Value Based Care Advisory (VBCA) Podcast
oleh Carenodes
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Network Squeeze Season: Ballad, UHC & the Rural MA Retreat
Network Squeeze Season: Ballad, UHC & the Rural MA Retreat
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The VBCA Podcast is a solution-focused platform dedicated to advancing the transformation of healthcare through value-based care (VBC) models. Our mission is to break down complex healthcare topics into accessible, actionable insights for leaders, entrepreneurs, engaged consumers, and anyone passionate about meaningful change in healthcare. By challenging the healthcare industrial complex, we provide tools, strategies, and expert perspectives that empower our listeners to navigate and accelerate the shift toward better outcomes, lower costs, and improved patient experiences.
Each episode delivers thought-provoking discussions and practical advice from industry experts, spotlighting innovative approaches to healthcare reform and highlighting voices that are often overlooked in traditional dialogues. Whether you're a healthcare executive, provider, payer, policy influencer, entrepreneur, or informed patient, we aim to inspire new ideas and support you in driving transformation in the healthcare space.
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20 episode terbaru dari 30
- Network Squeeze Season: Ballad, UHC & the Rural MA Retreat · 4 mnt · Musim 2 Episode 31Every fall, two calendars collide: Medicare open enrollment (Oct. 15–Dec. 7) and the year-end expiration of payer contracts. This fall shows how hard that squeeze can land on…
- I Ask: Could Theranos Get a Health Plan Contract Today? · 9 mnt · Musim 2 Episode 30I ask whether Theranos could be contracted by health plans today, and I argue that our current gates often check paperwork rather than test performance. I walk through four…
- She Built a Peer Mentorship Program to End Youth Loneliness · 15 mnt · Musim 2 Episode 29Youth Loneliness & Chronic Conditions: The Shared Strength Project Guest: Esha Mittal, Founder, The Shared Strength Project Expert Words: Todd May, MD, Vice President & Medical…
- Bonus: 5 Contract Clauses Killing Your Reimbursement · 20 mnt · Musim 2 Episode 28This bonus episode is the full recording of Alex Yarijanian's HBMA continuing-education webinar. It runs longer than a standard VBCA episode — treat it as a resource, not a…
- Lindsay Clancy: Examining the Healthcare System's Failures · 32 mnt · Musim 2 Episode 2717 minutes. That's how long Lindsay Clancy's last psychiatric visit lasted — the day before her three children died. Nine prescribers. Two hospitals. A suicide hotline called…
- The Ghost Network Behind Pediatric Home Nursing: When Authorized Hours Go Unfilled · 12 mnt · Musim 2 Episode 26Episode Summary A pediatric patient in a New Jersey hospital is medically ready for discharge — equipment arranged, family ready, nursing hours authorized by the health plan. The…
- Your Billing Problem Started in the Contract · 7 mnt · Musim 2 Episode 25Most revenue cycle teams are chasing the wrong fire. Persistent underpayment, denials that don't respond to appeals, patterns nobody can explain — these are often contract…
- How to Decide to Contract with a Payer: Should You be Joining "the Network"? · 12 mnt · Musim 2 Episode 24You've built the operation — clinicians credentialed, tech stack running, compliance buttoned up. Then a regional Medicaid managed care plan wants to talk about contracting. Your…
- LEAD Model: The ACO Test Most Organizations Will Fail — Before They Apply · 10 mnt · Musim 2 Episode 23CMS has posted the LEAD (Long-Term Enhanced ACO Design) model application materials. Preliminary scoring is due April 27, 2026. Full applications are due May 17, 2026. LEAD…
- The Definitive Playbook for Choosing Behavioral Health Markets · 10 mnt · Musim 2 Episode 22Rate sheets don't tell the whole story. In this episode, Alex Yarijanian breaks down the 8-indicator playbook he uses to evaluate any tele-behavioral health market before…
- Medicare Negotiates Like an Owner. Commercial Doesn’t. · 13 mnt · Musim 2 Episode 21In this episode of the VBCA Podcast, Alex Yarijanian sits down with Dr. Kumar Dharmarajan — co-founder and Chief Medical Officer of World Class Health and former Chief Scientific…
- The Rural Health Transformation Fund: What States Are Funding in 2026 · 9 mnt · Musim 2 Episode 20CMS is moving tens of billions of dollars into every state to stabilize rural healthcare heading into 2026—not through across-the-board rate increases, but through targeted…
- Medicare Advantage 2026: How Payers Are Choosing Partners · 8 mnt · Musim 2 Episode 19While most providers are waiting on CMS, payers are already narrowing networks and rewriting delegation terms. Payers are quietly narrowing networks and rewriting delegation…
- Digital Health at a Crossroads: The Fallout from a $100M Adderall Fraud Scheme · 9 mnt · Musim 2 Episode 18A federal jury has convicted the founders of Done, one of the fastest-growing telehealth companies in the stimulant-prescribing space, for orchestrating one of the largest…
- 2026 Medicare Fee Schedule: 5 Big Opportunities for Providers & Startups · 8 mnt · Musim 2 Episode 17Medicare’s 2026 physician fee schedule is packed with change — but change means opportunity. In this episode of the VBCA Podcast, Alex Yarijanian breaks down the five biggest…
- How to Win in Medicare Advantage 2026 · 16 mnt · Musim 2 Episode 16Welcome back to the Value-Based Care Advisory podcast! In this episode, host Alex Yarijanian delves into the significant updates and strategies for 2026 in the Medicare Advantage…
- Behind the Scenes of Power: Emotional Labor in Negotiation · 6 mnt · Musim 2 Episode 14In this episode of the VBCA podcast, host Alex Yarijanian delves into the often overlooked yet crucial aspect of leadership: emotional labor. Discover how managing emotions plays…
- Meditate Like a CEO: Real ROI from Mindful Leadership · 19 mnt · Musim 2 Episode 13This podcast episode delves into the intricate relationship between mindfulness meditation and its profound implications for healthcare leadership. We explore how mindfulness…
- Managed Care Contracting for Health Tech Startups · 14 mnt · Musim 2 Episode 12How Health Tech Startups Can Win at Managed Care Contracting: Insider Strategies for Scalable Payer Partnerships. This episode dives deep into the essentials of navigating…
- Doulas and Value-Based Maternity Care: Driving Cost Reduction and Improved Outcomes · 8 mnt · Musim 2 Episode 11This conversation explores the historical context of childbirth, the current state of maternal mortality in the U.S., and the emerging role of doulas in modern maternity care. It…
