Having equal access to quality health care across the United States shouldn't be a privilege, but a reality. Yet, seniors battling multiple chronic conditions often face disparities. The challenges are significant, from struggling to reach appointments to affording basic needs.

Enter Accountable Care Organizations (ACOs). Are they the answer to improving coordinated care and reducing costs for seniors?

In this episode of Health Care Rounds, Bill Lane joins John to explore how Accountable Care Organizations (ACOs) are transforming health care delivery, particularly for seniors.

Topics:
(5:44) The rise of preferred provider networks
(12:14) What is an accountable care organization
(17:58) The relationship between price and value in health care
(23:24) Patient outreach and beneficiary enhancements
(28:42) Success in the MSSP model
(34:26) MSSP and the battle lines
(40:07) Challenges of medication management for elderly patients
(46:04) Medicare Advantage plans and the goal of CMS

🎙 ABOUT HEALTH CARE ROUNDS
Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.

🎙 ABOUT BILL LANE
Bill is ilumed’s Executive Vice President of Network Development, leading the ACO REACH’s contracted provider and beneficiary growth over 200% from 2022 to 2024. Prior to ilumed, he spent over 15 years with Humana and held leadership roles in hospital/hospital system contracting, alternative payment model creation and deployment, including the nationwide lead for Humana’s adoption of CMS’ Primary Care First model.

Before Humana, Bill was with the national PPO, MultiPlan for over ten years, where he held progressively responsible network leadership roles in the southeast. Bill and his wife of 32 years, Kathy, live in south Florida, where he enjoys golf most of the time and looks forward to welcoming his three grown children home as much as possible.

🎙 ABOUT JOHN MARCHICA, HOST OF HEALTH CARE ROUNDS
John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a strategic consulting and market intelligence firm focused on hospitals, health systems, physician groups, and the evolving health care ecosystem. John has a degree in economics from Knox College, an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Health care Executives and is pursuing certification as a Fellow.

CONNECT WITH US:

🌐 Visit us: [ Ссылка ]

🌐 Follow Health Care Rounds on LinkedIn: [ Ссылка ]

🌐 Follow Darwin Research Group on LinkedIn: [ Ссылка ]

🎧 Listen on Apple Podcasts: [ Ссылка ]

🎧 Listen on Spotify: [ Ссылка ]

⚙️ Health Care Rounds is Produced by Grippi Media: [ Ссылка ]

#healthcarepodcast #healthcare #healthcareinnovation #healthcareindustry #accesstocare #accountablecare #medicare

свернуть