Value Based Care Advisory (VBCA) Podcast

She Built a Peer Mentorship Program to End Youth Loneliness

Youth Loneliness & Chronic Conditions: The Shared Strength ProjectGuest: Esha Mittal, Founder, The Shared Strength Project Expert Words: Todd May, MD, Vice President & M

Bonus: 5 Contract Clauses Killing Your Reimbursement

This bonus episode is the full recording of Alex Yarijanian's HBMA continuing-education webinar. It runs longer than a standard VBCA episode — treat it as a resource, not

Lindsay Clancy: Examining the Healthcare System's Failures

17 minutes. That's how long Lindsay Clancy's last psychiatric visit lasted — the day before her three children died. Nine prescribers. Two hospitals. A suicide hotline ca

The Ghost Network Behind Pediatric Home Nursing: When Authorized Hours Go Unfilled

Episode SummaryA pediatric patient in a New Jersey hospital is medically ready for discharge — equipment arranged, family ready, nursing hours authorized by the health pl

Your Billing Problem Started in the Contract

Most revenue cycle teams are chasing the wrong fire. Persistent underpayment, denials that don't respond to appeals, patterns nobody can explain — these are often contrac

How to Decide to Contract with a Payer: Should You be Joining "the Network"?

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

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

CMS has posted the LEAD (Long-Term Enhanced ACO Design) model application materials. Preliminary scoring is due April 27, 2026. Full applications are due May 17, 2026. LE

The Definitive Playbook for Choosing Behavioral Health Markets

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 health market befor

Medicare Negotiates Like an Owner. Commercial Doesn’t.

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

The Rural Health Transformation Fund: What States Are Funding in 2026

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

Medicare Advantage 2026: How Payers Are Choosing Partners

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

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

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

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

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

How to Win in Medicare Advantage 2026

Welcome back to the Value-Based Care Advisory podcast! In this episode, host Alex Yarijanian delves into the significant updates and strategies for 2026 in the Medicare A

Behind the Scenes of Power: Emotional Labor in Negotiation

In this episode of the VBCA podcast, host Alex Yarijanian delves into the often overlooked yet crucial aspect of leadership: emotional labor. Discover how managing emotio

Meditate Like a CEO: Real ROI from Mindful Leadership

This podcast episode delves into the intricate relationship between mindfulness meditation and its profound implications for healthcare leadership. We explore how mindful

Managed Care Contracting for Health Tech Startups

How Health Tech Startups Can Win at Managed Care Contracting: Insider Strategies for Scalable Payer Partnerships. This episode dives deep into the essentials of navigati

Doulas and Value-Based Maternity Care: Driving Cost Reduction and Improved Outcomes

This conversation explores the historical context of childbirth, the current state of maternal mortality in the U.S., and the emerging role of doulas in modern maternity

Uncovering the Hidden Influencers of Our Health System

The podcast delves into the complexities and challenges of the American healthcare system, arguing that it often prioritizes profit over patient care. Through the lens of

2025 Opportunities in Healthcare: Navigating the Perfect Storm

What Every Provider and Innovator Must Know Going into 2025: The health insurance industry is facing a perfect storm characterized by rising healthcare costs, increased