Value Based Care Episodes
April 30, 2026
LEAD Model: The ACO Test Most Organizations Will Fail — Before They Apply
CMS has posted the LEAD (Long-Term Enhanced ACO Design) model application materials. Most ACO applications fail before they're submitted — not because organizations are ineligible, but because they were never really built for risk.
Feb. 26, 2026
Medicare Advantage Negotiates Like an Owner. Commercial Doesn’t.
Why are employers paying up to four times Medicare rates for identical procedures? Dr. Kumar Dharmarajan joins Alex Yarijanian to break down incentive alignment, Medicare Advantage contracting, AI-driven engagement, and the structural pricing gap between MA and commercial markets.
March 17, 2025
Doulas and Value-Based Maternity Care: Driving Cost Reduction and Improved Outcomes
This conversation explores the historical context of childbirth, the current state of maternal mortality in the U.S., and the emerging role of doulas in modern maternity care. It highlights the paradox of high maternal mortal...