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Move to Value Podcast

CHESS Health Solutions

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The Move to Value podcast is dedicated to helping health care providers understand and make the transition to value-based care. We do this through conversations and the sharing of innovative ideas with experts and leaders throughout the healthcare industry. Our mission is to sustainably transform the health care experience for the patient, provider and care team by cultivating a value-oriented, compassionate and health-aligned community.
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In this episode, Kari Curry, Medicaid Care Coordination Hub Supervisor at CHESS Health Solutions, shares how CHESS delivers high-touch, high-impact care management within a Medicaid Clinically Integrated Network (CIN). Kari walks us through a patient journey that highlights how CHESS uses real-time data from NCHIE, comprehensive social determinants…
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In today’s episode we continue our conversation with @American_Heart Senior Advocacy Advisor of Health System Transformation Melanie Phelps, who was integral in the recently published study on the benefit of Accountable Care Organizations. The findings support that managed care provided by ACOs not only improves outcomes for the medically complex p…
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Today we hear from Melanie Phelps, Senior Advocacy Advisor of Health System Transformation for the American Heart Association, who shares with CHESS President, Dr. Yates Lennon, the motivation and detailed findings of a new study conducted by the AHA which found that ACOs provide better care and outcomes for patients and a better practice experienc…
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Today we continue our ACO REACH conversation with Kim Williams, who discusses how this model facilitates enhanced care for the patient. She also shares insights on measuring success, engaging providers, and the broader impact of ACO REACH on healthcare equity and value-based care Thomas Royal Kim Williams, welcome back. Thanks for sticking around s…
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In this episode we hear from Kim Williams, Senior Manager of Government Programs at CHESS Health Solutions about the value of ACO REACH. She shares her expertise on what it is, why it was created, and how it benefits the patient and provider by being a care collaboration model that improves quality while incentivizing health equity. Kim Williams, w…
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In today’s episode, we revisit our episode with Josh Vire, Vice President of Value-based Operations at CHESS Health Solutions, where he discussed what has been learned during the move to managed Medicaid in North Carolina and what CHESS brings to the table with its all-patient solution. Josh Vire, welcome to the Move to Value podcast. Thank you, Th…
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So as you are well aware, at CHESS we often refer to the seven pillars of value-based care. What are these pillars and how does each impact fee-for-value? So, we’ve tended to use these pillars, if you will, to think about the process. Really, it follows our implementation process in many ways. So, I would start with practice transformation. So, tha…
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Let’s start at the very beginning. What is value-based care and why does it matter? So, what is value-based care. I tend to think about population health and value-based care side by side. And, in some ways, it’s value-based care is population health plus a payment structure that you find in value-based care models to create sustainability for thos…
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Today we’re talking to CHESS Health Solutions own Tammy Yount who shares her experience as a former practice manager and AHEC practice support coordinator to provide insight on why independent primary care providers, their practices, and especially their patients, will benefit from partnering with the right clinically integrated network. Tammy Youn…
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Today on the podcast, we talk with Rebecca Grandy, Directory of Pharmacy at CHESS Health Solutions, about the connection between diabetes and chronic kidney disease, the populations who are at risk, how to address any concerns, and what tests and interventions are available to the provider. OK, so, Rebecca Grandy, welcome to the move to Value podca…
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In this episode we hear more from NCAHEC’s Chris Weathington about the inevitable integration of behavioral health and primary care and the need to realign incentives and alleviate some regulatory burdens so practices can find service enhancement opportunities to remain viable and more accessible to the patients they serve. I promised you we would …
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In this episode we hear from Chris Weathington, Director of Practice Support for North Carolina Area Health Education Centers, about how his organization provides training and resources to enable practices to focus on value rather than spending time on administrative burdens, thereby freeing up providers to better focus on patient care. Chris Weath…
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In this episode we hear the second half of the conversation with Franklin County Public Health Director, Scott LaVigne, in which he shares his views on the role of properly addressing behavioral health, providing a positive patient experience, and the importance of partnerships, and how these elements, and others, work together in order for his tea…
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Today we hear an important conversation about the role of local government in population health and wellness. Scott LaVigne, Public Health Director of the Franklin County Health Department in North Carolina, talks with CHESS vice president, Josh Vire, about the broad scope of work his team is responsible for and how they are successfully tackling n…
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In this episode, we hear the second half of the conversation between Kris Shepard, Senior Vice President at Advocate Health, and CHESS President Dr. Yates Lennon, as they discuss how physician networks and primary care services are the backbone of the value movement in healthcare. So Chris, welcome back to the Chess Move to Value podcast. Look, loo…
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Today hear from Kris Shepard, Senior Vice President of Clinical Enterprise Development and Core Market Growth and Physician Partnerships at Advocate Health. In a conversation with CHESS President, Dr. Yates Lennon, Kris talks of how Management Services Organizations benefit patients and creates opportunities for practice growth and professional dev…
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In this episode, we hear the second half of the conversation between CHESS Vice President of Value-based Operations, Josh Vire, and Wilson Gabbard, Advocate Health Vice President of Quality and Condition Management, who discuss the importance of partnerships with payers and implementing value based care practices with all patients, even if they are…
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In this episode, CHESS Vice President of Value-based Operations, Josh Vire, talks with Wilson Gabbard, Vice President of Quality and Condition Management at Advocate Health, about how to gather and present meaningful data to providers in an easy and accessible way which enhances their delivery of better patient care. Well, Wilson Gabbard, thank you…
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In this episode we finish our conversation with Rebecca Grandy, Director of Pharmacy at CHESS, and learn how pharmacists can overcome barriers to issues in patient care through tools such as prior authorizations. We also talk about how CMS doesn’t consider pharmacists care providers and how resolving that will lead to greater efficiency and better …
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Today we continue the discussion between Yates Lennon and community health expert Randy Jordan, about how good health is typically achieved through a good clinical home, which has always been an insurance discussion but now should shift to a discussion about the uninsured who need the knowledge about where to go when sick, to increase savings in th…
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Today we get to know Rebecca Grandy, Director of Pharmacy at CHESS Health Solutions, and learn how a clinical pharmacist is an integral part of the care team, not only for improving patient outcomes by being the medication expert, but also by developing relationships with patients and using psychology to ensure medication adherence, resulting in be…
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Today we hear a conversation between CHESS President Yates Lennon and community health expert Randy Jordan, who is the current Chief Advisor of Impact for Health at Next Stage Consulting. We listen as they discuss Managed Medicaid, funding the health safety net for the uninsured, and how different types of healthcare organizations can work together…
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Today, we're discussing Care Management in Managed Medicaid with Tammy Yount, CHESS Application System Analyst. We'll explore why it's essential for organizations to tailor their care management programs to fit their own unique needs, so they can holistically focus on the patient while optimizing value in healthcare. Tammy Yount, welcome to the Mov…
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It’s patient experience week here in the United States, and we have asked CHESS President Dr. Yates Lennon to share his story about how, as a practicing provider, he took the time to listen to feedback from his patients and implement changes which not only led to better patient experience scores but shed new light on the importance of value-based c…
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Today we listen to a conversation that began at the North Carolina Hospital Association’s winter meeting between Bamboo Health Senior Director of Growth, Ellen Solomon, and CHESS Director of Value-based Operations, Rachel Holder. Ellen and Rachel get together for the podcast to continue the discussion on the topic of Navigating Value-based Care thr…
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In this episode, we listen in on a conversation between Mountain Valley Hospice Senior Vice President of Strategy and Innovation, Maria Hayes, and CHESS Health Solutions Senior Director of Clinical Operations, Dr. Kim Vass Eudy, about End of Life Care, the difference between palliative care and hospice care, and how Providers can utilize these serv…
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In this episode we continue our interoperability conversation with CHESS Vice President of Health Informatics, Mark Dunnagan. Last time, we focused on the importance of shared data in value based care and the need to overcome any barriers. Today we talk about the logistics of interoperability and the modernization of data exchange. Mark, last time …
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Today we are here with Mark Dunnagan, CHESS Vice President of Health Informatics to talk about Interoperability, what it means, why it matters in health care, and how better access to patient data for the entire care team will lead to improved outcomes for patients at a lower cost. Mark Dunnagan, welcome to the Move to Value podcast. Thanks, Thomas…
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Today we talk with healthcare consultant, Tim Gallagher, who works with clients that serve the uninsured and underinsured. He counsels in navigating emerging models of care, leveraging better system solutions, tying into public sector funding, and forming value-based partnerships. Tim’s work in the NC Medicaid Managed Care Transformation efforts ha…
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In this episode of the Move to Value Podcast, we finish our recap of the Move to Value Summit – Nursing Edition which was held on Dec 6. Today we hear from CHESS Senior Director of Clinical Operations and practicing physician, Dr. Kim Vass-Eudy. As a practicing physician, Dr. Vass-Eudy has a unique perspective on Falls, Risk Assessments and Prevent…
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In this episode of the Move to Value Podcast, we continue with our recap of the Move to Value Summit – Nursing Edition which was held on Dec 6. Today we hear part one of the presentation from CHESS Directory of Pharmacy, Rebecca Grandy, who shares information, updates and reminders around Diabetes Medication Management.…
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In this episode of the Move to Value Podcast we revisit The Move to Value Summit Nursing Edition that took place on December 6, 2023. This is an event where our team of subject matter experts present best practices in value-based care to an audience of nurses. This year we had well over 100 attendees. Today we will hear from CHESS Director of Care …
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In this episode, we talk to Denise Tedder, former teacher, ED Nurse, and now Quality Programs Manager specializing in Medicaid for CHESS Health Solutions about North Carolina’s transformation to Managed Medicaid Care, Medicaid Expansion, and what healthcare can do to prepare for the influx of a new population of patients into the program. Denise Te…
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Today we wrap up our conversation with Dr Ehab Sharawy and Dr David Cook of OneHealth by discussing the differences of the “big v” and the “little v” in value-based care and the positive impact of direct collaboration between the individual, the primary care provider and the specialist. Well good afternoon gentlemen and welcome to the Move to Value…
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Today we hear Advocate Health’s Don Calcagno, Senior Vice President and Chief Population Health Officer for Value Operations and Terry Williams, Senior Vice President and Chief Population Health Officer for Partnerships and Strategy who provide insight into Advocate’s participation in the Medicare Shared Savings Program and share with CHESS Preside…
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In this episode, we hear the second in a series of conversations between Dr. Ehab Sharawy, Dr. David Cook, and Dr. Yates Lennon, where they discuss “Modern Primary Care” and how greater access to care generates savings and makes for a healthier, happier patient. Welcome to the Move to Value Podcast. Dr. Ehab Sharawy, Dr. David Cook. Welcome. Glad t…
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Today on the Move to Value Podcast we have the first in a series of conversations between OneHealth Co-CEOs - Dr. Ehab Sharawy and Dr. David Cook, and CHESS Health Solutions President, Dr. Yates Lennon, about a “For All” philosophy of practicing medicine and the necessary connection between the patient and provider that benefits both. Good afternoo…
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In this episode of the Move to Value Podcast we continue our conversation with Dr Kim Vass-Eudy, Senior Director of Clinical Operations at CHESS, about Advance Care Planning and how to document those patient interactions. Dr Kim Vass-Eudy, welcome to the move to value podcast, it's good to have you back! Thanks Thomas. So last time we talked about …
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Today we talk with Kim Vass-Eudy, Senior Director of Clinical Operations at CHESS and practicing Doctor of Osteopathic Medicine about the importance of Advanced Care Planning and strategies for starting those conversations. Dr. Kim Vass-Eudy, welcome to the move to value podcast! Thank you, Thomas, it's good to be here. So today I want to discuss s…
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In this episode we hear part 2 of the conversation between, Josh Vire and JP Sharp, where they discuss the current and future state of value-based care including primary and specialty care and the recently released making care primary payment model. You've recently in your career focused on integration of behavioral health with primary care. Can yo…
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In this episode Chess Vice President of value-based operations, Josh Vire, has a conversation with JP Sharp, one of the original architects of the Next Gen ACO model at CMMI and current Chief Growth Officer at Rippl Care, about what it was like at the infancy of the value movement. JP Sharp welcome to the move to value podcast Thanks! pleasure to b…
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In this episode we hear the second half of the conversation between CHESS’ own Melissa Pollock and Advocate Health’s Vice President of Population Health Midwest Megan Reyna as they discuss navigating the data and quality measures for success in Value-based care. So Megan thank you so much for coming back to the Move to Value podcast. I'm really exc…
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In this episode Melissa Pollock, CHESS Director of ACO Compliance and Regulatory affairs has a conversation with Megan Reyna, System Vice President of Population Health Midwest for Advocate Health about how they approach value-based care through wrap around services for the provider allowing better care for the patient. Well Megan thank you so much…
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The second half of our conversation with Yates Lennon, MD, President of CHESS Health Solutions who discusses the seven pillars of value-based care and the benefit of moving from fee for service to fee for value. At CHESS we often refer to the seven pillars of value-based care. What are these pillars and how does each impact fee-for-value? So, we’ve…
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We revisit an earlier episode with Yates Lennon, MD, President of CHESS Health Solutions who who provides a concise overview of value-based care and questions providers should be asking Yates Lennon, MD, MMM, currently serves as the President and Chief Transformation Officer for CHESS Health Solutions. He is nationally known for his work in quality…
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In this episode of the Move to Value Podcast we catch up with Colleen Hole, Vice President of Clinical Integration in Population Health at Atrium Health to learn about the new partnership with the retailer Best Buy, the impact of the merger of Atrium Health and Advocate Aurora Health on the Hospital at Home program and Colleen’s experience as a pre…
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A conversation with Dr. Elizabeth Vaughan, associate professor and physician scientist at the University of Texas Medical Branch, as well as a Texas Community Health Worker instructor, about her research in health disparities and the role of the Community Health Worker in improving diabetes outcomes in low-income populations. Doctor Elizabeth Vaugh…
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Today we have the second in a series of conversations about ACO REACH with Melissa Pollock, Director of ACO Compliance and Regulatory Affairs at CHESS Health Solutions, who continues to navigate and lead through the intricacies of the newest CMS payment model. So, last time we talked about a lot of the history behind the reimbursement models for CM…
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