In this episode, Sean Cavanaugh and Dr. Josh Israel sat down with Travis Broome, Aledade’s SVP of Policy and Economics, to understand CMS’ new ACO Flex Model. Whether you're a healthcare professional or simply interested in the future of healthcare policy, this episode provides a comprehensive look at the ACO Flex Model's potential to transform care delivery. Travis explains how this new model can drive innovation in healthcare by addressing cash flow challenges and offering upfront payments. We discuss the potential benefits for primary care practices, the importance of integrating care management services, and the broader impact on Medicare's goals.

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From understanding the fundamentals to exploring new innovations and challenges, join us as Dr. Efrem Castillo, Senior Vice President for Medicare Advantage at Aledade, shares his experience with Medicare Advantage. Dr. Castillo explains the nuances for both patients and providers, including benefits beyond traditional Medicare, network limitations, utilization management, and the STARS program. Dr. Castillo also explores the recent growth in MA and new innovations, while emphasizing that interventions should prioritize improved patient outcomes.

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From navigating insurance barriers to addressing the stigma, this episode dives into timeless issues surrounding obesity treatment, as well as the promise and challenges of new medications like Ozempic. Josh and Sean are joined by Dr. Darrin Menard, a family practice physician in Scott, Louisiana, who shares insights from his personal experience with weight loss alongside his professional expertise. While new drugs offer significant weight loss potential, Dr. Menard underscores the crucial role of behavioral changes, long-term adherence, and nonjudgemental patient care in achieving lasting results.

Submit your questions, comments, or episode ideas to acoshow@aledade.com