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Join hosts Melissa Cohen and Meg Koepke from Coral Health Advisors as they discuss all things population health, value-based care, and making health care work better for us all.
22 Episodes
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The Rural Health Transformation Program represents a $50 billion investment in the future of rural health care. In this episode, Coral Directors Kate Freeman and Trevor Abeyta are joined by Caitlin Westerson, Senior Director for State Policy and Advocacy at United States of Care, to explore what this program means for states, providers, and communities. Together, they unpack the opportunities and challenges in applying for funding, the role of value-based care in building sustainable models, ...
GLP-1 medications like Ozempic and Wegovy have quickly moved from niche treatments to the center of high-stakes conversations across payers about cost, access, and coverage. In this episode, Coral Partner Alison Falb talks with Laura Rudder Huff, Vice President at Gallagher Research & Insights, about how the rise of GLP-1s is shaping employer benefit strategies, equity considerations, and policy debates.
In this episode, Coral’s Founder Meg Koepke talks with Alison Falb about her journey from CMS to FDA to Coral. We explore current policy trends and challenges in Life Sciences –what they mean for organizations navigating drug pricing reforms, coverage, and access challenges.
In this episode, Coral’s Kate Freeman and Trevor Abeyta talk with Megan Burns and Carol Sakala about CMS’s Transforming Maternal Health (TMaH) model, lessons from value-based maternity care, and strategies states can use to improve maternal health outcomes.
In this episode, Melissa Cohen is joined by Coral Health Advisors’ Alison Falb and Joy Chen to break down key updates for ACOs in the CY 2026 Medicare Physician Fee Schedule Proposed Rule and explore the new mandatory Ambulatory Specialty Model.
In this episode, Partner and EVP with Coral Maria Alexander talks with Dr. Michael Zaplin and David Taback of Inpatient Physician Management Services (iPMGMT) – a hospitalist and SNFist network – about how they partner with ACOs and risk-bearing entities to improve patient outcomes and experience and manage total cost of care.
CMS rolled out major updates to the ACO REACH Model for Performance Year 2026, with new policies affecting benchmarks, risk scores, and quality incentives. Joining us is guest expert Noah Champagne from Milliman, who will share insights on the key reforms and what they mean for the field. We break down what’s changing, why it matters, and what it could mean for ACOs and the future of value-based care. Accountable Care Organizations – General Information ACO REACH Model Performan...
In this special episode, Coral’s Meg Koepke and Melissa Cohen break down the newly released CMS Innovation Center strategy, exploring what we heard and what it could mean for the future of health care transformation. CMS Innovation Center Strategy to Make America Healthy Again
In this episode, Coral’s Director, Kate Freeman sits down with Hope Glassberg and Shira Hollander to unpack the challenges, promising prospects, and public policy that could support caregivers. Recognizing and Supporting Informal Caregivers: A Key to a More Sustainable Health System Decipher Health website Tripp Hollander website Caregiving Health Engagement Scale "Hospital at Home" Programs Improve Outcomes, Lower Costs But Face Resistance from Providers and Pa...
In this episode, we’re joined by Emily Brower, President and CEO of the National Association of ACOs, and Mara McDermott, CEO of Accountable for Health, for a deep dive into the current state of value-based care. Emily and Mara reflect on recent policy developments, emerging trends, and the challenges their members face in advancing accountable care. They also share where they’re seeing alignment, or misalignment, with federal priorities, and offer practical guidance on how to track meaningfu...
In this episode, we explore the new Transforming Episode Accountability Model (TEAM) with Rob Mechanic and Jennifer Perloff from the Institute for Accountable Care. They discuss the model’s implications for value-based care, the Institute’s analysis, and the tools available to support its adoption. Transforming Episode Accountability Model (TEAM) Mandatory Medicare Bundled Payment and the Future of Hospital Reimbursement
In our first episode of the new year, we explore what ACOs can anticipate in 2025. Featuring insights from Milliman experts Noah Champagne and Cory Gusland, we cover changes to the ACO REACH financial methodology and considerations for ACOs considering a move from REACH to MSSP. Seeking a Partner for Accountable Care Building Resilient, High-Performing Networks of Care PY2025 ACO REACH RTA tailwind The next generation of Medicare bundled payments: Considerations regar...
The Pop Health Podcast talks final Physician Fee Schedule Rule, what to watch for in new MA policy, and more as the cast out 2024 and look forward to 2025. Key Takeaways from the CY2025 Physician Fee Schedule Final Rule — Coral Health Advisors CMS Fact Sheet: Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly Proposed Coverage of Anti-Obes...
The Pop Health Podcast meets with Vinay Aggarwal and Aditya Thaduri from AvvaCare about their solution and support for dementia care after a brief discussion of what to expect when you’re expecting the final PFS rule. Notes: GUIDE Model fact sheet: Guiding an Improved Dementia Experience (GUIDE) Model Overview Factsheet (cms.gov) Alzheimer’s Association Evidence Based Dementia Care: Health Systems & Clinicians | Alzheimer's Association AvvaCare: AVVACare Vinay Aggarwal o...
The Population Health Podcast talks with Jeff Davis from McDermott+ about the recent mandatory models, the future of MACRA, the need for PTAC reform and more. Notes: Subscribe to Regs & Eggs here: https://www.mcdermottplus.com/blog/regs-eggs/Learn more about Jeff: https://www.mcdermottplus.com/professionals/jeffrey-davis/Check out McDermottPlus: https://www.mcdermottplus.com/
Maria Alexander from the Population Health Podcast talks with Aisha Pittman, of NAACOS and the Alliance for Value Based Patient Care, about current congressional interest in Medicare physician payment, quality reporting and incentives, and accountable care. For more on the Alliance for VBC: https://valuebasedcare.org/ To read the NAACOS Senate Finance Response visit: https://www.naacos.com/wp-content/uploads/2024/06/NAACOSSenateFinanceCommitteeWhitePaperResponseFINAL.pdf https://www....
The Pop Health Podcast sits down with Renee Hungerford and Scott Dillingham to discuss the partnership between Community Action of Orleans and Genesee and Continual Care Solutions to build a comprehensive data ecosystem for CBOs and the implications for this moment in health care with the growing use 1115 waivers to establish and support social networks of care. Additional information on today’s guests is available at: Community Action of Orleans & Genesee (caoginc.org) Home | IMPOWR (con...
The Pop Health Podcast meets with Carol Vargo of the American Medical Association to discuss the needs and resources to help physician and their colleagues understand and participate in value-based care. For resources mentioned throughout the interview see: Physician payment & delivery models | American Medical Association (ama-assn.org) AMA STEPS Forward® | American Medical Association (ama-assn.org) Compendium of behavioral health integration resources for physician practices | A...
Pop Health Pod welcomes Maria Alexander to the Coral Health Advisors Team, discusses the final Physician Fee Schedule rule, and looks ahead to 2024.
Pop Health Pod hosts Dr. Venice Haynes from the US of Care to dive into their new report Patient First Care Model. You can learn more about the US of Care and their report at their website: United States of Care – Building a Better Health Care System For a full fact sheet on their findings check out: Fact-Sheet-Payment-Models-that-Prioritize-Quality-Over-Quantity-AKA-Value-Based-Care.pdf (unitedstatesofcare.org) Finally to check out the tool-kit Dr. Haynes mentioned, visit: VBC Talking A...
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