If we don’t address social determinants of health (SDoH), we will never get a handle on healthcare costs, says @SenBillCassidy (R-LA), a gastroenterologist by training, and one of four physicians in the Senate. Senator Cassidy spoke with @AmerPhysGrps President and CEO @DonCrane about the wide support for value-based care in Congress, the lack of urgency among his colleagues about the danger of the #Medicare trust fund going bankrupt, and what we must do to prepare for the next pandemic. #sdoh #telehealth

APG: Taking Responsibility For America’s Health

The Path Forward: Focusing on Social Determinants and Moving Away from FFS, with Senator Cassidy

There is a lot of avoidable waste in the basic delivery of care, but this waste is actually an asset for alternative payment models (APMs). Unlike the fee-for-service model that discourages eliminating waste and low-value care because it loses money, APMs can get paid to eliminate that same waste and improve healthcare quality, says health economist @Michael_Chernew, PhD, professor of #healthcare policy at @harvardmed school, and chair of MEDPAC @medicarepayment. In a timely interview with APG President and CEO @DonCrane, Professor Chernew talks about the premise of his recent JAMA article, “A Path Forward for Alternative Payment: Build a Portfolio Not a Garden.” @AmerPhysGrps #Medicare #valuebasedcare  

How Waste in Healthcare Can Be an Asset in APMs, with Michael Chernew, PhD

What does the only physician in Congress who has personally managed the delivery of care in a capitated integrated physician group have to say about the future of the #valuebasedcare movement? Listen to this compelling and lively podcast conversation about the politics impacting our ability to change the #healthcare system to capitation as APG President and CEO Don Crane interviews Ami Bera, MD, U.S. Congressman from #CA07. @AmerPhysGrps @DonCrane @RepBera  

An Insider’s Take on Politics and Moving Forward on Healthcare, with Representative Ami Bera

How does reading a book to a child under age four affect their adult health, ability to learn, and succeed in life? Epigenetics tells us that cancer, asthma, diabetes, and other #healthcare problems can be significantly reduced with a simple addition of books into the home. Join APG President and CEO Don Crane as he interviews George Halvorson, Chair and CEO of the Institute for InterGroup Understanding and co-author of the Better Care Plan. Mr. Halvorson explains why we must focus on early childhood development, why #Medicaid expansion is a great idea, and the need for a more sophisticated purchasing model for healthcare. @GCHalvorson @IntergroupPeace @DonCrane @AmerPhysGrps #healthequity #healthdisparities

Healthcare on the Cusp of a Golden Age with George Halvorson

“Culture allows us to see the things that are in our interest and not see the things that are not.” Listen to this fascinating interview with Robert Pearl, MD, former CEO of The Permanente Medical Group (Kaiser Permanente) as he talks about the basis of his new book, “Uncaring: How the Culture of Medicine Kills Doctors & Patients.” The current healthcare system is designed to do well for insurance companies, hospitals, drug companies, and medical device manufacturers – everyone except doctors and patients, says Dr. Pearl. The post-coronavirus era is going to be the potential catalyst for the kind of change in healthcare “that we were waiting for decades.” @RobertPearlMD @DonCrane @AmerPhysGrps #Uncaring  

How Changing Physician Culture Can Transform Healthcare Delivery

What does the head of America’s Health Insurance Plans think is in store for the future of Medicare Advantage? Join APG President and CEO @DonCrane as he talks with Matt Eyles, CEO of America’s Health Insurance Plans (AHIP) about the misconceptions around Medicare Advantage, the pros and cons of private equity investments in healthcare, the benefit of partnerships to achieve better patient outcomes at lower cost, and why focusing on health disparities is so important. @AHIPCoverage @AmerPhysGrps www.apg.org

Health Insurance Providers and Physician Groups: Working Together to Improve Patient Outcomes and Affordability

Consolidation in the healthcare industry is not automatically good or bad for consumers, but the details matter. Join APG President and CEO, Don Crane as he talks with Glenn Melnick, PhD, Professor at USC Sol Price School of Public Policy and world-renowned expert in health economics and finance, about how horizontal and vertical consolidation in healthcare can generate value for patients, but too much consolidation can take away market pressure for competition and raise costs. @USCPrice @DonCrane @AmerPhysGrps www.apg.org  

The Consolidation Trend in Healthcare: What Does it Mean for Patients, Providers, and Payers?

What does the consolidation and merger trend in the healthcare industry mean for patient care and costs? How has the COVID-19 pandemic impacted the number of medical liability cases? Listen to this podcast episode where APG President and CEO Don Crane talks with Richard E. Anderson, MD, FACP, Chair and CEO of The Doctors Company, Leader of the TDC Group of Companies, as they explore these topics and more, including the rise of consumer-driven care and retail medicine, the need for decent electronic health records and better patient data, and the future of value-based care. @DonCrane @AmerPhysGrps @doctorscompany www.apg.org

Value-Based Integrated Healthcare: The Wave of the Future with Richard Anderson, MD

“The time has come to move aggressively toward capitated payments to providers, no matter who writes the checks…” says Merrill Goozner, former editor of Modern Healthcare. In this episode, Merrill Goozner discusses the conflict between competition and capitation in healthcare that he sees coming on the horizon. He addresses ACOs, antitrust, employer healthcare costs, universal health coverage and the public option, Medicare Advantage, and much, much more.

The Cost Problem Facing Healthcare, with Merrill Goozner

What does the future of healthcare look like under the Biden Administration? In this episode, APG President & CEO Don Crane interviews John Kitzhaber, MD, former Governor of Oregon and the chief architect of Oregon's coordinated care organization initiative. Dr. Kitzhaber discusses the COVID-19 crisis, Affordable Care Act subsidies, Medicaid expansion, and increasing Medicare costs, as well as how Oregon saved a billion dollars by moving away from fee-for-service to value-based care.

Lessons from Oregon’s Coordinated Care Organizations, with Former Governor John Kitzhaber, MD

How does a successful integrated healthcare delivery system work? APG President and CEO Don Crane talks with Raj Shrestha, CEO of Castell, an Intermountain Healthcare subsidiary, about the strategy behind the success of the Intermountain healthcare model: Grow and retain membership, keep people healthy, and provide the best care at the lowest cost. Shrestha also explains how Castell launched its successful hospital-at-home program in just four weeks to help alleviate pressure on the healthcare system from the COVID-19 pandemic.

The Strategy Behind the Success of the Intermountain Healthcare Model with Raj Shrestha

The COVID-19 pandemic has highlighted the downside of America's fee-for-service reimbursement system. Take a listen as Don Crane, APG President and CEO, talks with Mark McClellan, MD, former head of CMS, FDA, and current Professor at the Margolis Center for Health Policy at Duke University, about where he sees things headed with value-based care. Dr. McClellan says the pandemic provides a real opportunity that we haven’t had before to engage the public around the value of care models that are centered on them and are flexible enough to deliver the best care they need to stay well.

The Upside to the COVID-19 Pandemic: Exposing the Dysfunction of Fee-for-Service Reimbursement with Mark McClellan, MD

Legendary healthcare expert Don Berwick, MD, Founder & CEO of the Institute for Healthcare Improvement, and former Administrator of CMS, talks with APG CEO Don Crane about his assessment of where we are today with progress in the value-based care movement a decade after passage of the Affordable Care Act. “It’s a mixed bag…I wish we were seeing more progress than we are.” Dr. Berwick elaborates on the four things that he believes will move us toward a better healthcare system: universal healthcare, addressing social determinants of health, improving quality of care, and reducing costs.

The Value-Based Care Movement a Decade Post-Affordable Care Act with Don Berwick, MD

What does the founding CEO of the California Health Care Foundation, Mark Smith, MD, believe will help fix American healthcare? APG President and CEO Don Crane sat down with Dr. Smith, now Professor of Clinical Medicine at the University of California-San Francisco, to find out. Smith says getting all Americans covered by health insurance, focusing more attention on value-based payment for big-ticket medical devices and drugs, establishing a more rigorous scientific standard for what Medicare will cover, and accelerating people towards value-based payment are key items that will help improve healthcare in the U.S.

How Focusing on Value-Based Payment for Devices, Drugs, and Treatment Will Help Fix Our Healthcare System with Mark Smith, MD, MBA

Europe and other wealthy developed democracies spend about half as much on healthcare as we do in the United States. But these countries get much better outcomes than the U.S. because they spend twice as much on social care. APG President and CEO Don Crane talks with June Simmons, MSW, CEO of Partners in Care about the importance of social determinants of health. June explains how assessing patients for social determinants like nutrition, safe housing, mental health, family support, fall risks, and proper prescription medication usage all help to improve health outcomes, lower costs, and avoid unnecessary hospitalizations.

Why Addressing Social Determinants of Health Are Vital to Patient Health Outcomes with June Simmons, MSW

The official podcast of America's Physician Groups inspires and educates listeners as they discuss current issues in the healthcare value movement with medical experts and leaders. APG has almost 300 physician organization members who are at the forefront of national healthcare reform, all practicing in risk-based capitation or other population-based payment models-the very models adopted by federal legislation for the entire nation.

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APG: Taking Responsibility For America’s Health

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