The ACO Show

135. Pediatric Value-Based Care: Does It Work?

Value-based care is often more focused on adults, especially the elderly who have the most burden of illness and, on average, the highest health care costs. Josh is joined by Dr. Karin McLelland, a pediatrician in North Carolina, and Carissa Praytor, Manager of Medicaid Performance at Aledade, to discuss how Aledade’s pediatric ACO in North Carolina was able to enable more primary care and reduce costs for this often-overlooked population of our nation’s youngest patients.

134. Building a Care Management Program

Josh and Brian are joined by Dr. Sarah Mullins, co-owner of Stoney Batter Family Medicine in Wilmington, Delaware, and Senior Regional Medical Director at Aledade, to discuss the role of care management programs in value-based care, how to build and sustain them, and the value they provide to patients and practices.

133. The State of Medicare Advantage

Josh and Brian are joined by Mike Stanzione, Aledade’s Director of Medicare Advantage Network Performance, to discuss the state of Medicare Advantage (MA), its rapid growth, regulatory evolution, and how the Aledade model of care applies to MA.

132. Realizing the Full Potential of Primary Care in ACOs

Josh and Brian are joined by Dr. Asaf Bitton, executive director of Ariadne Labs, and Associate Professor of Medicine and Health Care Policy at Harvard Medical School and the Harvard T.H. Chan School of Public Health. They discuss the need to move to value-based care and change the payment structure. They also reflect on the historical underfunding and undervaluing of primary care.

131. The Value-Based Care Landscape with Dan Bowles

Josh and Brian are joined by Dan Bowles, Aledade’s Chief Growth Officer, to discuss the state of the value-based care landscape and how to distinguish the various models fellow travelers are implementing in the space.

130. Building Trust and Aledade Care Solutions with Dr. Mandy Cohen

Josh and Brian are joined by Dr. Mandy Cohen, CEO of Aledade Care Solutions, to discuss the importance of the trust she and her team built with communities in North Carolina during the COVID-19 pandemic and how that parallels building trust with physicians and management organizations in the value-based care movement. They also talk about how Aledade Care Solutions has evolved as a direct-to-patient arm of Aledade’s portfolio with the goal of adding additional resources to improve patient outcomes.

129. Healthcare Investing and IPOs

Josh (@DrJIsrael) is joined by Bijan Salhizadeh (@bijans), Managing Director at NaviMed Capital, to discuss the current state of healthcare stocks and factors that affect IPO valuation for companies hoping to go public.

128. Health Care Access For Vulnerable Populations

Josh (@DrJIsrael) and Brian (@chiglinsky) are joined by Chelsea Graves, Aledade’s Director of Medicaid Performance, to discuss factors that affect healthcare access and outcomes for vulnerable populations. Chelsea also shares the secrets behind the success of Aledade’s recent collaboration with the Community Health Center Association of Mississippi (CHCAMS) to serve the Medicaid population and improve their access to primary care.

127. 2021 Medicare Shared Savings Program Results

Season 4 of the ACO show kicks off with the return of Travis Broome @Travis_Broome and Ahmed Haque @aehaque on 2021 results in the Medicare Shared Savings Program, why more primary care lowers the total cost of taking care of patients, and some changes coming to the MSSP program for 2023.

126. How Do ACOs Grow

Josh (@DrJIsrael) and Brian (@chiglinsky) are joined by Miranda Morris, Aledade’s Market President for Arkansas and Dr. Shawn Purifoy, Regional Medical Director at Aledade and independent physician, to discuss how value-based care networks like ACOs grow.