Chronic Disease Care: Solving Data Sharing Barriers for Incarcerated Patients with HIV

Supporting care coordination for incarcerated individuals is challenging due to fragmented care systems and data sharing barriers. Kim Dong, DrPH, RD, assistant professor in the Department of Public Health and Community Medicine at Tufts University School of Medicine, and Lynda Rowe, senior advisor of value-based systems at InterSystems, share findings from a study evaluating HIV care transition processes at a Massachusetts jail.

Chronic Disease Care: How Pharmacies Can Empower Patients Managing Chronic Diseases (Part 2)

In the second part of a two-part series on specialty pharmacies, Shaunte Law Rhames, RN, BSN, an infusion care nurse supervisor working in inpatient management services, and Nichol Marrero Nieves, PharmD CSP, a patient management service pharmacist who specializes in neurology, behavioral health, and chronic inflammatory diseases at AllianceRx Walgreens Pharmacy, one of the nation's largest home delivery and specialty pharmacies for patients with rare and chronic diseases, share how pharmacy team members can purposefully support patients manage and prevent chronic diseases.

Chronic Disease Care: How Pharmacies Can Empower Patients Managing Chronic Diseases (Part 1)

Considering specialty pharmacies provide highly accessible healthcare to patients, pharmacies have the chance to extend their role by advocating for better patient outcomes and supporting patients in navigating the complexities of dealing with a chronic disease. Shaunte Law Rhames, RN, BSN, an infusion care nurse supervisor working in inpatient management services, and Nichol Marrero Nieves, PharmD CSP, a patient management service pharmacist who specializes in neurology, behavioral health, and chronic inflammatory diseases at AllianceRx Walgreens Pharmacy, one of the nation's largest home delivery and specialty pharmacies for patients with rare and chronic diseases, share how the pharmaceutical community can purposefully empower patients and prevent future illnesses.

Value-Based Care: Improving Progress by Implementing Industry Collaboration Teams

The nation’s progress toward value-based care is impeded by the siloed nature of the healthcare industry. Joe Castiglione, principal program manager of Industry Initiatives at Blue Shield of California, shares how Blue Shield implemented an industry collaboration team to increase momentum in value-based care progress.

Value-Based Care: Boosting Value-Based Care for Seniors Through In-Home, Telehealth Services

To meet the needs of an increasingly independent senior population, primary care organization Heal leverages in-person and virtual care services to provide care in the home. Justin Zaghi, MD, Heal's chief medical officer, joined the podcast to discuss Heal's model, how it uses telehealth and RPM to supplement in-person care, and how care in the home can support value-based care delivery.

Value-Based Care: Implementing Global Capitation Models from a Provider Perspective

Global capitation models are the most high-risk form of advanced payment model that a health system could adopt, but they have proven advantageous for promoting alignment around value-based care. Michael Weiss, MD, vice president of population health for Children’s Hospital of Orange County (CHOC), shares how his health system moved toward global capitation and offers recommendations for other organizations hoping to do the same.

Value-Based Care: Applying, Evolving ACO Strategy for Shared Savings, Quality Improvements

The accountable care organizations (ACO) model is one of the greatest tools in the value-based care toolbox, with ACOs in the Medicare Shared Savings Program producing savings five years in a row. Sam Starbuck, VP and GM at Privia Quality Network, shares how physician engagement, patient access, and data transparency are all key to savings and quality improvements.

Value-Based Care: Unifying Competing Stakeholders to Collaborate on Advanced Primary Care

One of the key challenges in value-based care is achieving collaboration between healthcare stakeholders who would normal be in competition with each other. Crystal Eubanks, senior director of care redesign at the Purchaser Business Group on Health (PBGH), shares how the California Quality Collaborative programs pursued effective collaboration on value-based care.

Value-Based Care: Integrating Behavioral Healthcare, Physical Care In a Value-Based Framework

From the patient’s perspective, physical and behavioral healthcare are already integrated in their wellness experience, but the healthcare industry has a long way to go in matching this reality in patients’ treatment journeys. Ewa Matuszewski, chief executive officer and co-founder of MedNetOne Health Solutions, explains how healthcare stakeholders can work toward a more integrated behavioral-physical healthcare experience within the value-based care framework.

Value-Based Care: Implementing Artificial Intelligence, Machine Learning Without Negative Biases

Artificial intelligence and machine learning are increasingly integral to value-based care models, which rely heavily on data and data analytics. However, these resources can also work against value-based care if they introduce or perpetuate negative biases. Marzyeh Ghassemi, a principal investigator at MIT’s Jameel Clinic, shares how to avoid negative biases in artificial intelligence and machine learning in the value-based care context.