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

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

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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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