Fixing MSK: How Health Plans Can Recognize and Reduce Imaging and Surgery Overspend | Featuring Clem Foltz, FSA

Fixing MSK: How Health Plans Can Recognize and Reduce Imaging and Surgery Overspend | Featuring Clem Foltz, FSA

What happens when an Actuary and a Surgeon look at the same claims data? In our latest episode of The Value Shift, we’re joined by Clem Foltz, FSA, an expert in specialty value-based care. While doctors see patients, actuaries see the "sequences" and "intensity" of care journeys—and that’s where the opportunity for true value lies.

How Can We Get Surgeons to Value Value-Based Care? | Featuring Dr. Ahilan Sivaganesan

Welcome to the Season 2 premiere of The Value Shift. We’re kicking off the new season with a deep dive into one of the biggest hurdles in modern medicine: aligning surgical incentives with patient outcomes. In this episode, host Eric sits down with neurosurgeon Dr. Ahilan Sivaganesan to tackle the fundamental question: How can we get surgeons to value value-based care? The current fee-for-service model often rewards volume over value, leading to "CPT Envy" and misaligned incentives. Dr. Sivaganesan shares his firsthand experience navigating these hurdles—from his viral advocacy on LinkedIn to resolve insurance denials to his work with Mishe Health and Mark Cuban’s Cost Plus Wellness to build a direct, transparent healthcare ecosystem.

The Powerhouse Dyad Behind Intermountain's Payor/Provider Specialty Collaboration | Featuring Dr. Aaron Chamberlain & Casey Leavitt

In Episode 11 of the Value Shift Podcast, we sit down with Dr. Aaron Chamberlain & Casey Leavitt of Intermountain Health to discuss payor/provider speciality collaboration.

Ep 10: How AI and Innovation Are Transforming Musculoskeletal Health | Featuring Dr. Christian Pean

Ever wondered how AI is changing orthopedic care? We sat down with Dr. Christian Pean of Revel AI Health and Duke University to talk: * Scaling high-quality care without breaking the system * Making healthcare more equitable and accessible * Value-based care and longitudinal bundles for joint health A must-listen for anyone curious about the future of clinical technology and population health.

Ep 8: From Surgery to Systems: How an IPU Improves Outcomes and Reduces Costs | Featuring Dr. Kelton Burbank

In this episode of our podcast, Dr. Makhni sits down with Kelton Burbank, MD, a nationally recognized orthopedic shoulder surgeon and value-based care expert. Kelton shares how his unique path from family medicine to orthopedics shaped his passion for high-value, patient-centered care and how his team built an Integrated Practice Unit (IPU) model that: * Coordinates orthopedics, behavioral health, nutrition, and PT * Reduces unnecessary procedures and costs * Boosts PROM scores and patient engagement If you’re a healthcare leader or innovator looking to replicate a proven value-based care model, this episode is a must-listen.