Episode 108 Host Dan Marino sits down with Cliff Frank, a national expert on payer contracting, to delve into the complexities and hurdles healthcare providers face with Medicare Advantage plans, and explore how their responses impact both staff and patients. Gain insight into how geography and legislation influence the short- and long-term implementation of Medicare Advantage, and discover strategies for healthcare providers to safeguard patients from confusing plans and hidden costs.

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Value-Based Care Insights

VBC Insights: Cliff Frank: Geographical Factors in Medicare Advantage Adoption Strategy

Episode 110 Host Daniel J. Marino sits down with Annette Kenney, a former healthcare Chief Strategy Officer and strategic planning consultant. Annette unlocks how healthcare organizations can develop a strategic planning process that includes input from all stakeholders, including the communities they serve. Uncover insights into how to transform a strategic plan into an actionable workplan that prioritizes activities and drives real success.

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VBC Insights: Annette Kenney - Unlocking the Secrets to Effective Strategic Planning

Episode 111 Certain specialties, such as primary care, are generally better positioned to shift to value-based care.  Specialists, particularly cardiologists, encounter challenges when transitioning from fee-for-service to fee-for-value. To succeed in this shift, they must rethink their approach to patient care. On this episode Dan sits down with Dr. Sameer Sheth, a board-certified cardiologist who helps specialists transition to value-based care by focusing on a patient-centric approach to medicine. Gain insight into the healthcare provider ecosystem and how data and tools, patient engagement, and communication support the shift from volume-based to value-based care.

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VBC Insights: Dr. Sameer Sheth - Specialty Clinics: Integral to the Value-Based Care Ecosystem

Episode 112 Dr. Lisa Stockdale - Innovating Care Management through operational excellence delivering value. Care management is crucial for adding value to value-based care, but gaining stakeholder buy-in on its significance can be challenging. While the return on investment for care management strategies is undeniable, the delayed realization of these returns can be daunting for financial leaders. On this episode Dan sits down with Lisa Stockdale, the Director of Value-Based Care at Silver Cross Health Systems, to look at challenges, as well as the benefits, in implementing successful care management programs. Gain insights into the importance of leadership buy-in, technology, and reinvestment in effective and cost-saving care management programs. 

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VBC Insights: Dr. Lisa - Innovating Care Management through Operational Excellence Delivering Value

Episode 113 Dr. Alex Hannenberg and Dr. Arthur Boudreaux - Addressing Perioperative Inefficiencies Through Alignment and Standardization Host Dan Marino explores how to identify and capture opportunities to streamline care and is joined by Alex Hannenberg, former President of the American Society of Anesthesiologists and Adjunct Clinical Professor of Anesthesiology at Tufts School of Medicine, and Art Boudreaux, Professor of Anesthesiology and Perioperative Medicine at the University of Alabama, Birmingham. Gain insights into the importance of aligning and standardizing perioperative processes, and how leveraging data can help reduce inefficiencies, reduce costs, and improve patient outcomes. 

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VBC Insights: Dr. Alex Hannenberg and Dr. Arthur Boudreaux

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

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.

New tracks tagged #VBCInsights