Value-Based Care Insights
By Lumina Health Partners
Of course, realizing this level of transformation isn’t easy.
That’s why we created the Value-Based Care Insights Radio Show – to empower health care organization leaders like you with the actionable guidance and strategic knowledge you need to optimize performance, as well as meet the
Value-Based Care InsightsApr 30, 2021
Navigating Value-Based Contract Products Part 2
For the second part of our three-part series, we invited Cliff Frank back to discuss the changes among risk-based contracts. Daniel and Cliff explore the pushback with RAF scores, new CMS announcements with potential health equity indicators, and much more.
Listen now to our latest episode of Value-Based Care Insights, as our host Daniel J. Marino and guest, Cliff Frank, dive further into value-based contracts and what has changed over the last few months.
Navigating Value-Based Contracting Products
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, Cliff Frank.
KEY TAKEAWAYS:
Hospitals and other health care facilities are facing a number of challenges, and inflation is a key component to internal issues. It’s essential that providers have an understanding on how to navigate an ever-changing infrastructure.
Risk contracting has been a common issue for hospitals as payers are making money on empty hospitals and slower ORs. This obviously increases the need for better contracts between payers and providers.
The ACO module has changed drastically, impacting how care is coordinated for Medicare patients.
Transforming Workplace Culture with Survey Data
Since the pandemic, many healthcare provider organizations find themselves re-instituting empowerment initiatives initially created pre-COVID, however, the recent circumstances had a vast impact on the workforce culture. Today, organizations must focus on a transformative culture which allows the workforce members to prosper in their current roles while the fundamental needs of the employees are met. How can leaders ensure this?
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Todd Brook and Danica Wasser from Engagement Multiplier to discuss culture transformation and what it takes to have a thriving workforce.
Insights:
The key to workforce engagement is meeting the three basic needs of the employees: physiological needs, safety needs, and a sense of belonging.
There is more to workplace happiness than just giving out raises; pay is no longer the only driving component people desire.
Obviously, all humans – and workforce members- are different, therefore, leaders must ask pertinent questions and be prepared to act.
Hospital Locum Tenens: An Alternative Value-Add
Today, most hospital physicians are experiencing some level of burnout due to increased challenges with greater work activities, high levels of patient needs, and low staffing levels. These challenges lead to a desire for early retirement and physicians looking for new medical-related career options. This has placed increased pressures on hospitals to either ramp-up their recruiting efforts or consider alternative staffing models to support their clinical specialty services. As an alternative, many hospitals are turning to locum tenens for physician staffing support providing value to the hospital, its workforce, and most importantly, for patients.
In this episode of Value-Based Care Insights, Daniel J. Marino talks with Richard Heim from LocumsPro to discuss some of the benefits locum tenens bring to hospital patients and staff.
Insights
Recent information shows that 53% of physicians today are experiencing some level of burnout which may impact care delivery. Malpractice and ongoing political struggles are having a negative effect on physician recruitment for hospitals. Personal situations such as maternity or paternity leave, or a desire for work/life balance, may require hospitals to consider alternative staffing in which locum tenens can cover.Optimizing Revenue Cycle Performance for Hospitals and Medical Groups
As hospitals and medical groups continue to focus on financial performance, optimizing their revenue cycle through denial management drives results. To effectively reduce denial rates, revenue cycle leaders must first discover the root cause of denials. A focused approach to denial management can provide health care leaders considerable financial and operational improvements.
In this episode of Value-Based Care Insights, Daniel J. Marino sat down with Tina Hodges and Michael Brown from RSM to discuss some of the revenue cycle challenges facing hospitals and medical groups today, as well as tactics to reduce denials and increase financial performance.
Insights
Health care providers are experiencing workforce challenges; effective management of your workforce is a requirement to enhance the denial management process across the revenue cycle ecosystem Timely data and information allows revenue cycle leaders to understand the root cause of denials and work productively to reduce them Sharing dashboard reports with key performance indicators with stakeholders, including physicians, engages them in the denial management process
The impact of private equity investments on health care providers
Over the past year, we have seen substantial investments in healthcare made by non-traditional health care providers such as CVS, Walgreens and Amazon and others as they position themselves as strong participants in healthcare delivery. Last year, 2022, was one of the highest years for health care deal-making with private equity investing considerable resources into technology, physician services and analytics. How will these new deals impact the health care industry?
In this episode of Value-Based Care Insights, Daniel J. Marino sat down with Brian Greenberg and Zach Eisenberg from Greenberg Advisors, to discuss trends and “hotspots” of investments in health care.
Optimizing Technologies to Drive Population Health Performance
As health systems, integrated provider networks, clinically integrated networks (CINs), and accountable care organizations (ACOs) engage in population health initiatives, aligning technology with value-based contracts' performance goals is a key success factor. The lack of alignment can be attributed to a disjointed vision, fragmented operations, and misaligned information technology (IT).
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Julie Bonello, Founder of Integrate Health, along with Brian Bentley and Nick Frenzer from Epic Health Technologies, to explore how to optimize value-based technologies and drive a higher level of population health performance.
Insights
To drive successful performance of value-based contracts, health care organizations must have an aligned vision, operations, and IT systems, including the electronic health record The structure and leadership of the organization must be led through a clinical lens to achieve results in population health There are critical foundational factors that provider organizations must consider as they adopt technologyUnderstanding Value-Based Enterprises
Part of CMS’ journey in regulating coordinated care with providers, a value-based exception and safe harbor was enacted in early January 2021 under the Physician Self-Referral “Stark” law and Anti-kickback Statues. The new provision allows value-based enterprises eligible for safe harbor protections under the Stark and Anti-kickback statute.
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Jim Carr and Luis Argueso, cofounders of InHealth Advisors. Dan, Jim, and Luis discuss the framework of a Value Based Enterprise (VBE).
Leadership Urgency to Address Nursing Burnout
The nursing industry has faced many challenges in recent years, including COVID-19, which has resulted in staffing shortages and clinician burnout. As the nursing workforce shifts from baby boomers to millennials, the pressure placed on nurses and clinical staff continues. Contributing factors to the increased pressure include untimely nursing recruitment in the hospital environment, lack of leadership support and resourcing with operational improvement initiatives, and minimal focus on nurse wellness. High-performing nursing leadership is required to steer the ship in the right direction.
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Nancy Lakier, CEO and Founder of Novia Solutions. Dan and Nancy evaluate the current state of nursing and the need for effective nursing leadership.
Using Data to Influence Patient Outcomes
With the advancement of technology in health care organizations are recieving an excessive amount of data. How can organizations manage that data to create actionable insights?
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Rick Howard, Chief Data and Products Officer for an analytics vendor and former Chief Data officer of Ascension Health. The two discuss the management of data within four categories: claims/finance, lifestyle, and social determinant data.
Health Care Trends Shaping Strategy in 2023
Throughout 2022, primary health care faced many challenges. Staffing shortages, high hospital costs, and the advancement of telemedicine forced health care organizations to rethink their strategic plan heading into 2023.
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Lucy Zielinski, Managing Partner at Lumina Health Partners. Dan and Lucy analyze health care trends in 2022 and take a peek into 2023.
Evolving Primary Care Model
Over the past few years, primary care has gone through immense change. Everything from the incorporation of virtual health, to the shortage of primary care physicians to the building of new team-based models of care.
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Dr. Michael Hanak, a board certified family physician working with a large academic medical center in the Chicago metropolitan area. The two discuss common trends and challenges in today’s primary care model.
Emergency Department Visits: A Cure or a Symptom?
Each year, one in five Americans visit the emergency department (ED) at least once – and these costly ED visits are on the rise. Are they a symptom of a larger issue in our health care system? Many of emergency visits are preventable – this may be a symptom for inefficient care management, inadequate patient access, or lack of patient knowledge. As hospitals and payers transition into value-based care, interpreting ED visits may be a symptom of a larger problem.
In this episode of Value-Based Care Insights, Daniel J. Marino is joined by Dr. Nicholas Dodaro, Chief Medical Officer and co-founder of Medical Life Holdings, a portfolio of companies and practices founded in 2006 to improve the value of health care delivery. The two discuss common issues with emergency room visits, why they’re so costly, and what to do about them.
Rural Health Care: What Works?
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. The two discuss modern-day challenges that exist in today's rural health care environment.
Transforming Physician Burnout into Physician Wellness
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, Daniel J. Marino is joined by Lumina Managing Principal, George Mayzell, as they discuss the factors that contribute to physician burnout and tactics health care leaders can build a culture around physician wellness.
Culture and Leadership: The Foundation for Successful Strategic Planning
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 Clinical Psychologist and owner of DLM Pathways, Dr. Doug McKinley. The two discuss the essential ingredients to align the strategic planning with leadership development while incorporating four critical steps for strategic initiatives combined with the five key behaviors of a cohesive team.
Navigating Value-Based Contracting Products
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, Cliff Frank.
Solutions to Workforce Challenges
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 discusses how to create positive change while facing the current healthcare workforce challenges with Lumina Principal, John Malone and national expert and industry leader in workforce management, Kristi Roe.
Advancing into a High-Performing Value-Based Network
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 incentives.
On this episode of Value-Based Care Insights, host Daniel J. Marino and Dr. Christopher Crow, CEO and Co-Founder of Catalyst Health Group, discuss how to make changes in an organization’s culture, finances, and operations to successfully transition to value-based care.
Creating Financial Value Out of Quality
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 Burroughs, President and CEO of Burroughs Healthcare Consulting Network, discuss where to start on tracking quality outcomes and how to align a provider organization around value.
Integrating Social Determinants of Health in Care Management
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 Insights, host Daniel J. Marino and Amy Valley, Vice President of Clinical Strategy and Technology Solutions at Cardinal Health, discuss the importance of incorporating social determinants into care management.
The Evolving Role of Telehealth
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 for a successful rollout and how to increase adoption during the ongoing evolution of telehealth.
Decoding Legalese of Value-Based Contracts
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 health care law, discuss how providers can successfully navigate value-based contracting with payers in a mutually beneficial way.
Learn more at luminahp.com/insights
Importance of Revenue Cycle Management in Value-Based Care
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 identify areas of opportunity and increase the revenue cycle performance with revenue cycle leaders, Cecilia Gonzalez and Rachel Greenspan.
Learn more at luminahp.com/insights
Operational Effectiveness in Surgical Services
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 and to staff and patients.
On this episode of Value-Based Care insights, host Daniel J. Marino has an informative discussion with Kate Geick on the benefits of implementing operational effectiveness tools in surgical services. Learn more at www.luminahp.com/insights.
Value-Based Contracts: The Real Risk to Hospitals and Specialists
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, discuss how to move forward and successfully perform under risk-based contracts.
Learn more at luminahp.com/insights
Turning Conflict Into Collaboration – Successful Strategies for Finance and Clinical Leaders
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 Mayzell and Steven Berger on the evolving relationships between hospitals and physicians.
Learn more at www.luminahp.com/insights
Direct-to-Employer Contracts: Benefits to Your Health System
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. Marino has a great discussion on DTE arrangements and its benefits with Bradley Olson, VP of Managed Care, and Britney Bart, Business Development, at a large Midwest CIN.
Learn more at www.luminahp.com/insights
Leadership Insights: Reflecting on the Past and Shaping Tomorrow
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.com/insights.
No Surprise Act 2022: Ensuring Compliance
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 host Daniel J. Marino.
For more insights, visit www.luminahp.com/insights.
Emotional Intelligence: A Predictor for Leadership Performance
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 an effective leader.
The Health Care Workforce Challenge: Three Solutions that Work!
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
2022: Tackling Critical Health Care Challenges
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.
Embracing Operational Effectiveness to Drive Performance
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 as well. Developing a culture of continuous improvement allows the organization to not only meet its clinical and financial goals but exceed them. High performing organizations accomplish this by implementing Lean methodologies to eliminate waste, operate more efficiently and increase clinical outcomes with patients.
In this episode of Value-Based Care Insights, Daniel J. Marino speaks to Kate Geick of Lumina Health Partners to discuss how operational effectiveness through staff engagement and commitment can yield in improved operational and financial performance.
Read more on our insights page at www.luminahp.com/insights.
Medical Practice Operations: Enhancing Care Delivery Post COVID
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 care navigates through the COVID disease. You can learn more about this topic at luminahp.com/insights.
CFO Insights for COVID Financial Recovery
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 Steven Berger discuss the role of CFOs and how their handle on leadership contributes to the success of healthcare organizations.
Learn more about this topic at www.luminahp.com/insights
The Emerging Role of the Independent Provider
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 episode of Value-Based Care Insights, we talk to Carlos Torre, who shares his experience as an independent provider and his keys to success.
Learn more at: luminahp.com/insights
Building a Results-Based Collaborative Leadership Model
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 those leaders, the requirements they must satisfy, and how they should position themselves and their organizations for success.
In this episode of Value-Based Care Insights, Daniel J. Marino speaks to Dr. Cheri Olson of IPMA and Doug McKinley of the Lumina Leadership Institute to discuss the need for a collaborative leadership model.
This is the second episode in a two-part series supporting the collaborative IPMA and Lumina Leadership Institute CME Conference, taking place October 14, 2021. Register here. Learn more about this topic on our Insights page: https://www.luminahp.com/lumina-insights/
Innovative Strategies to Support the Evolving Primary Care Model
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 partners wisely and stay motivated to achieve success in this evolving environment.
In this episode, host Daniel J. Marino and George Mayzell, MD discuss how leaders in large health systems and practitioners consider how primary care is evolving and what strategies can support these changes.
Learn more at www.luminahp.com/insights.
Healthcare Today: Required Skills for Physician Leaders
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 throughout her career and role. Debra shares how physician leaders can be more effective through training, development, and active listening.
This episode part one of two episodes in support of the collaborative event with IPMA and Lumina Leadership Institute on October 14, 2021. Sign up here.
Best Practices to Operationalize Provider-Sponsored Health Plans
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.
A Physician and Finance Leader Talk: How to Collaborate to Reduce Costs and Manage Outcomes
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 outcomesHow 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 needs to change
Learn more at luminahp.com/insights.
How to Create Efficiencies With Surgical Services
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 this episode of Value-Based Care Insights, host Daniel J. Marino and Jeffry Peters, CEO of Surgical Directions, discuss how to create efficiencies to help organizations win with surgical services.
Learn more at www.luminahp.com/insights
Opportunities and Challenges of Independent Providers
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 Health Partners, Daniel J. Marino, internal medicine physician, Dr. Asad Zaman discusses developing his practice, being true to his vision, and growing opportunities that helps his practice remain independent.
Learn more about this topic on our insights page at www.Iuminahp.com/insights.
A Look at Physician Contracts and Compensation
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
How to Build Strong Physician Leadership
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 aspects of good physician leadership:
Understanding the right path in developing a physician leader Intellectual Intelligence versus Emotional Intelligence (EQ vs. IQ) Developing the business acumen in a physician leaderTo learn more, visit our Insights Page: www.luminahp.com/insights
Redefining Patient Care Through Consumerism
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. The pandemic has required healthcare systems to pivot to engage patients, putting an acceleration to the advancement of telehealth and leaving providers with the question of how to build contactless relationships with patients and still be able to meet them where they are?
Learn more by visit www.luminahp.com/insights
How to Cultivate High-Performing Healthcare Leaders
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 physician executives across the country. Dr. McKinley shares a case for the importance of leadership and how organizations can access leadership development through the Lumina Leadership Institute.
Read more at www.luminahp.com/insights
Learn about the Lumina Leadership Institute: https://go.luminahp.com/about-lumina-leadership-institute
3 Policy Shifts That Will Impact Value-Based Care
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, and healthcare payment and delivery reform. Mollie also represents MGMA in Washington in front of federal agencies, congressional offices, and coalition groups.
Previously, she worked as an attorney at the Social Security Administration, where she was responsible for advising on the accuracy of disability determinations and drafting appellate decisions on behalf of administrative judges.
Mollie earned a law degree from The Catholic University of America, Columbus School of Law in 2014 and a bachelor’s degree in political science from Radford University.
Get the MGMA Newsletter:
https://www.mgma.com/advocacy/washington-connection
Read the Show Notes:
www.luminahp.com/insights
How to Position Clinically Integrated Networks for Value-Based Care
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 the patients that they begin to manage. In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee Juneja speak to Dr. Troy Tyner and Aaron Valerio to discuss how a large Midwest CIN created a capabilities to support their employed physicians and their independent providers.
Read more on our Insights page: www.luminahp.com/insights
How Independent Provider Communities Can Find Success in Value-Based Care
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 more about this topic at www.luminahp.com/insights.
2021 Healthcare Trends You Can't Ignore
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
[RECAP] 3 COVID-19 Trends That Shook the Healthcare Industry in 2020
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 the accelerated need created by the pandemic, deal with provider burnout, and maintain financial solvency.
Listen to the full version of the episodes referenced in this episode:
Managing the COVID Surge from an Infectious Disease Perspective: https://hubs.li/H0Csqxx0
How Physicians Can Embrace the "New Normal": https://hubs.li/H0CsqlL0
Revenue Recovery Tips to Drive Margin Enhancement: https://hubs.li/H0CsqkP0
For more value-based care resources, visit www.luminahp.com/insights.
Bold Action Steps to Improve Value-Based Care During COVID
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.luminahp.com/insights.
Delivering Innovative Care Delivery Models in the Surgical Space
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 focused on increased patient and provider experience, improvement in clinical care and lower healthcare costs. During this episode Dr. Kain shares why pivoting to innovative care models are crucial to reduce costs and increase positive clinical outcomes.
To learn more about this episode, visit www.luminahp.com/insights.
How to Leverage Strategic Hospital Partnerships to Maintain Stability
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.
Optimize Surgical Performance to Improve Post-COVID Financial Woes
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 information.
How to Build a Hospital’s Financial Recovery Program
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. In this episode, Daniel J. Marino and Shaillee J. Chopra introduce Steven Berger, principal at Lumina Health Partners to discuss how hospitals can create a revenue plan that addresses key KPIs and financial opportunities.
To learn more about this episode, visit our Insights page at www.luminahp.com/insights.
Managing the COVID Surge from an Infectious Disease Perspective
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 season and how each lesson can help healthcare providers be more prepared to help combat COVID, a potential flu outbreak, and other medical dilemmas that may operate in tandem.
Visit www.luminahp.com/insights to access show notes for this episode and previous episodes.
How to Assess Revenue Recovery and Patient Care During COVID-19
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 discusses three important subtopics: revenue capture initiatives, the use of data in understanding the impacts of COVID-19, and physician anxiety and concerns.
To learn more about our Financial Recovery Program click here.
To read more insights about financial recovery, read our show notes here: https://hubs.ly/H0sSTbg0
Cost Management and Clinical Variation Tips for Healthcare Leaders
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 more with what they have? After reflecting on conversations with healthcare leaders across the country, hosts Daniel J. Marino and Shaillee J. Chopra invite special guest Rick Howard to discuss cost reduction and how to optimize variable costs.
Learn more about Lumina Health Partners at www.luminahp.com.
Read our show notes: https://hubs.ly/H0sbQYP0
Revenue Recovery Tips to Drive Margin Enhancement
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
Physician Leadership and Satisfaction During and Post COVID-19
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://hubs.ly/H0rpXHs0
How Physicians Can Embrace the "New Normal"
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://hubs.ly/H0tsh7K0
Quality Measures and Dashboards: A Pneumococcal Vaccine Case Study
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
Telemedicine Billing Codes in 2020
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 comply with medical record documentation, coding and billing for tele-health services
and work with insurance payers to ensure reimbursement.
To see the show notes visit our Insights page at: https://hubs.ly/H0pzrQG0
To watch our webinar, click here: https://go.luminahp.com/launch-telehealth-in-crisis-webinar
How to Launch Telehealth Services
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/H0pzsZh0
Follow us on LinkedIn: www.linkedin.com/company/lumina-health-partners
How Academic Medical Centers Can Succeed in Value-Based Care
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 Business Development for Advocate Aurora Health. Brent dives into the challenges that AMCs face when moving to a value-based care model, the different type of value-based care models that can help them advance, how to find the right structure of governance, and how healthcare leaders can manage the shift from the top down.
Read show notes here: https://hubs.ly/H0pzrL_0
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3 Ways AMCs Can Integrate Value-Based Care Strategies
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 within the AMC structure. John Marren is the owner of Hogan Unlimited and a healthcare lawyer. John shares various data-driven approaches and nuances in the academic medical center operations that must be managed and factored into the planning and contributes 30 years of experience to this topic.
Learn more about this topic by visit our Insights page: https://hubs.ly/H0nDzMc0
Follow us on Twitter: www.twitter.com/luminahp
Connect on LinkedIn: https://www.linkedin.com/company/lumina-health-partners
Success Factors of Clinical Variation Reduction with George Mayzell
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 do healthcare leaders engage physicians? What infrastructure and capabilities are required for success?Dr. George Mayzell is a physician executive who specializes in helping healthcare organizations transform their delivery of care through population health strategies, care management redesign, and physician leadership programs. His extensive career spans more than two decades in healthcare and includes direct experience with hospitals, health plans, integrated delivery systems, and clinical practice.
To read the show notes for this episode, visit our website at www.luminahp.com. You can follow us on LinkedIn.
Introduction to Clinical Variation Reduction Strategies
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 reduce the cost of operations by asking these critical questions:
What is clinical variation? How does it help to improve the delivery of patient care? Where do organizations start as they think about approaching clinical variation reduction? What are the benefits for organizations as they start to put CV strategies in place? Do you see incentives for physicians to be aligned with VC reduction?Read the show notes here: https://hubs.ly/H0nKchN0
About the Guest
John Malone specializes in developing and activating strategic performance-improvement initiatives by combining his passion for analytics, change acceleration, and leadership development.
About Lumina Health Partners
Lumina Health Partners' recognized industry leaders work hand-in-hand with clients to guide healthcare organizations as they optimize the performance of programs to meet the demands of an increasingly value-based care payment environment. Learn more about us at www.luminahp.com.
Engaging Employed Physicians Within Value-Based Care
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 and patient access. Healthcare leaders continue to focus on reducing the loss of employed of medical groups through maximizing potential revenue (efficient revenue cycle activities, accurate coding, management of complex (high risk) cohorts of the patient populations) and reducing costs through clinical variance (efficient care models across the network continuum).
Read the show notes here: https://hubs.ly/H0ts5hB0
To learn more about Lumina Health Partners or view our show notes, please visit www.luminahp.com.
Top Five Trends Impacting Value Based Care in 2020
In this episode of Value Based Care Insights, Lucy's Zielinski, Managing Partner of Lumina Health Partners joins host Daniel J. Marino to discuss the top five trends impacting value based care in 2020. As hospital leaders, medical leaders, and physicians move forward in the year, Lucy and Dan ask them to consider:
- How to maximize revenue related to value based care contracts
- How to continue the advancement of value based care and prepare for risks
- Why medical professionals should focus on ambulatory services
- How to streamline analytics to meet transformational needs
- How to increase access to services (primary care, urgent care, specialty care, post acute/home care)
Read the show notes here: https://hubs.ly/H0ts2Xt0
About the Guest
Lucy leads the Medical Group management activities for Lumina Health Partners, and is a national expert in revenue cycle enhancement and coding and Medical Group management. To learn more about this conversation visit on Insights page on www.luminahp.com.
A Practical Approach in Building an Organization's Analytics Infrastructure with Amit Patel
In this episode of Value Based Care Insights, host Daniel J. Marino speaks to Technology Healthcare Executive, Amit Patel, about "A Practical Approach in Building an Organization's Analytics Infrastructure." During this episode, Dan and Amit discuss:
Amit's experience in creating a pragmatic approach in building analytic capabilities within a healthcare organization How data and analytics can be positioned to drive change within healthcare organizations Advice for CIOs or Chief Data Officers who want to build their analytics infrastructureTo read the show notes for this episode, visit our Insights page on our website. You can follow us on LinkedIn.
Building an Analytics Infrastructure to Support Value Based Care
In this episode of Value Based Care Insights, hosts Daniel J. Marino and Shaillee Chopra dive into how organizations can build analytics infrastructure to support value based care.
Highlights of the episode include:
Key problems healthcare organizations are facing right now What organizations need to think about as they build their analytics strategy for risk ready organizations The musts and myths of building an analytics infrastructureRead the show notes here: https://hubs.ly/H0t7wlk0
To learn more about Lumina Health Partners, visit luminahp.com or follow us on Linkedin.
Building High Performing Provider Networks with Dr. David Bordo
In this episode of Value Based Care Insights, Daniel J. Marino and Shaillee Chopra introduce Dr. David Bordo, chief medical officer, emergency medicine physician and former president and founder of a hospitalist group. The trio dives deep on building high-performing networks around governance and aligned incentives, driving value by maximizing the domestic network, and understanding the key next steps to ensure organizations have the right infrastructure to support new operational realities.
Read Show Notes: https://hubs.ly/H0n3GNJ0
Learn more about Lumina Health Partners at Luminahp.com
Finding Success in a Value-Based Care Environment with Betty Rabinowitz
As Chief Medical Officer of NextGen HealthCare, Betty Rabinowitz, MD, FACP's role is to promote and improve NextGen's solutions in support of provider performance, clinical outcomes, patient satisfaction, and financial efficiency. In this episode of Value-Based Care Insights, host Daniel J. Marino, Principal Partner at Lumina Health Partners, and Betty discuss to how create the right incentives under risk-based contracts and how organizations can achieve the right amount of success in a value-based care environment.
About Lumina Health Partners
Lumina Health Partners recognized industry leaders work hand-in-hand with clients to guide healthcare organizations as they optimize the performance of programs to meet the demands of an increasingly value-based care environment.
View Show Notes: https://hubs.ly/H0n3GNy0
Learn more about Lumina Health Partners at www.luminahp.com
Follow us on Twitter: www.twitter.com/luminahp
Connect with us on LinkedIn: www.linkedin.com/company/lumina-health-partners
Preparing for Your Value-Based Care Journey
Lumina Health Partners (LHP) is pleased to introduce their new podcast series, Value-Based Care Insights (VBCI). The series serves as a thought leadership resource for healthcare organizations, where they can learn strategies for transitioning from a fee-for-service business model to one based on fee-for-value, or value-based care.
Each episode is co-hosted by LHP Managing Partner Daniel J. Marino and Principal Shaillee Chopra, as they dive into disruptive success strategies for healthcare organizations, along with some of the industry's top experts and thought leaders.
View Show Notes: https://hubs.ly/H0n3GNf0
Learn more about Lumina Health Partners at www.luminahp.com
Follow us on Twitter: www.twitter.com/luminahp
Connect with us on LinkedIn: www.linkedin.com/company/lumina-health-partners