Radio Advisory

Advisory Board
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Apr 9, 2024 • 32min

203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes.

Last week, in part two of our series on value-based care, we talked about how CenterWell, Humana’s provider arm, turned to senior-focused primary care to grow their value-based strategy. But as the Medicare Advantage market gets larger, older, and sicker, it is becoming clear that a focus on primary care isn’t enough. The fact is, VBC in specialty care is the future. In part three of our value series, host Rachel (Rae) Woods invites TJ Ackerman, Senior Vice President of Provider and Network Performance at Zing Health, to discuss what good specialty care in Medicare Advantage looks like. We also talk with one of Zing’s provider partners, Will Stokes, Chief Strategy Officer at Strive Health, a leader in value-based kidney care. Together, TJ and Will discuss the importance of payer-provider partners in value-based specialty care. Links: Zing Health offers Medicare Advantage Plans in Illinois, Indiana, and Michigan. (myzinghealth.com) Transforming Kidney Care - Strive Health Register for the “Raising the Value Bar Summit” Ep. 202: Value series: Why CenterWell (and Humana) is going all in on senior care Ep. 201: Value series: What does health system VBC adoption actually look like? Use the Market Scenario Planner Learn about Advisory Board On-Demand Courses Register for the Raising the Value Bar Summit 3 strategies for facing the 'tripledemic' of respiratory viruses A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Apr 2, 2024 • 32min

202: Value series: Why CenterWell (and Humana) is going all in on senior care

Last week, in part one of our series on value-based care, we talked all about health systems taking on risk, and why that looks a bit different for everyone. This week, we're exploring an organization that embodies that principle. CenterWell, Humana's provider arm, is pursuing value-based care by going all in on senior focused care. So how are they doing it? In part two of our value series, host Rachel (Rae) Woods invites CenterWell President, Dr. Sanjay Shetty, to discuss the philosophy behind and strategies for pursuing value-based care through senior care management. Throughout the conversation, they discuss why this strategy is right for CenterWell, what it takes to succeed, and how they are navigating today's market challenges. Links: CenterWell | Reimagining Senior Healthcare Register for the "Raising the Value Bar Summit Ep. 201: Value series: What does health system VBC adoption actually look like? 5 insights from VBC leaders 3 strategies for facing the 'tripledemic' of respiratory viruses How CoxHealth grew their Inspire program to meet surging demand Learn about Advisory Board Fellowship A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Mar 26, 2024 • 27min

201: Value series: What does health system VBC adoption actually look like?

In a few weeks, Advisory Board will be convening leaders across the industry in New Orleans, Louisiana to talk about the meaning of "value" in healthcare. In anticipation of the Value Summit, Radio Advisory will be spending the next three weeks talking about one major expression of value in the industry – value-based care. In the first episode of our mini-series, host Abby Burns invites Advisory Board value-based care experts Clare Wirth and Daniel Kuzmanovich to paint the landscape of health system VBC adoption and break down why the road to VBC is neither linear, nor uniform. Links: Register for the "Raising the Value Bar Summit" VBC self-assessment: Find out where your organization stands 5 insights from VBC leaders Introduction to the series: Envisioning paths to nationwide VBC Ep. 178: What the industry is (still) getting wrong about value-based care Learn more about On-Demand Courses How St. Cloud ENT partnered with an ASC to improve sleep apnea outcomes and grow surgical services A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Mar 19, 2024 • 33min

200: Why 2024 is a make-or-break year for corporate medical groups

In the last five years, the health care industry has seen an explosion of corporate ownership over medical groups. It's been relatively smooth sailing for many of these groups so far—but in 2024, they may face the same challenges as incumbents. In this episode, host Rachel (Rae) Woods invites Advisory Board physician experts Sarah Roller and Eliza Dailey to discuss why 2024 will be a make-or-break year for corporate medical groups, and what that means for the rest of the industry. Links: Bold predictions for healthcare in 2024 What you need to know about rising medical group consolidation Physician employment is changing. What does that mean for the industry? Ep. 198: PE firm General Catalyst is buying a hospital — here's our take Use Advisory Board's Clinician Supply Profiler to see how physician supply in your market compares to others. Register for Advisory Board's Clinical Innovation Summit and learn about sponsorship opportunities. Learn more about Advisory Board Fellowship. A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Mar 12, 2024 • 31min

199: Why can't providers and plans just get along?

Producers' note: We know a lot of organizations have been and are being affected by the major cyberattack of Change Healthcare systems and resulting outages. We won't be addressing it in this episode, but if you have questions or are looking for more information please go to https://www.unitedhealthgroup.com/changehealthcarecyberresponse. The relationship between health plans and providers has always included an element of friction, but lately, it seems like the temperature is rising. And you've probably noticed – public contracting disputes increased by 69% between 2022 and 2023. That's why, in this episode, host Abby Burns invites Advisory Board experts Max Hakanson and Eileen Fennell to discuss why the state of affairs seems to be getting worse, how key flashpoints are fanning the flames, and what each stakeholder says they need to see from their partners in order to mend the relationship. Plus, Advisory Board digital health expert Ty Aderhold makes a cameo appearance to help answer the question: Is AI the solution here? Links: 7 things we want to fix in 2024 (and how to get there) A new era of payer-provider relationships The new era of provider enablement AI in healthcare: Insights from 10 C-suite executives 2024 Raising the Value Bar Summit A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Mar 5, 2024 • 35min

198: PE firm General Catalyst is buying a hospital — here's our take

Corporate entities like health plans, retail companies, and PE firms have aggregated large, diverse portfolios of care delivery assets over the past decade – with one notable exception: no one was buying hospitals. But in January, venture capital firm General Catalyst bucked that trend and announced its intent to acquire Summa Health, a 3-hospital health system in northeastern Ohio. What are they thinking? And what could this mean for the industry? In this episode, host Rachel (Rae) Woods and co-host Abby Burns invite Advisory Board's health system expert Vidal Seegobin to unpack the details of the story, interpret General Catalyst's ambition, and share what they'll be watching in the coming months. Links: Radio Advisory's financial impact playlist Survey insights: 6 priorities for health system strategists in 2024 Ep. 193: Is health system growth still possible? Ep. 123: Is private equity health care's bad guy? The Hospital Benchmark Generator Improving detection of ATTR-CM: Insights from experts A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Feb 27, 2024 • 44min

197: Lessons from the C-Suite: Demystifying generative AI with Dr. John Halamka, President of Mayo Clinic Platform

Artificial intelligence has been rocking industries across the world, and healthcare is no exception. But what impact will it have exactly on physicians? Health systems? Data sovereignty? In this episode, host Rachel (Rae) Woods passes the microphone to Eric Larsen, President Emeritus of Advisory Board and President of TowerBrook Advisors. In this conversation, Eric sits down with Dr. John Halamka, President of the Mayo Clinic Platform, to demystify how the industry should think about generative AI across all of healthcare. Links: Ep. 185: AI adoption: why you can't afford to "wait and see" Ep. 180: Tom Lawry on why AI has a PR problem Lessons from the C-suite AI in healthcare: Insights from 10 C-suite executives Learn more about Advisory Board Sponsorship Learn more about Advisory Board's 2024 Revolutions in Specialty Care Summit A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Feb 20, 2024 • 32min

196: The future of surgery (no, it's not just robots)

Headlines about the future of surgery often focus on robots in the operating room– but innovation in surgical care and operations goes beyond robotics. In reality, the solutions to surgery leaders' problems – like inefficiency and dwindling margins – may be less futuristic than you'd think. In this episode, host Rachel (Rae) Woods invites Advisory Board experts Isis Monteiro, Miles Cottier, and Paul Trigonoplos to discuss what is next for the future of surgery, and what it will actually take for health systems to make surgical care profitable again. They discuss innovations in the OR, opportunities to improve efficiency, and why it might be time to think differently about the future of surgery. Links: Mentioned in the interview (15:00): Open source code that optimizes operating room efficiency Ep. 142: The dire state of hospital finances (Part 1: Hospital of the Future series) Ep. 193: Is health system growth still possible? General surgery service line outlook – 2023 [Webinar on Feb. 27] How health systems are preparing for the future of surgery Use the Market Scenario Planner tool Learn more about Advisory Board's 2024 Revolutions in Specialty Care Summit A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Feb 13, 2024 • 32min

195: Site-of-care shifts: It's time to go on offense

The data doesn't lie: site-of-care shifts are accelerating. Health systems rely on surgical volumes as a major revenue driver, but as more procedures take place outside of the hospital, systems are not necessarily positioned to capture the shift in volumes – or revenues. So, what should health systems do? To answer that question, host Abby Burns talks with Advisory Board experts Nick Hula and Sebastian Beckmann. They discuss why health systems need to transition from a "defensive" to "offensive" approach to capture shifting volumes and identify service- and market-level factors systems should consider when putting this mindset shift into action. Links: Site-of-care shifts: The next savings opportunity for health plans? Ep. 193: Is health system growth still possible? 5 trends (re)shaping site-of-care shifts What's happening with joint replacement volumes? Learn more about Advisory Board's on-demand courses Learn more about the Advisory Board Fellowship at: advisory.com/fellowship A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
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Feb 6, 2024 • 40min

194: The patients are not all right: Unpacking the quality crisis with The Joint Commission's Dr. David Baker

We've all seen headlines about decreasing quality in U.S. healthcare. In an industry battling with workforce shortages, rising health needs, missed prevention, workplace violence, and rising healthcare needs, it's no wonder quality is falling and adverse events are rising. The fact is: in 2024, the patients are not all right. In this episode, host Rachel (Rae) Woods talks with Advisory Board equity expert Darby Sullivan about the state of clinical quality. Following that, we hear from Dr. David Baker, Executive Vice President for Healthcare Quality Evaluation and Improvement at The Joint Commission, to discuss why patient quality is declining and what the industry can do to improve it. In the conversation, they discuss how we define and measure clinical quality, what leaders can do to improve outcomes, and more. Links: The Joint Commission How to tackle the 4 root causes of stagnating clinical quality 4 ways to 'fire-proof' your quality efforts Is clinical quality declining? A look at the data — and what you can do. Learn more about Advisory Board's on-demand courses How UPMC improved interdisciplinary care for metastatic breast cancer and geriatric patients A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

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