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Deciding to Contract with a Payor: Joining "the Network"
Deciding to Contract with a Payor: Joining "the Network"

Season 2 Episode 24

You've built the operation — clinicians credentialed, tech stack running, compliance buttoned up. Then a regional Medicaid managed care plan wants to…

4 hours ago

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LEAD Model: The ACO Test Most Organizations Will Fail — Before They Apply
LEAD Model: The ACO Test Most Organizations Will Fail — Before They Apply

Season 2 Episode 23

CMS has posted the LEAD (Long-Term Enhanced ACO Design) model application materials. Preliminary scoring is due April 27, 2026. Full applications are…

1 month ago

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The Definitive Playbook for Choosing Behavioral Health Markets
The Definitive Playbook for Choosing Behavioral Health Markets

Season 2 Episode 22

Rate sheets don't tell the whole story.

In this episode, Alex Yarijanian breaks down the 8-indicator playbook he uses to evaluate any tele-behavioral …

1 month, 4 weeks ago

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Medicare Negotiates Like an Owner. Commercial Doesn’t.
Medicare Negotiates Like an Owner. Commercial Doesn’t.

Season 2 Episode 21

In this episode of the VBCA Podcast, Alex Yarijanian sits down with Dr. Kumar Dharmarajan — co-founder and Chief Medical Officer of World Class Healt…

3 months ago

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Billions for Rural Health: What CMS Is Funding in 2026
Billions for Rural Health: What CMS Is Funding in 2026

Season 2 Episode 20

CMS is moving tens of billions of dollars into every state to stabilize rural healthcare heading into 2026—not through across-the-board rate increase…

4 months ago

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Medicare Advantage 2026: How Payers Are Choosing Partners
Medicare Advantage 2026: How Payers Are Choosing Partners

Season 2 Episode 19

While most providers are waiting on CMS, payers are already narrowing networks and rewriting delegation terms.

Payers are quietly narrowing networks a…

5 months ago

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Digital Health at a Crossroads: The Fallout from a $100M Adderall Fraud Scheme
Digital Health at a Crossroads: The Fallout from a $100M Adderall Fraud Scheme

Season 2 Episode 18

A federal jury has convicted the founders of Done, one of the fastest-growing telehealth companies in the stimulant-prescribing space, for orchestrat…

6 months ago

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2026 Medicare Fee Schedule: 5 Big Opportunities for Providers & Startups
2026 Medicare Fee Schedule: 5 Big Opportunities for Providers & Startups

Season 2 Episode 17

Medicare’s 2026 physician fee schedule is packed with change — but change means opportunity. In this episode of the VBCA Podcast, Alex Yarijanian bre…

7 months, 4 weeks ago

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How to Win in Medicare Advantage: 2026 Payment, Telehealth & Stars Update
How to Win in Medicare Advantage: 2026 Payment, Telehealth & Stars Update

Season 2 Episode 16

Welcome back to the Value-Based Care Advisory podcast! In this episode, host Alex Yarijanian delves into the significant updates and strategies for 2…

9 months ago

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Behind the Scenes of Power: Emotional Labor in Negotiation
Behind the Scenes of Power: Emotional Labor in Negotiation

Season 2 Episode 14

In this episode of the VBCA podcast, host Alex Yarijanian delves into the often overlooked yet crucial aspect of leadership: emotional labor. Discove…

10 months ago

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