The episode opens with a discussion of what’s spurring these changes (00:50), including the importance of the establishment of the Center for Medicare and Medicaid Innovation (05:11) and the Quadruple Aim (06:45). Over the last decade, ACO models have been a huge source of savings and learnings for CMS (07:13), and even commercial markets (10:05). Reimbursement truly sets the tone and shape for care model innovation (13:17), whether we’re talking about Next Generation ACOs, Direct Contracting (14:28), or even Direct-to-Employer Contracting (18:00). As care model innovation continues, healthcare leaders should be thinking beyond the technical aspects (20:48), not overlooking the importance of change management, capability building, and culture development.
Podcast Tags: healthcare, care models, innovation, ACO, direct contracting, quadruple aim
Source Links – Below, we’ve listed links to some of the stories and resources discussed on this show.
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Mindy McGrath, Healthcare Industry Learning Lead
Ryan Hummel, Head of Provider Sector
Jen Burke, Healthcare Industry Strategist