Value-Based Care Insights New Episode NOW On-Demand
As financial pressures intensify across healthcare, payers are rethinking traditional strategies and accelerating their transition to value-based care. On this episode Dan speaks with Joe Mangrum, Partner at ECG Management Consultants, about how payers are adapting to rising medical costs, tightening Medicare Advantage margins, and increasing regulatory demands.
Together, they unpack how payer strategies are shifting from broad network expansion to more selective, high-performing partnerships, with a growing emphasis on disciplined, data-driven decision-making. The discussion highlights the critical role of payer-provider collaboration in managing total cost of care, along with the increasing importance of data sharing, risk stratification, and more mature value-based arrangements. The episode offers practical insights into aligning incentives, strengthening partnerships, and building sustainable care models for the future.
Key Takeaways:
- Financial pressures, especially rising costs and Medicare Advantage margin compression, are forcing payers to prioritize disciplined, value-driven strategies over rapid growth.
- Payers are narrowing networks and forming more selective partnerships, making strong provider alignment and performance a key differentiator.
- Advancing value-based care requires robust data capabilities, including risk stratification, real-time insights, and effective care management to control total cost of care.
About The Show
Value-Based Care Insights is a radio show on Healthcare NOW Radio, that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. It is hosted by Dan Marino (@DjmarinoHD) and highlights recognized experts in the field and within Lumina Health Partners (@LuminaHP).
Tune in weekdays at 5:00am, 1:00pm and 9:00pm ET.
Follow the Social Hashtag at #VBCInsights.