Our Spotlight on Action podcast series highlights HCPLAN stakeholders’ work on the ground to affect positive change in the nation’s health care system. From leading alternative payment model (APM) adoption to addressing systemic disparities in both access and quality of care, HCPLAN stakeholders are passionate about improving the health care system for everyone.

These are their stories from the front line of health care transformation.

Spotlight on Action Episodes

EPISODE 9:  Accountable Care in Action, featuring Leah Binder, The Leapfrog Group, and Jeff Micklos, Health Care Transformation Task Force

The HCPLAN’s newest initiative, the Accountable Care Action Collaborative (ACAC), is turning talk about health care payment reform into action. The ACAC is thinking beyond payment reform to ensure the delivery of quality care for every patient, every time. Listen to ACAC Co-Chairs Jeff Micklos and Leah Binder as they sit down with Frank McStay and share how their experience in health care aligns with ACAC goals and the importance of accountable care in improving patient health care experiences and outcomes! 

EPISODE 8:  Improving the Patient Perspective through an Equity Lens, featuring Sinsi Hernández-Cancio, National Partnership for Women & Families

Host Aparna Higgins, HCPLAN senior advisor and senior policy fellow at the DukeMargolis Center for Health Policy, interviews Sinsi Hernández-Cancio, the vice president of health justice at the National Partnership for Women & Families. In this episode, Sinsi discusses her perspective on patientcentered care and the crucial changes needed to transform health equity. She also shares her personal and professional experiences with the health care system, emphasizing the inequities that need to be addressed to provide effective, value-based care 

EPISODE 7: Innovative Transformations for Assuring American Health Care Equity, featuring Dr. Dora Hughes and Purva Rawal, CMS Innovation Center

Host Aparna Higgins, HCPLAN senior advisor and senior policy fellow at the DukeMargolis Center for Health Policy, interviews the CMS Innovation Center’s chief medical officer, Dr. Dora Hughes, and chief strategy officer, Purva Rawal. In this episode, Dora and Purva share how the CMS Innovation Center is approaching specialty care. They discuss insightful information including the strategic objectives for improving access to high quality care and the critical elements of integrating specialty care into the future of APMs.

EPISODE 6: Incorporating Patient and Community Voices in State-Level APM Implementation, featuring Dr. Judy Zerzan-Thul, Washington State Health Care Authority

Washington State Chief Medical Officer and HCPLAN Executive Forum Co-Chair Dr. Judy Zerzan-Thul joins host Aparna Higgins, senior policy fellow at the Duke-Margolis Center for Health Policy and senior advisor to the HCPLAN, in this episode of Spotlight on Action. They discuss why it’s critical to incorporate patient and community voices into state-level APM implementation and how to accomplish that. Dr. Zerzan-Thul shares examples of progress and success from her experiences in Washington State and Colorado. The episode also covers the need to move from fee-for-service into more value-based payments and the biggest challenges for effective health equity initiatives.

EPISODE 5: Meeting Patients Where They Are in a Value-Based Care System, featuring Dr. Chris Chen, ChenMed

Dr. Chris Chen, CEO of ChenMed and an HCPLAN CEO Forum member, joins host Aparna Higgins, senior policy fellow at the Duke-Margolis Center for Health Policy and senior advisor to the HCPLAN, for an in-depth conversation that covers topics such as why risk must be two-sided, how value-based providers fared during the COVID pandemic, and Dr. Chen’s own experiences as both a COVID patient and a provider. The episode also delves into social determinants of health, how value-based payment systems and two-sided risk can promote health equity, and the better outcomes ChenMed patients experienced during COVID due to ChenMed’s risk and value-based approach.

EPISODE 4: At the Intersection of Equity and APMs, featuring Dr. Marshall Chin, HEAT Co-chair

Host Aparna Higgins, senior policy fellow at Duke-Margolis Center for Health Policy and senior advisor to the HCPLAN, interviews Dr. Marshall Chin, HEAT Co-Chair. Dr. Chin shares how APMs and other value-based payment models can contribute to and improve health equity. The conversation also delves into the issues of social determinants of health, incorporating health equity into APM plan design, and highlights some of the key points of the HEAT’s recently published guidance document, Advancing Health Equity through APMs.

EPISODE 3: Healthcare Resiliency – Lessons from the Front Lines

EPISODE 3, PART 3: Dr. Marc Harrison, Intermountain Healthcare 

Marc shares his insights on the benefits of transitioning to APMs, how to advance health equity, and what COVID-19 has revealed about the nation’s health care system.

EPISODE 3, PART 2: Emily Brower, Trinity Health 

Emily shares how Trinity Health is responding to the ongoing COVID-19 pandemic, the importance of considering health equity in care delivery, and how APMs can support resiliency during public health emergencies. 

EPISODE 3, PART 1: Dr. Will Shrank, Humana

Will shares how Humana is responding to the COVID-19 pandemic, eliminating barriers to telehealth, and how health care is evolving to address equity, access, and inclusion.

EPISODE 2: Meeting Patients Where They Are: A Community-Based Approach to Overcoming Health Barriers,
Featuring Dr. Andrea Gelzer and Karen Dale, AmeriHealth Caritas

Host Jeff Goldman, director of the HCPLAN through the MITRE-operated Health FFRDC, interviews Dr. Andrea Gelzer, senior vice president and chief medical officer for AmeriHealth Caritas, and Karen Dale, market president of AmeriHealth Caritas District of Columbia. In this episode, they share how their organization is responding to issues of equity and access while promoting value-based payment initiatives to improve outcomes.

EPISODE 1: Aligning Health Care Value with the Nation’s Values,
Featuring Frederick Isasi, Families USA  

Host Aparna Higgins, HCPLAN senior advisor and a senior policy fellow at the DukeMargolis Center for Health Policy, interviews Frederick Isasi, executive director at Families USA, one of the nation’s leading nonpartisan nonprofit health care advocacy organizations. In this episode, Aparna and Frederick take a deep dive into health equity and discuss creating solutions to reduce disparities in the U.S. health care system through APMs and value-based payments.