This is the 100th ACO Show episode. Brian (@chiglinsky) and Josh (@DrJIsrael) commemorate the milestone with a discussion of their own backgrounds and journeys to Aledade, and the experience of hosting a podcast. There is also a surprise guest some of you may recognize from previous episodes!
Josh is joined by Dr. Daniel Doyle, a family physician in Scarbro, West Virginia. Josh and Dr. Doyle discuss the health impacts of coal mining, the history of black lung disease and the struggle to get it recognized by the medical community.
Brian (@chiglinsky) is joined by Dr. Todd Sack (@toddsack) the editor for MyGreenDoctor.org and a gastroenterologist in Jacksonville, FL. My Green Doctor helps practices gain environmental sustainability and help their patients improve their environmental impact. Dr. Sack and Brian discuss the benefits of creating a sustainability program, the importance of getting buy-in from different stakeholders in the practice, and why providers in total cost of care models should care about environmental h...
Brian (@chiglinsky) and Josh (@DrJIsrael) are joined by Farzad Mostashari (@Farzad_MD), CEO and co-founder of Aledade, and Will Palmisano (@will_palmisano), a product analyst on Aledade's BI team and head of the Climate Change Committee. They talk about Aledade's plans for becoming carbon neutral, why it matters, and how others can make a difference. They also discuss the impacts that climate change has on healthcare and why the US health industry is so carbon intensive.
Josh and Brian are joined by Ron Holder (@ron_holder), COO of the Medical Group Management Association, more commonly known as @MGMA. They discuss the different challenges practices face and how MGMA helps provide solutions and support
Brian and Josh are joined by Dr. Derek Lewis, the CEO, owner and primary care physician at Arkansas Primary Care Clinic located in Little Rock, Arkansas. They discuss the COVID-19 vaccination efforts and success in Dr. Lewis’ community. Dr. Lewis describes the initial skepticism of vaccines in the black and brown community and how he was able to build trust with his patients.
Josh (@DrJIsrael) and Brian (@chiglinsky) are joined by 5 guests to discuss Maryland Primary Care Program or MDPCP. They describe the MDPCP program and how it aims to improve patients’ health by investing up-front in specific enhancements to primary practices, including care management, pharmacy services and behavioral health treatment.
Josh (@DrJIsrael) and Brian (@chiglinsky) speak with four different practices- SAMA Healthcare in El Dorado, AR, Coastal Family Health in Biloxi, MS, The Bacani/McKenney Clinic in Fredonia, KS, and Crouch Family Medicine in Chandler, OK. They talk about different marketing strategies, how these have evolved over the years, and the importance of community involvement for primary care physicians....
Josh is joined by two Aledade Medical Directors: Dr. Kim Yu and Dr. Richard Lyn-Cook. They talk about some ways they have been able to cope with difficult times and specifically what medical providers can do to manage during the pandemic.
We welcome Travis Broome (@travis_broome) back on the ACO show, as well as our new co-host, Brian Chiglinsky ( @bchiglinsky ). They discuss the newest Medicare total cost of care model- Direct Contracting and what practices thinking about venturing into value-based care should consider.
Two primary care doctors, Dr. Joanne Fruth and Dr. Michael Cascarina, join the ACO Show to discuss how they have been able to adapt and innovate during the pandemic. They each talk about what they have been doing to restructure their practices in order to continue caring for their patients throughout this public health emergency such as how they have handled staffing challenges, transitioned to telehealth and set up parking lot Covid testing sites.
Josh is joined by three guests: Gavin White, the Executive Director of Aledade’s California Accountable Care Organizations, and two physicians, Dr. Verma and Dr. O'Grady, who practice in California ACOs. They talk about ACO growth in California and why many California physicians were ready for Value Based Care. They share some of the ways that Aledade has been helpful to them as they reorient towards this new model of health care.
Emma Sandoe (@emma_sandoe), Associate Director of Strategy and Planning for North Carolina Medicaid, and the creator of health policy valentines, joins Josh to talk about all things Medicaid. They discuss Medicaid's role in Substance Use Disorder treatment, impacts of a Biden administration, 1115 waivers, and how Medicaid fits into a system of Value-Based Care.
Dr. Chintan Maru is the founder and executive director of Leapfrog to Value, a health initiative to advance value based care in lower- and middle-income countries. Dr. Maru joins Josh and Joe for a conversation about value-based care in these countries and how Leapfrog to Value works as a technical and strategic partner. He discusses his career in health systems design and how more developed health systems can learn from this work.
Dr. Kraft and Dr. Ward Jones are the CEOs of Salinas Family Health Care Center and East Arkansas Family Health Center, respectively. They join Josh and Joe for the second part of our Community Health Center series. They talk about funding and budgeting for FQHCs, loan forgiveness programs, and the positive involvement these centers have with their communities
Sara Koziel leads Aledade's efforts to partner with Community Health Centers. Sara joins Josh and Joe for a conversation about Community Health Centers, the important role that they play in America’s health care system, and who they serve. She discusses their focus on a complete and integrated approach to health and well-being and explains how they fit in with Aledade’s core mission to offer the benefits of value-based care to as many patients as possible.
Three guests join Josh to discuss attribution: Emily Maxson, Aledade’s Chief Medical Officer; Andrew Chang, Executive Director of the Florida Central ACO; and Purva Hari, the practice administrator of Physicians Medical group in Florida. They discuss how the pandemic has affected ACO attribution, how attribution loss impacts Aledade’s ability to provide coordinated care and strategies to improve attribution in 2020.
Dr. David Harrison is the Vice President of Clinical Care at Virta Health, a health care start-up that helps patients reverse Type 2 diabetes without medication. Dr. Harrison joins Josh and Joe for a conversation about the evidence supporting Virta’s treatment model, and how he views the relationship between telehealth and value-based care during the pandemic and beyond.
Dr. Gordon Chen (@DrGordonChen) is the chief medical officer at ChenMed, a family-owned, health care company organization working to bring superior health care to seniors with a full risk model. Dr. Chen joins Josh (@DRJIsrael) and Joe (@JoeShonkwiler) for a conversation about the history and evolution of ChenMed and how they strive to bring to provide seniors with coordinated and patient-centered care. He describes his role as Chief Medical Officer and explains why being both financially and cl...
Sophia Tripoli (@SophiaTripoli) is the Director of Healthcare Innovations at Families USA a national non-partisan, non-profit voice for healthcare consumers (@FamiliesUSA). Sophia joins Josh to share how Families USA is working to realign incentives to make healthcare more consumer-centered. They discuss different healthcare payment models and levers of change to lower costs and improve health outcomes.
Essence Revels, Aledade’s Training Manager, and Patric Holly (@healthITmrholly), Aledade’s Electronic Health Record Optimization Coordinator, are guest hosts for this special episode of The ACO Show. They have a conversation about recent events in the news from their perspective as Black professionals. They also discuss the challenges that Black Americans experience in the health care system and the formation of Aledade's social injustice working group.
Megan Slaga, Director of Pharmacy at Aledade, returns to the pod this week to talk with Joe (@JoeShonkwiler) about staying on top of patients' prescriptions during COVID-19. They discuss new and existing barriers to access, and how Aledade uses different data sources to alert providers about potential non-adherence. She emphasizes the importance of being proactive, particularly now during the pandemic.
Jessica Gladden, Aledade’s Vice President of People, Strategies and Operations, joins Josh (@DrJIsrael) and Joe (@JoeShonkwiler) to talk about how Aledade builds a culture where employees feel supported and appreciated. She shares her thoughts on the importance of maintaining company connectivity and community, promoting mission-driven work, and meaningfully promoting diversity and inclusion.
Aledade’s Director of Transitions of Care, Dr. Kim Hodge, joins Josh (@DrJIsrael) to talk about Transitional Care Management (TCM) visits and the challenge of providing consistent care to patients as they move through different levels of care in a health system. She covers how to conduct an effective TCM visit and what Aledade is doing to encourage and support this work for vulnerable patient populations and how use telehealth to do this work during the time of COVID-19.
Dr. Kisha Davis (@kishadavismd) is a family physician and a Regional Medical Director at Aledade. She joins Josh (@DrJIsrael) and Joe (@JoeShonkwiler) to discuss her experience as a Black doctor, confronting implicit bias in medicine, and responding to this moment. Dr. Emily Maxson is Aledade’s Chief Medical Officer. In the second part of the episode, she talks about how relying solely on data can perpetuate racial disparities in care and what Aledade is doing to address algorithmic bias. To hea...
Dr. Darrin Menard is the physician owner of Scott Family Physicians, an independent primary care practice in Scott, Louisiana. Dr. Menard joins Josh (@ DrJIsrael) and Joe (@JoeShonkwiler) to share some of the challenges of being an independent primary care physician and what it has been like to be a part of an Accountable Care Organization. They discuss two-sided risk contracts and how and why the Louisiana 2016 ACO decided to take on downside risk.
Dr. Alisahah Cole @AlisahahMD is the Chief Community Impact Officer at Atrium Health (formally known as Carolinas HealthCare System), an integrated healthcare system based in Charlotte, North Carolina. She joins Josh (@DrJIsrael) and Joe (@JoeShonkwiler) to talk about how health systems can help tackle Social Determinants of Health including; food insecurity, housing and financial stability, and how providers should work to understand and address their patients’ needs outside of what has been tr...
On this special episode of the ACO Show, Aledade's CEO Dr. Farzad Mostashari (@Farzad_MD) speaks with Tom Banning, CEO of the Texas Academy of Family Physicians. They discuss critical issues in primary care including value based care and the impact of the current COVID-19 pandemic. They talk about what needs to happen to preserve independent primary care practices and ensure they are financially stable and able to provide critical services during this public health crisis.
Dr. Jen Aloff (@Jen_Aloff), a family practitioner at Midland Family Physicians in Michigan, joins Josh (@DrJIsrael) to talk about her practices’ journey from “checkbox medicine” to true value-based care and her decision to join an ACO. She also discusses how Aledade’s data platform, known as the “Aledade App” helps her proactively identify patients who will benefit from preventive health care, rather than just waiting for them to come in for care after they’ve gotten sick.
Stephanie Gallup, Senior Director of Implementation at Aledade, sits down with Josh (@DrJIsrael) and Joe (@JoeShonkwiler) to discuss how she sets primary care practices up to succeed in value-based care. Not only does her team introduce practices to new technology and data tools, but they also help them navigate a major culture change. Tune in to hear Stephanie talk about what makes Aledade stand out among health tech companies.
