MTVA Unscripted: Empowering the Move to Value Based Healthcare

What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships, trust and community ownership are at the center. Joining us are April Kyle, President and CEO of Southcentral Foundation, and Dr. Doug Eby, the system’s founding medical director and one of Nuka’s chief architects. Together, we explore how an Alaska Native–owned health system transformed itself from a federal bureaucracy into one of the world’s most respected models of integrated, relationship-based care. April and Doug share the principles and practices that have led to dramatically improved outcomes and high patient and employee satisfaction at significantly lower costs. Through the story of Nuka, we consider what’s possible when healthcare shifts from doing things to patients to partnering with people — and how lessons from Alaska might chart a course toward more human, more effective value-based systems around the country (and the world). This is part one of a two-part episode. ———————————— Don't miss our upcoming 'Health Systems at a Crossroads' webinar series, which will take place Friday, November 7 and Friday, November 14 at 12 p.m. ET. Click here to register. [https://zoom.us/webinar/register/WN_5thW1WygQzCoPbjJnb5O6w#/registration] ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠ [https://www.movingtovalue.org/podcast]. | Sign up for our email list here [https://www.movingtovalue.org/community]. Thank you to our MTVA Trade Members and Ally Members [https://www.movingtovalue.org/supporters] whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership [https://www.movingtovalue.org/membership].

Convenience, flexibility, value. Subscription-based models could disrupt the paradigm of accessing (and paying for) healthcare. But can they build buy-in and consumer trust? We discuss with special guest Christina Farr [https://www.linkedin.com/in/christinafarr/]. As a health tech investor, general partner at Scrub Capital and author of the industry-leading Second Opinion [https://secondopinion.media/] newsletter, Christina offers her perspective on how business model innovation can drive real value in healthcare. We touch on her recent piece, "Subscription-based healthcare just got a big tailwind [https://secondopinion.media/p/subscription-based-healthcare-just-got-a-big-tailwind-fe60]," which examines how emerging policy and payment reforms could be a leg up for membership-based and direct care models, and what that might mean for employers and innovators pursuing value-based care. Join our conversation about how the next generation of healthcare leaders can think differently about impact, incentives, and the real meaning of value. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠ [https://www.movingtovalue.org/podcast]. | Sign up for our email list here [https://www.movingtovalue.org/community]. Thank you to our MTVA Trade Members and Ally Members [https://www.movingtovalue.org/supporters] whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership [https://www.movingtovalue.org/membership].

Surgeons getting sticker shock? MTVA discusses transparency in health system spending and optimizing for better long-term patient outcomes with special guest Derek Haas [https://www.linkedin.com/in/derekahaas]. Derek is the CEO and founder of Avant-garde Health [https://avantgardehealth.com/], which provides surgeons, health systems, and ASCs with comprehensive insight into their surgical care and empowers them to improve their profitability and care quality. "We help health systems and physicians understand the opportunities to deliver their care with the same or higher quality but in a more financially-optimal fashion." Avant-garde's work has been featured on the front page of The Wall Street Journal. Derek has co-authored twelve Harvard Business Review articles, as well as articles in NEJM and JAMA. He holds a BA and MBA from Harvard. Our conversation with Derek is particularly timely as hospitals and health systems navigate how changes in federal policy will impact their business models. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠ [https://www.movingtovalue.org/podcast]. | Sign up for our email list here [https://www.movingtovalue.org/community]. Thank you to our MTVA Trade Members and Ally Members [https://www.movingtovalue.org/supporters] whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership [https://www.movingtovalue.org/membership].

Are your bags packed for Denver? Gear up for RosettaFest 2025 [https://rosettafest.org/] by listening to this conversation between MTVA and Dave Chase!  If you don’t yet know the pioneering disruptor Dave Chase [https://www.linkedin.com/in/chasedave/], he’s on a mission to restore hope, health and economic prosperity to communities through healthcare transformation. Dave is a Co-Founder and CEO of Health Rosetta [https://healthrosetta.org/], a blueprint for high-performing health benefits using simple, practical fixes. Health Rosetta helps employers and unions provide better care for their members, while reducing benefits spending by 20-40%.  We discuss driving transformation within our multibillion dollar healthcare industry, navigating political headwinds, and scaling healthcare fixes from the local level with Health Rosetta.  “Healthcare was systematically extracting wealth from communities and families, all while delivering mediocre outcomes. And honestly it’s the largest wealth transfer in American history, from the working and middle class – who’ve had 30 years of wage gain stolen – to Wall Street and their water carriers. That was the cold hard truth that I found.”  Watch Dave’s TEDxTalk [https://www.youtube.com/watch?v=wKmbKEOUaQU] or read his books: The CEO’s Guide to Restoring the American Dream [https://healthrosetta.org/ceoguide/], Opioid Crisis Wake-up Call [https://healthrosetta.org/product/softcover-the-opioid-crisis-wake-up-call/], and Relocalizing Health [https://healthrosetta.org/relocalizing/] Further Listening from MTVA Unscripted: * Employer Series - Part 1: The Critical Importance of Getting and Owning Your Claims Data [https://www.movingtovalue.org/podcast/episode/2bf5b421/employer-series-part-1-the-critical-importance-of-getting-and-owning-your-claims-data] * What Employers Need To Do Now to Comply With CAA by End of Year : MTVA Talks to Chris Deacon [https://www.movingtovalue.org/podcast/episode/1f556ca4/what-employers-need-to-do-now-to-comply-with-caa-by-end-of-year-mtva-talks-to-chris-deacon] * From ERISA to CAA: How Has Employer’s Fiduciary Responsibility Changed Over Time? [https://www.movingtovalue.org/podcast/episode/32b0dd5d/from-erisa-to-caa-how-has-employers-fiduciary-responsibility-changed-over-time] * “YOU Are the Customer”: Fixing Healthcare from the CEO’s Desk w/ Darrell Moon [https://www.movingtovalue.org/podcast/episode/20463a89/you-are-the-customer-fixing-healthcare-from-the-ceos-desk-with-darrell-moon] Other Sources Referenced: * Dr. Michael Fine’s book On Medicine as Colonialism [https://www.amazon.com/Medicine-as-Colonialism-Michael-Fine/dp/1629639907]  * * Nautilus Health Institute  [https://www.nautilushealth.org/] * SoNE Health's Crushing Healthcare “Healthcare is Local” [https://podcasts.apple.com/us/podcast/healthcare-is-local/id1788068640?i=1000705428697] ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠ [https://www.movingtovalue.org/podcast]. | Sign up for our email list here [https://www.movingtovalue.org/community]. Thank you to our MTVA Trade Members and Ally Members [https://www.movingtovalue.org/supporters] whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership [https://www.movingtovalue.org/membership].

“The only thing that actually reduces mortality and morbidity in primary care is a long-term relationship with a PCP.” In this conversation, MTVA explores the fast-growing movement of direct primary care (DPC) with special guest Peter Lazzopina, MD [https://frontierdirectcare.com/about-us/] - Founder of Frontier Direct Care [https://frontierdirectcare.com/what-is-fdc/] in Texas. Based in the Rio Grande Valley, Frontier has grown organically from a single-man operation to a thriving network that’s redefining access, cost, and outcomes. Dr. Lazzopina describes how relationship-based medicine works better for patients, employers and providers. The model keeps physician panel sizes small, visits long, and incentives fully aligned—resulting in high provider morale, better health outcomes, and big savings for employers. By partnering with Frontier, the city of McAllen, TX reduced ER visits by 74% in just one year. In two years, Frontier saved the city $8 million! Dr. Lazzopina and Frontier are proving that DPC can help solve our primary care crisis! This is a grassroots movement with real momentum—and one that can’t be ignored! NOTE: Frontier Direct Care has a business relationship with MTVA Board Member Dr. Steve Schutzer’s company Upswing Health. This episode is NOT sponsored by Upswing nor Frontier. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠ [https://www.movingtovalue.org/podcast]. | Sign up for our email list here [https://www.movingtovalue.org/community]. Thank you to our MTVA Trade Members and Ally Members [https://www.movingtovalue.org/supporters] whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership [https://www.movingtovalue.org/membership].