Is CMS Doing Enough to Make Value-Based Care Sustainable? | Purva Rawal × SCALE Community

Summary

Value-based care, CMS Innovation strategy, AI in healthcare delivery, and primary care reimbursement — where health equity meets policy innovation.

In this episode of Analyzing Healthcare by Scale Community, Roy Bejarano, Co-Founder & CEO of Scale Healthcare, speaks with Dr. Purva Rawal, former Chief Strategy Officer at the CMS Innovation Center (CMMI). They discuss how value-based care models, AI, and CMS initiatives are reshaping U.S. healthcare.

Dr. Rawal shares lessons from leading Medicare and Medicaid innovation, highlighting how payment reform and primary care reimbursement drive equity and efficiency. The conversation explores CMS strategy, the role of AI in care coordination, and key takeaways from COVID-19 that continue to shape policy and virtual care.

Title
Is CMS Doing Enough to Make Value-Based Care Sustainable? | Purva Rawal × SCALE Community

What You’ll Learn
✅ How value-based care and primary care reimbursement models advance health equity.
✅ The role of the CMS Innovation Center in modern healthcare reform.
✅ How AI in healthcare delivery enhances outcomes and reduces inefficiency.
✅ Policy insights for leaders navigating the latest trends in healthcare innovation.

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Timestamps
• (00:00) – Intro | Meet Dr. Purva Rawal of CMS Innovation Center
• (01:30) – Defining “Value” in Healthcare & Human-Centered Care Design
• (04:20) – Top Gaps in U.S. Healthcare & Primary Care Infrastructure
• (10:44) – Primary Care Reimbursement Models & Political Challenges
• (15:30) – Evaluating Value-Based Care Models and Provider Satisfaction
• (21:15) – CMS Initiatives for Reducing Health Disparities
• (34:00) – Medicare Spending, Inflation, and System Sustainability
• (40:00) – AI in Healthcare Delivery & the Future of CMS Innovation
• (46:00) – COVID-19 Lessons for Healthcare Strategy and Equity
• (53:00) – Closing Insights on Public Trust and Institutional Integrity

Key Takeaways
• Value-based care models are the foundation of sustainable health equity.
• AI in healthcare delivery is reshaping care coordination and data-driven policy.
• Primary care reimbursement models must align financing with outcomes.
• CMS initiatives prove that innovation and policy can work together to improve access.

Resource Links
Guest: LinkedIn – Purva Rawal
Host: LinkedIn – Roy Bejarano
Organization: www.scale-healthcare.com
SCALE Community: https://www.scale-community.com/
Podcast Hub: Analyzing Healthcare by Scale Community
Mentioned: CMS Innovation Center (CMMI)

Guest Bio
Purva Rawal, former Chief Strategy Officer at the CMS Innovation Center, is a clinical psychologist and policy strategist recognized for advancing value-based care models, primary care reimbursement innovation, and health equity initiatives across Medicare and Medicaid. She has led national CMS initiatives connecting AI in healthcare delivery with policy reform to build a system “wrapped around people and their needs.”

Hashtags
#HealthcarePodcast #ValueBasedCare #CMSInnovationCenter #AIinHealthcare #HealthEquity #HealthcareStrategy #HealthcareInnovation #ScaleHealthcare #ScaleCommunity #RoyBejarano

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