Episode 69 host Daniel Marino is joined by Rick Howard, Chief Data and Products Officer for an analytics vendor and former Chief Data officer of Ascension Health. The two discuss the management of data within four categories: clinical, claims/finance, lifestyle, and social determinant data, and suggestions on how healthcare leaders should approach building information critical to decisions and performance.

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Value-Based Care Insights

Value-Based Care Insights: Rick Howard on Using Data to Drive Patient Outcomes and Improve Care

Episode 70 the nursing industry has faced many challenges in recent years. COVID-19 resulted in inadequate staffing due to shortages, not to mention the burnout that many health care workers are feeling today. As the nursing industry shifts from baby boomers to millennials will continue to see major pressure placed on nurses and our clinical staff. Some of the contributing factors include recruiting nurses to file nursing positions in the hospital, 480,000 baby boomers will be retiring, and the nursing industry needing to replace those plus another million. 

On this episode host Daniel J. Marino is joined by Nancy Lakier, CEO and Founder of Novia Solutions. Dan and Nancy evaluate the current state of nursing and the impact of leadership.

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Value-Based Care Insights: Nancy Lakier - Leadership Impact on Nursing Burnout

Episode 71 part of CMS’ journey in regulating coordinated care with providers, a value-based exception and safe harbor was enacted in early January 2021 under the Physician Self-Referral “Stark” law and Anti-kickback Statues. The new provision allows value-based enterprises eligible for safe harbor protections under the Stark and Anti-kickback statute. 

Host Daniel J. Marino is joined by Jim Carr and Luis Argueso, cofounders of InHealth Advisors, to discuss the framework of a Value Based Enterprise (VBE).

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Value-Based Care Insights: Jim Carr and Luis Argueso - Understanding Value-Based Enterprises

Episode 72 as health systems, integrated provider networks, clinically integrated networks (CINs) and accountable care organizations (ACOs) engage in population health initiatives, aligning technology with value-based contracts' performance goals is a struggle. The struggle can be attributed to three causes: a misaligned vision, misaligned operations, and misaligned information technology (IT).  

Host Daniel J. Marino is joined by Julie Bonello, Founder of Integrate Health, along with Brian Bentley and Nick Frazer from Epic Health Technologies to discuss how to optimize value-based technologies to drive population health performance.

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Value-Based Care Insights: Julie Bonello, Brian Bentley and Nick Frazer

Episode 73 over the past year, we have seen substantial investments in health care made by non-traditional health care providers such as CVS, Walgreens and Amazon and others as they position themselves as strong participants in healthcare delivery. As a record-breaking year for health care deal-making, private equity firms invested considerable resources into health care technology (HCIT), revenue cycle management (RCM) and related vendors to hospitals, health systems and physician groups. How will these new deals impact the health care industry and the quality of patient care? And which services and solutions offer the greatest opportunities for future investment?

On this episode Daniel J. Marino sat down with Brian Greenberg and Zach Eisenberg from Greenberg Advisors, a health care investment bank specializing in RCM and HCIT transactions, to discuss trends and “hotspots” of investments in health care.

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Value-Based Care Insights: Brian Greenberg and Zach Eisenberg  from Greenberg Advisors

Episode 74 as hospitals and medical groups continue to focus on financial performance, optimizing their revenue cycle through denial management drives results. To effectively reduce denial rates, revenue cycle leaders must first discover the root cause of denials. A focused approach to denial management can provide health care leaders considerable financial and operational improvements. 

Host Daniel J. Marino sat down with Tina Hodges and Michael Brown from RSM to discuss some of the revenue cycle challenges facing hospitals and medical groups today, as well as tactics to reduce denials and increase financial performance.

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Value-Based Care Insights: Optimizing Revenue Cycle Performance for Hospitals and Medical Groups

Episode 75 host Daniel J. Marino talks with Richard Heim from LocumsPro to discuss some of the benefits locum tenens bring to hospital patients and staff.

Today, most hospital physicians are experiencing some level of burnout due to increased challenges with greater work activities, high levels of patient needs, and low staffing levels. These challenges lead to a desire for early retirement and physicians looking for new medical-related career options. This has placed increased pressures on hospitals to either ramp-up their recruiting efforts or consider alternative staffing models to support their clinical specialty services.  As an alternative, many hospitals are turning to locum tenens for physician staffing support providing value to the hospital, its workforce, and most importantly, for patients. 

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VBC Insights: Richard Heim: Hospital Locum Tenens: An Alternative Value Add

Episode 76 hosts Daniel J. Marino is joined by Todd Brook and Danica Wasser from Engagement Multiplier to discuss culture transformation and what it takes to have a thriving workforce.

Since the pandemic, many healthcare provider organizations find themselves re-instituting empowerment initiatives initially created pre-COVID, however, the recent circumstances had a vast impact on the workforce culture. Today, organizations must focus on a transformative culture which allows the workforce members to prosper in their current roles while the fundamental needs of the employees are met. How can leaders ensure this?

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Value-Based Care Insights: Danica Wasser & Todd Brook: Transforming Workplace Culture w/ Survey Data

Episode 78 for the second part of this three-part series, host Daniel J. Marino invited Cliff Frank back to discuss the changes among risk-based contracts. Daniel and Cliff explore the pushback with RAF scores, new CMS announcements with potential health equity indicators, and much more.  

Listen now to our latest episode of Value-Based Care Insights, as our host Daniel J. Marino and guest, Cliff Frank, dive further into value-based contracts and what has changed over the last few months.

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VBC Insights: Cliff Frank on Navigating Value-Based Contract Products Part 2

Episode 79 host Daniel J. Marino speaks with Gene Rondenet and Paula Gallagher on how data and information critical to proactively build a prospective risk model is key to to manage the potential risks of health care cost increases and prepare the organization for the future.

As more and more provider organizations engage in risk-based contracts, including Medicare Advantage, understanding  quality and performance along with clinical workflow integration  is critical to contract success. On the third episode of this three-part series focusing on risk-based contract and performance, Marino invited two special guests from QRC to join the show to  dive deeper into Risk Adjustment Factor (RAF) scores and the impact of Hierarchical condition category codes (HCCs).  

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Value Based Care Insights: Building Quality and Performance Models for Risk Contracting  Success

Episode 80 many issues are impacting today’s clinical service lines, especially cardiovascular services. Health systems, hospitals and physician groups are focusing on growing their cardiovascular service lines to address shifts in site-of-service, improve patient access and position themselves for enhanced financial performance under value-based contracts. 

Host Daniel J. Marino talks with Dr. Hani Salti, a clinical cardiologist and Clinical Assistant Professor at large academic-based health system.  Dr. Salti shares his insights on the growth of cardiovascular service lines, the need to develop strong physician leadership and the growing impact on population health on cardiovascular services.

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VBC Insights: Dr. Salti: Enhancing the Cardiovascular Service Line for Value-Based Success

Episode 81 to provide value-based care, providers need to address their process, their technology and their people. But stakeholder priorities don’t always align. Knowing where and how to start can be the difference between a successful implementation and one that falls short. 

Host Daniel J. Moreno as he welcomes Sarah Hartley and Purvi Shah, whose expertise in ambulatory clinical documentation improvement (CDI) will help illustrate the need to improve clinical workflow, as well as the risks, challenges and obstacles providers need to navigate in order to better deliver meaningful patient outcomes.

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VBC Insights: Dr. Purvi Shah & Sarah Hartley, Lessons Learned to Support Value-Based Contracts

Episode 82 host Daniel J. Marino is joined by Nillie Djassemi, CFO of Houston Physician’s Hospital. They discuss rising prices and sky-high interest rates that are posing significant operational and care delivery challenges for hospitals and share valuable insights on navigating these challenges. Together, Dan and Nillie explore the importance of investing in vendor management and capital expansion to thrive in today’s economy.

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VBC Insights: Hospital Financial Performance Challenges with Nillie Djassemi

Episode 83 risk-based contracts are revolutionizing the healthcare industry, prompting a transition to value-based care. Host Dan Marino is joined by guests Cliff Frank and Dr. George Mayzell to explore the key aspects of risk-based contracts and provide actionable insights for physicians and practitioners navigating this transformative shift.

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VBC Insights: Dr. George Mayzell and Cliff Frank on Key Aspects of Risk-Based Contracts

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 #Value-Based Care Insights