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The ACO Show brings you the latest in the movement that’s transforming American health care. Co-hosts Josh Israel and Sean Cavanaugh from Aledade, the largest network of independent primary care, share their conversations with experts and leaders across the health care industry - from leading policymakers and researchers to staff and practices on the front lines. Subscribe and listen to learn about how independent primary care practices are leading the movement to a value-based health care system. The ACO Show is an independent production of Aledade.
Episodes

Monday Jun 09, 2025
Monday Jun 09, 2025
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.
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