Josh (@DrJIsrael) is joined by Rahul Rajkumar (@RahulRajkumar11), Chief Operating Officer at Optum Care Solutions. Dr. Rajkumar shared insights on the difference between designing healthcare models and implementing them at different payers and more about his work at Optum Care Solutions to improve the quality and efficiency of healthcare.
More episodes from "The ACO Show"
114. The Value of Medicaid
21:22Josh (@DrJIsrael) and Brian (@chiglinsky) discuss the value of Medicaid now and in the future with Chelsea Graves Aledade’s Director of Medicaid Network, and Mohamed Arif, Aledade’s Director of Medicaid Strategy.
113. Medicare Innovation Center’s Future Vision On Health Equity
17:38Josh (@DrJIsrael) and Kisha (@kdavis) discuss the Medicare Innovation Center’s white paper on their vision for health equity over the next 10 years.
112. CMMI’s 10 Year Vision
30:49Josh (@DrJIsrael) is joined by Travis Broome (@Travis_Broome) Sean Cavanaugh (@dc_cavanaugh), and Farzad Mostashari (@Farzad_MD). Together, they delve into the five strategic objectives (available below) released in CMMI’s recent white paper on their vision for the next 10 years. 1. Drive Accountable Care 2. Advance Health Equity 3. Support Care Innovations 4. Improve access by addressing affordability 5. Partner to achieve systemic transformation
111. Commercial Insurance
17:33Josh (@DrJIsrael) and Brian (@chiglinsky) are joined by Jennifer Heffernan, Director of Commercial Payer Performance at Aledade (@AledadeACO). They discuss the difference between Medicare, Medicaid and commercial payers and how Aledade works with commercial payers. They also talk about the benefits both patients and commercial payers experience when joining an ACO.
110. Medicare Advantage
19:59Josh (@DrJIsrael) is joined by Mike Stanzione, Director of Medicare Advantage @AledadeACO. They discuss the differences between “Traditional” Medicare and Medicare Advantage (including additional benefits offered through Medicare Advantage), some controversies about Medicare Advantage and how Aledade is bringing valued based care to patients in the Medicare Advantage program.
109. Medicaid In North Carolina
21:16Josh (@DrJIsrael) is joined by Mandy Cohen (@SecMandyCohen), Secretary of the North Carolina Department of Health and Human Services. They discuss the state of the COVID-19 pandemic in North Carolina, ongoing Medicaid pilots to improve healthcare in the state, and how and why North Carolina continues to be a leader in healthcare innovation.
108. Healthy For The Holidays
15:54Josh (@DrJIsrael) is joined by Samantha Rosenthal, Manager in New Ventures at Aledade, and Jessica Edwards, Senior Market Manager at Aledade. Together, they discuss “Healthy For The Holidays”, an Aledade initiative to remind patients about their practice’s hours during the holiday season and alternative ways to contact them should they need to speak to their provider.
107. 2020 Results - How Did Aledade Do?
23:22Josh (@DrJIsrael) is joined by Ahmed Haque (@aehaque), Chief Performance Officer at Aledade, Nadine Robin, Market President of Aledade Louisiana, and Dr. Gregory Riggs of Lafayette Internal Medicine Clinic in Lafayette, Louisiana. Together, they discuss the incredible savings achieved by Aledade and practices, despite a year of turmoil.
106. Value Based Care with Rahul Rajkumar
24:52Josh (@DrJIsrael) is joined by Rahul Rajkumar (@RahulRajkumar11), Chief Operating Officer at Optum Care Solutions. Dr. Rajkumar shared insights on the difference between designing healthcare models and implementing them at different payers and more about his work at Optum Care Solutions to improve the quality and efficiency of healthcare.
105. Saving the Most Lives: Blood Pressure
24:41Josh (@DrJIsrael) is joined by by Dr. Farzad Mostashari (@Farzad_MD), CEO and co-founder of Aledade, Dr. Kisha Davis (@kishadavismd), Aledade’s Vice President of Health Equity, and Dr. Keith Winfrey, the Chief Medical Officer at Noela Community Health in New Orleans. They discuss the importance of controlling hypertension and Aledade's plan to improve blood pressure control and reduce disparities in hypertension control. For more information about hypertension, check out this article: https://www.ajpmonline.org/action/showPdf?pii=S0749-3797%2810%2900207-2