PODCAST · health
The ACO Show
by Aledade Inc
The ACO Show explores the latest developments in the U.S. health care system, with a focus on value-based care and accountable care organizations (ACOs). Join co-hosts Josh Israel, MD, senior medical director of Quality, and Sean Cavanaugh, chief of Policy at Aledade, in conversations with experts, policymakers and clinicians to understand how value-based care is good for patients, practices and society. The ACO Show is produced by Aledade.
-
200
202. The Future of AI in Primary Care: Jacob Shiff on the ACCESS Model
Jacob Shiff, chief AI and technology officer at the Centers for Medicare and Medicaid Services Innovation Center (CMMI), joins Josh Israel, MD, and Sean Cavanaugh to dive deeper into the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model. The model focuses on improving patient outcomes while encouraging clinicians to utilize technology-enabled solutions to deliver personalized, preventive care to those with chronic conditions, like hypertension and diabetes. Shiff shares that the goal is to give primary care physicians more support, while offering patients affordable and convenient care options. With continuous advancements with artificial intelligence (AI) and technology, Shiff hopes the ACCESS model will allow clinicians to use these advances to better engage with patients to improve outcomes. The Centers for Medicare and Medicaid Services (CMS) has extended the ACCESS application deadline to May 15: https://www.cms.gov/priorities/innovation/innovation-models/access Learn more about Aledade’s participation in ACCESS: https://aledade.com/newsroom/aledade-news/aledade-joins-cms-access-model
-
199
201. The North Carolina State Health Plan Preferred Provider Strategy with Treasurer Brad Briner
Brad Briner, North Carolina state treasurer, and Alex Mullineaux, Aledade regional market president, join Josh Israel, MD, and Sean Cavanaugh to discuss the state health plan’s new preferred provider strategy. The goal of this approach is to improve patient health outcomes and reduce costs by connecting patients with clinicians that have a proven record of high-quality, cost-effective care. Treasurer Briner and Alex share how this strategy came about, the benefits for patients and how North Carolina hopes to scale the plan in the future. In phase one, the state health plan approved partnerships with three networks to support this initiative, including Aledade.
-
198
200. Vaccine Schedule Changes: Paul Offit, MD, Shares Everything You Need to Know
Paul Offit, MD, director of the Vaccine Education Center at the Children’s Hospital of Philadelphia, joins Josh Israel, MD, and Sean Cavanaugh to discuss the recent decision by the Centers for Disease Control and Prevention (CDC) to move several vaccines (including rotavirus, influenza and COVID-19) from a universal recommendation to shared clinical decision-making. While shared clinical decision making has always been an option for physicians and patients, Offit provides practical tips for clinicians navigating these conversations, advising physicians to be empathetic to patient fears, but also to be passionate in explaining the severe risks of vaccine-preventable diseases.
-
197
199. Navigating Leukemia: One Patient’s Experience
Amelia Knopp and her father, Ryan Knopp, MD, from Stone Creek Family Physicians in Manhattan, Kansas, join Josh Israel, MD, and Sean Cavanaugh to discuss Amelia’s experience with the health care system following a shocking leukemia diagnosis. They share how this diagnosis set Amelia and their family on a journey that they describe as “health care at its best.” Amelia emphasizes the importance of trust in the physician-patient relationship, and how advocating for patients and providing clear communication helps build a better patient experience. Ryan notes how his daughter’s experience underscores the importance of value-based care in ensuring that physicians are invested in the relationship with their patients and providing high-quality, accountable care.
-
196
198. The CMMI ACCESS Model explained
Catherine Olexa-Meadors, head of growth and partnerships at Town Hall Ventures, joins Josh Israel, MD, and Sean Cavanaugh to discuss the recently announced ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model from the Center for Medicare and Medicaid Innovation (CMMI), also known as the CMS Innovation Center. They explain the new payment system, which includes outcome-aligned payments tied to demonstrating improved patient outcomes, and how advances in technology, specifically in digital patient engagement, could help this model succeed. They also explore challenges, including the delay in the announcement of payment rates and the concern that patients not in an accountable care organization (ACO) may not have someone monitoring the total cost of care. Watch the full episode on YouTube Listen to Episode 193: Breaking down CMMI's new strategy with Abe Sutton, director of CMMI, and Farzad Mostashari, MD
-
195
197. The Future of Primary Care with Shawn Martin
Shawn Martin, executive vice president and CEO of the American Academy of Family Physicians (AAFP), joins Josh Israel, MD, and Sean Cavanaugh to discuss challenges with the future of primary care, particularly independent primary care practices. Martin believes that value-based care has helped sustain rural health care practices and that the Medicare Shared Savings Program (MSSP) will serve as the foundation for value-based care moving forward. Martin stresses the benefits of partnering with support organizations, like accountable care organizations (ACOs), in succeeding in value-based care and outlines opportunities for the AAFP to partner with ACOs to support physician independence, provide value-based care training and advocate for rural health care funding.
-
194
196. What is the National Committee for Quality Assurance (NCQA)? with Margaret E. O’Kane
Margaret E. O’Kane, CEO, president and founder of the National Committee for Quality Assurance (NCQA), joins Joshua Israel, MD and Sean Cavanaugh to discuss how the organization has helped transform quality measurement in the American health care system. Over the past 35 years, O'Kane and the NCQA have developed quality measurement standards for clinicians while striving to minimize the administrative workload that comes with an expanding array of quality metrics. O’Kane advocates for a future where quality measures are better integrated into health care technology systems, emphasizing that systemic changes are crucial for improving quality, rather than solely focusing on individual physicians. Watch the full video episode
-
193
195. Unlocking Independence for Primary Care Clinicians
Join Josh Israel, MD, and Sean Cavanaugh, along with Brittney Anderson, MD, family physician and podcaster (“Physicians Hanging a Shingle”) and Dan Bowles, general manager of practice health at Aledade, to discuss Anderson’s journey to owning her own private practice, and how she supports other physicians seeking independence. Both Anderson and Bowles believe value-based care is crucial for independent primary care practices, and that greater exposure to independent practice models is essential to provide physicians with more employment options. As Bowles explains, this is the driving force behind Aledade’s effort to support physicians looking for information and a path to their own independent practice. Connect with us at [email protected] or visit the Aledade Newsroom
-
192
194. 2024 MSSP Results with Farzad Mostashari, MD and Sandeep Mann, MD
Join Josh Israel, MD and Sean Cavanaugh in their video debut as they discuss the Medicare Shared Savings Program (MSSP) results for 2024 released by CMS with Aledade CEO Farzad Mostashari, MD They explore how Aledade Accountable Care Organizations (ACOs) earned more than $1 billion in total savings and continue to improve performance year over year, including substantially reducing hospitalizations. We also sit down with Sandeep Mann, MD, primary care physician and Aledade partner since 2015, to explore how his practice has thrived in value-based care. Watch the full episode Connect with us at [email protected] or visit the Aledade Newsroom
-
191
193. Breaking down CMMI’s new strategy with Abe Sutton and Farzad Mostashari, M.D.
Abe Sutton, director of the Center for Medicare and Medicaid Innovation (CMMI), sits down with Aledade CEO Farzad Mostashari, M.D., and Sean Cavanaugh to unpack the new strategic framework for CMMI models. Sutton explores CMMI’s focus on three pillars: promoting evidence-based prevention, improving patient access to their health data and driving choice and competition in health care markets. He discusses the recently announced WISeR (Wasteful and Inappropriate Service Reduction) Model, which aims to leverage artificial intelligence (AI) in reviewing prior-authorization requests to prevent harmful or unnecessary services. He also talks about the Ambulatory Specialty Model (ASM), which would reward specialists for improving health outcomes in Medicare patients with lower back pain or heart failure and CMS efforts to improve risk adjustment through permanent programs and testing new ideas on a smaller scale through the Innovation Center. Connect with us at [email protected] or visit the Aledade Newsroom
-
190
192. The Road Show: What makes a good ACO partner?
Join Josh Israel and Sean Cavanaugh for part two of their most recent road trip visiting primary care practices from Los Angeles to Washington D.C. First, they visited Dr. Arvinder Bir and Dr. Seema Bir, Aledade partners in California, to discuss how Aledade has helped enable their practice to reduce patient hospitalizations and remain independent. Next, they visited Varesh Chaurasia, CEO of HealthyU Clinics, and Dr. Lauren Havard, CMO, in Phoenix, Arizona to discuss what they are looking for in an accountable care organization (ACO) partner, emphasizing hands-on experience in local markets. Finally, they met with Dr. Salil Trehan in Amarillo, Texas, whose practice has previously partnered with multiple ACO enablers, to gain insights into what sets great ACO partners apart. Connect with us at [email protected] or visit the Aledade Newsroom
-
189
191. Road Show Reflections with Farzad Mostashari, M.D. and Mat Kendall
Aledade CEO Farzad Mostashari, M.D., and Mat Kendall, president, join Josh Israel and Sean Cavanaugh to share insights from their recent road trip to primary care practices from Los Angeles to Washington D.C. They reflect how conversations about value-based care have evolved over the past 11 years — and what organizations are trying to learn when deciding whether to join an accountable care organization and who to partner with on that journey. Join us to learn why Aledade stands out in this ever-evolving landscape. Connect with us at [email protected] or visit the Aledade Newsroom
-
188
190. The Rising Cost of Skin Substitutes with Dr. Caroline Fife and Dr. Christopher Apostol
Dr. Caroline Fife and Dr. Christopher Apostol join us to explore the rising cost of skin substitutes in wound care, which Aledade data suggests is a tenfold increase in the last three years. Dr. Fife explains that rising costs are due to an increase in both cost of the product and increased usage and she addresses the real concerns such as the way many skin substitutes are exempt from FDA review, offer rebates or discounts to clinicians and how some Medicare payment models incentivize the use of more expensive treatments. Dr. Apostol also notes how wound care has evolved through the lens of primary care, including an increase in specialist utilization and mobile wound care teams. Connect with us at [email protected] or visit the Aledade Newsroom
-
187
189. Do ACOs Really Save Money? Dr. Amelia Bond and Dr. Dhruv Khullar Explain
Dr. Amelia Bond and Dr. Dhruv Khullar join us to discuss the long-term savings of accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP). Their recent study in JAMA found that ACOs generate increasing savings over time, with physician-led ACOs demonstrating more significant savings. Learn about their study’s methodology, policy implications for The Centers of Medicare & Medicaid Services (CMS) and where Dr. Bond and Dr. Khullar will focus their research next. Connect with us at [email protected] or visit the Aledade Newsroom
-
186
188. Natalie Davis on Why You Shouldn’t Talk about Value-Based Care
Natalie Davis, CEO of United States of Care, joins us to talk about the challenges of discussing value-based care with patients and policymakers. Through extensive research with over 30,000 individuals, Davis shares that the term "value-based care" often evokes negative connotations of low-quality care. When presented with the benefits of value-based care without using the term itself, people were most interested in spending more time with their doctors and receiving personalized, quality care. Join us to learn more about effectively communicating with patients and policymakers about value-based care. Connect with us at [email protected] or visit the Aledade Newsroom
-
185
187. Behavioral Health Care Accessibility
A majority of those with behavioral health challenges lack access to high-quality care. Gabe Diop, co-founder of Rula, a behavioral health physician group, joins the ACO Show to discuss how Rula is making behavioral health care more accessible by partnering with primary care practices to connect patients with the care they need. Dr. Samantha Cotler, family medicine physician in Wall, N.J., explains how her partnership with Rula has improved patient outcomes and made it easier to connect patients with in-network physicians. Connect with us at [email protected] or visit the Aledade Newsroom.
-
184
186. How International Medical Graduates Help Ease the US Physician Shortage
The U.S. faces a significant shortage of primary care physicians, particularly in rural and under-resourced communities. Join Eli Greenspan, policy advisor at Foley Hoag LLP, and Dan Bowles, general manager of Practice Health Solutions at Aledade, to highlight the role that international medical graduates play in addressing this shortage. They explain the complex process that international medical graduates must complete to practice in the U.S., and how the physician shortage is connected to immigration policy. This includes the Conrad 30 Waiver Program, which incentivizes graduates to practice in under-resourced areas. While this program is valuable, it’s also limited in scope, so our guests explore additional legislative efforts to improve and expand these programs. Connect with us at [email protected] or visit the Aledade Newsroom.
-
183
185. Crossing the Chasm in Value-Based Care with Farzad Mostashari, M.D., and Geoffrey Moore
Aledade CEO, Dr. Farzad Mostashari, and best-selling author Geoffrey Moore explore how the concepts in Moore’s influential book, “Crossing the Chasm” can be applied to accelerate adoption of value-based care. In order to move to mainstream adoption, it’s crucial to focus on the niche market of “pragmatists in pain” who have an urgent need that the current system isn’t solving. Our co-host Sean Cavanaugh, chief policy officer at Aledade, points out that oftentimes in the traditional fee-for-service model, the pragmatists in pain are independent primary care clinicians. Moore and Dr. Mostashari also share insights and recommendations for the new administration from their recent article, including focusing on primary care, defining the competition and paving the way for simplifiers who can help clinicians navigate the complexities of value-based care. Using this framework, the Center for Medicare & Medicaid Services (CMS) could accelerate expansion of value-based care to the majority of the nation’s primary care clinicians as well as their patients. Connect with us at [email protected] or visit the Aledade Newsroom.
-
182
184. Bias and Equity with Artificial Intelligence in Health Care
Join us this episode as our guests from Aledade, Dennis Liubyvyi, Director of Artificial Intelligence (AI) Research, and Jette Henderson, Staff AI Researcher, explain the world of AI and machine learning and its potentially transformative impact on health care. Dennis shares how AI models at Aledade are reshaping patient care by analyzing vast amounts of patient data to predict critical health events such as kidney disease progression and congestive heart failure. The goal is to provide more timely, targeted interventions to patients who need them most. Jette also notes the challenges that exist in these predictive models, particularly regarding biases within data sets, which can lead to inaccurate predictions and how Aledade is developing tools to help identify and mitigate these biases. Connect with us at [email protected] or visit the Aledade Newsroom
-
181
183. Cardiology and Value-Based Care
Dr. Sameer Sheth, President and Co-Founder of Chamber Cardio, joins Josh and Sean to discuss the opportunities and challenges for specialists, particularly cardiologists, in transitioning to value-based care. Dr. Sheth notes that cardiologists have traditionally been slower to adopt value-based care because of a lack of financial incentives, but an increasing drive to remain independent is pushing more cardiologists towards value-based models. Dr. Sheth shares how he and Chamber Cardio are working to create a network of cardiologists, health plans, and tools to better incentivize their transition to value-based care. Connect with us at [email protected] or visit the Aledade Newsroom
-
180
182. Patient and Caregiver Experiences in Value-Based Care
Join Melanie Phelps, Senior Advocacy Advisor for Health System Transformation at the American Heart Association (AHA), to discuss her recent research which explores the impact of ACO-driven value-based care from the patient and caregiver perspectives. Melanie explores the overwhelmingly positive results of the study, which found that patients and their caregivers experienced better care, better support, and better patient outcomes as a result of their clinicians’ participation in an ACO. Dr. Julie Prosseda, Family Medicine Physician in Wilmington, DE and a participant in the AHA study, joins us to explore the reasoning behind these benefits of value-based care for patients, which is largely due to better relationships with their primary care physicians, as well as access to timely support and resources from an expanded care team. This more wholistic, patient-centered value-based care leads to enhanced patient engagement and a more trusting clinician-patient relationship. While it’s clear that patients should be demanding broader access to value-based care, Melanie and Dr. Prosseda also explore the challenges of expansion, including increasing educational opportunities and more alignment among payment models. Learn more about the American Heart Association’s research: Understanding Patient, Family Caregiver and Health Care Team Member ACO Experiences Connect with us at [email protected] or visit the Aledade Newsroom
-
179
181. Nursing in Value-Based Care
Value-based care is a team effort, and nurses play a crucial role in coordinating care to achieve better and more efficient patient outcomes. Jacqueline Nikpour, Assistant Professor at the Emory University School of Nursing, and Kathy Samhammer, LPN at Cedar Ridge Family Medicine, join us to discuss the role of nurses in primary care, and how practices can maximize nurses’ contributions in the shift towards value-based care. Kathy’s role includes managing chronic conditions and preventing hospital readmissions, and she discusses the importance of ongoing, personalized communication with patients, especially after ER visits. This approach has led to better patient engagement and satisfaction, which is crucial for improving health outcomes. As Kathy demonstrates, expanding the role of nurses in value-based care is critical, but Jacqueline also notes the challenges in this expansion, including payment and recognition of nurses’ value. By addressing these challenges and better integrating nurses in patient care teams, we can ensure better care coordination and a more patient-centered health care system. Read Jacqueline’s article in Health Affairs: To Improve Outcomes Under CMS’ ‘Making Care Primary’, Focus On Registered Nurses Connect with us at [email protected] or visit the Aledade Newsroom
-
178
180. Transforming End-of-Life Care with Comprehensive Advance Care Planning (CACP)
Comprehensive Advance Care Planning (CACP) supports individuals in understanding and sharing their values and goals for medical care at the end of life. Kerri Petrin, Vice President and Head of Operations at Aledade Plus, joins us to explore how the CACP program allows patients and their loved ones to have guided, personalized conversations with clinical facilitators and generate legal documents so that patients and their care teams can make health care decisions that align with the patients’ values. We are also joined by Marissa McNichols, who shares insights into her role as a CACP facilitator, especially the importance of having open-ended conversations that include family members, allowing everyone the opportunity to ask questions and make decisions outside of a crisis moment. Tune in to learn more about how CACP is transforming end-of-life care planning, ensuring alignment with patient values and reducing unwanted, unnecessary care. Connect with us at [email protected] or visit the Aledade Newsroom
-
177
179. From Residency to Value-Based Care: Lessons from Aledade FIRST
Graduates of the Aledade FIRST Program, Dr. Boone Marois and Dr. Breanna Heard-Pinho, reflect on their experiences in the program and how it helped prepare them to practice value-based medicine. Dr. Heard-Pinho, Family Medicine Physician in Vicksburg, Mississippi, shares how Aledade FIRST taught valuable practice management skills, as well as held in-depth discussions of value-based care not taught in traditional residency programs. While Dr. Marois, Family Medicine Physician in Asheville, North Carolina, reflects on the importance of taking a preventative approach with each patient. Listen as they share unexpected joys and challenges of practicing value-based care in their communities. Connect with us at [email protected] or visit the Aledade Newsroom
-
176
178. Challenges and Opportunities in Caring for Dual-Eligible Beneficiaries
In this episode, Sean Cavanaugh and Josh Israel discuss the complexities of caring for patients who are dually eligible for Medicare and Medicaid. They are joined first by Melanie Bella, whose prior roles include former Director of Indiana Medicaid, Director of the CMS Medicare-Medicaid Coordination Office and EVP at Cityblock, and are then joined by Aledade’s Mohamed Arif, and Lahila Pitts. They explore the unique challenges these patients face, including fragmented care and high social needs. They also highlight how value-based care and data-driven solutions are improving outcomes for this underserved group. Tune in for insights into better care coordination for dual-eligible beneficiaries.
-
175
177. What’s New for ACOs in 2025?
Casey Korba, Director of Policy at Aledade, walks us through regulations that were announced along with the 2025 CMS Medicare Physician Fee Schedule, including updates to the Medicare Shared Savings Program. Casey and our host Sean Cavanaugh, who is the former Director of the Center for Medicare, explain policy changes that will support value-based care, including changes to payments for some preventive care services and a new health equity benchmarking adjustment. While there is bipartisan support for CMS’s goal of moving towards value-based care, they also explore ongoing challenges like the rebasing process and benchmarking standards.
-
174
176. Healthcare During a Devastating Hurricane
In this episode, we sit down with Traci Spence, the Chief Operating Officer of Blue Ridge Community Health Center in Hendersonville, North Carolina. Traci shares her experience managing a health center during a catastrophic hurricane that left the region without power, water, or infrastructure. Despite these overwhelming challenges, Traci and her team found creative solutions to continue serving their community in the midst of chaos. This conversation highlights themes of improvisation, community, and resilience when the healthcare system is pushed to its limits.
-
173
175. The HCP LAN Summit: Building Partnerships for Progress
Join Dr. Judy Zerzen-Thul as she explains how the Health Care Payment Learning and Action Network (HCP LAN) brings together clinicians, health systems, and payers in a partnership aimed at transitioning from fee-for-service to value-based care models. Dr. Zerzen-Thul is the Chief Medical Officer at Washington State Health Care Authority, and Co-Chair of the LAN Executive Forum. She discusses how value-based care is progressing across different sectors, including common barriers like data exchange and aligning payment methodologies. She also discusses the upcoming HCP LAN summit on November 14th, where stakeholders including payers, purchasers, and patients will gather to address challenges in moving towards value-based care. Health Care Payment Learning and Action Network
-
172
174. Community Resilience: Healthcare in the Wake of Hurricane Helene
In this episode of the Aledade ACO Show, hosts Josh Israel and Sean Cavanaugh speak with Brenda Fore from the East Asheville Family Health Care Clinic and Ashley Austin from Aledade about the impact of Hurricane Helene on their community. They share firsthand accounts of the challenges faced when clinics lost power and water, and how healthcare providers adapted to continue serving patients amidst the chaos. Discover the power of improvisation and community support in times of disaster.
-
171
173. Public Health Unpacked: Inside DC Health
In this episode of the ACO Show, host Sean Cavanaugh and Aledade CEO Farzad Mostashari, sit down with Dr. Ayanna Bennett, Director of DC Health. They dive into the multifaceted role of public health, discussing everything from community health initiatives to tackling local challenges like pest control. Dr. Bennett shares her journey from private practice to public health leadership and emphasizes the importance of health equity, data, and community connection in improving health outcomes. Listen in as we unpack the vital work being done at DC Health and explore how understanding the stories behind the numbers, leads to meaningful change in healthcare.
-
170
172. The Road Show Part 2: Independent Practices in Hospital-Dominated Communities
In this episode of the ACO Show, hosts Josh Israel and Sean Cavanaugh recount their summer road trip, along with Aledade CEO Farzad Mostashari, part 2, visiting primary care practices across America. From camping in Moab to meeting health care leaders in places like Glenwood Springs, CO and St. George, UT they explore the diversity of value-based care primary care delivery. The episode highlights how communities, large and small, benefit from strong primary care systems and previews exciting episodes for the season ahead.
-
169
171. The Road Show: Cross-Country Reflections on Primary Care
In this season premiere of the ACO Show, hosts Josh Israel and Sean Cavanaugh recount their summer road trip, along with Aledade CEO Farzad Mostashari, visiting primary care practices across America. From camping in Moab to meeting health care leaders in places like Mexico, Missouri, and Salina, Kansas, they explore the diversity of value-based primary care delivery. The episode highlights how communities, large and small, benefit from strong primary care systems and previews exciting episodes for the season ahead.
-
168
170. From the Value Summit: Innovations in Value-Based Primary Care
Join Josh Israel and Sean Cavanaugh in the season finale of the ACO Show, recorded live at Aledade’s North Carolina Value Summit. They engage with three primary care physicians—Dr. Wayne Haga, Dr. Mark McNeill, and Dr. Art Apolinario—about their success in value-based care and how they are using their increased revenue to improve patient care. Submit your questions, comments, or episode ideas to [email protected]
-
167
169. 10 Years of Aledade: The Evolution of Accountable Care
Dr. Farzad Mostashari, CEO of Aledade, is joined by Dr. Mark McClellan and Bob Kocher to reflect on the past decade of health care reform, and the early days of Aledade and accountable care organizations (ACOs). Dr. McClellan, director of the Duke Margolis Institute for Health Policy at Duke University, discusses the evolution of legislative policy, sharing how bipartisan efforts led to the integration of shared savings models into health care policy and Bob Kocher, chairman of the board of Aledade, shares his thoughts on Aledade’s journey and future direction, emphasizing the importance of maintaining a patient-centered approach, and perseverance in navigating the evolving health care landscape. Submit your questions, comments, or episode ideas to [email protected]
-
166
168. The ACO Flex Model Explained
In this episode, Sean Cavanaugh and Dr. Josh Israel sat down with Travis Broome, Aledade’s SVP of Policy and Economics, to understand CMS’ new ACO Flex Model. Whether you're a healthcare professional or simply interested in the future of healthcare policy, this episode provides a comprehensive look at the ACO Flex Model's potential to transform care delivery. Travis explains how this new model can drive innovation in healthcare by addressing cash flow challenges and offering upfront payments. We discuss the potential benefits for primary care practices, the importance of integrating care management services, and the broader impact on Medicare's goals. Submit your questions, comments, or episode ideas to [email protected]
-
165
167. Navigating Medicare Advantage
From understanding the fundamentals to exploring new innovations and challenges, join us as Dr. Efrem Castillo, Senior Vice President for Medicare Advantage at Aledade, shares his experience with Medicare Advantage. Dr. Castillo explains the nuances for both patients and providers, including benefits beyond traditional Medicare, network limitations, utilization management, and the STARS program. Dr. Castillo also explores the recent growth in MA and new innovations, while emphasizing that interventions should prioritize improved patient outcomes. Submit your questions, comments, or episode ideas to [email protected]
-
164
166. Treating Obesity: New Medications, Old Challenges
From navigating insurance barriers to addressing the stigma, this episode dives into timeless issues surrounding obesity treatment, as well as the promise and challenges of new medications like Ozempic. Josh and Sean are joined by Dr. Darrin Menard, a family practice physician in Scott, Louisiana, who shares insights from his personal experience with weight loss alongside his professional expertise. While new drugs offer significant weight loss potential, Dr. Menard underscores the crucial role of behavioral changes, long-term adherence, and nonjudgemental patient care in achieving lasting results. Submit your questions, comments, or episode ideas to [email protected]
-
163
165. State Health Policy: Prior Authorization and Arkansas’ Gold Card Bill
Dr. Lonnie Robinson from Regional Family Medicine in Mountain Home, Arkansas explains the challenges surrounding prior authorization faced by both practices and insurance providers, and how this inspired him to become involved in state health policy advocacy. Hear how Dr. Robinson, drawing inspiration from Texas’ “gold card” approach, worked with Aledade’s policy committee and state legislators to pass similar legislation in Arkansas to reduce administrative workloads. Submit your questions, comments, or episode ideas to [email protected]
-
162
164. CMS's Medicare Strategy Unpacked
Join our hosts along with Dr. Farzad Mostashari on this episode as they dive into CMS's update on the Medicare value-based care strategy. From discussing alignment and growth to equity in healthcare, they provide insights and suggestions for the future of accountable care. Read the update here: Update On The Medicare Value-Based Care Strategy: Alignment, Growth, Equity Submit your questions, comments, or episode ideas to [email protected]
-
161
163. Navigating the Health-Tech Nexus: Insights from Aledade’s Leaders
Explore the dynamic landscape of healthcare and technology with hosts Josh and Sean on the ACO Show. Guests Rosemary Weldon and Ritwik Tewari, from Aledade, share their expertise as they discuss the challenges and innovations shaping the industry, including the advancements in technology that help improve patient care.
-
160
162. CHC Spotlight: Community Health Center, Inc. in Middletown, Connecticut
Join us for a story tracing the origins and evolution of Community Health Center, Inc. Mark Masselli, president and CEO of Community Health Center, Inc. in Middletown, CT, alongside Charles Barber, Writer-in-Residence at Wesleyan University, guide listeners through the enthralling narrative depicted in Barber's book, "Peace & Health." Explore the beginnings of the Health Center amidst the backdrop of social upheaval, legislative reforms, and grassroots advocacy, illuminating the transformative power of community-driven health care initiatives. Uncover the pivotal moments and visionary leadership that propelled the center from modest beginnings to a beacon of excellence in health care provision. And learn about the recent partnership with Aledade, exemplifying a shared commitment to innovation, collaboration, and equitable care delivery. To learn more about the story behind Community Health Center, Inc. and Barber's book "Peace & Health," visit peaceandhealth.com.
-
159
161. Transforming Healthcare: Aaron McKethan's Journey from Policy to Entrepreneurship
Dive into Aaron McKethan's journey from policy nerd to healthcare innovator at Aledade Plus, improving patient care and reducing costs.
-
158
160. Navigating Impacts from the Change Healthcare Cyber Attack
Explore the impact and solutions of the Change healthcare cyber crisis with expert analysis and firsthand accounts.
-
157
159. Enhancing Patient Care: Community Health Centers and Value-Based Contracts
Dive into the world of community health centers and value-based care with Tracy Causey, CEO of Capital Area Health Network in Virginia and Kevin Van Dyke, executive director of Aledade in Virginia. Hear their experience navigating multiple value-based contracts and integrating behavioral health services with primary care. Learn how more accessible patient health data and dynamic support has helped improve preventive care.
-
156
157. Substance Use Treatments and CHCs
Sean and Josh are joined by Rachel Lively, Vice President of Community Health Center Operations at Valley Health, to discuss her experience providing substance use treatments to patients in West Virginia. Rachel shares challenges and successes involving decreasing stigma around substance use disorders, the evolution of treatment methods, and the critical role that CHCs can play in providing individualized care to patients on the path to recovery.
-
155
156. Transforming Patient Care: ACO Insights with Nick Phillis
Explore the transformative power of ACOs with Nick Phillis from Florida, revealing positive impacts on patient care and healthcare delivery.
-
154
155. Breaking Barriers: Navigating Health Equity
Explore tangible initiatives for health equity with Tamara Thomas, VP of Equity and Inclusion at Aledade
-
153
154. CFO Insights: Financial Success in Value-Based Care
Josh and Brian are joined by Wes Edwards, Chief Financial Officer of Med First Primary & Urgent Care in North Carolina. Wes discusses his clinic’s success with value-based care, the financial sustainability of value-based care models, and the crucial link between exceptional patient care and financial outcomes. Plus, a special farewell as Brian says goodbye to the ACO Show.
-
152
153. Navigating Value-Based Care from the Pharmacy
In this episode we sit down with Leigh Efird, Director of Pharmacy at Aledade, to dive into the world of value-based care from the pharmacy perspective. She shares the ways she interacts with patients to help them better understand their health and how managing medications can impact that.
-
151
152. Hill Day with Dr. Christine Meyer & Casey Korba
Josh and Brian are joined by Dr. Christine Meyer and Casey Korba to discuss Hill Day and how to advocate for value-based care to legislators.
No matches for "" in this podcast's transcripts.
No topics indexed yet for this podcast.
Loading reviews...
ABOUT THIS SHOW
The ACO Show explores the latest developments in the U.S. health care system, with a focus on value-based care and accountable care organizations (ACOs). Join co-hosts Josh Israel, MD, senior medical director of Quality, and Sean Cavanaugh, chief of Policy at Aledade, in conversations with experts, policymakers and clinicians to understand how value-based care is good for patients, practices and society. The ACO Show is produced by Aledade.
HOSTED BY
Aledade Inc
Loading similar podcasts...