Stay up to date on all things value-based care.

 

The ACO Show is a weekly podcast hosted by Dr. Joseph Shonkwiler and Dr. Josh Israel. You can listen and subscribe to it on iTunes or Stitcher. Follow along on Twitter for more on healthcare change and to suggest an episode topic.

 

CMS Primary Cares

 

 

On this week’s podcast, Josh and Joe welcome Sean Cavanaugh and Travis Broome back to the show to discuss the recent announcement of several primary care-focused initiatives: Primary Care First & Direct Contracting. Sean, Aledade’s Chief Administration Officer, and Travis, Aledade’s Vice President of Policy, share how these programs will impact primary care providers and ACOs across the country. They also provide their expert insight on what this announcement says about the ongoing trend toward value-based care and the essential role primary care providers play in that transformation.

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Value-Based Prescription Drugs

 

 

Megan Slaga, Aledade’s Director of Pharmacy, discusses high-value medication initiatives in accountable care organizations with Josh and Joe. She explains why Part D (prescription drug spending) isn’t considered part of regular Medicare/Medicaid spend in ACOs and shares her insights on finding high-value alternative medications and promoting medication adherence.

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NAACOS

 

 

On this week’s podcast, Josh and Joe sit down with several guests who participated in the National Association of ACOs (NAACOs) conference, which was held in Baltimore from April 24 to 26. Annette DuBard, Vice President of Clinical Strategy, recaps the panel she participated in, speaking about quality measures and how they can contribute towards the goals of accountable care. Nick Bartz, Vice President of Business Intelligence, also served as a panelist and shares his learnings about how ACOs can best leverage data to drive outcomes. Finally, Travis Broome, Vice President of Policy, gives a rundown of the newest primary care payment models that CMMI just announced at the end of April.

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Transforming Care

 

 

At Aledade, Practice Transformation Specialists (PTS) work closely with providers to support them as they transition to value-based care. Heidi Aubertin, a Senior PTS of the Freedom ACO in Philadelphia, comes to the show to talk to Josh about what she does on a daily basis to improve the workflow of her practices, encouraging small tweaks that reap large benefits. She shares her thoughts on communicating effectively with practices, building strong relationships, and leading by serving.

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Accountable Care in Appalachia

 

 

Matt Weimer is the Vice President of Health Services and Chief Medical Officer at Valley Health Systems, a large federally qualified health center (FQHC) in West Virginia that provides comprehensive care to patients without regard for their ability to pay. Dr. Weimer shares what it means for an FQHC to be part of an ACO, and why being in an ACO has recharged him personally. He has seen Valley Health physicians respond enthusiastically to the idea of providing higher quality care to patients, reducing provider burnout, and creating a more sustainable healthcare system.

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Advance Care Planning with Dr. McCarrick

 

 

As part of National Healthcare Decisions Day, Dr. Tom McCarrick, Chief Medical Officer at the Vanguard Medical Group in New Jersey, sits down with Josh to discuss advance care planning — an important way to ensure that patient’s wishes are respected when critical healthcare decisions need to be made. From Dr. McCarrick’s experience, Annual Wellness Visits are a great way for primary care providers to start having more of these important conversations with patients.

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Julie Sunderland

 

 

Julie Sunderland, Co-Founder and Managing Director of Biomatics Capital and a member of Aledade’s Board of Directors joins Josh to discuss her background and what attracted her to invest in this tech-enabled health care company, the role that private equity can play as a force for change and how she thinks about a company’s culture, people and ideas when considering whether to invest.

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Behavioral Health & Primary Care

 

 

Dr. Lelin Chao joins the show to talk about the importance of addressing mental health and substance abuse disorders in primary care. Lelin and Josh discuss behavioral health integration and some innovative approaches to this challenge. Lelin is an Aledade Medical Director and the co-founder of Health Alliance Associates, a housing-first, advanced primary care practice that provides substance use disorder, behavioral health counseling and primary care to patients struggling with medical illness, addiction, and homelessness.

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Annual Wellness Visits

 

 

A new study published in the American Journal of Managed Care shows that Medicare Annual Wellness Visits (AWVs) can increase healthcare quality and reduce healthcare costs. Josh sits down with two of the authors of this paper, Farzad Mostashari and Jen King, to talk about the challenges and importance of doing studies like these, and how AWVs can be used to build primary care relationships and serve as a key component of ACO strategy.

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Transitions of Care and Partnerships

 


Catherine Olexa, joins Josh and Joe for a conversation about the importance of reaching out to patients who are at their most vulnerable during episodes of acute care and as well as those who have just been discharged from the hospital or those nearing the end of life. She shares the journey that led her to Aledade and to value-based care with the Primary Care Physician at the center. Catherine continues to find innovative ways to help doctors care for their sickest patients through better data, better workflows, and better partnerships.

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Sophia McIntyre – Black History Month

 

Dr. Sophia McIntyre, Chief Medical Officer of Hudson River HealthCare, Inc., discusses how she was able to implement team-based preventative care in communities of color. She shares how she broke down racial barriers on her path to becoming a doctor with Josh. Dr. McIntyre continued this conversation during the Black History Month Panel Discussion at Aledade.

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Being an ACO Coordinator

 

Nicholas Berault gives Josh and Joe a sneak peek into a day in the life of an Aledade Coordinator. He traces his trajectory from Aledade Fellow to Pennsylvania ACO Coordinator, sharing what it is like to work out in the field, bridging the gap between Aledade and its physicians. Nicholas supports and encourages practices every step of the way, while asking them to change the way they operate in several ways. These changes aren’t easy, but watching practices succeed and thrive makes it all worth it.

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Taking Risk: Talking Risk Coding

 

Aledade’s CEO Farzad Mostashari, returns to the ACO Show to share his perspective on risk coding and why it’s important for ACOs. Dr. John Torontow, Aledade Medical Director, also joins Josh and Joe to discuss the details of accurate risk coding. John merges his experience as a family physician with his knowledge of population health to coach providers through difficult conversations with their patients that ultimately result in better care.

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ACO Strategy

 

Ahmed Haque, Aledade’s SVP of Network Performance & Strategy, returns to the show to discuss the strategy behind building and growing an ACO. Ahmed’s experience and expertise have made him a national leader in creating high performing ACOs and he shares his insights with Josh and Joe.

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The First State

 

Tyler Blanchard, Executive Director of Aledade’s Delaware Accountable Care Organization (ACO), provides an in depth look into what it takes to manage a successful ACO comprised of high-performing independent providers. Tyler also gives Josh and Joe his expert opinion on what makes the First State such fertile ground for fostering new and innovative ideas.

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Managing Referrals

 


Dr. Annette DuBard Aledade’s VP of Clinical Strategy, digs into the crucial role of promoting high value specialist referrals when pursuing value-based care. Annette also gives Josh and Joe a view into clinical strategy at Aledade and how it informs an emerging tech-enabled, healthcare product offering.

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Value-Based Revolution

 


Dr. Shawn Purifoy is a primary care provider at Malvern Family Medical Clinic in rural Arkansas, and Dr. Lee Fleischer is a primary care provider at PMA Medical Specialists in suburban Philadelphia. Despite practicing in dramatically different parts of the country, Shawn and Lee are in the vanguard of the value-based care revolution and Medical Directors at Aledade. Josh and Joe to discuss how primary care providers are leading the charge that is changing the face of American healthcare.

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Bob Kocher: Aledade’s First Investor

 

Dr. Bob Kocher, is a member of Aledade’s Board of Directors and a Partner at Venrock, where he focuses on healthcare IT and services investments. Additionally, he is a Consulting Professor at Stanford University School of Medicine, Senior Fellow and Advisory Board Member at the Leonard D. Schaeffer Center for Health Policy and Economics at USC, and Guest Scholar at the Brookings Institution Engleberg Center for Health Reform. Bob talks about how he went from clinical medicine to health policy to venture capital and why he was Aledade’s first investor. He even gives Josh and Joe some background on his annual list of healthcare predictions.

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Pathways to Success: Travis 2019

 

Travis Broome, VP of Policy at Aledade, returns to The ACO Show to provide some insight on the recent regulatory changes that will impact ACOs and their participating practices.

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Dr. Emily Maxson

 

Dr. Emily Maxson is in an internal medicine physician and the senior Vice President for Medical Affairs at Aledade. She joined Josh and Joe to share her thoughts on what it takes for providers to make the transition from fee-for-service medicine to a system that puts the health of the patient and the population at the center of health care.

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Aneesh Chopra

 

Aneesh Chopra is the Co-Founder of Hunch Analytics, President of CareJourney; and Former Chief Technology Office of the United States & Virginia Secretary of Technology. Aneesh talks to Josh and Joe about the role of data and analytics in transforming the U.S. healthcare system and what he sees as the key factors that drive success in value-based care. He brings his years of expertise and leadership to a great discussion about the history, politics, and technological innovation that impact American healthcare at every level.
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Alex Blum: Partnerships

 

Josh and Joe interview Dr. Alex Blum, Aledade Vice President of Strategic Partnerships. Alex details how well crafted partnerships can help drive value-based care and how payers outside of the Medicare world can be key when developing Accountable Care Organizations.
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Electronic Health Records

 

Josh and Joe interview with Rick Velandingham Vice President of Electronic Health Record (EHR) Optimization at Aledade. Rick discusses the role of EHRs in value-based care, and challenges and opportunities presented in current EHR landscape. Rick also sheds light on how a company approaches a national strategy for EHR optimization while working with many different EHRs.
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Kansas ACO: In the Field

 

Dr. Jen Brull and Dr. Ryan Knopp join The ACO Show to share their on-the-ground experience as primary care providers in an Accountable Care Organization, and how cutting edge population health and the use of data to improve patient care is making a difference in the Heartland.
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Travis Broome: What’s New for 2019

 

Interview with former Regional Operations Manager at the Centers for Medicare & Medicaid Services (CMS) and current VP of Policy and ACO Administration at Aledade Travis Broome, about the Centers for Medicare & Medicaid Services (CMS) recently proposed regulatory changes. These include changes to the Physician Fee Schedule (PFS) and the Outpatient Prospective Payment System, and other regulations that will impact Accountable Care Organizations (ACOs).
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Mat Kendall: The Ground Game

 

Interview with Mat Kendall, Aledade co-founder and Executive Vice President of Operations. Mat provides the final piece to Aledade’s origin story as well as an unrivaled perspective on how to operationalize a sustainable business model in value-based care.
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Ahmed and Travis: Taking on Risk

 

Interview with former Regional Operations Manager at the Centers for Medicare & Medicaid Services (CMS) and current VP of Policy and ACO Administration at Aledade, Travis Broome, and former Director in the Office of the National Coordinator for Health IT and current SVP of Network Performance and Strategy, Ahmed Haque. Travis and Ahmed not only discuss their roles at Aledade, but they also weigh in on and the concept of “risk” in value-based care and the role it plays in the strategic decision-making of Accountable Care Organizations (ACOs).
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Sean Cavanaugh: The Policy

 

Interview with Sean Cavanaugh, Chief Administrative Officer of Aledade, Inc.. Learn about what led to the creation of ACOs from someone who was there and helped design the the regulations that underlie this innovation, and what happens when a great idea meets the world.

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Edwin Miller: The Tech

 

Interview with Edwin Miller, CTO of Aledade Inc. who discusses the role of technology in the transformation of healthcare, and what it takes to build a tech team in fast growing company.

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Farzad Mostashari: The Origin

 

Interview with Farzad Mostashari, Co-Founder and CEO of Aledade Inc. about the orgins and challenges of accountable care organizations (ACOs). Dr. Mostashari is the former Head of the Office of National Coordinator for Health IT.

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We want to hear from you!

 

If you have a topic or idea about value-based care that you’d like us to discuss on the podcast, shoot us a quick message.
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