107 episodes

We are in a race to make health value work in the country. The imperative to drive health value is no longer an optional transition. The unsustainable upward cost trajectory of U.S. healthcare spending, coupled with declining outcomes and disparity gaps, are leaving vulnerable populations woefully underserved. To win the “race to value” we me must have disruptive innovation, spirited collaboration, democratized knowledge, realignment of the healthcare workforce towards value-based care competencies, and a collective moral purpose to reform our industry.



In this podcast, leaders from the Accountable Care Learning Collaborative (ACLC) interview the top healthcare executives and entrepreneurs to discuss healthcare’s value economy. Race to Value is the show to connect you with other healthcare leaders working to create better value in health, including provider organizations —hospitals and health systems, physician practices, and post-acute providers — health plans, pharmaceutical and life-science firms, health information technology firms, medical device manufacturers, and a multitude of other stakeholders. We are the ideal resource for leaders of healthcare organizations looking to transition to and thrive in the new reality of value-based care.



The race to value is not unlike any other social movement. As a nonprofit organization focused on industry transformation, the ACLC is here to catalyze a movement to value-based care. Patients are being harmed by the current healthcare system which is fraught with perverse financial incentives and structural distortions. Additionally, physicians are experiencing moral injury because they cannot care for patients in the way in which they intended when they began medical training. With its Accountable Care Atlas, a development guide for competency implementation, the ACLC is working with healthcare organizations all over the country to create the workforce of tomorrow.



There is a better way. The Race to Value podcast is here to bring to you the brightest minds making waves in the industry with their leadership and innovation. Our mission is to harness their brainpower to facilitate transformation in our country’s healthcare system. Come join us to listen to these disrupters as they share their vision to reorder the healthcare universe. Now is the time to get inspired -- we can win this race to value.

The Race to Value Podcast Accountable Care Learning Collaborative

    • Health & Fitness
    • 4.8 • 26 Ratings

We are in a race to make health value work in the country. The imperative to drive health value is no longer an optional transition. The unsustainable upward cost trajectory of U.S. healthcare spending, coupled with declining outcomes and disparity gaps, are leaving vulnerable populations woefully underserved. To win the “race to value” we me must have disruptive innovation, spirited collaboration, democratized knowledge, realignment of the healthcare workforce towards value-based care competencies, and a collective moral purpose to reform our industry.



In this podcast, leaders from the Accountable Care Learning Collaborative (ACLC) interview the top healthcare executives and entrepreneurs to discuss healthcare’s value economy. Race to Value is the show to connect you with other healthcare leaders working to create better value in health, including provider organizations —hospitals and health systems, physician practices, and post-acute providers — health plans, pharmaceutical and life-science firms, health information technology firms, medical device manufacturers, and a multitude of other stakeholders. We are the ideal resource for leaders of healthcare organizations looking to transition to and thrive in the new reality of value-based care.



The race to value is not unlike any other social movement. As a nonprofit organization focused on industry transformation, the ACLC is here to catalyze a movement to value-based care. Patients are being harmed by the current healthcare system which is fraught with perverse financial incentives and structural distortions. Additionally, physicians are experiencing moral injury because they cannot care for patients in the way in which they intended when they began medical training. With its Accountable Care Atlas, a development guide for competency implementation, the ACLC is working with healthcare organizations all over the country to create the workforce of tomorrow.



There is a better way. The Race to Value podcast is here to bring to you the brightest minds making waves in the industry with their leadership and innovation. Our mission is to harness their brainpower to facilitate transformation in our country’s healthcare system. Come join us to listen to these disrupters as they share their vision to reorder the healthcare universe. Now is the time to get inspired -- we can win this race to value.

    The Truth Agenda: Overcoming Tribalism for a Better World and the Superiority of Medicare Advantage for Value-Based Care, with George C. Halvorson

    The Truth Agenda: Overcoming Tribalism for a Better World and the Superiority of Medicare Advantage for Value-Based Care, with George C. Halvorson

    George Halvorson is a retired American healthcare executive who served as CEO of six health plans over the last 30 years.  From 2002-2013, he was the CEO of Kaiser Permanente and was listed several times on Modern Healthcare‘s “Most Influential People in Healthcare”. During his tenure at Kaiser Permanente, he led the nation's largest nonprofit health plan and hospital system, which is also a leader in the adoption of technology to advance community health outcomes and reduce health inequities.  Under Halvorson's leadership, Kaiser Permanente's investment in electronic medical records and physician support systems resulted in diminished infection rates and scalable population health outcomes within partnering communities.



    Since his retirement from Kaiser, George Halvorson has devoted his time to promoting the benefits of early childhood education and to addressing social difference and tensions through his own Institute. George Halvorson is currently the Chair and CEO of the Institute for InterGroup Understanding, a nonprofit organization that works on issues of racism, prejudice, discrimination and intergroup stress and conflict by facilitating a collective understanding of what children need to achieve safe and productive lives. George is someone who leads with a passion to help create intergroup Peace for our nation so that we may intellectually overcome our more negative and damaging instinctive behaviors.



    In this episode, you will learn the truth about the Medicare Advantage program from one of the leading intellectuals in healthcare.  We also discuss Health IT transformation and the power of organizational culture to reshape care delivery. In the last 20 minutes of the interview, George Halvorson also discusses his mission to improve the culture of our world by helping others overcome negative and instinctive behaviors that lead to intergroup conflict.  This is a powerful discussion about the impact of tribalism in our world and how we have a collective and ethical obligation to help each child from every ethnic, economic, cultural, and racial group in America to overcome the hardwiring of societal conditioning that leads to “us versus them” intergroup conflict. “We need to steer ourselves away from the easy abyss of anger through tribalism, into a higher level of interaction. This is a just-in-time learning opportunity.”



     



    Episode Bookmarks:



    01:20 George Halvorson’s legacy as a healthcare executive and former CEO of Kaiser Permanente



    02:20 The Institute for InterGroup Understanding, a nonprofit organization that works on issues of racism, prejudice, discrimination and intergroup stress and conflict



    03:10 George’s extensive experience in international healthcare reform and his authorship of several books related to healthcare reform and intergroup peace



    04:20 “The fragmented nature of care delivery and siloing of data creates an expensive plethora of uncoordinated, unlinked, economically segregated, operationally limited microsystems, each performing in ways that too often create suboptimal performance”



    06:30 “We are on the cusp of the golden age of healthcare delivery, and it’s going to be made golden by information, data, and systems.”



    07:15 Innovation at Kaiser Permanente led to a 40% reduction in congestive heart failure crisis events



    08:15 Leveraging biometric data and predictive algorithms for disease detection and prevention



    09:45 George Halvorson as a national leader in mitigating health disparities and his 2013 book, “Ending Racial, Ethnic and Cultural Disparities in American Health Care”



    11:15 Medicare Advantage has become a successful social services program for millions of people (and our most important vehicle to reduce health inequities)



    12:15 How Kaiser Permanente reduced prostate cancer death rate...

    • 1 hr
    Speaking for Those Who Can’t: The Role of Nurses in Advocating for Vulnerable Populations, with Sharrica Miller, Ph.D., RN

    Speaking for Those Who Can’t: The Role of Nurses in Advocating for Vulnerable Populations, with Sharrica Miller, Ph.D., RN

    This week is Nurses Week – a time for all of us to reflect on the contributions that nurses make to our society. During this important time of observance for one of our most valued professions in caring for those most in need, we invited Dr. Sharrica Miller to join us for an important conversation.  Dr. Miller is a Cal State University, Fullerton nursing professor who teaches several nursing classes, including pediatrics, writing, research, and mentoring. But she brings more into her classroom than just her vast knowledge and experience in nursing; Dr. Miller also shares the 12 years she spent in the foster care system.



    This period left an indelible impression on her, and she decided that once she made it out of the foster care system, she would reach back and help others.  To that aim, she has become a national leader in helping nurses use their platform to advocate for vulnerable populations in the community. Casey Family Programs recently awarded Dr. Miller with the 2021 Casey Excellence Award, a national recognition for her work with foster youth in several organizations, including California Youth Connection. Dr. Sharrica Miller is not only a nurse educator, renowned public speaker, and DEI strategist --- she is a servant leader and advocate for the most vulnerable in our society.



     



    Episode Bookmarks:



    01:25 Reflections on Nurses Week and Introduction to Sharrica Miller, PhD, RN



    02:25 National recognition for her service in helping children transition out of foster care



    03:25 The hardship and instability of Dr. Miller’s childhood and how she broke the intergenerational cycle of disadvantage



    05:35 Determination to take control of her life once emancipated from the foster care system



    06:20 A mission in service to others as an advocate began when gaining custody of her siblings as a young adult



    07:30 Lessons in mentorship that inspired her to “speak for those who can’t” and how COVID-19 impacted the foster care system



    09:20 The promise of education in breaking the cycle of poverty and despair (“Education was my ticket to freedom.”)



    11:00 How the learning environment and minority representation at Howard University propelled her to success



    12:00 The importance of mentorship and creation of “safe spaces” on college campuses for minority nursing students



    12:40 “Nursing programs need to be actively anti-racist to identify structural barriers.  It is not enough to just value diversity.”



    14:00 Why representation from minorities is so important in Higher Education



    15:00 Overcoming a victimhood mindset brought about by old emotional pain through hardship



    16:30 “You must develop an internal locus of control.  You can either change your perspective of a problem or change your situation.”



    18:40 Inspiration from Eckhart Tolle in overcoming a victim mentality by stopping "pain-bodies"that control our thinking.



    19:40 The dangers of over-internalizing success or failure



    21:30 “In preparing to lead transformational change, you must first do the work inside. That allows you to show up with the stamina to fail forward.”



    23:20 Using failure as a learning opportunity to adapt one’s approach to change management



    24:30 The plight of racial injustice in our society and the disparities that are built into the American healthcare system



    26:00 “Minorities are expected to be majority by 2050.  We need to think about this in preparing the healthcare workforce for tomorrow.”



    28:00 “Teaching nursing students about Social Determinants of Health can actually do harm if we only teach at the surface level.”



    29:00 “Racism is a social determinant of health.”

    • 1 hr 5 min
    Transforming “Sick Care” to Health Care through Lifestyle Medicine, with Dr. Sean Hashmi

    Transforming “Sick Care” to Health Care through Lifestyle Medicine, with Dr. Sean Hashmi

    As leaders in the value-based care movement, we must think about the synergism between lifestyle medicine and traditional Western medicine. The tenets of lifestyle medicine force us to think more holistically about medical treatment and prevention.  Under this construct, “Sleep is Medicine” because poor sleep is linked to obesity, heart disease, stroke, cancer, and dementia.  “Exercise is Medicine” because of its impact on a healthy heart, mind, and body.  “Love is Medicine” because mindfulness and gratitude is the key to peace and equanimity. And lastly, “Food is Medicine” because a whole food plant-based diet is proven to improve every aspect of health.  These four time-tested tenets encompass the SELF Principle of lifestyle medicine promoted by Dr. Sean Hashmi.



    Sean Hashmi, MD, is the adult weight management lead for Southern California Kaiser Permanente. He is a board certified Internist, Nephrologist and Obesity Medicine Specialist practicing at Kaiser Permanente, Woodland Hills, California. In this role as Regional Director for Clinical Nutrition and Weight Management at Kaiser Permanente, Southern California, he’s responsible for developing a comprehensive obesity management strategy involving lifestyle medicine and obesity medicine for the 4.6 million members that Kaiser Permanente serves. He is driven by a lifelong commitment to be of service to others. He also provides evidence-based health, nutrition, and wellness research through his nonprofit organization, SELF Principle.



    In this episode, you will learn how Sleep, Exercise, Love, and Food (SELF) translate into hope. And hope is the most powerful thing we can possibly have in health care. With hope, we can transform our broken “sick care” system to a true health care system.  And in doing so, we will win this Race to Value.



     



    Episode Bookmarks:



    01:30 Background and Introduction to Dr. Sean Hashmi



    04:30 Life-defining experiences and personal challenges that led to the practice of lifestyle medicine



    06:30 Dr. Hashmi’s Personal Why:  HOPE



    08:30 “The greatest way to be selfish is to do something kind for someone.”



    09:00 How a lack of financial resources led to a lack of healthcare access for Dr. Hashmi’s sister



    09:45 Lessons in lifestyle medicine learned from his own wife’s health issues



    10:45 The American College of Lifestyle Medicine and Dr. Hashmi’s SELF Principle



    11:00 “Sleep, Exercise, Love, and Food translate into hope. And hope is the most powerful thing we can possibly have in health care.”



    13:30 “Lifestyle medicine needs to be looked at synergistically with Western Medicine.  Everything in health begins and ends with lifestyle.”



    14:30 The impact of lifestyle medicine on chronic disease (ex: dialysis treatment coupled with plant-based eating)



    16:30 Healthcare providers need to learn more about evidence-based lifestyle medicine



    17:00 How lifestyle medicine can improve life’s “moments” (quality of life and longevity)



    17:45 Incorporating lifestyle medicine into everything we do (instead of it being a standalone program), e.g. prevention of 30-day rehospitalizations



    22:00 Is the heart healthy benefit of eating vegetables only when they are consumed in raw form?



    24:20 The Healthy Plate Model:  50% fruits and vegetables, 25% complex carbohydrates, and 25% protein (tofu, beans)



    25:20 Consumption of whole fruits will lower HgbA1c results in diabetics in the long-run.



    26:20 “Healthy” plant-based eating lowers incidence and prevalence of kidney disease.



    27:00 The problems with plant-based meats and why whole vegetables are always preferable



    28:20 Why the Blue Zones have such healthier people that live longer

    • 1 hr 13 min
    Leveraging Autonomous AI to Close Care Gaps and Improve Quality and Equity, with Dr. Michael Abramoff and Seth Rainford

    Leveraging Autonomous AI to Close Care Gaps and Improve Quality and Equity, with Dr. Michael Abramoff and Seth Rainford

    Have you ever had an idea that you just had to make real? No matter what it took… no matter what obstacles were in your way… no matter how many times people told you no… you just couldn’t stop until it existed? Well, this is one of those stories. It begins with an idea in 1988 and leads to the first-ever autonomous AI to be approved by the FDA for diagnosis without physician input.



    Dr. Michael Abramoff, MD, Ph.D. is the Founder and Executive Chairman of Digital Diagnostics, the autonomous AI diagnostics company which was the first in any field of medicine to get FDA authorization for an autonomous AI.  Dr. Abramoff is a neuroscientist, a practicing physician, and holds a Ph.D. in Artificial Intelligence and Machine Learning. In 1988, Michael was working on artificial intelligence during his residency and began to think a computer could diagnose diabetic retinopathy. Given the technology available at the time, this idea may have been a bit of a stretch. Still, Michael set out to prove it could be done.



    Joining him in this interview is Seth Rainford, the President and COO at Digital Diagnostics.  Seth focuses on expanding market opportunities and driving operational excellence within the company. He brings more than a decade of executive experience to Digital Diagnostics including the successful management of large-scale P&L’s, strong organic & inorganic business development expertise, as well as complex multi-site operations leadership within the healthcare industry.



    In this episode, we talk with Dr. Abramov and Seth about the 30-year journey that led to the founding of Digital Diagnostics, and the first-ever FDA-approved Autonomous AI in healthcare. Plus, we explore the challenges they continue to work through as they commercialize their product to support organizations looking to win in value-based care!



    Episode Bookmarks:



    01:30 Introduction to Dr. Abramoff and Seth Rainford and how the first-ever autonomous AI solution became FDA-approved for diagnosis without physician input



    03:30 The scalability of Artificial Intelligence in healthcare and the recent failure of IBM Watson Health



    06:00 “We are at an inflection point with AI…specifically with Autonomous AI.”



    06:30 The parallel paths between AI and the discovery of DNA and its eventual use in the courtroom.



    07:45 Why should we limit diagnosis to human cognition when autonomous AI has been proven to be safe and effective?



    08:45 An overview of the history of AI, from advancements in neuroscience and sensory processing, ML, artificial neural networks, to autonomous AI in healthcare.



    10:45 Where IBM Watson failed – it started with “glamour AI” (i.e. winning at Jeopardy) instead of trying to solve problems in healthcare



    12:00 Most of what we hear about in healthcare is assistive AI -- not autonomous AI.



    13:20 There is no need for human oversight in autonomous AI for making FDA-approved diagnoses in healthcare.



    15:15 Referencing a recent NEJM Catalyst Op-Ed that criticizes autonomous AI in healthcare



    16:30 Lessons learned from the challenges of assistive AI and how the develop of a completely autonomous AI solution started with FDA approval



    18:30 “In considering the best ways to improve population health outcomes, we must include autonomous AI.”



    19:00 Humans are not necessarily better than AI when it comes to diagnosis of diabetic retinopathy



    19:20 Referencing NEJM study using assistive AI diagnosis of breast cancer and how radiologist involvement with AI didn’t improve outcomes



    22:00 Health inequities with diabetic retinopathy in various minoritized populations



    23:00 Recent CMMI focus to advance health equity in value-based care

    • 59 min
    Private Equity Investment for Value Transformation: Magnificent or Mephistopheles?, with Don McDaniel

    Private Equity Investment for Value Transformation: Magnificent or Mephistopheles?, with Don McDaniel

    The impact of investment activity on our industry cannot be overstated, with the velocity of capital pouring into the health sector reaching stratospheric proportions. The valuation of private equity deals in the US health care sector is nearly $100 billion dollars—a twentyfold increase from 2000 (when it was less than $5 billion). Before COVID-19, we were already seeing mass provider consolidation, expansive funding in digital health, and significant M&A activity…and the appetite for capital investment in healthcare has only increased in recent years. The amount of capital being poured into the health sector, and the velocity at which it has been deployed, is reshaping the landscape and a driving force in the future of value-based care.



    Joining us this week is Don McDaniel, the CEO of Canton & Company. Don engages with pioneering healthcare firms across the industry, all striving to win in the new health economy. A true market-maker, he focuses on advancing innovation, elevating market positions, and connecting complementary players to disrupt and reshape the industry.  Don McDaniel is a healthcare visionary, master economist, serial entrepreneur, and lover of a good debate.  In this episode, he will provide insight into the continued increase in the appetite of private equity and other institutional investors.  He will discuss whether this interest is good or bad for consumers, patients, providers, payers and other stakeholders.  He will also overview the interest level and forecast of investment activity, explore pros and cons from various stakeholders’ perspectives, and consider the implications of such investment on the value movement.  If you are a business leader trying to understand current investment trends and whether or not institutional equity actually improves the overall industry health of healthcare, this episode is for you!







    Private equity (PE) has been ramping up investments in healthcare over the last several years. Read this brief to learn more about the intersection of PE and value-based care, including potential negative and positive impacts, and recommendations for industry stakeholders.



    https://institute.smallworldlabs.com/files/354



     



    Episode Bookmarks:



    01:30 The valuation of private equity deals in the US health care sector is nearly $100 billion dollars—a twentyfold increase from 2000 (when it was less than $5 billion).



    02:45 Introduction to Don McDaniel, the CEO of Canton & Company



    04:45 The number of healthcare services deals among institutional investors has more than doubled in the last six years, with 356 deals in 2015 and a whopping 733 deals in 2021.



    06:30 “The system is broken.” – Investment fervor is based on the “train wreck” that is American healthcare.



    07:20 The arbitrage opportunity for capital investment based on historical spending and inefficiencies



    08:10 Referencing Jim Collins: Confront the Brutal Facts (from Good to Great)



    08:30 How negative labor productivity in healthcare contributes to dysfunction



    09:30 “If the airline industry had the safety record of healthcare, no one would get on a plane.” (iatrogenic errors creating bad outcomes)



    10:00 “Healthcare lacks true consumer sovereignty.”



    10:30 Adam Smith’s “invisible hand” has been missing from healthcare since 1965.



    11:30 Consumer dissonance drives system inefficiencies and how that is attractive to investors.



    12:10 “Healthcare is a credibly inefficient business backed by massive tailwind demand.”



    12:30 The impact of an aging population on our nation’s healthcare system



    13:45 Opportunities with massive consumerization and privatization of Risk



    14:30 Private Equity investment activity at an all-time high

    • 1 hr 8 min
    The Moral Determinants of Health: Physician Culture and the Power of Sacred Healing Relationships, with Dr. Faisel Syed

    The Moral Determinants of Health: Physician Culture and the Power of Sacred Healing Relationships, with Dr. Faisel Syed

    ChenMed is a family-owned, physician-run organization that was created to better serve low-moderate income elderly patients. Starting in 1985, Dr. James Chen created ChenMed as a one-stop shop where physicians are held accountable for their patients, and now ChenMed operates over 100 senior health centers across the US. The full-risk, capitation model of ChenMed aligns economic incentives where preventative value based care is the foundational framework.  However, what really allows ChenMed to transform care delivery in the U.S. is how they honor the sacred nature of the physician-patient relationship. The ChenMed model for primary care exemplifies the power of the provider-patient relationship and realigns physicians with their altruistic calling.  In doing so, clinicians are able to address the moral determinants of health that lead to improved health equity and social justice in our society.



    Joining us this week is Dr. Faisel Syed, the National Director of Primary Care at ChenMed. Dr. Syed believes a physician-led culture can improve primary care influence and lead to a new era of transformation in the United States.  He is on a mission to restore the intimate and sacred nature of the doctor-patient relationship and, in doing so, create care models that can replicate at scale.  In this episode, Dr. Syed discusses how ChenMed honors seniors with affordable, VIP care that delivers better health. He shares how this moral consensus has an enormous impact on patients and the health of communities.  A physician-led culture in primary care, coupled with trusting relationships, can truly change the world!



    Episode Bookmarks:



    01:30 Background on Faisel Syed, M.D. and the full-risk capitation model of ChenMed



    03:30 The ChenMed model as “old-fashioned medicine with technology that treats patients like family”



    04:30 How family influence and emerging technologies created a calling to practice medicine



    07:15 “We should restore the intimate and sacred nature of the doctor-patient relationship.”



    09:20 Don Berwick’s article on “The Moral Determinants of Health”



    10:20 “ChenMed starts with the mission to honor seniors with affordable, VIP care that delivers better health. That is our moral consensus.”



    11:00 Healthcare as a right – everyone deserves access to primary care, especially those in underserved communities



    12:45 Referencing Michael Marmot’s book, “The Health Gap: The Challenge of an Unequal World” and the impact of income inequality on health



    14:30 “Understanding pathophysiology alone is not enough to improve health. We must address social determinants of health.”



    15:30 Faisel provides an excellent overview of SDOH and how ChenMed’s relationship-based care model improves population health outcomes



    18:30 1 out of 5 Americans (over 51 million) are living with a behavioral health condition and 20 million individuals have a substance use disorder



    19:30 How a holistic (non-transactional) approach to primary care with aligned financial incentives impacts behavioral health outcomes



    22:00 The sacred nature of healing relationships that goes back to the roots of shamanism (and how transactional economics limits healthcare effectiveness)



    24:00 Reflections on how the ChenMed model supports healing through trusting relationships



    25:00 How openness and trust between a doctor and a patient prevents avoidable ER visits



    28:30 How a famous clip from “I Love Lucy” sums up physician burnout that results from the culture of a fee-for-service system



    29:30 How ChenMed allows physicians to truly fulfill their purpose in practicing medicine (and how that prevents the burnout all too common in FFS)



    32:30 Referencing the article “Primary Care, Specialty Care,

    • 52 min

Customer Reviews

4.8 out of 5
26 Ratings

26 Ratings

jopo1234 ,

The depth you crave

I’ve been to a lot of conferences where I’ve been so excited about the line up of panels, only to feel the moderator barely scratched the surface to what I hoped to hear and learn. This is the alternative where you get free flowing insights in a no rushed way. Eric and Daniel ask well researched questions to pull out the details of the successes and lessons from these leaders that I haven’t heard anywhere else. Note that the episodes are a bit long (that’s the trade off of really getting to the meat of the matter) but well worth the time when it’s a topic or leader you really want to learn from.

kdelisle ,

Asks the right people the right questions

Always an interesting conversation! I’m an avid listener of healthcare podcasts and think Race to Value is a great addition. The long-form episodes are worth your time.

Top Podcasts In Health & Fitness

Scicomm Media
Jay Shetty
Betches Media
TED
Aubrey Gordon & Michael Hobbes
BBC Radio 4

You Might Also Like

Tradeoffs
Aledade Inc
Goldman Sachs
Johns Hopkins Bloomberg School of Public Health
Andreessen Horowitz
Stacey Richter