Value-Based Care Insights

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...

Primary care has been the foundation of the U.S. healthcare system for many years, but it’s also been a model in transition. Today, primary care practices are facing a new set of challenges and opportunities for growth under a changing landscape that is largely becoming redefined by large health systems. For today’s healthcare organizations, independent physician practices must choose their partne...

Physicians are taking on new leadership roles daily. With new opportunities come new challenges, especially in the areas of business acumen and leadership. The question emerges, “how do we help physicians become better clinical leaders?” In this episode of Value-Based Care Insights, host Daniel J. Marino talks to Debra Levinthal, the Executive Director of IPMA who supports physician leaders throug...

Cliff Frank is a national expert in managed care contracting. He has set up and has operationalized many provider sponsored health plans for health systems around the country. Learn the best practices by listening to Value-Based Care Podcast now. Learn more at www.luminahp.com.

In this episode of Value-Based Care Insights host Daniel Marino invites Steven Berger and George Mayzell to share: How to get get physicians involved in both clinical and financial outcomes How hospital have to manage different perspectives to boost revenue; put both clinical and financials under the same umbrella to achieve Why CFOs have not traditionally worked well with physicians and how it ne...

Surgeries have been shown to be one of the most profitable lines of services provided to patients. However, this might not hold true in today’s healthcare environment where value-based payment is becoming the norm. As hospitals are facing numerous challenges including reduced cash flows and increased competition, efficient surgical services are imperative for them to remain financially healthy. In...

In today's environment, independent physicians or solo practice providers are becoming a thing of the past. However, the emergence physicians who have a business-minded focus on their practice in the healthcare industry are looking at different opportunities to grow their practice and to remain independent. In this episode of Value-Based Care Insights with host and Managing Partner of Lumina Healt...

In this episode of Value Based-Care Insights with Daniel J. Marino, Managing Partner of Lumina Health Partners, we meet Ericka Adler, Partner at Roetzel & Andress. Ericka shares tips on how physicians and providers can better understand contracts to drive better compensation. Learn more about this topic on our insights page: www.luminahp.com/insights

In this episode of Value-Based Care Insights podcast, host Daniel J. Marino talks to Lucy Zielinski, Managing Partner at Lumina to discuss the need for physician leadership and the value of training. The duo comments on clips from Managing Principals Dr. George Mayzell, Doug McKinley, with Louis Lobon, Vice Chair and Managing Principal at Global Business Strategies. The panel speaks of three aspec...

In this episode of Value-Based Care Insights, Daniel J. Marino sits down with Todd Nelson, Chief Partnership Executive at the Healthcare Financial Management Association (HFMA) to discuss how the providers continue to redefine how they provide care through the consumerism model. The current climate has prompted consumers of all ages for a 24/7 healthcare experience that is digital and convenient....