The Grand Roundup: CMMI's LEAD Model, Medicaid cuts, Medicare Advantage care models that are working, and the latest health tech funding
Episode Description
HTN hosts Kevin and Martin discuss the anticipated Medicare Advantage rate notice day and dig into CMMI’s new 10-year ACO LEAD model, focusing on CARA, inferred risk, and changes aimed at reducing gaming in provider attribution.
The conversation shifts to state Medicaid budget pressure, with Idaho and Colorado cutting provider reimbursements and limiting coverage programs, raising questions about payer profitability, consolidation, and regulator tradeoffs.
Guests Neil Machhar (Green Brook Medical) and John Haskell (Sage Health) discuss full-risk primary care growth, payer relationships, and expanding into less-saturated markets.
Quick deals: Avo MD, Yuzu Health, Jimini Health, Whoop, Noom, Jukebox/Braided, OpenLoop/Season, and Thatch/Venteur.
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