Oct 28, 2021
In Episode 343, Stacey Richter talks with David Carmouche, MD, about what provider leadership teams need to know to operationalize value-based care. Dr. Carmouche breaks down the three things that have to align for value-based care to actually work: the payment model itself, physician and administrative incentives,...
Oct 21, 2021
In Episode 342, Stacey Richter talks with Christin Deacon about how the Consolidated Appropriations Act (CAA) and ERISA fiduciary requirements are an anchor for self-insured employers navigating the complexity of healthcare. Christin explains what ERISA fiduciary responsibility actually means, why self-insured...
Oct 14, 2021
In Episode 341, Stacey Richter talks with Gary Campbell, CEO of Johnson Health Center, a Federally Qualified Health Center (FQHC) in Lynchburg, Virginia, about how to cut administrative waste while also attracting and retaining doctors and nurses. Gary explains why FQHCs, with no ability to cost-shift to commercial...
Oct 7, 2021
In Episode 340, Stacey Richter talks with Kristin Begley, PharmD, chief commercial officer at Wildflower Health, about how digital front doors can enable value-based care. Kristin describes the next generation of digital front doors — portals that fold in payer, provider, and employer data, plus a patient’s own...
Oct 5, 2021
In this An Expert Explains episode, Stacey Richter talks with David Contorno, founder of E Powered Benefits, about employers and reference-based pricing (RBP). David explains how reference-based pricing actually works — employers paying providers some percentage over a reference point like the Medicare rate — and...