Episode 96 With the recent push for healthcare reform, state governments started to issue crucial legislation to redesign the Medicaid program. On this episode they explore the new terms and conditions of New York’s 1115 demonstration waivers. With Vanessa Guzman, CEO of SmartRise Health, they share insights into the $6 billion initiative focusing on health equity, workforce investments and the general support of Medicaid programs. Discover how the New York program sets a precedent for other states, addresses DEI initiatives, and strategically allocates funds to improve the care delivery infrastructure and overall patient outcomes.

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Value-Based Care Insights

VBC Insights: Exploring New York's Commitment to Promoting Health Equity with Vanessa Guzman

Episode 97 Improving patient outcomes requires a close look at the latest innovations in healthcare. On this episode Dan is joined by Dr. Jason Spangler, CEO of the Innovation and Value Initiative, a non-profit organization focusing on advancing the science of determining the merit of various clinical innovations. Dr. Spangler sheds light on health technology assessments (HTAs), their history and how they help leaders decide which new technologies or devices provide interventional benefits to patients that includes clinical outcomes in addition to cost analysis. Listen to gain insights into how HTAs consider clinical outcomes, the incorporation of health equity, and how social determinants provide a broader understanding of the benefits that shape healthcare decisions.

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VBC Insights: Dr. Jason Spangler: Technology Trends and Patient Benefits

Episode 98 Effective care management is essential for achieving favorable population health outcomes. Yet, the current structure of care management focuses on reacting to health issues and does not adequately anticipate patients' needs.  As providers assume risk-based contracts, the abilities to shift to prospective care management allows care managers to more effectively meet the patient’s needs by integrating clinical data, lifestyle criteria and clinical pathways.   

On this episode Dan is joined by Dr. Riya Pulicharam and Kevin Zhao, as they delve into the limitations of the current care management process and discuss attributes essential to support enhanced patients outcomes while increasing care managers productivity. Gain valuable insights into how to optimize care pathways, leverage technology, and foster cultural change to ultimately achieve better outcomes. 

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VBC Insights: Designing Prospective Care Management Models for Optimal Patient Outcomes

Episode 99 Host Daniel Marino is joined by Dr. Matthew Burg, a clinical health psychologist at Yale, to explore how social determinants and behavioral medicine are addressing the clinical needs of patients. Gain insights into the challenges and opportunities involved in integrating behavioral health into patient care, in prioritizing quality outcomes over services, and in recognizing the importance of preventative measures to establish a more comprehensive patient-centric care delivery system.

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VBC Insights: Dr. Matthew Burg on Behavioral Health

Episode 100 Host Dan Marino is joined by Dr. Eric Velazquez, Professor of Medicine at Yale, alongside Doug McKinley, a clinical psychologist and leadership coach. Together, they explore the challenges and opportunities of strengthening the workplace culture in order to improve organizational effectiveness, financial performance, and overall patient care. Gain insights on the importance of vision alignment, a healthy culture, team collaboration, and the delicate balance between “steering the ship” and delegating responsibility.

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VBC Insights: Dr. Eric Velazquez & Doug McKinley: A Physician Leader’s Journey

Episode 101 Forty-five years after a Chicago hospital pioneered an integrated network strategy, the healthcare landscape has undergone a significant shift towards prioritizing preventative care. On this episode Jeffry Peters, an expert on medical group strategy, along with Michael Antoniades, President of the University of Chicago Medicine, explore the groundbreaking challenges and strategies that revolutionized healthcare delivery, and how they are still being tackled today. Gain insights on the evolving focus towards preventative care, the measures used to evaluate healthcare delivery, and the pivotal role of primary care in bolstering the entire healthcare ecosystem.

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VBC Insights: Jeff Peters: Building an Integrated Ambulatory Network

Episode 102 Medicare Advantage has been the subject of significant attention lately among provider organizations due to its distinctive demands that influence traditional practice operations norms. On this episode Dan is joined by Sarah Hartley, an expert in health information management, who discusses some of the hurdles with new Medicare Advantage contracts, along with the efforts needed to align providers and patients. Gain insights into the administrative challenges, diverse strategies for effective patient data management, and the essential cultural shift required to promote collaboration between provider organizations and payers.

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VBC Insights: Sarah Hartley: The Provider’s Playbook for Medicare Advantage Plans

Episode 103 As healthcare providers engage in payer contract negotiations, understanding their contractual reimbursement rates compared to their market has never been more crucial. On this episode Dan is joined by Damon Morse, an expert in rate analyses to discuss the challenges healthcare providers face with payer contract negotiations, and the strategies required to level discussions. Gain insights into how thorough analysis and strategic positioning can ensure fair reimbursement for provider organizations and support organizational growth.

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VBC Insights: Damon Morse: Leveraging Data to Guide Discussions on Provider-Payer Contracts

Episode 104 As Medicare Advantage enrollment rises and traditional Medicare enrollment declines, collaboration between payers and providers becomes essential. However, these relationships have historically been fraught with challenges and various administrative complexities. On this episode Dan and his guests explore the critical need for effective payer-provider partnerships. SueEllen Carroll, Managing Director at AArete, and Darren Ghanayem, a seasoned expert in healthcare and IT, share their insights on building trust between payers and providers and strategies for improving governance. Gain insights into fostering contract collaboration, improving patient care, and reducing the administrative burden often associated with Medicare Advantage contracts.

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VBC Insights: SueEllen and Darren: Strengthening Payer-Provider Partnerships in Medicare Adv Plans

Episode 105 With private equity's growing influence in healthcare systems, the significance of aligning healthcare providers has never been greater. On this episode Dan and his guest, Ericka Adler, a seasoned attorney and manager at Roetzel & Andress delve into the complexities of private equity interests and their profound impact on healthcare providers. They explore the current trends in private equity and their implications on physicians and healthcare systems. Gain insights into physician employment models, the regulatory landscape, and effective strategies for healthcare transactions.

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VBC Insights: Effect of Private Equity Interests on Healthcare Providers with Ericka Adler

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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