In episode 5 of SOAP Notes with Dr. Jay LaBine, Jay sits down with Valinda Rutledge, Executive Vice President of Federal Affairs at America’s Physician Groups (APG). The two talk about the key health care players in the Biden administration, the future of episodic care and provide an in-depth discussion on Direct Contracting Models including the reasoning behind the pause of the Geographic model.
At APG, she is responsible for analyzing and advocating for government initiatives such as bundled payments, Medicare Advantage, Medicaid pilots, Dual Eligible Beneficiaries, Patient-Centered Medical Homes and Accountable Credit Organizations.
Rutledge worked as a Senior Advisor and Group Director in the early years of the Center for Medicare and Medicaid Innovation center (CMMI) where she managed the design and launch of models such as the Bundled Payment for Care Improvement initiative (BPCI) and Strong Start. Rutledge previously worked for health systems including Bon Secours, SSM Health and CaroMont Health and holds two advanced degrees: a master’s degree in Business Administration and a master’s of science degree in nursing.
Ways to listen:
Here are the topics covered in this episode:
Getting to know the healthcare players in the Biden administration – 8:17
Biden administration priorities – 11:37
A deep dive into bundles – 14:15
How do episodic-like bundles fit in (carving out risk) – 17:32
Direct contracting models and where they fit moving forward – 20:10
Professional vs global direct contracting models – 21:21
MSSP versus Direct Contracting – 24:06
Why the ‘Geo’ model paused – 26:23
When will the Public Health Emergency end? – 32:48
Telehealth here to stay – 37:50
Innovations for the future – 40:05