Three guests join Josh to discuss attribution: Emily Maxson, Aledade’s Chief Medical Officer; Andrew Chang, Executive Director of the Florida Central ACO; and Purva Hari, the practice administrator of Physicians Medical group in Florida. They discuss how the pandemic has affected ACO attribution, how attribution loss impacts Aledade’s ability to provide coordinated care and strategies to improve attribution in 2020.

Dr. David Harrison is the Vice President of Clinical Care at Virta Health, a health care start-up that helps patients reverse Type 2 diabetes without medication. Dr. Harrison joins Josh and Joe for a conversation about the evidence supporting Virta’s treatment model, and how he views the relationship between telehealth and value-based care during the pandemic and beyond.

Sophia Tripoli (@SophiaTripoli) is the Director of Healthcare Innovations at Families USA a national non-partisan, non-profit voice for healthcare consumers (@FamiliesUSA). Sophia joins Josh to share how Families USA is working to realign incentives to make healthcare more consumer-centered. They discuss different healthcare payment models and levers of change to lower costs and improve health outcomes.

Essence Revels, Aledade’s Training Manager, and Patric Holly (@healthITmrholly), Aledade’s Electronic Health Record Optimization Coordinator, are guest hosts for this special episode of The ACO Show. They have a conversation about recent events in the news from their perspective as Black professionals. They also discuss the challenges that Black Americans experience in the health care system and the formation of Aledade's social injustice working group.

Megan Slaga, Director of Pharmacy at Aledade, returns to the pod this week to talk with Joe (@JoeShonkwiler) about staying on top of patients' prescriptions during COVID-19. They discuss new and existing barriers to access, and how Aledade uses different data sources to alert providers about potential non-adherence. She emphasizes the importance of being proactive, particularly now during the pandemic.

Jessica Gladden, Aledade’s Vice President of People, Strategies and Operations, joins Josh (@DrJIsrael) and Joe (@JoeShonkwiler) to talk about how Aledade builds a culture where employees feel supported and appreciated. She shares her thoughts on the importance of maintaining company connectivity and community, promoting mission-driven work, and meaningfully promoting diversity and inclusion.

Aledade’s Director of Transitions of Care, Dr. Kim Hodge, joins Josh (@DrJIsrael) to talk about Transitional Care Management (TCM) visits and the challenge of providing consistent care to patients as they move through different levels of care in a health system. She covers how to conduct an effective TCM visit and what Aledade is doing to encourage and support this work for vulnerable patient populations and how use telehealth to do this work during the time of COVID-19.

Dr. Kisha Davis (@kishadavismd) is a family physician and a Regional Medical Director at Aledade. She joins Josh (@DrJIsrael) and Joe (@JoeShonkwiler) to discuss her experience as a Black doctor, confronting implicit bias in medicine, and responding to this moment.

Dr. Emily Maxson is Aledade’s Chief Medical Officer. In the second part of the episode, she talks about how relying solely on data can perpetuate racial disparities in care and what Aledade is doing to address algorithmic bias.

To hear more from Dr. Davis, check out her podcast called “The Sisters Will See You Now,” which she co-hosts with her sister who is also a family physician.

Dr. Darrin Menard is the physician owner of Scott Family Physicians, an independent primary care practice in Scott, Louisiana. Dr. Menard joins Josh (@ DrJIsrael) and Joe (@JoeShonkwiler) to share some of the challenges of being an independent primary care physician and what it has been like to be a part of an Accountable Care Organization. They discuss two-sided risk contracts and how and why the Louisiana 2016 ACO decided to take on downside risk.