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 Dr. Jed Constantz
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 …