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  • Value-Based Care Explained | The Future of ACOs, Medicare & Healthcare Policy

    Value-Based Care Explained | The Future of ACOs, Medicare & Healthcare Policy
    2026/05/19
    What does “value-based care” actually mean, and why are healthcare leaders betting the future of medicine on it?

    In this episode of Policy Prescriptions, Gary Jacobs sits down with Aisha Pittman, Senior Vice President of Government Affairs at National Association of ACOs, and Ray Quintero, Managing Partner at Healthsperien, for a deep conversation about the future of healthcare policy, Medicare reform, and accountable care organizations (ACOs).They break down how value-based care works, why fee-for-service medicine creates problems, and how new models like ACO LEAD are reshaping the healthcare system.

    The conversation also explores:
    • How ACOs improve patient outcomes while lowering costs
    • Why healthcare providers are moving toward risk-based care
    • The role CMS and CMMI play in healthcare innovation
    • How policy changes move from pilot programs into law
    • Why healthcare lobbying is more about relationships than money
    • The future of Medicare and accountable care
    • The human side of healthcare leadership and advocacy
    Gary, Aisha, and Ray also discuss mindfulness, leadership, and why collaboration matters in healthcare transformation.If you work in healthcare policy, value-based care, Medicare strategy, hospital leadership, physician advocacy, or healthcare innovation, this episode gives a practical look at where the industry is headed next.

    Chapters:
    00:00 Introduction to Value-Based Care
    01:35 What Value-Based Care Actually Means
    03:47 How ACOs Change Healthcare Incentives
    05:39 Helping Providers Navigate New Care Models
    07:22 CMS, CMMI, and the Future of Healthcare Models
    10:05 Why Healthcare Transformation Is Accelerating
    12:00 ACO REACH vs ACO LEAD Explained
    14:26 Bringing Specialists Into Accountable Care
    15:18 Home-Based Care and High-Needs Patients
    17:22 Why the LEAD Model Lasts 10 Years
    18:33 The Mission Behind Healthcare Reform
    20:20 Gary Jacobs on Yoga, Advocacy, and Leadership
    23:38 Human Connection in Healthcare Policy
    25:48 The Future of Value-Based Care
    27:23 Will Fee-For-Service Ever Disappear?
    29:43 What Healthcare Could Look Like in 10 Years
    31:00 How Healthcare Models Become Law
    33:18 Can Congress Actually Pass Reform?
    36:29 Does Money Drive Healthcare Policy?
    41:48 Why Relationships Matter More Than Lobbying Dollars
    43:13 Final Thoughts
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    44 分
  • From Isolation to Connection: Neil Giraldo on Music, Mental Health, and Policy

    From Isolation to Connection: Neil Giraldo on Music, Mental Health, and Policy
    2026/04/21
    What role does music play in mental health and loneliness?

    In this episode of Policy Prescriptions, Gary Jacobs sits down with legendary musician Neil Giraldo and policy leader Andrew MacPherson to explore how social isolation is shaping public health and what we can do about it.

    Recorded at SXSW, this conversation connects music, policy, and human connection in a way that goes beyond headlines.

    Neil shares his personal story of growing up with anxiety and isolation, and how music became his way out. Andrew breaks down how loneliness impacts the brain, why policymakers are finally paying attention, and what real solutions look like at the national level.

    You’ll learn:
    • Why loneliness is now a public health crisis
    • How music creates real emotional and biological change
    • The role of storytelling in influencing policy
    • Why “social connection” belongs in healthcare
    • What needs to change in Washington right now


    If you care about mental health, leadership, or the future of public policy, this conversation will shift how you see connection.

    ⏱️ CHAPTERS / TIMESTAMPS
    0:00 Intro: Policy, loneliness, and SXSW
    1:20 The social connection crisis explained
    3:30 Neil Giraldo’s story of isolation and anxiety
    6:40 How music became his escape
    9:30 Spirituality, identity, and mental health
    13:00 Why storytelling drives policy change
    16:00 Music as part of the healthcare system
    18:30 The science: endorphins, serotonin, and healing
    20:00 What it feels like to connect with 20,000 people
    22:30 Music saving lives: real fan stories
    24:00 Policy solutions and funding for connection
    26:00 Final thoughts: empathy, suffering, and healing
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    29 分