The Moonshot for Population Health in Louisiana, with Dr. David Carmouche
Sixty years ago, May 1961, President John F. Kennedy challenged the American nation in a speech to Congress, asking them to commit to “landing a man on the Moon and …
Failing Forward for Success in Value, with Dr. Jesse James
The difference between average people and achieving people is their perception of and response to failure. “Failing Forward” was a concept defined by John C. Maxwell several years ago, and …
Winning in Pediatric Value-Based Care, with Ginger Hines and Dr. Sheryl Morelli
Former President of South Africa, Nelson Mandela, made an important observation when he said, “There can be no keener revelation of a society’s soul than the way in which it …
The CFO’s Dilemma: Achieving Margin with Risk-Based Payment, with François de Brantes and Joe Fifer
The all-too-common visualization of balancing between the two canoes of fee-for-service (FFS) and value-based care (VBC) is an appropriate illustration of the pressure that providers feel, but maintaining balance is …
A Call to Serve: Improving the Health of our Veterans, with Dr. David Shulkin
This month is National Military Appreciation Month and with this week’s episode we take opportunity to offer our solemn regard and deep gratitude to the brave men, women, and their families who …
Nurse-Led Innovation in a Value-Based World, with Dr. Bonnie Clipper
Nurses have been rightly recognized as heroes during the pandemic – on top of their consistently tireless effort, providing sustained caring and empathy over long hours, nurses stepped up to …
How the Culture of Medicine Kills Doctors and Patients (Part 2), with Dr. Robert Pearl
This week’s episode is the second part of our conversation with Dr. Robert Pearl. In his book, Uncaring: How the Culture of Medicine Kills Doctors & Patients, Dr. Pearl asserts …
How the Culture of Medicine Kills Doctors and Patients (Part 1), with Dr. Robert Pearl
In a year of great need, during the pandemic, Americans saw and celebrated an army of physician heroes. In doing so, they overlooked an uncomfortable reality. Doctors are humans who …
Servant Leadership in the Value Movement, with Dr. Farzad Mostashari
It’s not a secret, the broken healthcare system is exquisitely tuned to react after patients get sick. For the most part, profits are made after we FAIL patients. And it hurts all of the caregivers who …
Health Equity, and Social Justice: A Call to Action from Health Care Industry Leaders
Race to Value listeners — April is National Minority Health Month, and this year, the HHS Office of Minority Health is focusing on the disproportionate impact the COVID-19 pandemic is …
Digital Behavioral Health as a Gateway to Value, with Mark Redlus
Fixing the behavioral health crisis is an absolute imperative in the movement to value-based care. Currently, 1 out of 5 Americans (over 51 million) are living with a behavioral health …
Overcoming Self-Interest to Build a Social Compact for Health and Equity, with David Smith
Achieving health value demands the formation of a new social construct, one that puts aside self-interest and builds systems of care for the common good. One that prioritizes health and …
Helping Communities Thrive with Primary Care for All, with Dr. Christopher Crow
When Thomas Edison created the electric light bulb, he didn’t stop with that one incredible invention. He took the next step and created the industry that would maximize the benefit …
Evaluating Hospitals on Health Value and Equity, with Dr. Vikas Saini and Shannon Brownlee
Decades of poor outcomes in terms of cost, quality, and access have not created societal commitment to confronting the issue of low-value care in hospitals. Despite medical errors serving as the #3 cause of …
How to Win in Value-Based Kidney Care, with Robert Sepucha
Chronic kidney disease kills more people than breast or prostate cancer each year – it’s the 9th leading cause of death but you won’t see NFL players wearing socks and gloves …
Relocalizing Health and the Future of Value-Based Care, with Dave Chase
Last year, research at Johns Hopkins showed that healthcare consumes nearly half of all federal spending, which includes funding for Medicare, Medicaid, Social Security, military health benefits, health benefits for federal employees and their dependents, plus interest. Our …
Delivering the Future of Value-Based Care Today, with Stephen Nuckolls
Stephen Nuckolls grew up listening to his physician father talk about how healthcare could save money for Medicare if it was accountable for outcomes. It was with this intent that …
How Black Lives Matter in Value-Based Care, with Dr. Lerla Joseph
In this episode, reflect on the importance of Black History Month, an important time to recognize and honor the contributions and achievements of the millions of African Americans who have …
Achieving the Triple Aim with Advanced Care Planning, with Dr. Stephen Bekanich
Our health care industry excels at rescue care – when a patient needs to be saved, our system has answers. However, we are not well suited to address the challenges …
Reaching Critical Mass in Value for the Triple Aim, with Travis Turner
An industry inflection point is coming in the transition to value: federal and state governments are feeling an insurmountable level of pressure as public debt and spending increase, large employers …
Finding Inner Purpose to Lead a Digital Transformation, with Edward W. Marx
The health care industry is experiencing a digital transformation that has been decades in the making. In this era of COVID-19 disruption and heightened consumer expectations for care delivery, the …
Choosing Your Path in Value: Direct Contracting vs. MSSP, with Rick Goddard
ACOs are increasingly moving into two-sided risk options with MSSP BASIC E and ENHANCED. The Direct Contracting model (with both Professional and Global options) introduces new opportunities and flexibilities that are not included in other CMMI models or through the …
Health Value Consumerism and the American Dream, with Janis Powers
The American Dream is the hallowed ideology that any individual can advance his or her state of being through ambition and hard work. It defines the American psyche. Historian James Truslow Adams wrote, …
The Future of Value-Based Care: 2021 and Beyond, with Andrew Croshaw
As we prepare for a new era in our government with President-Elect Biden’s administration and a Democratic-controlled Congress, we must be steadfast in our commitment to value-based care. Can soon-to-be President Biden capitalize …
Changing the World through a Full-Risk Value-Based Care Model, with Dr. Gordon Chen
ChenMed was created with a mission to provide care in such a way that it could alleviate suffering for those seniors in the poorest of communities, recognizing that full-risk primary …
Physician-Led Healthcare Reform and Medicare-For-All, with Ken Terry
In this episode, we interview Ken Terry, author of one of the best-researched books we’ve ever seen! The new book, Physician-Led Healthcare Reform: A New Approach to Medicare For All, …
Global Risk Capitation in Medicare Advantage, with Dr. Kevin Spencer
Dr. Kevin Spencer, Medical Director, Texas at Agilon Health, is passionate about improving the health care delivery system. He believes that by enabling physician-led organizations with technology, proven processes, and …
Bonus Episode: A Prayer and a Plea for our Nation to Realize the Severity of COVID-19, with Dr. Brent Staton
Our nation has lost more than 300,000 people from COVID-19. It is the latest sign of a generational tragedy – one still unfolding in every corner of the country. As …
Building Economic Strength in Rural Communities with Value-Based Care, with Drs. Brent Staton and Ty Webb
A guiding principle of Cumberland Center for Healthcare Innovation, CCHI, is that communities and the state benefit from healthier families, and it’s not just about cost savings or longer lives. Better health means a more …
Post-Election Analysis and Implications for Value-Based Care and COVID Recovery, with Dr. Mark McClellan
Join us in this episode as we speak with Dr. Mark McClellan, former CMS Administrator and former FDA Commissioner during SARS – his understanding of the COVID-19 pandemic and options …
Achieving High-Value Health Care Transformation, with Elizabeth Teisberg, Ph.D.
Dr. Elizabeth Teisberg is a leading figure in the value-based health care strategy movement and is the executive director of the Value Institute for Health and Care as well as a …
The Healing Power of Gratitude: A Patient’s Story, with Sugandan Barathy
It was Thanksgiving 2016 and Sugandan (Su) Barathy was a normal college student in Texas, with finals and graduation in the weeks ahead. His future was bright with a comfortable …
UnHealthcare: A Manifesto for Health Assurance (Part II), with Dr. Stephen Klasko
Welcome back for part 2! This episode further explores Klasko’s vision of health assurance, an industry that focuses on consumer’s health, and that is enabled through innovative partnerships between health …
UnHealthcare: A Manifesto for Health Assurance (Part I), with Dr. Stephen Klasko
Dr. Stephen Klasko is the President and CEO of Thomas Jefferson University and Jefferson Health. His newest book, co-authored with venture-capitalist Hemant Teneja, is a manifesto that advocates for bringing …
The New Frontier For Health Care Transformation, with Dr. Mark Gwynne
North Carolina seems like an unlikely laboratory for value-based care. It refused to expand Medicaid coverage under the Affordable Care Act and ranks in the bottom third among states in measures of overall …
Establishing Health Value in the Safety Net, with Cheryl Lulias
The concept of “accountable care in the safety net” was introduced in a Dartmouth Study published by the Commonwealth Fund back in 2013. In that study, there were 4 critical …
The Tipping Point for Value-Based Care, with Tyler Wilson
Today’s episode follows Austin Regional Clinic (ARC), a large multi-specialty medical group that serves over 500,000 patients in Austin, Texas. Founded in 1980 as an HMO, ARC is coming full-circle …
Bridging the Digital Divide and Advancing Health Equity, with Christina Severin
There are over 1,300 Federally Qualified Health Centers (FQHCs) in our country providing a healthcare lifeline for more than 28 million Americans living in underserved areas of the country. The vast majority of these …
The Infinite Game in Healthcare Innovation, with Dan McMaster
Most people know that 3M as a massive industrial conglomerate, a Fortune 500 company with 60,000 products that include Post-It notes, Scotch tape, sandpaper, hanging hooks, band-aids and more. A …
Transitioning to Value during Unprecedented Times, with Mike Funk
The importance of Humana’s consumer focus, care in the home, technology, and other strategic imperatives related to value-based care have been amplified by the novel coronavirus (COVID-19) pandemic. As COVID-19 …
Clinical Integration is the Answer, with Lisa M. Trumble
Many industry insiders believe that health system-led ACOs are inherently disadvantaged to demonstrate value-based care in an environment where most revenue is still generated in fee-for-service. In moving to value, …
Creating a Culture of Improvement and Innovation, with Jen Moore
MaineHealth Accountable Care Organization (MHACO) serves a uniquely heterogeneous population that is spread across coastal, rural, and urban communities with multiple different cultural components. And they serve the oldest population …
Realizing the Vision of Advanced Primary Care, with Jed Constantz, DBA
Primary care is especially compromised in the ongoing pandemic crisis. PCPs are uniquely vulnerable to the deleterious economic effects of COVID-19, since most of their revenue still comes from in-person visits which have plummeted since March amid widespread stay-at-home orders and fears about in-office virus transmission. The pain …
Leading a Quality Improvement Revolution, with Stephanie Mercado
Quality in health care has been a hot topic for over 20 years, ever since the landmark report, To Err is Human, which declared that up to 100,000 people die …
Overcoming the Limitations of Medicine with True Palliative Care, with Dr. Tim Ihrig
Palliative care, and the role it plays in health value, is difficult for many people to understand because it runs so contra to the linear algorithm that is allopathic medicine. Curative care – played …
Building a Legacy of Care for Seniors, with Carrie Coumbs
In health care, we excel in addressing problems in the human body that are fixable. However, with regard to the two main un-fixables in life — aging and dying— we often inflict therapies on patients that shorten lives or increase suffering …
Working Together to Care as One, with Dr. David Nace
How does an organization have a banner year in 2019, start 2020 with additional momentum, and then continue to grow despite COVID-19 making them change their whole approach? Because they …
Bonus Episode: Crisis in the Rio Grande Valley: COVID-19 and Hurricane Hanna
The Rio Grande Valley, located in the southernmost tip of Texas along the US-Mexico border, has become a new epicenter for COVID-19 over the last month. Death rates are also …
The Magic of Physician-Led Value Based Care, with Edwin Estevez
Physician groups are becoming the dominant type of new entrant into the ACO space and have been most successful in achieving savings to date. Many in our industry think that …