In this episode we revisit our conversation with Josh Vire, Vice President of Value-based Operations at CHESS Health Solutions, where he talks about North Carolina’s move to managed Medicaid and the work CHESS put into building a complete all-patient solution.

Josh explains what managed Medicaid is, how AMH tiers operate, and the real-world hurdles practices face when entering this space. He also outlines the three core services CHESS offers, the population health tools behind them, and the engagement options available for groups seeking support. Josh closes with practical advice for practices preparing for managed Medicaid or value-based care in general. A clear, useful conversation for anyone navigating Medicaid transformation or working to improve care delivery in North Carolina.

In this episode of Move to Value, Emily Volk, Director of Quality, Risk, and Compliance at Northern Regional Hospital, returns to share how her team is navigating the operational realities of Medicaid managed care. From the early challenges of inconsistent documentation and payer confusion to building smarter EMR templates and leveraging care coordination through CHESS, Emily offers a grounded look at how one small hospital is tackling big problems. She discusses the importance of automation, proactive outreach, and the power of partnerships to streamline workflows, reduce hospitalizations, and improve continuity of care especially in a rural setting.

In this episode, we hear from Emily Volk, Director of Quality, Risk, and Compliance at Northern Regional, headquartered in Mount Airy, North Carolina. With nearly a decade of experience driving high performance in value-based care, Emily shares how her team is now navigating the shift into Medicaid managed care. Learn how a small rural hospital is leveraging strategic partnerships, expanding care coordination, and breaking down access barriers, all while staying focused on what matters most: better outcomes for patients.