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.

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The Scope with Dr. K: Dr. Terry “Lee” Mills, MD, MMM, CPE, FAAFP, FACHE

This week their guests are Mike Hoxter, Chief Technology Officer, and Briana Rodriguez, RN, BSN, the Director of Clinical Programs at Lightbeam Health Solutions, specializing in Chronic Care Management, Transitional Care Management, Remote Patient Monitoring and Annual Wellness Visits. The company builds customized operational solutions to align ancillary care teams as seamless members of their partners’ value-based care goals. They discuss: empowering ACOs, predictive analytics in population health, closing care gaps, reducing healthcare costs, and the future of value-based care.

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PopHealth Week: Mike Hoxter & Briana Rodriguez, Lightbeam Health Solutions

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

Host Dr. Jay Anders discusses all things value based care with guest Lynn Carroll, COO of HSBlox. Together they discuss the evolving dynamics of Medicare Advantage plans, proposed changes under the new White House Administration, the dual role of artificial intelligence to clean up claims and streamline workflows, and how the value-based care model continues to rise in importance.

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Tell Me Where IT Hurts: Lynn Carroll, COO of HSBlox on Medicare Advantage plans

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 Justin invites Matt Ethington, CEO of ChronicCareIQ, a company that provides a care management platform designed to improve patient outcomes, optimize reimbursement, and strengthen patient-physician relationships. Justin and Matt discussed the evolution and opportunities in chronic care management, highlighting its growing adoption, financial potential, and role in transitioning to value-based care. 

To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”.

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This Just In Radio: Matt Ethington on Evolution and Opportunities in Chronic Care Management

Host Matt Fisher talks to Heather Trafton, President, Evergreen Nephrology, about the evolution of value based care and building infrastructure for success; important role of data for VBC success; differences between VBC focused on primary care and specialty; lessons learned from developing new VBC approaches.

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Healthcare de Jure:  Heather Trafton, President, Evergreen Nephrology

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. 

To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”.

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

On this episode Justin continues his discussion in Part 2 of 2 with Matt Ethington, CEO of ChronicCareIQ, a company that provides a care management platform designed to improve patient outcomes, optimize reimbursement, and strengthen patient-physician relationships. Justin and Matt discussed the evolution and opportunities in chronic care management, highlighting its growing adoption, financial potential, and role in transitioning to value-based care. 

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 Just In Radio: Matt Ethington on Evolution and Opportunities in CCM Part 2 of 2

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 #ValueBasedCare