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Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments, including interviews with dynamic leaders in health care. John is a veteran health care strategist and is leading ongoing research initiatives on health care delivery systems and value-based care. Tags: ...
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Move to Value

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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Welcome to "Quality Matters," the podcast where we unpack the complexities of modern healthcare to shape a brighter future. Join us as we delve into the dynamic world of healthcare quality and innovation, exploring topics such as digital transformation, health equity, and quality standards. Each episode brings together thought leaders, industry experts, and innovators to discuss the latest trends, best practices, and challenges shaping the future of healthcare. With a focus on convening voic ...
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Join us for an insightful conversation with North Carolina Secretary of Health and Human Services, Kody Kinsley, as he shares how growing up without health insurance influences his drive to improve health care access and affordability in his home state. Discover the transformative impact of the state’s recent Medicaid expansion and substantial inve…
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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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ABOUT HEALTH CARE ROUNDS Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments. ABOUT MATT PORTCH Matt Portch is…
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University of Chicago professor and Doctor, Marshall Chin, joins us on Quality Matters to revolutionize medical training with his unique blend of improv and stand-up comedy. Discover how these innovative techniques equip medical students with the skills to care for diverse patients and engage in vital discussions about systemic racism and social pr…
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Welcome to "Quality Matters," the podcast where we unpack the complexities of modern healthcare to shape a brighter future. Join us as we delve into the dynamic world of healthcare quality and innovation, exploring topics such as digital transformation, health equity, and quality standards. Each episode brings together thought leaders, industry exp…
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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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ABOUT HEALTH CARE ROUNDS Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in healthcare business news and policy developments. ABOUT BILL LANE Bill is ilumed’s …
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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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Topics: (2:12) Dr. Pearl’s initial experience with Chat GPT (4:17) The potential benefits of AI and medical information for patients (9:43) What makes large language models different when it comes to analyzing clinical data? (13:30) What are the potential dangers of AI in healthcare? (24:21) Use cases and current limitations of generative AI (27:22…
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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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Topics: (11:00) Pharmacy benefit management basics (15:28) Rebates and pricing benchmarks (18:34) Blue Shield of California’s pharmacy care reimagined initiative (21:25) Capturing real-world evidence to asses new medications (23:52) Transforming the pharmacy benefits industry with partnerships and alliances (29:32) Baseline drug prices and innovati…
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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 today’s episode, we visit with Josh Vire, Vice President of Value-based Operations at CHESS Health Solutions, who shares his insights on managed Medicaid and how CHESS leveraged years of experience to enter into Medicaid to create an all patient solution. Josh Vire, welcome to the Move to Value podcast. Thank you, Thomas. Thanks for having me. P…
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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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In this episode, we highlight two companies that leverage data from many different sources to create a more complete picture of a person’s health. The ultimate goal? Shifting away from the current model of “sick care” - where patients primarily see their doctors when they aren’t feeling well – to care models that prioritize long-term health and sel…
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Dr. Robert Scoggins, Chief Medical Officer, Cytovale Robert Scoggins, MD, PhD is a seasoned pulmonary and critical care physician and the Chief Medical Officer (CMO) at Cytovale. He began his career in science with an undergraduate degree in Molecular Biology from Vanderbilt University and completed a PhD in Microbiology at the University of Virgin…
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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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Dr. Tracy Christopherson and Michelle Troseth, Co-Founders of MissingLogic® Dr. Tracy Christopherson and Michelle Troseth are co-founders of MissingLogic®. The core of their work is to help leaders to overcome leadership norms that cause suffering, achieve work life balance, create healthy work cultures and environments by leveraging Polarity Intel…
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The course of the Digitalization of Health doesn’t always run smooth. But for every set of pain points a provider might experience, there are companies developing technological solutions – platforms and tools – that not only guide us through digital transformation but identify crucial patient and population data along the way. In this episode, we t…
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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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This episode of “Inside Health Care: a Podcast by NCQA” features three interviews recorded live at our Health Innovation Summit in October 2023. Among many panels and presentations was an incredible session titled “Health Equity Trailblazers: Where Vision Meets Commitment.” Health equity leaders discussed their organizations’ health equity strategi…
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Jeff Wells, MD, CEO & Co-Founder, Marathon Health Jeff Wells, MD, is the CEO and co-founder of Marathon, a modern health company that partners with employers, benefit consultants and unions to deliver a health care experience that focuses on driving real behavior change, resulting in better employee health and financial savings. Marathon Health’s m…
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In this Inside Health Care interview, we explore GME — graduate medical education — and explore a few fundamental questions. How can we make sure today’s medical residents are paying attention to their patients? How do we teach residents to ask the right questions? And even more fundamentally, how do we make sure that the next generation of clinici…
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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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We close 2023 with our annual year-end State of Health Care interview with NCQA President Peggy O’Kane. In this interview, Peggy talks with Vice President for Public Policy and External Relations, Frank Micciche, about NCQA’s progress in 2023—both in improving equitable access to health care and implementing digital transformation across the ecosys…
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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 of our “Inside Health Care” podcast, we hear two interviews that each demonstrate how close we are to solving the challenges of health disparities and digital transformation. Our first interview finds a real-life, “Last Mile” solution that will bring historically under-served populations to the health care services they need and des…
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In this episode of Inside Health Care, we present two interviews that each ask really basic, yet complex, questions about health care. The first question: Why are patient alcohol and substance use issues so often overlooked in primary care? This interview will not only answer that question: it will point patients and providers in the right directio…
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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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In this episode, we explore a much-discussed Inside Health Care topic: interoperability. Within the process of health care digitalization, interoperability deals with the multi-lane, multi-directional transfer of electronic health records, or EHRs. But more and more, in that transfer process, companies discover data they hadn’t considered using, da…
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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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In this episode, we hear clips from four interviews recorded live at NCQA’s 2nd annual Health Innovation Summit. Parker Holcomb is Chief AI Engineer at Elevance Health. At NCQA’s 2023 Health Innovation Summit, he participated in a session titled “Building Trust in Clinical Data for Value-Based Care”. Parker stands at the forefront of data quality, …
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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 of “Inside Health Care,” we meet two guests, in two interviews. Our first guest advocates for birth, racial and gender equity, driven by her own distressing experiences as a patient. Our second guest developed effective ways to implement virtual care on a large scale to improve equity and representation for rural communities. Sinsi …
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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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In this episode of “Inside Health Care,” we take a look back at what we’ve learned since the pandemic hit over two years ago. We first chat with an upcoming star speaker at NCQA’s 2023 Health Innovation Summit on what we’ve garnered from the growth of telehealth in remote medicine. Then in our second interview in this episode, we discuss the public…
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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 “Inside Health Care,” we talk interoperability with a cardiologist who helped develop a new standard for data records exchange. Fast Healthcare Interoperability Resources, a.k.a. FHIR, can improve efficiencies in use and transfer of electronic health records. It can ease pressure on medical staff while also improving health equit…
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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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In this episode of “Inside Health Care,” we chat with a prominent NCQA board member about flipping fee-for-service models to value-based models, all in order to ease digital transformation. Then, we talk about the challenges and true rewards of pursuing Credentialing Accreditation. Dr. Craig Samitt is the CEO and Founder of ITO Advisors, an advisor…
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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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Holding more than 20 years of experience in healthcare leadership, Laurie Lee Smith is the founder of Laurie Lee Leadership and former system CNO of Billings Clinic. Her expertise lies in supporting healthcare professionals to overcome challenges, shift mindsets, uncover blind spots, and sustain progress by incorporating the neuroscience of human b…
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In this episode of “Inside Health Care,” we talk digital transformation with a prominent medical informaticist. Then, we hear a conversation on NCQA’s long-term services and supports programs, a.k.a. LTSS, from a long-time accredited managed care supporter. Dr. John Glaser is Executive in Residence at Harvard Medical School Executive Education. Pre…
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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, we talk with two leaders of an amazing NCQA partner company, Cozeva, while revisiting one of NCQA’s cutting edge digital products, our Data Aggregator Validation program [DAV]. Cozeva, a member of the original program cohort, is an integrated, comprehensive population health platform. Our Data Aggregator Validation program now form…
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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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