Value-based care isn’t the “future of health care delivery,” it has already arrived. But value-based care is only the starting point of this conversation. We must also examine how we can bring more value to health care by increasing efficiencies, reimagining how financial performance is measured, and so on. Of course, realizing this level of transformation isn’t easy.

That’s why we created the Value-Based Care Insights Radio Show – to empower health care organization leaders like you with the actionable guidance and strategic knowledge you need to optimize performance, as well as meet the demands of this increasingly complex health care environment. Each week, host Daniel Marino of Lumina Health Partners is joined by industry health care experts to discuss what it takes to shape a better tomorrow for health care delivery.

To learn more visit the show page: https://www.healthcarenowradio.com/programs/value-based-care-insights/

Value-Based Care Insights

Ep 114 Cindy Mahal - Perioperative Success Starts with Giving Nurses a Voice at the Table

Success in the operating room is critical to the financial health of many healthcare organizations, with perioperative services contributing up to 75% of primary revenue streams. Effective perioperative care relies on skilled nurses who balance patient care while collaborating with other teams. On this episode Dan sits down with Cindy Mahal, Chief Administrative Officer of Providence Saint Joseph Medical Center, to explore the challenges nurses face in achieving alignment and how to overcome them. They'll uncover insights into key strategies administrators can implement to empower nurses, giving them a voice and enabling them to not only align but also lead.

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VBC Insights: Cindy Mahal - Perioperative Success Starts with Giving Nurses a Voice at the Table

Episode 115 Will Faber - Evolving Clinically Integrated Networks to Prepare for Value-Based Care in 2025

This year, 2024, presented significant challenges for clinically integrated networks delivering value-based care, with the disruption from Medicare Advantage reaching widespread levels. As we look toward 2025, it is crucial for CINs to reflect and gear up for success in the coming year by focusing on risk-based contracting, engaging specialists, and investing in care management. On this episode Dan sits down with Dr. Will Faber, to tackle several challenges, including the lack of structure among commercial payers to effectively handle value-based contracts and obstacles in negotiating such contracts with specialty providers. Gain insights into strategies and data utilization that will position your provider organization for success in 2025.

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VBC Insights: Will Faber - Evolving Clinically Integrated Networks to Prepare for VBC in 2025

Ep 116 Vanessa Guzman & Seth Hyman- Advancing Care Management: Applying the GUIDE Model in Dementia Care

Care management is critical, especially for individuals with chronic conditions like dementia, because it ensures coordinated, comprehensive, and individualized care. Currently, more than 6.7 million Americans are living with dementia and Alzheimer’s disease, and this number is projected to continue rising. While the impact of the disease on individuals is widely recognized, the personal and financial burden it places on caregivers is less often highlighted. On this episode Dan sits down with JBS Health’s CEO Vanessa Guzman and Co-founder Seth Hyman to discuss the GUIDE Model, a CMS supplement for caregivers of patients with dementia and Alzheimer’s disease. Gain insights into the valuable services within the GUIDE model that can support and benefit individuals living with dementia and their unpaid caregivers.

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VBC Insights: Vanessa Guzman & Seth Hyman: CMS Guide Program - Caregiver Training Services (CTS)

Ep 117 - Sarah Kachur- ACOs Saved Billions in 2023: Can They Sustain This Beyond 2025?

Accountable Care Organizations (ACOs) have made great strides in enhancing patient care and reducing costs, saving $3.1 billion in 2023. The recently released report based on ACO performance in 2023 (PY2023) provides valuable insights into where ACOs are excelling. On this episode Dan sits down with Sarah Kachur PharmD, MBA, BCACP, Executive Director of Strategy and Solutions at Johns Hopkins Population Health Analytics, to discuss the key findings of the report and what they reveal about the future of ACOs. Gain insights into the priorities of the most successful ACOs (in PY 2023) and their predictions for changes and challenges in 2025 and beyond.

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VBC Insights: Sarah Kachur - ACOs Saved Billions in 2023: Can They Sustain This Beyond 2025?

Ep 118 - 2024 Healthcare Highlights: Advancing Care Delivery and Outcomes

Based on your feedback, their listeners, they've selected the top three episodes for 2024. They dive into the key challenges and opportunities defining healthcare trends this past year through three captivating Value-Based Care Insights episodes. In Episode 102, Sarah Hartley discusses the unique demands of managing Medicare Advantage contracts, offering creative strategies to align providers and patients. Episode 98 features Dr. Riya Pulicharam and Kevin Zhao exploring how integrating clinical data and fostering cultural change within care management transforms patient outcomes. In Episode 106, Tim Hanners and Dr. Dave Lebec tackle the anesthesia provider shortage and delve into tactics to boost financial performance, optimize staffing models, and improve payer reimbursement.

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VBC Insights: 2024 Healthcare Highlights: Advancing Care Delivery and Outcomes

Episode 119 - 2025 Trends with Lucy Zielinski and Dan MArino

Healthcare providers will continue to move toward value-based care, fostering a more equitable healthcare system that enhances accessibility, quality, affordability, and innovation. On this episode Dan sits down with Lumina’s Managing Partner, Lucy Zielinski, to explore the healthcare trends of 2025, the effects of new regulatory changes, and the pressures these developments place on providers. Tune in to learn about the top five trends that health systems should include in their strategic planning.

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VBC Insights: 2025 Trends

Ep 120 - Sarah Hartley & Lucy Zielinski

Host Dan Marino sits down with Managing Partner, Lucy Zielinski, as well as Sarah Hartley, to explore the implications of the PFS Final on physicians and other billing professionals. Together, they discuss the key changes and opportunities for physician services furnished in a variety of settings including physician offices, hospitals, ambulatory surgery centers (ASCs), and others. Tune in to stay informed and gain valuable perspectives on navigating these critical regulatory updates.

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VBC Insights: Lucy Zielinski and Sarah Hartley

Ep 121 - Lynn Carroll- How to align primary care with behavioral health and the new CMS plan

Host Dan Marino sits down with Lynn Carroll, COO and Head of Strategy at HSBlox, to explore how specialists can successfully engage in value-based care models. Tune in to explore current value-based programs that incorporate specialty providers, key challenges encountered, and the critical infrastructure required for success in this evolving healthcare landscape.

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VBC Insights: Lynn Carroll,  COO and Head of Strategy at HSBlox

Ep 122- Leila Obeid- The Rise of Concierge Medicine: Why Physicians are Making the Shift

The healthcare industry is grappling with a growing shortage of providers in every specialty, with primary care being hit the hardest. On this episode Dan is joined by primary care physician, Dr. Leila Obeid, to discuss how physician shortages and rising patient demands are forcing many primary care physicians to seek better work-life balance through alternative practice models. One solution? Concierge medicine. Tune in as they discuss how this model helps physicians regain control, improve patient care, and create a sustainable future in healthcare. 

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VBC Insights: Leila Obeid - The Rise of Concierge Medicine: Why Physicians are Making the Shift

Ep 123- Meghan and Jenny: Healthcare Associations: Empowering Leaders with Market Insights

National healthcare organizations like the Healthcare Financial Management Association (HFMA), American Hospital Association (AHA), and Medical Group Management Association (MGMA) offer valuable industry-wide insights and legislative guidance. However, state associations provide a more tailored, in-depth understanding of the specific challenges healthcare providers face in their local markets.  On this episode Dan sits down with fellow Illinois MGMA board members, Meghan Heiy and Jenny Kovich, and explores the growing importance of state healthcare associations in effectively navigating today’s rapidly evolving healthcare landscape. 

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VBC Insights: Meghan and Jenny: Healthcare Associations: Empowering Leaders with Market Insights

Ep 124- HIMSS25: Innovations in Perioperative Care and AI

On this special episode host Dan Marino recorded live at HIMSS with two guests. Stephen Overman, CEO & Founder of Standpoint Solutions, discusses their groundbreaking technology aimed at improving communication within perioperative services. And Dr. Alan Young, Client Executive at Point B Solutions, dives into the transformative role of artificial intelligence in patient care. The future of AI-driven healthcare is explored, including the rise of intelligent agents and their potential to influence clinical decision-making. Tune in for an insightful discussion on the future of healthcare, technology, and how innovation is reshaping patient care.
https://www.standpointsoftware.com/
https://pointbsolutions.com/

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VBC Insights: Live at HIMSS25 with Stephen Overman and Dr. Alan Young

Ep 125- HIMSS Review Part 2

On this special episode Daniel Marino is joined by Fred Goldstein, President of Accountable Health and podcast host of PopHealth Week, to unpack key takeaways from HIMSS25. They share their experience at this year’s conference, focusing on artificial intelligence (AI), digital technology, and future trends. Already, AI is transforming care delivery and decision-making, while digital technology is revolutionizing patient engagement and operational efficiency. Join them for an insightful conversation on the evolving healthcare technology landscape and the trends shaping the future of care delivery, driving a more connected and efficient healthcare ecosystem.

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VBC Insights: HIMSS Review Part 2

Ep 126- Rick Howard - AI in Healthcare: Game Changer or Buzzword?

Artificial intelligence (AI) is making headlines everywhere—but how much of it is real, and how much is just hype? On this episode, Dan is joined by Rick Howard, Chief Information and Data Officer at Brand Engagement Network, to unpack the growing role of AI in healthcare. Together, they separate fact from fiction, explore the opportunities and challenges AI presents, and discuss how healthcare organizations can responsibly integrate AI to improve operations and patient care. Whether you're excited, confused, or cautious about AI, this conversation offers clarity and insight for navigating the rapidly evolving digital landscape. 

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VBC Insights: Rick Howard - AI in Healthcare: Game Changer or Buzzword?

Ep 127 - Dr. Jain- Improving Perioperative Services to Enhance Value-Based Care

Exploring one of the most significant drivers of total cost of care: surgical and perioperative services. With surgical services accounting for up to 70% of a hospital’s revenue, inefficiencies in the OR can have a profound impact on both financial and clinical outcomes. On this episode Dan sits down with Dr. Amit Jain, Associate Professor of Orthopedic Surgery and Neurosurgery and Chief of Minimally Invasive Spine Surgery at Johns Hopkins. Dr. Jain also serves as Director of Value-Based Care for Johns Hopkins Health System. Together, they unpack how organizations can reduce costs while improving performance outcomes such as length of stay and readmission rates—ultimately advancing their value-based care strategy. Tune in for expert insights on aligning surgical services with cost-effective, high-quality care delivery. 

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VBC Insights: Dr. Jain - Improving Perioperative Services to Enhance Value-Based Care

Ep 128- Tanya Allee- Campbell- workforce challenges. Compensation plan/model

Host Dan Marino explores one of the most pressing issues in healthcare today—workforce engagement and retention. Since the COVID-19 pandemic, healthcare organizations have faced unprecedented levels of burnout, turnover, and staffing shortages. Dan is joined by Tanya Allee, Vice President of Patient Experience at Campbell County Health, a rural health system that is making meaningful strides in workforce development. Tanya shares practical strategies and initiatives to boost staff satisfaction, improve retention, and create a healthy culture of support and engagement. Tune in for valuable insights on how health systems can navigate workforce challenges and create a healthy organizational culture resulting in better patient care.

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VBC Insights: Tanya Allee on Workforce Challenges

Ep 129-  Advancing Post-Hospital Recovery Through Value-Based Models

As hospitals and health systems continue to evolve in value-based care, optimizing the post-acute recovery process has become a top priority. On this episode Dan is joined by Diane Shifley, Assistant Vice President of Population Health and Post-Acute Services at a major Chicago health system to discuss how robust transitions-in-care programs can drive better patient outcomes. She shares insights on the critical role of early patient evaluation—whether at hospital admission or pre-surgery—in shaping effective transitions. They explore how transitional care models that include post-acute facilities and home care can reduce readmission rates, improve patient satisfaction, and control post-acute costs. This episode offers actionable strategies to strengthen your transitions-in-care to support patients through successful recovery.

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VBC Insights: Advancing Post Hospital Recovery Through Value Based Models

Ep 130- Value-Based Shift: Inside the CMS TEAM Transformation 

On this episode Dan explores the newly introduced  the CMS Transforming Episode Accountability Model (TEAM)—a mandatory five-year, episode-based pricing model, informed by earlier initiatives from the CMS Innovation Center. Designed to cover high-volume, high-cost surgical procedures, TEAM represents a significant shift in how hospitals and providers approach bundled payments.  

Join Dan and special guest Lucy Zielinski, an expert in value-based programs and HCC coding, as they unpack what the TEAM model entails and what participating hospitals must do to prepare for the January 1, 2026 implementation. Gain insights how this model influences financial performance, drives care coordination redesign, and introduces new incentives and penalties. Whether you are a healthcare leader, provider, or payer, don’t miss this overview of one of CMS’s initiatives shaping the future of value-based care. 

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VBC Insights: Value-Based Shift: Inside the CMS TEAM Transformation

On this episode Dan explores the evolving role of artificial intelligence (AI) in population health. As AI continues to dominate industry conversations and drive vendor offerings,  healthcare leaders are faced with questions: What is real, what is hype, and where does the value lie? 

Dr. David Nash, Founding Dean Emeritus of  Jefferson College of Population Health and a nationally recognized thought leader in value-based care and population health, joins the conversation. Additionally, Rick Howard, a seasoned Chief Data Officer and AI Strategist contributes to the conversation with his deep expertise in driving  data-driven innovation across healthcare organizations. Together, they break down common misconceptions, highlight the most promising AI applications in care delivery, and offer practical insights into how health systems, providers, and payers can responsibly integrate AI to drive meaningful outcomes and return on investment (ROI). 

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VBC Insights: AI in Population Health: Value vs Hype

Host Dan Marino continues the conversation on CMS’s mandatory TEAM Model (Transforming Episode Accountability Model) — a five-year episode-based pricing initiative impacting 741 hospitals across the country. Joining the discussion is Dr. Christian Pean, a board-certified orthopedic trauma and reconstruction surgeon at Duke University School of Medicine, executive director of AI and Innovation for Duke Orthopedic Surgery, and co-founder/CEO of Revel AI Health. Together, they unpack the clinical and operational impacts of TEAM, with a focus on five key surgical procedures. Dr. Penn highlights how emerging technologies — including conversational AI platforms — are enhancing episode management and streamlining outreach, triage, and documentation to help providers improve care coordination and succeed under TEAM.

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VBC Insights: Dr. Pean, Ortho Surgeon, Director of AI and Innovation at Duke

Host Dan Marino explores the evolving role of operating room (OR) nurse leaders within the perioperative service line. As perioperative services become an increasingly important strategic and financial focus for hospitals and health systems, the demand is growing for leaders who can combine clinical expertise with business and operational acumen. Joining the conversation is Cheryl Barratt, a seasoned healthcare consultant with over 30 years of experience in surgical services operations, system integration, and performance improvement. Cheryl discusses how perioperative nurse leaders, while strong clinically, frequently lack the training needed to manage the broader responsibilities of these roles. She shares practical insights into how organizations can support their development with leadership, financial, and strategic competencies that enable them to lead more effectively and drive long-term performance. 

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VBC Insights: OR Nurse Leadership to Drive Perioperative Service Line Performance

RADIO FOR THE HEALTHCARE INDUSTRY
Healthcare NOW Radio and Podcast Network offers discussions on the latest developments and trends impacting the industry including: health tech, health IT, healthcare innovation, healthcare policy, healthcare data security, telehealth, interoperability, biotech, med tech, value-based care, pharma, healthcare compliance, and much more. Shows are hosted by industry thought leaders. Guests are a "who's who" across the healthcare spectrum.  The listening audience is predominantly physician and hospital-based, and the healthcare industry at large.

Value-Based Care Insights

Healthcare NOW Radio Podcast Network