Value-Based Care Insights

Hosted by Lumina

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Episodes

154

Latest episode

Jun 2026

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About the show

Value-based care isn’t the “future of health care delivery,” it has already arrived. But value-based care is only the starting point of this conversation. We must also examine how we can bring more value to health care by increasing efficiencies, reimagining how financial performance is measured, and so on. Of course, realizing this level of transformation isn’t easy. That’s why we created the Value-Based Care Insights Radio Show – to empower health care organization leaders like you with the actionable guidance and strategic knowledge you need to optimize performance, as well as meet the

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60 recent

June 15, 202627 min

Leadership & Workforce Insights from Becker’s 16th Annual Meeting

In this episode of Value Based Care Insights, host Daniel Marino is joined by ECG’s Amanda Adams and Jessica Wells to discuss key themes and takeaways from the Becker’s Healthcare 16th Annual Meeting in Chicago. Together, they explore how healthcare organizations are rethinking workforce development, physician leadership, and operational integration amid growing financial, regulatory, and staffing pressures.The conversation highlights the evolving role of academic health systems, the need to break down silos across clinical, research, and educational missions, and the importance of preparing a workforce ready for the future of care delivery. They also discuss leadership development, rural health challenges, artificial intelligence’s growing influence on workforce strategy, and how healthcare provider organizations can create more sustainable, integrated care environments while improving engagement and performance across teams. Connect with AmandaConnect with Jessica

June 1, 202626 min

The New Era of Physician Compensation: Beyond RVUs

As healthcare organizations continue to expand their employed provider networks, physician compensation design is becoming far more complex and far more strategic than simply measuring productivity through work RVUs. Today’s healthcare employers must think differently about how compensation models support organizational performance, physician engagement, retention, and value-based care objectives.In this episode of Value-Based Care Insights, Daniel Marino is joined by Jon Morris of ECG Management Consultants and Alex Krouse, Associate General Counsel for a large health system, to discuss the evolving challenges of physician compensation across growing provider enterprises. Together, they explore why traditional compensation structures are no longer sufficient, how health systems are managing increasingly sophisticated provider networks, and why compensation should be viewed as an enterprise-wide workforce strategy. The conversation also examines how organizations can balance standardized compensation approaches with physician-specific needs, improve transparency and stability in compensation design, and better align incentives with value-based care goals, operational performance, and long-term physician engagement.Alex: https://www.linkedin.com/in/alexkrouse/Jon: https://www.linkedin.com/in/jonmorrisjdmba/

May 18, 202627 min

HIMSS 2026: AI, Data, and the Future of Care

As healthcare continues to evolve, conversations from HIMSS 2026 offer a clear glimpse into what’s ahead. In this episode of Value-Based Care Insights, host Daniel Marino is joined by healthcare strategist and The AI Shift host Tom Foley to unpack the conference’s biggest themes.Together, they explore how artificial intelligence (AI) is advancing into real clinical use, the persistent challenges of interoperability and data fragmentation, and the growing role of patient empowerment through wearables and remote monitoring. From AI-driven care delivery to the realities of data quality and integration, the discussion highlights both opportunities and gaps healthcare organizations must navigate.Whether you're evaluating AI, strengthening your data strategy, or rethinking care beyond the hospital, this episode offers practical insight into moving from innovation to real impact.

May 4, 202627 min

The Shift to Value: How Payers Are Adapting to Rising Costs

As financial pressures intensify across healthcare, payers are rethinking traditional strategies and accelerating their transition to value-based care. In this episode of Value-Based Care Insights, host Daniel Marino speaks with Joe Mangrum, Partner at ECG Management Consultants, about how payers are adapting to rising medical costs, tightening Medicare Advantage margins, and increasing regulatory demands. Together, they unpack how payer strategies are shifting from broad network expansion to more selective, high-performing partnerships, with a growing emphasis on disciplined, data-driven decision-making. The discussion highlights the critical role of payer-provider collaboration in managing total cost of care, along with the increasing importance of data sharing, risk stratification, and more mature value-based arrangements. The episode offers practical insights into aligning incentives, strengthening partnerships, and building sustainable care models for the future.

April 20, 202627 min

Inside CMS TEAM: Key Drivers of Early Success

As the CMS Transforming Episode Accountability Model (TEAM) launched on January 1, 2026, healthcare organizations are now facing the realities of implementation and the pressure to perform. In this episode of Value Based Care Insights, host Daniel Marino speaks with healthcare strategist Heather Flynn Kearney about what organizations are experiencing during the early stages of this mandatory model. They discuss TEAM’s goals, why CMS targeted specific high-cost procedures, and how hospitals are managing operational, financial, and clinical challenges. From data limitations and coding accuracy to care coordination and post-acute partnerships, the conversation highlights the core capabilities needed for success. Whether you're directly involved in TEAM or preparing for future value-based models, this episode offers practical strategies to improve coordination, reduce variation, and drive better outcomes in episode-based care.

April 6, 202627 min

Making Medicare Advantage Work: From Contracts to Clinical Performance

As Medicare Advantage enrollment continues to rise, health systems and provider organizations are recognizing that these contracts demand more than traditional care delivery. In this episode of Value-Based Care Insights, host Daniel Marino is joined by value-based care expert Dr. Doug Ardoin to examine what drives performance in Medicare Advantage. Together, they discuss why provider organizations often struggle after entering these arrangements and outline the core capabilities required to perform effectively, from accurate risk capture and attribution to utilization and care management. This conversation offers healthcare leaders practical insights on aligning clinical operations with contract expectations to improve financial and clinical outcomes in value-based models.

March 23, 202625 min

From Negotiation to Collaboration: The Evolution of Payer Strategy

In this special episode of Value-Based Care Insights, host Daniel Marino announces an exciting new chapter: Lumina Health Partners has joined ECG Management Consultants. Dan is joined by Terri Welter, Partner and Leader of ECG’s Payer Strategy and Contracting Division. Together, they explore the evolving dynamics between payers and providers, the growing role of advanced analytics and transparency data in negotiations, and how reimbursement models are shifting in response to mounting market pressures. The conversation dives into key trends in value-based care, physician compensation alignment, clinically integrated networks, and the strategic use of data to drive sustainable performance. As healthcare organizations face increasing financial and operational strain, this episode highlights how deeper expertise, stronger analytics, and more collaborative payer-provider strategies can lead to smarter negotiations and stronger outcomes.

March 9, 202628 min

The Future of Emergency Departments: Defining What Comes Next

Emergency departments are under more pressure than ever as they are facing overcrowding, extended wait times, workforce strain, and rising patient demand fueled in part by primary care shortages. In this episode of Value-Based Care Insights, host Daniel Marino examines how these mounting challenges are reshaping the hospital’s front door and what they mean for patient care, operational performance, and long-term sustainability. Daniel is joined by Dr. Richard Wolfe, Chief of Emergency Medicine at Beth Israel Deaconess Medical Center and a nationally recognized leader in emergency medicine operations. Together, they explore why emergency departments have become a critical pressure point for hospitals, how overcrowding affects quality, safety, and clinician burnout, and what forward-thinking health systems can do to better support their emergency medicine teams while continuing to serve their communities effectively.

February 23, 202627 min

What AI Really Means for Healthcare Leaders in 2026

As healthcare organizations move from AI curiosity to real-world implementation, many leaders are asking the same question: where do we actually begin? As the industry heads into 2026, providers are under pressure to move beyond experimentation and apply artificial intelligence in ways that deliver meaningful, workflow-driven impact without adding technology overload. In this episode of Value-Based Care Insights, host Daniel Marino is joined by Don Woodlock, President of InterSystems, to explore how healthcare organizations can take a more strategic and disciplined approach to AI adoption. Drawing on InterSystems’ deep expertise in interoperability, data platforms, and AI-enabled solutions, the conversation focuses on where AI can truly enhance clinical workflows, reduce administrative burden, improve revenue cycle performance, and support better decision-making. From ambient clinical documentation to smarter data connectivity and actionable AI insights, this discussion cuts through the hype to highlight how healthcare leaders can build an AI foundation that drives real value for clinicians, patients, and health systems, all while advancing the goals of value-based care.

February 9, 202627 min

Turning AI Into Performance in Value-Based Care Contracts

Artificial intelligence (AI) is rapidly reshaping healthcare, yet many provider organizations still struggle to move from interest to practical application particularly when it comes to value-based care contracts. While AI promises efficiency and insight, turning it into measurable performance and financial advantage remains a challenge. In this episode of Value-Based Care Insights, host Daniel Marino explores how AI can be used to address one of healthcare’s most complex challenges: evaluating and managing value-based contracts. Drawing on real-world experience, Daniel explores how AI can be used to build performance models that connect contract design with operational outcomes across clinically integrated networks, ACOs, and other value-based arrangements.Joined by Eddie Diaz, a data scientist with more than 15 years of experience in value-based care analytics, the discussion highlights how AI can bring clarity to attribution, risk, quality, and financial performance to help CFOs, CMOs, and managed care leaders better understand contract opportunities, risks, and results. Together, they explore how AI can move beyond hype to deliver real, actionable value in value-based care contracts.