Medicare Meet-Up

Season 3 Episode 9 – Re-examining Value Part 3 of 3 Jun 28, 2023

In the final episode of the Re-examining Value series, Meg and Melissa speak with Jennifer Clawson, partner and director of Value-Based Health Systems at Boston Consulting Group and Stefan Larsson, Chairman and Founder of the International Consortium for Health Outcomes Measurement (ICHOM) about the future of value in healthcare.

You can learn more about Jennifer Clawson and Stefan Larsson’s latest work in their New England Journal of Medicine article “Value-Based Health Care at an Inflection Point: A Global Agenda for the Next Decade” or through their book The Patient Priority: Solve Health Care’s Value Crisis by Measuring and Delivering Outcomes that Matter to Patients.

For more information about the International Consortium for Health Outcomes Measurement (ICHOM), visit https://www.ichom.org/

Season 3 Episode 8 – Re-examining Value Part 2 of 3 May 30, 2023

In the second episode of the Re-examining Value series, the Medicare Team speaks with Ann Greiner, president and CEO of the Primary Care Collaborative and Brock Slabach, COO of the National Rural Health Association about ongoing opportunities to improve patients’ care in the value movement.

Show notes:

“Wakely Risk Insight for the Medicare Shared Savings Program: Performance Year 2023 Results.” (Wakely)
“Relationships Matter: How Usual is Usual Source of (Primary) Care?” (Primary Care Collaborative)
“Primary Care Practice Finances in the United States Amid the COVID-19 Pandemic.” (Harvard Center for Primary Care)
“The Health of US Primary Care: A Baseline Scorecard Tracking Support for High-Quality Primary Care.” (Milbank Memorial Fund)
For more information about the Primary Care Collaborative, visit https://www.pcpcc.org/
For more information about the National Rural Health Association, visit https://www.ruralhealth.us/

Season 3 Episode 7 – Re-examining Value Part 1 of 3 Apr 28, 2023

In this first episode of the Re-examining Value series, the Medicare Team speaks with Mai Pham, founder and president of the Institute for Exceptional Care, and Rob Nelb, principal analyst from the Medicaid and CHIP Payment and Access Commission (MACPAC) about what the value movement got right and where it falls short.

Season 3 Episode 6 – Life After PHE Mar 29, 2023

The Medicare Team is joined by national experts and colleagues Lauren Block, Leah Montgomery, and Maddy Bjorklund from Aurrera Health Group to talk about life after the public health emergency for Medicare and Medicaid beneficiaries.

Show Notes

Here are links to the podcasts Meg, Melissa, and Maddy recommended in the intro:

For more information on the PHE topics addressed during the episode, check out:

Season 3 Episode 5 - Answering Listener Questions: Part 2 of 2 Feb 28, 2023

The Medicare Team talks with special guests Kristal Vardaman and Mary Russell, Senior Directors at Aurrera Health Group, to answer listener questions about emerging policies and considerations for serving dual-eligible individuals.

Season 3 Episode 4 – Answering Listener Questions: Part 1 of 2 Jan 31, 2023

In the first episode of 2023, special guest Jeff Micklos, executive director of the Health Care Transformation Task Force, joins the Medicare Team to answer listener questions about the current state of value-based care and the top health policy priorities in the new year.

Show notes

For more information about the Health Care Transformation Task Force, visit www.hcttf.org or reach out to Jeff at jeff.micklos@hcttf.org.

To learn more about the Accountable Care Action Collaborative, visit www.hcp-lan.org/accountable-care-action-collaborative/.

Season 3 Episode 3 Dec 06, 2022

In the last episode of 2022, the Medicare Team learns whether their healthcare predictions from January’s podcast came true – and if anyone fulfilled their New Year’s resolutions. Special guest Jen Ryan – executive vice president of Aurrera Health Group with more than 20 years of experience in Medicaid policy – joins Meg and Melissa as they share new predictions for the upcoming year.

Show Notes:

Comparison chart from Medicare.gov for original Medicare and Medicare Advantage (starts on page 5).

Pathways to Resilience website with more information about the program’s efforts to promote trauma-informed policies.

Article published in the New York Times comparing Medicare Advantage to “one-stop shopping.”

Season 3 Episode 2 Nov 08, 2022

The Medicare Team catches up with special guests Ashley Fitch, Director of Community Partnerships and Innovation from Mount Sinai and Kathy Vesley, President and CEO of Bay Aging to learn more about how they are addressing social determinants of health through building networks of community-based organizations. Meg and Melissa also discuss Medicare Open Enrollment, the Bundled Payments for Care Improvement Advanced (BPCI-A) extension, and all things flu season.

Here are some tips from AARP to avoid Medicare fraud during open enrollment season: https://www.aarp.org/money/scams-fraud/info-2019/medicare.html

Season 3 Premiere Oct 06, 2022

In the first episode of Season 3, Meg, Melissa, and Brede catch up on all the Medicare news that happened over summer break including the passage of the Inflation Reduction Act, the Physician Fee Schedule proposed changes for MSSP, and the many new Requests for Information. Meg also checks in with Jason Rose, Chief Executive Officer of AdhereHealth, a healthcare technology solutions company centered on improving medication adherence, to get his take on the changes to Part D in the Inflation Reduction Act.

Medicare Meet-Up Health Equity Mini-Series Part 2 Jun 30, 2022

In this second installment of the Medicare Meet-up Health Equity Mini-Series – and the last episode of Season 2 – Meg, Melissa and Brede chat about the latest Medicare news and the recent Aurrera Health Group webinar – Making Sense of Payment Mechanisms in ACO REACH. They continue the discussion of health equity and interview Leon Caldwell, Ph.D., American Hospital Association’s senior director for health equity strategies and innovation at the Institute for Diversity and Health Equity about how hospitals can be community leaders in advancing equity.

Medicare Meet-Up Health Equity Mini-Series Part 1 May 30, 2022

In this episode of the Medicare Meet-up, Meg, Melissa and Brede talk Health Equity. They interview Megan Thomas of Aurrera Health Group around a report prepared for the California Health Care Foundation, Health Disparities by Race and Ethnicity in Californiaand speak to Spencer Pratt from Unite Us about the importance of social care as a key component of healthcare.

March Episode Mar 24, 2022

The team talks about the ACO REACH Model and shares insights from the HLTH ViVE conference. Subscribe to our newsletter here.

February Episode Feb 22, 2022

The team from Meet Up talks all things Direct Contracting. Sign up for our weekly Medicare newsletter.

January Episode Jan 20, 2022

Our first episode of 2022 takes a look into the future with Meg, Melissa and Brede making their healthcare predictions for the year.

December Episode Dec 02, 2021

Melissa, Meg and Brede close out the year with a discussion of final rules and the top 3 Medicare moments of 2021.

November Episode Nov 04, 2021

Our November episode takes a look back at October with a discussion of the CMMI Strategy Refresh, the Reconciliation Bill and other recent Medicare news.

Season 2 Premiere Oct 07, 2021

Season 2 premiers with a look at recent Medicare news – including nursing homes and mental, dental, and vision benefits. Plus new a new format including a call to action to share your in real life stories of healthcare heroism.

Medicare Meet-Up Season 2 Trailer” Sep 30, 2021

Hear what’s in store for Season 2 of the Medicare Meet-Up.

Medicare Meet-up with Dawn Alley Aug 12, 2021

Brede Eschliman, Meg Koepke, MHA and Melissa Cohen recap what they have learned from their guests on this season finale of the Medicare Meet-up as well an in depth discussion of the past, present and future of the CMS Innovation Center with former CMMI Chief Strategy Officer, Dawn Alley.

Medicare Meet Up with Emily Brower Aug 05, 2021

Brede, Meg and Melissa host value-based care and alternative payment champion and true believer Emily Brower of Trinity Health.

Medicare Meet-Up Ellen Pober Rittberg Jul 08, 2021

M&M host Ellen Pober Rittberg, author of “Why is Grandma Naked: Caring for your Aging Parent.” For more information check out Ellen at ellenrittberg.com

Medicare Meet-up with Sophia Tripoli Jun 24, 2021

M&M sit down with Sophia Tripoli of Families USA to talk patient engagement, the work of the health equity task force, and how to solve for this country’s digital divide.

Medicare Meet-Up with Mandy Bell, MHA Jun 17, 2021

M&M host Mandy Bell, Avera eCARE Innovation Officer and Founding Member of the American Board of Telehealth for a conversation on the future of telemedicine and the impacts for Medicare and health equity. For more information check out averaecare.org and AmericanBoardofTelehealth.org

Medicare Meet-up with Sachin Jain Jun 10, 2021

M&M sit down with Sachin Jain, CEO of Scan Health Plan to talk about the dangers of incrementalism and how SCAN is using the managed care framework to innovate care delivery for the neediest populations in California.

Medicare Meet-up with Nick Dawson Jun 03, 2021

M&M chat with Nick Dawson as he contemplates the next BIG healthcare disruptions and we discuss human-centered design and whether sick care and community health should be decoupled. For more information on Nick Dawson, visit nickdawson.net.

Medicare Meet-Up with Mai Pham May 27, 2021

M&M host Mai Pham, MD to discuss high value healthcare, transformation and her new endeavor to improve care for the neurodiverse and intellectually and developmentally disabled population. For more information on the Institute for Exceptional Care visit ie-care.org

Episode 0 May 24, 2021

Join hosts Meg Koepke and Melissa Cohen from Aurrera Health Group as they engage the universe of stakeholders - patients, clinicians, policy makers, insurers, caregivers, advocates and disruptors to discuss how this program has evolved since the passage of the ACA and how it needs to keep evolving to provide better care at lower costs for its beneficiaries.

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