare costs continue to rise, achieving value-based care success has become a primary goal for the system, which seeks to optimize care while maintaining financial sustainability. According to the Centers for Medicare & Medicaid Services (CMS), by 2030, all Medicare beneficiaries are expected to be enrolled in accountable care arrangements.The stakes are high with this impending shift. How can healthcare providers deliver better outcomes while also cutting costs? What does the future of value-based care hold, and how are healthcare leaders preparing to adapt?On this episode of I Don't Care, hosted by Kevin Stevenson, healthcare expert John Carter, Brand Ambassador for Pinnacle Healthcare Consulting, sheds light on the evolution of VBC, key challenges, and emerging solutions to ensure value-based care success.Key Points from the Episode:Evolution of Value-Based Care: Carter tracks the progression from the Affordable Care Act's early initiatives to newer models like ACO REACH and the upcoming AHEAD model, emphasizing the need for innovative approaches to managing healthcare costs.The Role of Preventative Care: Both Carter and Stevenson stress that the healthcare industry must focus on preventative care and early intervention, especially as the baby boomer generation becomes fully Medicare-eligible by 2030.Specialist Integration in VBC: With a shortage of physicians, especially in specialty care, Carter highlights the need for better integration between primary and specialty care providers within VBC models to improve efficiency and patient outcomes.John Carter is the Brand Ambassador for Pinnacle Healthcare Consulting, where he works closely with teams across five companies under Pinnacle's umbrella to deliver tailored solutions for large national healthcare clients. Carter has become a key figure in advancing value-based care and has extensive experience in optimizing accountable care organizations (ACOs) and working with healthcare providers across the country.

Value-based care leaders from Kaiser Permanente, Premera, UnitedHealthcare and TailorCare discuss the evolving landscape of specialty value-based care. They explain how their plans drive success with innovative approaches designed to optimize care and improve outcomes—even with their most complex, high-cost members.   Our expert panelists share practical strategies for navigating the most effective treatment pathways, from leveraging predictive data and the latest evidence-based guidelines to assessing members' symptoms and goals.   Topics covered include: Strategie Planning Technology Enablement Solutions in Action Featured Guests Romilla Batra, MD, Senior Vice President, Chief Medical Officer – Clinical Strategy & Solutions, Premera Blue Cross Hemant Keny, MD, Lead for Senior Surgical Care Program, Kaiser Permanente Northern California Donna Laliberte O'Shea, MD, MBA, CPE, National Vice President, Operations and Chief Medical Officer, UCS Population Health and VBC, UnitedHealthcare Rachel Winokur, Chief Executive Officer, TailorCare   Guest Bios: https://www.brightspotsinhealthcare.com/events/unlocking-success-through-specialty-value-based-models/   This episode is sponsored by TailorCare TailorCare is a risk-based care navigation program that provides deeply personal support to patients living with joint, back, and muscle pain. By combining a careful assessment of patients' symptoms, health history, preferences and goals with predictive data and the latest evidence-based guidelines, TailorCare helps patients choose—and navigate—the most effective treatment pathway for them, every step of the way. Website: www.tailorcare.com  

In this riveting episode of the Millionaire Car Salesman Podcast, host Sean V. Bradley invites Ace Barrow, an Acquisition Specialist at Ed Martin Toyota, for an in-depth discussion on the art and strategy of acquiring cars directly from the public! Sean and Ace delve into the unique role of a full-time car buyer, discussing innovative techniques for vehicle acquisition, the importance of building a personal brand within the dealership, and strategies to expand inventory without relying solely on auctions and trade-ins. The conversation also touches on the significance of proactive customer engagement and how creating robust referral networks can significantly boost a dealership's inventory and overall success! Ace shares insightful details on his day-to-day operations, balancing customer interaction in the service lounge with strategic outreach to potential sellers. He reveals his approach to seamlessly integrating acquisition conversations during routine service appointments and the effectiveness of consistent follow-ups. Sean and Ace also brainstorm on scaling these efforts through technology and digital marketing, highlighting software like VINCUE and strategies inspired by successful dealerships like Country Hill Motors. This episode offers invaluable insights for dealerships looking to refine their acquisition techniques and leverage public sales for greater financial efficiency!   Key Takeaways Proactive Vehicle Acquisition: The importance of having a dedicated professional to actively seek out vehicle purchases from the public, rather than solely relying on auctions and trade-ins. Customer Interaction Techniques: Practical tips on how to approach and engage customers in the service lounge about selling their vehicles, ensuring a non-invasive and positive experience. Building a Personal Brand: Strategies for creating a personal brand within the dealership to enhance the acquisition process and attract more sellers from the community. Leveraging Technology: Recommended tools and software like VINCUE for streamlining vehicle acquisition processes and enhancing efficiency. Expanding Referral Networks: The benefits of creating partnerships with local businesses such as motorcycle and RV dealerships to generate a steady flow of used car inventory.     About Ace Barrow Ace Barrow is a seasoned automotive professional with over five years in the auto industry, currently serving as an Acquisition Specialist at Ed Martin Toyota in Noblesville, Indiana. Prior to his automotive career, Ace enjoyed a rewarding 33-year career in a different field before transitioning into car sales and eventually focusing on the acquisition of vehicles from the public.      Resources: Podium: Discover how Podium's innovative AI technology can unlock unparalleled efficiency and drive your dealership's sales to new heights. Visit www.podium.com/mcs to learn more! Dealer Synergy & Bradley On Demand: The automotive industry's #1 training, tracking, testing, and certification platform and consulting & accountability firm. The Millionaire Car Salesman Facebook Group: Join the #1 Mastermind Group in the Automotive Industry! With over 28,000 members, gain access to successful automotive mentors & managers, the best industry practices, & collaborate with automotive professionals from around the WORLD! Join The Millionaire Car Salesman Facebook Group today! Win the Game of Googleopoly: Unlocking the secret strategy of search engines.     The Millionaire Car Salesman Podcast is Proudly Sponsored By: Podium: Elevating Dealership Excellence with Intelligent Customer Engagement Solutions. Unlock unparalleled efficiency and drive sales with Podium's innovative AI technology, featured proudly on the Millionaire Car Salesman Podcast. Dealer Synergy: The #1 Automotive Sales Training, Consulting, and Accountability Firm in the industry! With over two decades of experience in building Internet Departments and BDCs, we have developed the most effective automotive Internet Sales, BDC, and CRM solutions. Our expertise in creating phone scripts, rebuttals, CRM action plans, strategies, and templates ensures that your dealership's tools and personnel reach their full potential. Bradley On Demand: The automotive sales industry's top Interactive Training, Tracking, Testing, and Certification Platform. Featuring LIVE Classes and over 9,000 training modules, our platform equips your dealership with everything needed to sell more cars, more often, and more profitably!     How to Buy Cars from the Public and Maximize Dealership Profitability Key Takeaways: Building a proactive vehicle acquisition strategy can significantly boost dealership profitability. Creating a brand within the dealership for car acquisition can enhance community reach and streamline the buying process. Utilizing technology and external networks can scale acquisition operations efficiently.     Mastering Vehicle Acquisition: Strategies for Dealerships In the automotive industry, focusing solely on selling cars leaves a significant gap in potential profitability. Buying cars from the public not only saves on auction fees but also increases dealership inventory with well-maintained vehicles. This strategy allows dealerships to control their destiny better. Ace Barrow from Ed Martin Toyota epitomizes this proactive approach, leveraging customer relations and service interactions to buy vehicles directly from the public. Here, we delve into strategic insights shared by Ace and Sean V. Bradley on the Millionaire Car Salesman podcast, highlighting efficient acquisition methods and broader implications for dealerships.     Developing a Proactive Acquisition Strategy Dealerships often overlook the strategic advantage of proactively buying cars from the public. As Ace Barrow explains, "We like to buy cars from customers. Would you mind if I made an offer while you waited?" This simple, direct approach initiates the conversation, removing the pressure of selling. Ace targets about 24 customers daily within the dealership's service lounge, which sees around 110 repair orders per day. "People know me. They like me. They say, 'hi, Ace,' before I introduce myself to them now because they're used to me coming up and in a non-threatening way, giving them an appraisal whether they buy a car or not." However, there's room for scaling this strategy. As Sean V. Bradley suggests, dealerships should explore integrating appraisals into the service process systemically. This could involve preemptively appraising every vehicle that enters for service, attaching a detailed offer, and engaging with the customer proactively.   Enhancing Customer Experience in Service Departments Maintaining positive customer experiences in service lounges is crucial, especially when integrating acquisition efforts. Ace emphasizes a calm, comfortable environment to ensure customers aren't discouraged by aggressive pitches. "We want them to come back for service the next time instead of staying away because of this obnoxious guy who tried to appraise my car." To balance acquisition initiatives with customer satisfaction, dealerships can provide attractive, non-intrusive offers. This tactical blend preserves service department reputation and encourages repeat business, even if customers initially decline to sell their vehicle. Integrating educational materials and digital options, like dedicated kiosks for vehicle appraisals, could enhance this approach.   Building a Brand within the Dealership's Brand Creating a distinctive brand for acquisition specialists within a dealership can amplify outreach and credibility. As Sean advises Ace, having a catchy, specific brand name like "I Buy Cars" or "We Buy Any Cars" not only clarifies the service but also aids in marketing and digital presence. "Step one when you're trying to build your brand within the dealership's brand, you want to be able to kind of personify your brand… We buy used cars. I buy used cars in Indiana." Supporting this brand with dedicated digital assets, such as a specialized website and social media channels, can enhance visibility and attract more customers. Platforms like Upwork and Fiverr are cost-effective solutions for developing logos, social media banners, and branded content, crucial for maintaining a professional image. Further, Ace can draw from the experience of car sales elites like Cody Carter, who has his own site and generates substantial leads independently. Emulating such strategies could see Ace setting up a tailored acquisition website, facilitating digital retailing and broadening his reach beyond current customers.   Utilizing External Networks and Technology Scaling acquisition operations efficiently requires leveraging external networks and advanced technology. Sean underscores the value of partnerships with local motorcycle and RV dealers for referrals. By offering to appraise trade-in vehicles on-site, Ace could tap into a broader market, obtaining vehicles from diverse sources. "Develop relationships with all of the motorcycle dealerships, the Kawasaki, the BMW dealerships, the Harley Davidson dealerships, our sports, ATV's, Jet skis, Sea-doos, RVs, trailers… Those are referral agents." Incorporating tools like VinCue can streamline this process, enhancing tracking, pricing accuracy, and customer relationship management. VinCue integrates functions like Kelley Blue Book Instant Cash Offer and Facebook Marketplace listings, which magnify lead generation capabilities. Combining technology with a robust referral network increases acquisition efficiency, allowing specialists to handle more transactions seamlessly.     Ace's success at Ed Martin Toyota is a testament to the importance of a dedicated acquisition strategy. By proactively engaging with service customers, creating a standalone brand, and leveraging technology, dealerships can significantly enhance their inventory with quality used cars while bypassing the costly auction process. Furthermore, developing local partnerships and utilizing sophisticated software can optimize this process, paving the way for infinitely scalable operations. For dealerships eager to stay ahead, mastering vehicle acquisition is no longer optional—it's a necessity.

VBC Scuttlebutt Open Conversation poses the question: does the term “combat veteran” demean the service of “rear echelon” soldiers, sailors, and Marines? Author and Vietnam veteran Marc Leepson thinks it does. We discuss this question.  Leepson published an article in Vietnam magazine in 2019, recently reprinted on Vietnam War website cherrieswriter.com, titled “What Did You Do in Vietnam?” Leepson writes: I admire and respect every Vietnam veteran who served in the combat arms. . . . . But using “combat veteran” obliquely demeans the service of all of us clerks, cooks, truck drivers and other rear-echelon types. I realize that most people who use that term don't intend to minimize or mock the wartime service of hundreds of thousands of other veterans, but that's exactly what it does. I was astonished to see British journalist Max Hastings go out of his way in his recent, big history of the war, Vietnam: An Epic Tragedy 1945-1975, to deride the service of anyone who wasn't humping the boonies in Vietnam. How else to interpret this snarky, condescending sentence in which he sums up all rear echeloners' war service: “Maybe two-thirds of the men who came home calling themselves veterans—entitled to wear the medal and talk about their PTSD troubles—had been exposed to no greater risk than a man might incur from ill-judged sex or ‘bad shit' drugs.” I understand that infantrymen could have negative feelings about us rear echeloners, but we were doing the jobs the military asked us to. And in Vietnam, contrary to Hastings' ridiculous generalization, you were in danger no matter where you were. Although there are no official statistics, the best estimate is that 75 to 90 percent of those who served in Vietnam were in support units. That's more than 2 million men and women who came home without the label “combat veteran.” My suggestion to fellow veterans and those who never put on the uniform: Please consider dropping “combat veteran” from your vocabulary and replace it with “war veteran.” Or “Vietnam War veteran.” Or “Iraq War veteran” or “Afghanistan War veteran.” We're curious to know how many in our Veterans Breakfast Club group feel similarly. We'd also like to hear from those who think that distinguishing between comabt and non-combat service is a reasonable and even necessary way of acknowledging the different kinds of Armed Forces service. The VBC has a strong and long track record of serious and civil conversations that divide the veterans and military community, and this conversation will be no different. And, of course, we'll also talk about any other subjects you might like to bring up. So, join our friendly, interactive gathering of veterans, friends of veterans, and history nerds discussing whatever aspects of military service, past or present, or the veterans community that are on your minds. Join us to swap stories, good and bad, at home and overseas, old and new. At the VBC, veterans from every era and branch are drawn together by the warm glow of shared purpose. These stories aren't just for veterans; they're for everyone who wants to understand the lives of those who served. Whether you're a veteran seeking camaraderie, a civilian wanting to learn, or simply someone who appreciates the value of service, the VBC welcomes you with open arms. Join us online – become part of their mission to honor stories, build bridges, and ensure that every day is Veterans Day. #combatveteran   #veterans #usmc  #veteran #militaryhistory #interview #vietnam #vet #veteransbreakfastclub #vbc #virtualevents #virtual #zoom #zoomevents #liveevent #webinar #military #army #usarmy #navy #usnavy #marinecorps #marines #airforce #pilot #aviators #coastguard #nonprofit #501c3 #history #militaryveterans #veteransstories #veteranshistory #veteraninterview #veteranshistoryproject #veteransoralhistory #veteranowned #militaryretirees #armyretirees #navyretirees #warstories #vietnam #vietnamwar #vietnamveterans #koreanwar #coldwar #greatestgeneration #wwii #ww2 #worldwarii #worldwar2 #war #americanhistory #oralhistory #podcast #scuttlebutt #thescuttlebutt #humor #storytelling #headlines #news #roundtable #breakfast #generation911

VBC Scuttlebutt Open Conversation is a friendly, interactive gathering of veterans, friends of veterans, and history nerds where we discuss whatever aspects of military service, past or present, or the veterans community that are on our minds. Join us to swap stories, good and bad, at home and overseas, old and new.  Tonight we talk about Camp LeJeune water contamination and the deadline to file a claim. We also discuss "Words of Veterans," a project by USMC veteran Alex Sebby. We cover the debate over who is a Gold Star Family, as examined by a recent Pentagon working group. And, along the way, we discuss the best and worst chow you had in the military and the passing of Lt. William Calley, infamously convicted in the My Lai Massacre of 1968. These stories aren't just for veterans; they're for everyone who wants to understand the lives of those who served. Whether you're a veteran seeking camaraderie, a civilian wanting to learn, or simply someone who appreciates the value of service, the VBC welcomes you with open arms. Join us online – become part of their mission to honor stories, build bridges, and ensure that every day is Veterans Day. We're grateful to UPMC for Life and Tobacco Free Adagio Health for sponsoring this event! #militaryhistory #veteran #interview #veterans #vet #veteransbreakfastclub #vbc #virtualevents #virtual #zoom #zoomevents #liveevent #webinar #military #army #usarmy #navy #usnavy #marinecorps #marines #airforce #pilot #aviators #coastguard #nonprofit #501c3 #history  #militaryveterans #veteransstories #veteranshistory #veteraninterview #veteranshistoryproject #veteransoralhistory #veteranowned #militaryretirees #armyretirees #navyretirees #warstories #vietnam #vietnamwar #vietnamveterans #koreanwar #coldwar #greatestgeneration #wwii #ww2 #worldwarii #worldwar2 #war #americanhistory #oralhistory #podcast  #scuttlebutt #thescuttlebutt #humor #storytelling #headlines #news #roundtable #breakfast #generation911 #happyhour

Why is value-based care important? What are value-based care payment models? How is value-based care measured? What is an example of value-based care? Our guest is Narayana Murali, MD, chief medical officer of Medicine Services at Geisinger Health. American Medical Association CXO Todd Unger hosts.

VBC Scuttlebutt is a virtual watering hole where camaraderie and connection flow as freely as laughter and shared stories. Join us to swap stories, good and bad, at home and overseas, old and new. At the VBC, veterans from every era and branch are drawn together by the warm glow of shared purpose. Here are a few of the things we plan to discuss tonight: medical breakthroughs that came from the military: painkillers, antibiotics, blood-clotting, prosthetics, plasma, not to mention TBI and PTSD. Combat veterans and fireworks. What do you do  on July 4th?Says one, "It sounded just like the howitzers from Vietnam.” We remember Nancy Smoyer's beloved brother, 2LT Billy Smoyer, KIA in Vietnam July 28, 1968. We discuss the variety of head covers in Vietnam: boonie cap, baseball hat? Norm Phillips from SCORE talks about mentoring Veteran Entrepreneurs and score.org We follow up with a question posed last week: "were you more or less patriotic after returning from Vietnam?" We also ask about those who served in Bosnia and/or Kosovo in 1994-1999 and beyond. These stories aren't just for veterans; they're for everyone who wants to understand the lives of those who served. Whether you're a veteran seeking camaraderie, a civilian wanting to learn, or simply someone who appreciates the value of service, the VBC welcomes you with open arms. Join us online – become part of their mission to honor stories, build bridges, and ensure that every day is Veterans Day. We're grateful to UPMC for Life and Tobacco Free Adagio Health for sponsoring this event! #militaryhistory #veteran #interview #veterans #vet #veteransbreakfastclub #vbc #virtualevents #virtual #zoom #zoomevents #liveevent #webinar #military #army #usarmy #navy #usnavy #marinecorps #marines #airforce #pilot #aviators #coastguard #nonprofit #501c3 #history  #militaryveterans #veteransstories #veteranshistory #veteraninterview #veteranshistoryproject #veteransoralhistory #veteranowned #militaryretirees #armyretirees #navyretirees #warstories #vietnam #vietnamwar #vietnamveterans #koreanwar #coldwar #greatestgeneration #wwii #ww2 #worldwarii #worldwar2 #war #americanhistory #oralhistory #podcast  #scuttlebutt #thescuttlebutt #humor #storytelling #headlines #news #roundtable #breakfast #generation911 #happyhour

Who can join the AMA? What issues does the AMA fight for? How does the AMA affect healthcare policy? What are AMA Sections? How is the AMA organized? Our guests answer those questions and more at the 2024 Annual Meeting of the AMA House of Delegates. Adnan Munkarah, MD, is care delivery system president and chief clinical officer at Henry Ford Health System, and Narayana Murali, MD, is chief medical officer of medicine services at Geisinger Health. American Medical Association CXO Todd Unger hosts.

Host Matt Fisher talks to Lynn Carroll, Chief Operating Officer, HSBlox, about measured pace of value-based care adoption; growing VBC experience in the commercial word; importance of enabling collaboration and coordination with community organizations; risk adoption as driver for change; increasing applicability of AI tools; how to develop trust in AI tools. 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

VBC Scuttlebutt is a virtual watering hole where camaraderie and connection flow as freely as laughter and shared stories. Join us to swap stories, good and bad, at home and overseas, old and new. At the VBC, veterans from every era and branch are drawn together by the warm glow of shared purpose. The stories bridge the gap and the years with veterans from World War II, Korea, Vietnam, the Gulf War, late Cold War, Iraq and Afghanistan, and other eras and deployments. Non-veterans also join the circle, eager to understand, to listen, to learn. They ask questions with genuine respect and a desire to honor the sacrifices made. This intergenerational dialogue, forged in the crucible of shared experience, builds bridges of empathy and understanding. These stories aren't just for veterans; they're for everyone who wants to understand the lives of those who served. Whether you're a veteran seeking camaraderie, a civilian wanting to learn, or simply someone who appreciates the value of service, the VBC welcomes you with open arms. Join us online – become part of their mission to honor stories, build bridges, and ensure that every day is Veterans Day. Special Guests: Jon Molik from the Headlines and History Podcast and Clint Jordan from Mil-Estate Planning. We're grateful to UPMC for Life and Tobacco Free Adagio Health for sponsoring this event! #militaryhistory #veteran #interview #veterans #vet #veteransbreakfastclub #vbc #virtualevents #virtual #zoom #zoomevents #liveevent #webinar #military #army #usarmy #navy #usnavy #marinecorps #marines #airforce #pilot #aviators #coastguard #nonprofit #501c3 #history  #militaryveterans #veteransstories #veteranshistory #veteraninterview #veteranshistoryproject #veteransoralhistory #veteranowned #militaryretirees #armyretirees #navyretirees #warstories #vietnam #vietnamwar #vietnamveterans #koreanwar #coldwar #greatestgeneration #wwii #ww2 #worldwarii #worldwar2 #war #americanhistory #oralhistory #podcast  #scuttlebutt #thescuttlebutt #humor #storytelling #headlines #news #roundtable #breakfast #generation911 #happyhour

Optum Rx serves more than 62 million people, processes 1.6 billion prescriptions and generates more than $110 billion of revenue annually. Dr. Patrick Conway, CEO of Optum Rx, is the third and final guest in a series of Healthcare is Hard episodes exploring the transformation of the pharmacy business – following conversations with Mark Cuban and Dr. Troyen Brennan.Dr. Conway brings an expansive view of the healthcare system to this discussion and his role leading one of the most influential organizations in the pharmacy space. He became CEO of Optum Rx in August 2023 and before that, served as CEO of Care Solutions at Optum for more than three years. He was president and CEO of Blue Cross and Blue Shield of North Carolina for two years and spent more than six years at the Centers for Medicare and Medicaid Services where he held several positions including Chief Medical Officer, Director of CMMI, and Deputy Administrator for Innovation and Quality. Before joining CMS, he oversaw clinical operations and quality improvement at Cincinnati Children's Hospital Medical Center, and he is still a practicing pediatrician in Boston where he occasionally works at an area medical center on weekends.Some of the topics Dr. Conway discussed with Keith Figlioli in this episode of Healthcare is Hard include:VBC – A way or THE way. As someone who has spent a significant portion of his career focused on improving cost and quality in the U.S. healthcare system, Keith starts the interview asking Dr. Conway for his perspective on value-based care. Dr. Conway says we can either figure out VBC, or raise taxes and reduce benefits, noting that the American public would not be happy about the latter. He firmly believes that VBC is THE way through. He discussed the positive impacts he's witnessed from VBC, and how he believes it's been a major contributor to slowing the growth of healthcare costs over a significant period of time. However, he's concerned about how the transition to VBC has slowed.Affordable innovation. When discussing the extremely high cost of new specialty drugs, Dr. Conway points out that innovation is useless if it's unaffordable and inaccessible to people. He shared personal stories contrasting very difficult conversations he's had with parents in the past about the failing health of their children, and a more recent experience where Optum Rx delivered a new gene therapy to a child with a rare disease who will now live a full life. With therapies like that one costing $3 million, Dr. Conway discussed his views on some of the public and private financing options that could help improve access to life-changing therapies while still rewarding the innovators.Choice and transparency. Dr. Conway explains some of the solutions Optum Rx has brought to market to serve its customers, and areas where the company is exploring new solutions to keep customer satisfaction high. While customers are happy with Optum Rx, he makes it clear that continuously developing new solutions to stay ahead of a fast-evolving market is essential. During this discussion, customer choice – for both patients and the employers who fund their benefits – is a recurring theme and a major focus.To hear Dr. Conway and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

There has been a lot of change in the oncology space in the last few years. These changes have brought new pressures, like workforce strain, increased competition, rising spend, and more. While many leaders are worried about the "right now," it is crucial to consider how you can best position yourself for the future of cancer care. That's why, in this episode, host Rachel (Rae) Woods invites Advisory Board specialty care experts Lindsey Paul and Julia Elder to discuss why preparing for the future means making changes today. Throughout the conversation, they discuss how current pressures are changing the field of oncology and four ways cancer care will change by 2030. Links: 4 predictions for cancer care in 2030 3 strategies to leverage oncology pharmacists and improve cancer care 5 strategies to deploy (and empower) APPs in cancer care Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes. Ep. 202: Value series: Why CenterWell (and Humana) is going all in on senior care Register for the Clinical Innovation Summit A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

Host Tom Foley invites Thomas S. Campanella, JD, MA, healthcare Executive in Residence at Baldwin Wallace University. They discuss FSS vs VBC along with Tom's recently published articles, Fixing Medicare will require fixing Medicare Advantage and are there primary care physician models that work? 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

Last week, in part two of our series on value-based care, we talked about how CenterWell, Humana's provider arm, turned to senior-focused primary care to grow their value-based strategy. But as the Medicare Advantage market gets larger, older, and sicker, it is becoming clear that a focus on primary care isn't enough. The fact is, VBC in specialty care is the future. In part three of our value series, host Rachel (Rae) Woods invites TJ Ackerman, Senior Vice President of Provider and Network Performance at Zing Health, to discuss what good specialty care in Medicare Advantage looks like. We also talk with one of Zing's provider partners, Will Stokes, Chief Strategy Officer at Strive Health, a leader in value-based kidney care. Together, TJ and Will discuss the importance of payer-provider partners in value-based specialty care. Links: Zing Health offers Medicare Advantage Plans in Illinois, Indiana, and Michigan. (myzinghealth.com) Transforming Kidney Care - Strive Health Register for the “Raising the Value Bar Summit” Ep. 202: Value series: Why CenterWell (and Humana) is going all in on senior care Ep. 201: Value series: What does health system VBC adoption actually look like? Use the Market Scenario Planner Learn about Advisory Board On-Demand Courses Register for the Raising the Value Bar Summit 3 strategies for facing the 'tripledemic' of respiratory viruses A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

Last week, in part one of our series on value-based care, we talked all about health systems taking on risk, and why that looks a bit different for everyone. This week, we're exploring an organization that embodies that principle. CenterWell, Humana's provider arm, is pursuing value-based care by going all in on senior focused care. So how are they doing it? In part two of our value series, host Rachel (Rae) Woods invites CenterWell President, Dr. Sanjay Shetty, to discuss the philosophy behind and strategies for pursuing value-based care through senior care management. Throughout the conversation, they discuss why this strategy is right for CenterWell, what it takes to succeed, and how they are navigating today's market challenges. Links: CenterWell | Reimagining Senior Healthcare Register for the "Raising the Value Bar Summit Ep. 201: Value series: What does health system VBC adoption actually look like? 5 insights from VBC leaders 3 strategies for facing the 'tripledemic' of respiratory viruses How CoxHealth grew their Inspire program to meet surging demand Learn about Advisory Board Fellowship A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

In a few weeks, Advisory Board will be convening leaders across the industry in New Orleans, Louisiana to talk about the meaning of "value" in healthcare. In anticipation of the Value Summit, Radio Advisory will be spending the next three weeks talking about one major expression of value in the industry – value-based care. In the first episode of our mini-series, host Abby Burns invites Advisory Board value-based care experts Clare Wirth and Daniel Kuzmanovich to paint the landscape of health system VBC adoption and break down why the road to VBC is neither linear, nor uniform. Links: Register for the "Raising the Value Bar Summit" VBC self-assessment: Find out where your organization stands 5 insights from VBC leaders Introduction to the series: Envisioning paths to nationwide VBC Ep. 178: What the industry is (still) getting wrong about value-based care Learn more about On-Demand Courses How St. Cloud ENT partnered with an ASC to improve sleep apnea outcomes and grow surgical services A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

Invitamos a Reynaldo Díaz, experto en materia tributaria internacional, para que nos hablara de Free File, el nuevo sistema de tributación inaugurado por el IRS. Reynaldo Díaz es parte del VBC, pueden contactarlo n IG @reynaldodiazig o a su empresa @connectax El Programa del VBC en la Radio se transmite todos los sábados a las 9 pm por Actualidad Radio 1040 y es cortesía del grupo actualidad (actualidadradio.com) y del Venezuelan Business Club Internacional (Venbc.org). El programa es producido y moderado por Nelson Ramirez @nelramirez en Instagram.

Invitamos a Reynaldo Díaz, experto en materia de impuestos internacionales, para conversar sobre esta nueva ley que ya está en vigencia en USA y que obliga a los pequeños negocios a reportar quien es el beneficiario final al gobierno de USA. Reynaldo Díaz es parte del VBC, pueden contactarlo n IG @reynaldodiazig o a su empresa @connectax El Programa del VBC en la Radio se transmite todos los sábados a las 9 pm por Actualidad Radio 1040 y es cortesía del grupo actualidad (actualidadradio.com) y del Venezuelan Business Club Internacional (Venbc.org). El programa es producido y moderado por Nelson Ramirez @nelramirez en Instagram.

In this podcast, Dr. Nick Schneeman, a geriatrican and the Chief Medical Officer for LifeSpark, brings his passion and expertise to discuss the state of care in geriatrics, along with how current delivery in care and payment models effect the geriatric population. Disclosure note: Dr. Nick Schneeman , speaker for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose. Enjoy the podcast. Objectives:Upon completion of this podcast, participants should be able to: Describe what is meant by "value-based care". Describe current barriers to delivering high value care to a senior population. This activity has been planned and implemented in accordance with the accreditation criteria, standards and policies of the Minnesota Medical Association (MMA). Ridgeview is accredited by the Minnesota Medical Association (MMA) to provide continuing medical education for physicians.  CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at Education@ridgeviewmedical.org. Click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  DISCLOSURE ANNOUNCEMENT  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. None of Ridgeview's CME planning committee members have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.  All of the relevant financial relationships for the individuals listed above have been mitigated. Thank-you for listening to the podcast. SHOW NOTES:   *See the attachment for additional information.  PODCAST OVERVIEW- Geriatric care delivery and quality has not evolved significiantly. - Pockets of excellence exist in academic centers. - Social support systems is integral, but lacking in many parts of the country. - Fee for service (FFS) system is not a sustainable model per Dr. Schneeman for complex senior patients. - Training and exposure to the 'business platforms' in medicine is lacking with providers - FFS = paying for a specific service, procedure, treatment, etc. Value Based Care (VBC)- Value based care = outcomes/cost         - Clinical outcomes         - Experience outcomes of patient/family and caregiving team - How is VBC measured?         - Medical loss ratio (cost containment) - How does VBC work?         - Organization contracts with payor         - VBC organization takes on risk         - Money savings opportunity - Half of seniors in USA are already in a VBC model         - Medicare (CMS)         - ACO (group of doctors, health care organization, etc.)         - Medicare advantage (CMS product that insurance companies contract with federal government) - Cost Product (Medicare advantage product)         - Introduced in MN with assumption that this state will do such a good job with cost containment, but this wasn't how it worked out.         - For-profits don't participate in Medicare advantage products which keep the non-profits more accountable, although there are also disadvantages with for-profit programs. - How does the care delivery work in VBC organizations (Nick's viewpoint)?         - Step 1: Journey from simple problems into complexity         - Step 2: What is the current reality and quality of life?  (When people hear you restating their story, trust goes up immensily.)         - Step 3: What are you hoping for? (patient, family, etc.)         - Step 4: Acute care planning         - Step 5: Chronic care planning         - Outcomes:  POLST (physician orders for life-sustaining treatment) form that is comprehensive;            Chronic care plans that are clear and purposeful and match goals of care - Well done POLST forms require intential discussion with patient and advocates who have decision making capacity and understanding of the patient's reality and values Palliative Care- How it's integrated and its controversy - All practitioners should be able to make palliative decisions with and for their patients who they know intimately - Palliative care as a specialty exists largely due to a FFS model - Often this is a clinican the patient has never met before and is a one time consult - Private equity had created palliative care 'cold call' business models in recent years Value Based Care (VBC) - continued- How does a practitioner go about doing this? - Make sure the organization you join actually values the primacy of primary care - Clinicians need TIME with their complex patients and to be paid for this time - FFS can work well for simple problems - Who does this well? Small pockets, mostly senior care (i.e. clinic-based, homebased healthcare etc.) - Nurse, APP, physician - are assigned to each patient and continue to follow their care, avoid overprescribing, inappropriate abx - Private equity and Big insurance is getting into the game, but their approaches tend to be siloed and perhaps less humanistic - Recruiting quality providers to this care delivery model is imperative - Improved patient outcomes and costs exisst (i.e. geriatric assessment before cancer care) - Value Based Care really has to be an "all in" experience for a clinic or organization for it to work Training- Training typically happens in house, as opposed to a training program or course - Subspecialists will still be very much part of the care team, although decision making about proceeding with advanced therapies will be oriented around the VBC  medical home team - Pharmacy is a valuable team member as well, especially if part of the "goals of care" as opposed to merely looking up medications - Challenge: SNFs and long term care facilities often have significant staff turnover, care quality issues, and these can lead to unnecessary care, ED visits and hospitalizations Evidence Based Moment (EBM)  ResourcesMagill MK. Time to Do the Right Thing: End Fee-for-Service for Primary Care. Ann Fam Med. 2016 Sep;14(5):400-1. doi: 10.1370/afm.1977. PMID: 27621155; PMCID: PMC5394371. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394371/pdf/0140400.pdf Basu S, Phillips RS, Song Z, Landon BE, Bitton A. Effects of New Funding Models for Patient-Centered Medical Homes on Primary Care Practice Finances and Services: Results of a Microsimulation Model. Ann Fam Med. 2016 Sep;14(5):404-14. doi: 10.1370/afm.1960. PMID: 27621156; PMCID: PMC5394379. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.annfammed.org/content/annalsfm/14/5/404.full.pdf Thanks to Dr. Nick Schneeman for his expert knowledge and contribution to this podcast.

In this last ever episode of the Race to Value podcast, we are leaving you with inspiration for a more optimistic future in the value transformation of our country.  Sadly, this will be our last show, but we are ending it on such an incredible high point!  This week's interview brings a message of hope, compassion, and human connection balanced with the business success of value-based care within a national leading health system.= Albert Einstein once said that “Only a life lived for others is a life worthwhile” and no one better captures that spirit of servant leadership than our guest this week. Philip Eaves is the President and CEO of Ascension Seton ACO | Ascension Seton Health Alliance and the Vice President of Population Health at Ascension Texas, and he is a leader in the value movement that you should know about. In this interview we focus on change management, leadership, and the human side of healthcare economics. Overseeing the value-based care strategy and operations for one of the largest clinically integrated networks in Texas, Philip is leading the ACO to outstanding success…and transforming the lives of people along the way. Bookmarks: 01:30    The human side of healthcare economics – compassion is the currency; empathy is the language. 02:00    Introduction to Philip Eaves, President and CEO, Ascension Seton ACO and VP of Population Health, Ascension Texas 02:30    Ascension Seton ACO is the largest clinically integrated network in Texas with 3,600 providers with 300K value-based lives. 04:45    “Only a life lived for others is a life worthwhile” -- Albert Einstein 05:30    Philip shares how a humble, faith-based upbringing fueled his ambition, work ethic, and compassion as a healthcare leader. 07:30    “Healthcare is about serving others.” 08:30    Occupational medicine as a stepping stone to value-based care. 09:45    Team-based care that enables providers so they can build meaningful patient relationships. 11:00    $24M in MSSP Shared Savings for 23,000 Medicare beneficiaries to achieve a top 7% performance ranking of all ACOs in the country (#32 out of #482). 12:45    Valuable partnerships with independent practices (e.g. Austin Regional Clinic, Capital Medical Clinic). 13:00    “Physician engagement is the overall key to ACO success.” 14:00    The impact of Annual Wellness Visits (AWVs) in practice transformation. 15:00    HCC recapture for documentation accuracy as an area of educational focus. 15:45    Centralized versus Embedded Care Management. 16:30    Analytical insights to drive high risk CM interventions. 17:15    Quality campaigns to close care gaps and improve population health outcomes. 18:00    Refining a Post-Acute Care network for optimal transitional care. 18:30    An after hours program as an effective ED diversion strategy. 20:00    Change management to improve team culture and reinvent the business model for VBC. 22:00    Phillip shares his experience leading an inflection point for the ACO business. 23:30    Applying the principles of the Kübler Ross Change Curve in organizational change. 24:30    Inspiration from John Kotter (“Leading Change”) – Leadership versus Management. 25:00    Recognizing the need for change in shifting a new strategic direction. 26:00    Communicating the vision and creating short-term wins. 26:45    New initiatives: a new ACO for early adopters, Medicare Advantage risk, and Direct-to-Employer partnerships. 28:00    Financial toxicity as a driver of Direct Contracting between employers and providers in value-based care. 30:00    Employer frustration with rising medical spend and the lack of solutions from their brokers. 30:45    Designing an ACO value proposition based on employer pain points. 31:00    Leveraging network adequacy and CIN care infrastructure for commercially insured populations. 32:45    PBM transparency to reduce extreme spending on pharmacy drugs. 34:00    Forging a new partnership with Signify/CVS to suppor...

The transformation of healthcare is a seemingly insurmountable challenge, yet overcoming any obstacle in the journey begins with the belief that it is possible to win!  It's not about the magnitude of the task; it is about the collective will to prioritize the wellbeing of every person we serve in our population.  Perhaps when approached with the audacity to imagine a healthier and more equitable future for all, we'll actually get there.  And that is just what the Physicians of Southwest Washington (PSW) is realizing as they navigate a successful transition from volume to value. Our guest on the Race to Value this week is Melanie Matthews, the dynamic, creative, and innovative CEO of PSW. She leads a population health company that has been around for three decades. Melanie is not only leading their ACO and managing their progression in the adoption of full-risk Medicare Advantage delegation; she has become a nationally recognized voice for value-based health policy.  In listening to this interview, you will hear from a leader that has a real personal capacity for leadership and a clear focus on excellence. If you want to hear from someone that is at the absolute forefront of risk-based contracting and innovation, who understands the issues at a granular level, this episode with Melanie is a must-listen! Episode Bookmarks: 01:30 Introduction to Melanie Matthews and the Physicians of Southwest Washington (PSW) 04:30 PSW has evolved over the last three decades from an IPA to a diverse business that includes a national leading ACO and risk-bearing entity for MA. 06:00 "PSW is a story of independent physicians who, in a time of market consolidation, want to remain independent and focus on the patient relationship." 06:45 Achieving success in delegated risk and taking accountability for both quality and total cost of care. 07:00 The impact of MACRA on the long-term value-based care strategy of PSW. 08:30 Building an infrastructure and developing capabilities to move a value-based agenda. 09:00 Developing a business model for agility in responding to new rules ("a kayak in a sea of cruise ships") and engaging all types of physicians in the landscape. 09:30 "The value-based movement is important as the fee-for-service chassis is not realistic, has poor quality and outcomes, and rising costs." 10:00 Taking risk with physician partners and providing them with MSO services, leveraging a technical infrastructure and population health platform. 10:45 The glacial pace of scaling payment model transformation at CMS and CMMI's bold goal for 2030. 12:00 The increasing shift to home-based care delivery and the use of generative AI in reshaping care delivery. 13:00 How the flawed economic design of the fee-for-service system creates industry inertia. 14:00 Diverting to the known (i.e. fee-for-service care delivery) in times of stress is an unsustainable path forward. 15:00 Convincing the Board room on the tenets of VBC when it hasn't historically delivered on its promises. 16:00 Trends in consumer cost-shifting and the challenges of private insurers cross-subsidizing provider losses from public payers. 16:30 Unsustainable economics in employer-based healthcare and the looming insolvency of Medicare. 17:00 What does the CMMI 2030 Goal mean for future of the value movement? 18:30 An overview of the extensive services offered by PSW that empowers success in VBC. 19:30 The explosive growth of strategic transactions of physician groups and how mass consolidation is impacting the landscape. 21:00 Aligned incentives and access to a population health platform as keys to VBC success. 22:00 PE investment impacts on competition in an independent physician ecosystem. 23:00 Generational differences in the approach to the business of practicing medicine. 23:30 "Organizations that are convened with independent physicians are able to show better costs of care." (vs. employed or vertically integrated systems)

If you've completed a VB-MAPP at some point in your career, you're familiar with the EESA component of the assessment protocol. In today's podcast, I had the chance to talk with Dr. Barbara Esch, who created the Early Echoic Skills Assessment, which has evolved into the stand-alone product called the Early Echoic Skills Assessment and Program Planner.  In this conversation, we talk about how Barb got into Behavior Analysis, she shared some humorous stories from being mentored by Drs. Jack Michael and Jim Carr, why she created the original EESA, who the EESAPP is for and who it's not for, and some fantastic advice for newly-minted BCBAs. In addition to these topics, we spent a decent amount of time talking about some speech therapy concepts that were definitely new to me, especially the idea of co-articulation. We also talked about the order in which one should target specific skills. To me, this highlights the importance of collaboration, especially if you don't have a strong background in typical speech development.  As a side note, I inadvertently used the acronyms, EESA and EESAPP, interchangeably throughout the conversation, and apologize if this confused anyone.  Barb is giving not one, but two talks at this year's Verbal Behavior Conference. Are you coming? I sure hope so. If you can't make it to Austin on February 29th and March 1st, please consider joining us virtually through the magic of BehaviorLive.com. There's also an amazing conference workshop being taught by the incomparable Dr. Lina Slim on the 28th.  There will be many other amazing speakers and talks at the VBC, so whether you join in person or virtually, I hope to see you there! Here are some helpful resources from our conversation: barbaraesch.com. Where to buy the EESAPP. The VBC event schedule. Barb's other podcast appearances, research publications, and more. Other events where Barb is speaking. This show is brought to you by: Behavior University. Their mission is to provide university quality professional development for the busy Behavior Analyst. Learn about their CEU offerings, including their brand new 8-hour Supervision Course, as well as their RBT offerings over at behavioruniversity.com/observations. HRIC Recruiting. Barb Voss has been placing BCBAs in permanent positions throughout the US for just about a decade, and has been in the business more generally for 30 years. When you work with HRIC, you work directly with Barb, thereby accessing highly personalized service. So if you're about to graduate, you're looking for a change of pace, or you just want to know if the grass really is greener on the other side, head over to HRIColorado.com to schedule a confidential chat right away. ACE Approved CEUs from .... Behavioral Observations. That's right, get your CEUs while driving, walking your dog, doing the dishes, or whatever else you might have going on, all while learning from your favorite podcast guests!

We're excited to chat with Jacob Effron, a Partner at Redpoint Ventures.  Before joining Redpoint in San Francisco, Jacob served as a product manager at Flatiron Health.  In addition to being an investor, Jacob hosts two podcasts, Unsupervised Learning and Vital Signs. Jacob sheds light on the impact of artificial intelligence in healthcare, the influence of large language models (LLMs) on drug discovery, the current importance of value-based care, and the future prospects of AGI!Episode Chapters:Economic Development in East Africa - 1:26Breaking down the Product Manager Role - 2:54Redpoint's Strategy - 4:42Healthcare AI Themes - 7:32AI Meets Drug Discovery - 10:20The Impact of AI on Clinical Trials - 14:35Value-Based-Care versus Fee-For-Service - 17:40Technology Paired with VBC - 21:00Artificial General Intelligence (AGI) - 24:24Evaluating a Founder - 27:30Ending Questions - 28:54As always, feel free to contact us at partnerpathpodcast@gmail.com. We would love to hear ideas for content, guests, and overall feedback.

With post-acute care, providers face various challenges, ranging from reimbursement struggles to meeting the evolving demands of an aging population. Hal Katz, a partner with Husch Blackwell, lends his expertise to shed light on how post-acute providers can navigate these challenges and advance into value-based care. Gain insights on transforming post-acute care models, establishing integrated networks and how providers can flourish in the VBC ecosystem. --- Send in a voice message: https://podcasters.spotify.com/pod/show/lumina-health-partners/message

With post-acute care, providers face various challenges, ranging from reimbursement struggles to meeting the evolving demands of an aging population. On this episode host Daniel J. Marino is joined by Hal Katz, a partner with Husch Blackwell, who lends his expertise to shed light on how post-acute providers can navigate these challenges and advance into value-based care. Gain insights on transforming post-acute care models, establishing integrated networks and how providers can flourish in the VBC ecosystem. 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 broken healthcare system. Too often, individuals today experience care that is fragmented, duplicative, wasteful, and confusing.  Through value-based care, we can improve the health care experience by coordinating care, creating care teams that communicate with one another, and supporting individuals in their care journey with services that address their medical and non-medical needs. Accountable for Health is a nonpartisan national advocacy and policy analysis organization accelerating the adoption of effective accountable care. Their members are advocating for value-based care on Capitol Hill so policymakers can understand how best to move American healthcare towards a model that achieves better outcomes, improved care experiences, increased access, and lower costs. Joining us on the podcast this week is Mara McDermott, the Chief Executive Officer for Accountable for Health.  She is an accomplished healthcare executive with deep expertise in federal healthcare law and policy, including delivery system reform, physician payment and payment models. Take this opportunity to learn from a leading expert on accountable care as she translates the truth in building a bridge towards a more broad-based understanding of health value.  And make sure to tune in to Mara's special announcement about Health Care Value Week at the end of the interview so you don't miss out on important educational events occurring January 29th thru February 2nd. Episode Bookmarks: 01:30  The need for accountable care policies that create better health outcomes and patient experiences. 02:00  Introduction to Accountable for Health (A4H) and its Founder/CEO Mara McDermott, JD, MPH 03:00  Interview topics discussed (e.g. the meaning of VBC, MSSP vs. MA, MACRA 2.0, advanced APMs, integrated specialty care, Medicaid transformation, and the upcoming Health Care Value Week event). 06:00  How A4H is translating thought leadership to action in the advocacy arena. 06:30  Accountable care as the solution to fragmented, uncoordinated care. 07:00  Political turnover in D.C. has made VBC a "new" health policy solution. 07:30  Educating the Hill comes down to conveying enthusiasm for health care transformation. 08:00  Accountable for Health Members are shaping the national conversation for payment and delivery system reform. 09:00  The health policy controversy of the Global and Professional Direct Contracting model (the precursor to ACO REACH). 11:30  If Direct Contracting was the natural evolution of a series of advanced ACO options, why was there such strong criticism? 12:00  The need to overcome misunderstandings about what ACOs are trying to achieve. 13:00  Providing education to dispel the myth that ACOs can actually limit services. 14:00  How uninformed policy decisions could potentially create a catastrophic blow to the value movement. 14:45  "Accountable care is integral to care delivery system reform." 15:45  Confusion with the term "value-based care" and why it will fail unless people understand the truest aims of the movement. 17:00  The need for effective storytelling to advance care delivery transformation. 18:00  Prioritizing care experience over cost reforms (delivery innovation will address costs!) 20:00  The topline takeaways from CMS model evaluations and whether or not programs should be expanded. 21:00  What do most people think when they hear the word "value"? (the need to reframe the conversation with more precise language) 22:00  The MSSP and the Medicare Advantage programs as two distinct approaches to healthcare delivery and reimbursement. 24:00  Mara provides a brief comparison between MSSP and MA (e.g. beneficiary assignment, risk adjustment, benchmarking). 25:30  How strong relationships between MA plans and provider networks (underpinned by capitation) drive value. 26:30  Understanding provider compensation in MA value-based payment and the synergies between managing MSSP and MA populations.

Session 252 is the recording from the 2023 Verbal Behavior Conference Panel discussion. The participants were Troy Fry, Drs. Lina Slim, Sam Bergmann, Sarah Frampton, Einar Ingvarsson, Pat McGreevy, and Andresa de Sousa; and the voice at the beginning and end of the panel is Kelle Rich, who founded and currently leads these great conferences. In this Q and A segment, the panel addressed the following topics: Considerations moving from vocal-verbal speech to AAC. Focusing one's clinical resources given limited therapy times.  The high abandonment rate of AAC devices. The role of clinical judgement. Adapting clinical strategies to varying cultural contexts. The nuances associated with encouraging caregivers to adopt research-based treatments. The role of singing versus speaking... that was a fascinating part of the panel that comes towards the end. As you'll hear in this podcast, when you attend the Verbal Behavior Conference, you'll have numerous opportunities to ask the speakers questions. And not just in the panel itself. If you're there in person in Austin, Texas, you'll very likely have the opportunity to have direct interactions with the speakers between talks, while grabbing coffee, and so on.  What strikes me as unique about these events is that they are purposely small and intimate so that one can have these types of experiences.  What's in store for the 2024 VBC? First, the conference itself takes place on February 29th and March 1st, and it's preceded by a full day workshop from the incomparable Dr. Lina Slim on February 28th.  This year's conference speakers include Drs. Barbara Esch, Eb Blakely, Mirela Cengher, fan-favorite Patrick McGreevy, Alice Shillingsburg, and Hank Schlinger, whom we heard from a few episodes ago.  If you can't make it in person, don't worry. BehaviorLive has you covered. Nobody does virtual events like BehaviorLive, and they will broadcast the entire conference with best-in-class audio and video.  Papers, resources, etc... The event list for the 2024 VBC. How to register for the VBC. Valentino et al. (2018). Using a Prerequisite Skills Assessment to Identify Optimal Modalities for Mand Training.  Thompson et al. (2013). Enhancing Early Communication Through Infant Sign Training.  Sigafoos et al. (2000). Identifying Potential Communicative Acts in Children with Developmental and Physical Disabilities. Essential for Living. "Big Mac" buttons. Allen and Warzak (2013). The problem of parental nonadherence in clinical behavior analysis: Effective treatment is not enough.  Grow et al. (2017). An Evaluation of Instructive Feedback to Teach Play Behavior to a Child with Autism Spectrum Disorder.  Before we get to this episode, I want to let you know that we're brought to you today by the University of Cincinnati's Masters in ABA program. This program is 100% online and asynchronous, so that means you log on when it works for you. Want to learn more? Go to online.uc.edu and click the “request info” button. Also, if you want to earn BACB Approved Continuing Education Units while listening to your favorite Behavioral Observations episodes, go to behavioralobservations.com/get-ceus to see the shows that are available for continuing education. Whether its supervision, ethics, functional assessment, or other topics, there's something there for just about everyone. 

Drs. Whitney Ence and Elisabeth Sheridan joined me to talk about the diagnosis of Autism. You might be thinking that this sounds like an impossibly broad topic... and you're right. But in this show, we tried to narrow it down a bit to discuss the various routes in which people can acquire an Autism diagnosis, which of these routes represent best practice, the critical diagnostic features of Autism, severity levels in Autism (and the extent to which these terms are useful), the role of intense interests, specific assessment instruments and techniques, and the importance of working with interdisciplinary teams.  We also talk about how the diagnosis has changed over the years, including the retirement of terms such as Pervasive Developmental Disorder and Asperger's Syndrome. During this part of the conversation, we also discussed self-diagnosis of Autism, and how clinics sometimes triage screening for individuals seeking diagnoses.  Towards the end of the podcast, we did touch on a few terms and topics that are relatively new to the Autism discourse. Specifically, we discussed the term Neurodiversity, the social model of disability, "Severe Autism" as a separate diagnosis, and Pathological Demand Avoidance. It's important to note that his part of the podcast should not be construed as a deep exploration of these topics, as I really wanted to initially focus on what the current state of the science has to say about the diagnosis of Autism as a condition requiring medically-necessary treatment.  I also want to draw your attention to what could be considered a companion podcast about the diagnostic characteristics of Autism. I'm in the middle of listening to a long episode from the Huberman Lab Podcast, in which Dr. Andrew Huberman interviews Dr. Karen Parker from Stanford University about the causes of, and treatments for Autism. This is from a more neuro-biological perspective, and thus far, quite interesting.  Here are links to the topics we discussed: Does TikTok Provide Accurate Information about Autism? Dr. Whitney Ence's About Page. Dr. Elisabeth Sheridan's About Page. CEU's from The Behavioral Observations Podcast (thanks for the impromptu review Whitney!). Diagnostic Criteria for 299.00 Autism Spectrum Disorder. Autism and Developmental Disabilities Monitoring (ADDM) Network. Therapeutic Assessment Institute.  If you'd like to support the show or its sponsors, check out the following: To receive Behavioral Observations episodes ad and commentary-free, that is, just the interviews themselves, consider supporting the show with a Patreon subscription. Consider Behavioral Observations as a source for your continuing education. I have almost 50 events that span a variety of topics, all from your favorite podcast guests. So if you want catch up on your professional development while walking the dog, commuting to work, making dinner, or whatever else you do while listening to podcasts, go to behavioralobservations.com/get-ceus to learn more. The Verbal Behavior Conference is right around the corner. If you haven't heard me talk about it before, the VBC is a 2 day event that is available both virtually and in-person in Austin, Texas. It's happening on February 29th and 30th, and will feature speakers like Drs. Pat McGreevy, Alice Shillingsburg, Barbara Esch, and more. There's even a full-day pre conference workshop by Dr. Lina Slim. This is a really fun event that provides many opportunities for individual interactions with the speakers, and there's even a panel discussion moderated by yours truly. To learn more, go to behaviorlive.com/vbc, or simply hit the shownotes for this episode to learn more. The University of Cincinnati Online. UC Online designed a Master of Education in Behavior Analysis program that is 100% online and asynchronous, meaning you log on when it works for you. Want to learn more? Go to online.uc.edu and click the “request info” button.

As healthcare organizations look for ways to weather financial hardships, many leaders are looking at strategic partnerships to sustain their business. The word "partnership" gets thrown around a lot in healthcare and can mean a lot of different things. But what defines a good partnership, and how do you know if one is right for your organization? In this episode, Host Rachel (Rae) Woods invites John Muir Chief Strategy Officer George Sauter and President of Optum's Market Performance Partnership Chris Pass to discuss why they decided to partner back in 2019, what they've gained, where they had to compromise, and how they define success. Have a healthcare question? Want to learn more about what goes on behind-the-scenes at Radio Advisory? Submit your question and we may use it in our final episode of 2024! Email podcasts@advisory.com or leave us a voice message by Thanksgiving for consideration. Thanks! Links: Deep dive: 5 partnership models in commercial risk 4 signs your VBC arrangement isn't a true partnership [Webinar] Playbook for Partnership (Part 2): Five Principles For Effective Relationships Our Leadership playlist Our Strategy playlist Join Advisory Board for a webinar on November 13 at 1pm EST to learn about recent trends and growing capabilities in remote patient monitoring. Click here to learn more. A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.