Value-Based Care Insights

Rural health care providers often encounter barriers that limit their ability to provide the care they need. Even well before the pandemic, rural health providers faced many challenges. Today, workforce shortages and access to health care services are at an all-time high. On this episode of Value-Based Care Insights, host Daniel J. Marino is joined by the CEO of Great Plains Health, Ivan Mitchell....

Today's health care has created many environmental challenges, which take a toll on physicians and contribute to burnout. Often, especially during the height of the pandemic, health care leaders guide hospitals and team members through difficult times. However, many physicians feel overwhelmed and undervalued without a healthy culture to fall back on. In this episode of Value-Based Care Insights,...

Today, the health care environment is ever-changing and leaders must wisely set the future strategic direction for their organizations. To that end, the strategic planning process needs to define the future goals of and opportunities for the organization – and also must address the leadership and culture requirements for success. In this episode of Value Based Care Insights, Dan is joined by Clini...

Many hospitals are experiencing increasing workflow challenges due to high inflation rates. As a result, government and commercial payers are responding in unique ways. On this episode of Value-Based Care Insights, host Daniel J. Marino discusses economic challenges in health care, particularly hospitals and physicians. We’re joined by commercial insurance and government reimbursement expert, Clif...

Healthcare industry leaders across the country are all facing the same challenges with their workforce. We are seeing record high turnover rates and record low job satisfaction. Now is the time to prioritize proactively listening to employees and making changes that will stabilize the workforce after a tumultuous couple of years. On this episode of Value-Based Care Insights, host Daniel J. Marino...

Over the past few years, the shift to value-based care has slowed down as organizations struggled with leadership alignment concerning care delivery advancements. However, there are successful organizations that have advanced value-based care – and can provide guidance on how to position for value-based success, including how to build performance based contracts and create strong physician incenti...

When switching to value-based care contracts, alignment with the providers, physicians, payers, employers, and patients must exist through a model that benefits all. Health care providers must be strategic in selecting quality measures to track that identify areas to improve efficiencies and create real value. On this episode of Value-Based Care Insights, host Daniel J. Marino and Dr. Jon Burrough...

Social determinant of health (SDoH) factors have a great influence on the quality and care management of a population’s health. As technology advances to better capture SDoH factors, clinicians can explore new ways to integrate this data into clinical workflows to proactively identify patients at high risk for adverse outcomes – resulting in better quality care. On this episode of Value-Based Care...

Telehealth is poised to see continued growth as the health care industry experiences the benefits of telehealth models, specifically supporting patient care delivery and closing care gaps. On this episode of Value-Based Care Insights, host Daniel J. Marino and Dr. Alan Kumar, Senior Vice President of Medical Affairs and Chief Medical Officer at Community Healthcare System, discuss the key factors...

As the health care industry shifts from fee-for-service to value-based arrangements, providers are facing a lot of challenges. A provider's relationship with payers is often strained by the new business model, and a provider's ability to collaborate with payers has never been more important. On this episode of Value-Based Care Insights, host Daniel J. Marino and Hal Katz, an industry leader in hea...

Revenue cycle performance is a hot topic across the country as organizations work to rebound from the difficult past couple of years caused by COVID. There are many things that impact and contribute to the complexity of the revenue cycle, but they boil down to three categories: people, process, and technology. On this episode of Value-Based Care insights, host Daniel J. Marino discusses ways to id...

Many challenges can arise when trying to implement standardized processes in complex surgical settings. Reviewing the data and performing prioritization exercises will help leaders identify inefficiencies and assist them with understanding where to begin to operate effectively. By utilizing data and engaging surgical staff, hospitals and ASCs will see tangible benefits to the financial bottom line...

Health care providers are in one of the most challenging times with payer contract negotiations. There are new economic pressures, changes in reimbursement structures due to shifts in site-of-care, and payers are wanting providers to assume more risk. On this episode of Value-Based Care Insights, host Daniel J. Marino and Cliff Frank, a national expert in managed care contracting, discus...

To be a high performing health care organization, finance and clinical leaders must work together to improve patient care. Many different factors play a part in the often fragile relationship between the two. But by aligning incentives and increasing communication, the dynamic can improve. On this episode of Value-Based Care insights, host Daniel J. Marino has a great discussion with Dr. George Ma...

Given the increasing health care expenditures and the pressures of the recent pandemic, a direct-to-employer (DTE) contracting strategy is an opportunity for employers to reduce administrative friction costs and preserve revenue. These arrangements can allow you to foster a better relationship between the employees and the provider. On this episode of Value-Based Care insights, host Daniel J. Mari...

In this very exciting 50th episode of our podcast, we discuss what we have learned over the past 49 episodes and revisit some of our most memorable moments. We reflect on the key insights we gained from speaking with so many industry experts and look forward to hearing more stories as we continue to glean insights and learn together. Learn more by visiting our insights page at www.luminahp.co...

The No Surprise Act went into effect on January 1, 2022. It protects patients from out-of-network surprise bills. Health care organizations must comply with these regulations for emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. Hear more about The No Surprise Act with special guest Shawn Stack and h...

Highly effective leaders have a high Emotional Intelligence or Quotient (EQ), understand when to  manage  and when to  lead,  and know how to handle complex situations. Two experienced health care leaders, Dr. Cheri Olson and Lucy Zielinski share techniques to increase EQ and grow in leadership skills. They share how you can create a personal action plan to help you advance as...

Large vacancy rates – difficult to fill, high turnover rates, burnout with staff – physicians and non-physicians, and competitive nature with recruiting have been workforce trends in health care. Listen to John Malone share the causes and solutions to help the workforce win resolve. Learn more at: www.luminahp.com/insights

Daniel Marino and Bill Bodnar discuss several challenges health care organizations are facing as they transition out of COVID. Bodnar shares his insights on new challenges, including workforce dynamics, non- traditional health care models, and the pursuit of value. Learn more on our Insights page at www.luminahp.com/insights.

During the past 18 months, hospitals and health systems have focused on reducing expense mostly through FTE attrition.  Many health systems and hospitals are at a point where reducing costs cannot come from reducing FTEs but must occur from other places. High performing healthcare organizations have focused not only on reducing costs through minimizing inefficiencies but maximizing revenues a...

In this episode of Value-Based Care Insights Daniel Marino speaks to Phil Hasse who discusses the real-life implications of COVID on medical practices. We speak to Phil Haus who shares insights on how operations have changed drastically since COVID and how hospitals are managing now. Ultimately, we discuss the impact of physicians, revenue, patients, and the business practice of medicine as health...

As we'e thinking about COVID and its impact on organizations, many still face unprecedented challenges. There are numerous studies that reveal that the financial performance of hospitals is still below where it was pre-COVID. As we move forward, it is important to ask, "What do CFOs need to think about going forward?" and "What does the future look like?" In this podcast Daniel J. Marino and Steve...

In today's healthcare environment, we are starting to see trend with specialists who have become independent providers. They start their own practice or join large systems. Many see an opportunity to stand out in the market and want to embrace the entrepreneurial spirit to have more control of their business. Many have grown strong business acumen that have contributed to their success. In this ep...

As organizations transition through this next iteration of the pandemic and think about how to position themselves for 2022, physician and executive leadership continues to be a top priority. The next generation of executive leadership must think differently and have the ability to evolve with anticipated crises and changes in the industry. It is imperative to understand what will be expected of t...