Move to Value Podcast

This episode is first in a two-part series about Clinical Documentation and Coding. In part one, we talk about the importance of Risk Adjustment with Amber Malone-Wright, Director of Clinical Documentation Integrity at CHESS Health Solutions. What is risk adjustment and why is it so important? So risk adjustment is really a way to describe funding for resources and care to manage patients chronic...

In this episode we learn about what it is like driving value in rural communities with CHESS Health Solutions senior director of clinical operations and practicing physician Dr. Kimberly Vass-Eudy  Dr Vass-Eudy, as a provider with a rural patient population what are some of the unique challenges about practicing medicine in a rural community? I think the first thing is that the space there's a lo...

In this episode, we learn about the commercial side of value-based care contracting and Medicare Advantage from Bethany Palmer, Senior Director of Contract Strategy and Clinically Integrated Network Management for CHESS Health Solutions. Bethany, Welcome to the Move to Value Podcast! Let’s talk a bit about Medicare Advantage. Can tell us what it is and how it works? Sure. So, before I get into spe...

In this episode we talk to Jeff Williamson, MD, MHS, Director of the Center for Healthcare innovation, about what is on the horizon for patient care and how it impacts value. About Jeff Williamson About Center for Healthcare Innovation Transcript: Can you talk to me about Center for Healthcare Innovation and the Center for Aging? What is the mission of each? Yep. Well, the Center for Healthcare In...

In this episode we continue our conversation with Doctor Kevin Biese and Megan Donovan about the role that Geriatric Emergency Department have in the move to value and how it touches all aspects of the quadruple aim. Transcript: What are the different staffing components that comprise the integrated care of a GED and what if any special training is preferred or required for physicians and APPs wor...

Today we talk to Dr. Kevin Biese, from the UNC Chapel Hill School of Medicine and Megan Donovan, an Atlanta-based independent management consultant, about Geriatric Emergency Departments and the role they play in value-based care. Transcript: I’d like to start off by asking what is a Geriatric Emergency Department, also known as a GED, and how is it different from a standard ED? Kevin: Thank you s...

In this episode we talk to Melissa Pollock, M.Div., CHC, director of ACO Compliance and Regulatory Affairs for CHESS Health Solutions . She shares with us her expertise on the current CMS payment models, as well as the history and what she sees in the future. Transcript: Melissa would you provide some background on their precursors leading up to what we now know as value based care? Sure! as most...

In this episode, we continue our conversation with Matt Zavadsky of MedStar Mobile Healthcare about the role that Emergency Medical Services has in value-based care and how the economics come together to provide value. Transcript: How has CMS come to realize the value of the role EMS has in health care through models such as Emergency Triage, Treat, and Transport or ET3? Yeah, and Medicare for mos...

In this episode, we pay a visit with Matt Zavadsky, EMT and Chief Transformation Officer at MedStar Mobile Healthcare , a high value Emergency Medical Services system that provides advanced clinical care with high economic efficiency. Transcript: Tell us a little bit about MedStar, what your organization does, and how it has impacted the communities in which it operates. Thanks for asking. MedStar...

In this episode, we have a conversation with Kelly Garrison, President and CEO of Emtiro Health , about the leap into managed Medicaid care in North Carolina and how to support providers that participate in value-based payment arrangements for Medicaid populations. Let’s talk about Emtiro Health. Tell us about what you've been doing and how it's been going lately Great! So Emtiro Health is a popul...

In this episode of the Move to Value Podcast we have a conversation about quality and its importance as a driver of success in value-based care with Derrick Stiller, Senior Director of Value Based Contract Operations at CHESS Health Solutions , where he leads the Contract Operations and Clinical Documentation Integrity departments as well as Quality Services. Today we want to talk about quality an...

In this episode of the Move to Value Podcast, we continue the conversation about Motivational Interviewing with Sebastian Kaplan, PhD, who talks in greater detail about Motivational Interviewing, touching on empathy, provider burnout, and optimal patient care. Dr Kaplan has additional Motivational Interviewing resources available here: https://www.guilford.com/author/Sebastian-G-Kaplan If a provid...

In this episode of the Move to Value Podcast, we have a conversation about Motivational Interviewing with Sebastian Kaplan, PhD, a clinical psychologist at Atrium Health Wake Forest Baptist and Associate Professor of Psychiatry and Behavioral Medicine at the Wake Forest School of Medicine. Dr Kaplan has additional Motivational Interviewing resources available here: https://www.guilford.com/author/...

In this episode we continue our conversation with Yates Lennon, MD, President and Chief Transformation Officer of  CHESS Health Solutions  who discusses the seven pillars of value-based care and the questions physicians and health systems should be asking themselves when transforming from fee-for-service to fee-for-value. At CHESS we often refer to the seven pillars of value-based care....

In this episode of the Move to Value Podcast, we talk with Marque Macon, MBA, FACHE, Assistant Vice President, Atrium Health's Collaborative Physician Alliance , who discusses the importance of using support teams to assist providers in value, including accurate documentation and coding. Hi Marque. Can you give a brief overview about the Collaborative Physician Alliance? Sure thing. Well, Collabor...

In this episode of the Move to Value Podcast, we have a conversation with Robert Mechanic, MBA, Executive Director of the Accountable Care Institute , who shares ways to understand a patient population. Transcript: What is the Institute for Accountable Care and what is its primary mission? So, Thomas, we are a fairly new organization. We're an independent not-for-profit. We were formed several yea...

In this episode we speak with Yates Lennon, MD, President and Chief Transformation Officer of CHESS Health Solutions who talks about why value based care is important and how it impacts the provider and patient. Yates Lennon, MD, MMM, currently serves as the President and Chief Transformation Officer for CHESS Health Solutions. He is nationally known for his work in quality, previously serving on...