CHAPcast by Community Health Accreditation Partner
CHAPcast: Your Trusted Partner on the Go
For over 60 years, CHAP has been leading the way in home and community-based care, and now CHAPcast is leveling up! With a dynamic new format, co-hosts Jennifer Kennedy and Kim Skehan bring their expertise, passion, and a touch of personality to every episode.
Get ready for deeper dives into the issues that matter—breaking down policy updates, exploring cutting-edge trends, and sharing practical tools to help you thrive. Fresh perspectives and actionable insights you can use right away.
Whether on a commute, in the office, or just catching a moment to yourself, CHAPcast is here to keep you informed, inspired, and ahead of the curve.
The views expressed do not imply an endorsement by CHAP or any entity they represent. Opinions expressed by CHAP employees are their own and may not necessarily reflect the organization's views.
CHAPcast by Community Health Accreditation Partner
Managed Care Contracting and Value-Based Models with Joe Russell
Joe Russell, Vice President of Network Management and Contracting at Strategic Healthcare shares his invaluable perspective on how community-based providers can thrive despite the dominance of managed care plans and the ever-present issues of fraud, waste, and abuse.
Our conversation uncovers the influence of pivotal regulatory shifts, such as the Affordable Care Act and CMS initiatives, on managed care. We navigate the delicate balance between cost containment and quality care, addressing critical challenges like authorization limits and the impact of timely payments on providers.
As we look to the horizon, our dialogue transitions into the evolving dynamics of provider-payer relationships, where data-driven quality metrics take center stage. The burgeoning landscape of managed Medicare Advantage plans demands a new level of collaboration between payers and providers, with an emphasis on trust and innovative cost-containment solutions.
We explore the significance of aligning with metrics like star ratings and rehospitalization rates to enhance opportunities and reimbursement. Value-based care in post-acute settings is poised for growth, and providers must lead the charge by understanding their costs and crafting compelling value propositions for managed care plans.
Join us as we chart the course for the future of healthcare, where collaboration and strategic partnerships will redefine success.
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