Business Episodes
Medicare Advantage 2026: How Payers Are Choosing Partners
In this episode, Alex Yarijanian breaks down what’s actually showing up in payer conversations right now, long before final CMS rules are published. Drawing from real contracting, network, and delegation discussions, Alex explains why waiting for regulatory clarity is already costing providers and health tech companies leverage.
This episode also outlines who is most at risk heading into 2026, the three types of organizations positioned to win, and what provider and health tech leade…
Digital Health at a Crossroads: The Fallout from a $100M Adderall Fraud Scheme
A federal jury has convicted the founders of Done, one of the fastest-growing telehealth companies in the stimulant-prescribing space, for orchestrating one of the largest Adderall distribution and fraud schemes in U.S. histo...
How to Win in Medicare Advantage 2026
Welcome back to the Value-Based Care Advisory podcast! In this episode, host Alex Yarijanian delves into the significant updates and strategies for 2026 in the Medicare Advantage space. He covers essential news and policy cha...
Uncovering the Hidden Influencers of Our Health System
The podcast delves into the complexities and challenges of the American healthcare system, arguing that it often prioritizes profit over patient care. Through the lens of investigative journalism from More Perfect Union, the ...
2025 Opportunities in Healthcare: Navigating the Perfect Storm
The health insurance industry is confronting a convergence of rising healthcare costs, increased patient demand, and heightened legislative scrutiny as we approach 2025. Medicare Advantage plans, once highly profitable, are now under significant pressure due to these factors. Major insurers like Humana and UnitedHealth are experiencing challenges that may redefine managed care. However, this period of disruption presents opportunities for healthcare providers and entrepreneurs to innovate an…
Startup Pitfalls and Healthcare Horror Stories: Introduction to Value-Based Care
In this episode of the VBCA Podcast, host Alex Yarijanian delves into the challenges faced by healthcare startups in the value-based care (VBC) sector, emphasizing the critical importance of robust patient acquisition strategies. The discussion highlights how many startups, despite ambitious goals to enhance patient outcomes and reduce costs, struggle to meet volume requirements and maintain contracts due to inadequate patient engagement approaches.
Understanding the Mental Health Parity Act: A Guide for Providers (From Payer Executives)
In this episode of the VBCA Podcast, host Alex Yarijanian and guest Dr. Chris Esguerra delve into the complexities of mental health parity, emphasizing the necessity for behavioral health services to receive the same level of care and coverage as physical health services. They discuss the challenges providers face when navigating insurance plans and the barriers to accessing equitable care for patients.