Value-Based Care Insights

The healthcare leaders of today are challenged with helping to guide and plot the right course to not only improve financial performance, but to drive clinical activities to create competence with patients. In this episode of Value-Based Care Insights, hosts Daniel J. Marino and Shaillee Juneja welcome back Dr. Doug McKinley, a clinical psychologist that specializes in leadership development of ph...

In this episode of Value-Based Care Insights, Mollie Gelburd, JD, Associate Director of Government Affairs at MGMA joins Daniel J. Marino and Shaillee Chopra to discuss anticipated policy changes in healthcare that will be introduced by the new administration. About the Guest Mollie monitors federal legislative and regulatory issues including fraud and abuse, Medicare coverage and reimbursement, a...

Clinically Integrated Networks are a vehicle for organizations to align with their providers. It positions health systems, hospitals, employed physicians, independent physicians to succeed under value-based care as we move into more contracting opportunities. It also provides a vehicle to help manage costs and create efficiencies, and also allow collectively the network to track quality for all of...

COVID-19 has significantly impacted the way that independent hospitals and provider communities do business. In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee Juneja speak to Michael Sisti and Lisa Stockdale of Silver Cross to discuss how a practical value-based care strategy can be implemented in provider communities using examples from their experiences. You can learn m...

In this episode of Value-Based Care Insights Daniel J. Marino and Shaillee Juneja speak to Managing Partner, Lucy Zielinski about trends that will be essential to follow in 2021. Get more on our Insights page: www.luminahp.com/insights

In 2020, the COVID-19 pandemic has led to sweeping changes on who receives care, how they access it and how healthcare organizations come together with doctors, hospitals, insurance companies and community resources to meet the complex need for accelerated care. In this episode, hosts Daniel J. Marino and Shaillee Juneja reflect on how healthcare organizations pivoted to meet t...

COVID-19 brought a pivotal shift in the healthcare environment for organizations. This change has made the need to integrate value-based care more important than ever to adjust to ever-changing demands of the industry. In this episode, Dr. George Mayzell breaks down the necessary action steps organizations can take to improve value-based care during the pandemic. For more insights visits www.lumin...

Delivering innovative care delivery models is not only limited to primary care. In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee J. Chopra talks to Dr. Zeev N. Kain, MD, MBA. Dr. Kain is a Yale and Harvard trained physician, thought leader and innovator. He is internationally well known for his seminal work on transforming surgical care through value-based care, which is...

In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee J. Chopra speak to Jim Yanci to discuss strategies to leverage hospital partnerships for stability. Learn more at www.luminahp.com.

In this episode of Value-Based Care Insights, guest Jeff Peters, President and CEO of Surgical Directions provides insight on the financial impact that COVID-19 has had on perioperative services. In this dialogue, he shares why organizations must focus building stronger ambulatory programs and push for higher patient engagement. To learn more about this topic, visit our Insights pages for more inf...

Many organizations around the country are dealing with a tremendous amount of financial strain -- especially with the small to mid-size hospitals. With the shifts that have occurred in recent months, organizations have even more pressure to manage the cost margins, which have totally gone up with the treatments they had to provide to patients and shift they had to make in their operational setup....

As we move through the summer months, we are seeing a potential spike in COVID-19 cases all over the country. In this episode Daniel J. Marino and Shaillee J. Chopra talk to Dr. Michael Hill, an Infectious Disease Specialist to understand the concerns hospital leaders need to consider as the country enters the fall and winter season. Dr. Hill explains lessons learned from COVID from the spring sea...

As the healthcare industry moves into the summer months, many hospitals find themselves in a difficult financial position. Revenues are still down, volumes have increased (but are still below pre-COVID levels), and physicians are concerned with delivering care in a COVID-19 environment. On this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee J. Chopra introduce a panel that dis...

As organizations navigate their way through the world in the era of the pandemic, there are two key focus areas for healthcare leaders. First is the loss of revenue recapture. How do they reclaim the revenue related to lost volume shifted pyramid due to the pandemic? The second area is improving their margin is cost reduction. How do they continually take variable costs out of the system and do mo...

In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee J. Chopra have a conversation with Kathy Najarian, MHA, Principal at Lumina Health Partners, about essential revenue recovery tips to drive margin enhancement. Learn more about Lumina Health Partners at www.luminahp.com!  Read our show notes here: https://hubs.ly/H0rQRhX0

In this episode of Value-Based Care Insights by Lumina Health Partners, hosts Daniel J. Marino and Shaillee J. Chopra provide commentary on Dr. George Mayzell and Doug Mckinney’s webinar about physician burnout and dissatisfaction. The episode dives into pre-COVID issues, post COVID realities, and how to create a culture of wellness. To learn more about this topic visit our Insights page: https://...

As physicians prepare to re-emerge from the COVID-19 lockdown, hosts Daniel J. Marino and Shaillee J. Chopra speak with consultant, Doug McKinley to discuss how physicians can change their mindset around the “old normal” and pivot to align with the new normal that includes new tele-health environments, new rulings, new financial realities, healthcare systems. Read more at our Insights page: https:...

In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee J. Chopra talk to Vince Keenan, CAE Chief Executive Officer of the Illinois Academy of Family Physicians , about a successful case study that focuses on how to get Pneumococcal Vaccine on the physician dashboard. Read our show notes here: https://hubs.ly/H0pWVQ30

In this episode of Value-Based Care Insights, hosts Daniel J. Marino and Shaillee J. Chopra continue the conversation about telehealth services with Lucy Zielinski, Managing Partner, Lumina Health Partners. Lucy shares how healthcare organizations can c omply with medical record documentation, coding and billing for tele-health services and work with insurance payers to ensure reimbursement. To se...

In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee J. Chopra introduce a segment from George Mayzell, MD, MBA, FACHE, Managing Principal, who shares a practical five-step process to launching tele-health services for physicians in 2020. To listen to the Webinar on Demand referenced in the episode, click here To see podcast notes, visit our Insights page at: https://hubs.ly...

In today’s climate, academic medical centers (AMCs), struggle with understanding where the organizations fit within the value-based care arena. Leaders from AMCs across the country are faced with finding the value proposition of their specialty services. As a continuation of the conversation in Episode 10, Daniel J. Marino and Shaillee Chopra introduce Brent Estes, Senior Vice President of Busines...

In this episode of Value-Based Care Insights, Daniel J. Marino and special guest John Marren discuss value-based care strategies in academic medical centers (AMCs). The conversation explores the inherent challenges that exist within academic medical centers as they think about shifting to value-based care, success drivers for academic medical centers and how to create a burning platform for change...

In this episode of Value-Based Care Insights, hosts Daniel J. Marino and Shaillee Chopra continue the conversation from episode eight, Introduction to Clinical Variation Reduction Strategies with John Malone. They talk to Dr. George Mayzell,  MD, MBA, FACHE, and Managing Principal of Lumina Health Partners. George answers three critical questions for success: Where do organizations start? How...

In this episode of Value-Based Care Insights, co-hosts Daniel J. Marino and Shaillee Chopra introduce Principal Partner, John Malone. John shares various data-driven approaches to managing variations in processes, training, and operational execution across service lines. Daniel and John discuss why it is essential for organizations to bring focus on clinical variation strategies to manage and redu...

In this episode of Value Based Care Insights, host Daniel J. Marino talks to Dr. Alvia Siddiqi, Vice President of Population Health at Aurora Health, about how organizations can engage employed physicians within value-based care. As organizations are balancing between FFS and FFV, medical groups are beginning to evolve their focus around governance models, compensation models, care model delivery...