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Value-Based Care Insights

Value-Based Care Insights

By Lumina Health Partners
Value-Based Care Insights (VBCI) is a podcast that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. Hosted by Daniel J. Marino, the VBCI podcast highlights recognized experts in the field and within Lumina Health Partners.
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How to Build Rapport Among Financial Leaders and Physicians
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 outcomes How 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.
35:24
July 9, 2021
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
30:09
June 18, 2021
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.
34:05
May 20, 2021
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
31:08
April 30, 2021
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 leader To learn more, visit our Insights Page: www.luminahp.com/insights
35:08
April 13, 2021
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
34:34
March 23, 2021
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
32:42
March 9, 2021
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
31:40
February 23, 2021
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
38:43
February 10, 2021
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.
33:31
January 27, 2021
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
33:49
January 12, 2021
[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.
38:08
December 11, 2020
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.
30:35
November 16, 2020
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.
26:44
October 21, 2020
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.
32:11
October 9, 2020
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.
27:14
September 8, 2020
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.
33:15
August 25, 2020
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.
32:51
August 4, 2020
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
28:44
July 21, 2020
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
22:05
July 7, 2020
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
20:20
June 23, 2020
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
20:13
June 9, 2020
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
28:34
May 12, 2020
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
22:18
April 18, 2020
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
26:15
April 14, 2020
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
23:49
April 7, 2020
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 Follow us: www.luminahp.com www.linkedin.com/company/lumina-health-partners www.twitter.com/luminahp
23:41
March 24, 2020
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
28:44
March 10, 2020
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.
20:10
February 25, 2020
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.
23:59
February 11, 2020
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.
31:07
January 28, 2020
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.
23:01
January 14, 2020
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 infrastructure To read the show notes for this episode, visit our Insights page on our website. You can follow us on LinkedIn.
27:50
December 20, 2019
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 infrastructure  Read the show notes here: https://hubs.ly/H0t7wlk0 To learn more about Lumina Health Partners, visit luminahp.com or follow us on Linkedin.
21:55
November 23, 2019
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 Follow us on LinkedIn and Twitter!
25:25
October 23, 2019
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
18:12
September 10, 2019
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
17:50
August 16, 2019