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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
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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.
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Saknas det avsnitt?
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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.
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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.
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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
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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.
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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.
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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.
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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.
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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]
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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]
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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]
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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]
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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]
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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]
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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]
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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.
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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.
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Explore the impact and solutions of the Change healthcare cyber crisis with expert analysis and firsthand accounts.
- Visa fler
