Pulse on Carolina Health

5 Episodes

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#5 – Connecting Care Through a Clinically Integrated Network

2025-10-3033:12

Technology, trust and transformation — three forces reshaping the future of healthcare in North Carolina. In this episode of Pulse on Carolina Health, host Robert Shaw, co-chair of Smith Anderson’s Health Care practice group, sits down with Shaun Cox and Doug Golub of Element by Arkhe Consortium Health, two leaders driving the state’s Medicaid transformation toward integrated, value-based care. Shaun and Doug share how Element is helping small mental health and substance use disorder pr...

#4 – Dental Care at a Crossroads: Medicaid and Access to Care

2025-09-1816:22

In this episode of Pulse on Carolina Health, host Robert Shaw welcomes Elle Basile, public affairs senior manager with the North Carolina Dental Society, which represents more than 3,900 member dentists in the state and is committed to advancing oral health for North Carolinians. Elle discusses the critical role Medicaid plays in providing dental care for North Carolina’s most vulnerable populations, challenges with access to care and the impact of low reimbursement rates on dentists’ a...

#3 – Powering Better Healthcare: Inside WakeMed Key Community Care’s ACO Model

2025-08-1226:31

Host Robert Shaw talks with Dr. Roger D. Israel, Chief Medical Officer for WakeMed Key Community Care (WKCC), an accountable care organization (ACO) formed by WakeMed Health & Hospitals and Key Physicians. Dr. Israel shares how WKCC engages with its independent physicians, high-value specialists and payers to deliver coordinated, highest quality care at a lower cost to more than 200,000 patients across the Triangle. They discuss how WKCC leverages data analytics, referral management...

#2 – Primary Care at a Crossroads: Challenges, Changes & the Value-Based Model in North Carolina

2025-03-1924:56

Primary care is evolving in North Carolina. Host Robert Shaw talks with Dr. Tom Wroth, CEO of Community Care of North Carolina (CCNC), about the state of primary care in North Carolina and its intersection with value-based care. They discuss primary care challenges, changes over the last decade, the impact on patient care, independent medical practices’ benefits, and how the shift to a value-based care payment model is reshaping primary care. Dr. Roth shares insights on how CCNC—the nat...

#1 – Unpacking the Red Tape: How Prior Authorization Affects Patient Care

2025-01-1618:50

In our inaugural episode, host Robert Shaw sits down with Chip Baggett, CEO of the North Carolina Medical Society, to unpack the complexities of prior authorization for patients to get approval from a payer to receive insurance coverage for medical treatment—a pressing issue impacting patients, providers and payers today. Together, they discuss its challenges, its impact on patient care, and what it means for healthcare providers. Host - Robert Shaw, Partner, Smith Anderson Guest - Chip Bagg...

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