Mandy Cohen of Aledade Care Solutions Discusses ACOs, Value-based Care, Medicaid and More

The 4 M’s approach is a set of evidence-based practices of high-quality care specific to older adults. The 4 M’s represent ‘What Matters, Medication, Mentation and Mobility,’ as part of the age-friendly health systems (AFHS) initiative.

Briana Contreras, editor of Managed Healthcare Executive spoke with Luis Mosquera, CEO of Health Network One, a provider of specialty benefit management services for health insurers, in this week's episode. In this discussion, Luis and Briana talked about how value-driven decisions in a more value-based market can not only better manage costs for health plans, but create a plan of care to best meet patient’s needs. In order to do this, Luis strongly encouraged healthcare executives to experience alternative payment models and shared what payers should check off their list with a new model.

In their annual projections of healthcare spending, the actuaries foresee spending on home healthcare growing at annual rate of 7.7% from 2025 to 2031, which is faster than annual growth of 5.6% for health expenditures overall.

In this episode, Peter Wehrwein, managing editor of Managed Healthcare Executive, speaks with Dr. Rodrigo Cerda. Dr. Cerda has been recently promoted to the position of senior vice president of health services and chief medical officer of Independence Blue Cross in Philadelphia. He is also a member of Managed Healthcare Executive’s editorial advisory board. Peter and Dr. Cerda discuss his new role at the Independence Blue Cross, what it means to be a chief medical officer at an insurer these days, valued-based care, social determinants of health, and, of course, the pandemic.

Researchers found that 80% of patients were living in the community 90 days after discharge.

Russell Graney, founder and CEO of Aidin, believes that his company can transform post-acute care and its referral process far more efficient.