EP349: How Integrated Is a Clinically Integrated Network, Actually? With Lisa Trumble

In Episode 349, Stacey Richter talks with Lisa Trumble, president and CEO of SoNE HEALTH, a clinically integrated network (CIN) formed to integrate three ACOs across two states. The conversation covers what a CIN actually is, how it differs from — and overlaps with — an ACO, and why aggregation alone doesn't equal integration. Lisa and Stacey also discuss hybrid CIN models, the deep work required for data integration among member organizations, and the potential impact of direct contracting on the healthcare marketplace.

WHAT YOU'LL LEARN

✅ Why accountability and integration go hand in hand, and what breaks down in a fee-for-service world without them

✅ What a clinically integrated network (CIN) actually is, and how it's different from — and similar to — an ACO

✅ Why aggregation for its own sake doesn't necessarily produce better outcomes

✅ What a hybrid CIN model looks like, and how much work goes into data integration among member organizations

✅ How direct contracting could significantly change the healthcare marketplace

WHY THIS MATTERS

If anyone wants to get paid to create patient health, they have to be accountable for the outcomes created — upside and downside. Aggregation just for the point of aggregation doesn't necessarily produce better outcomes; real integration requires care coordination and data sharing across a whole constellation of providers, not just a shared name on the door.

MENTIONED IN THIS EPISODE

Encore! EP206 with Ashok Subramanian: Apple Podcasts | Spotify | Other Apps

=== LINKS ===

🔗 Show Notes with all mentioned links: Episode Page

🔗 Healthcare Industry Acronyms and Terms

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00:00 Introduction.

06:20 Why do accountability and integration go hand in hand?

08:56 "Aggregation just for the point of aggregation doesn't necessarily produce better outcomes."

09:18 What questions should we be asking when considering aggregation?

09:45 Does aggregation equal integration?

11:42 What exactly is a clinically integrated network?

12:26 What is the intention of a clinically integrated network?

13:22 Are all CINs ACOs? Are all ACOs CINs?

17:22 What entities make up a clinically integrated network?

19:26 "We want providers that are able to generate the outcomes that we're expecting."

20:44 "There is a lot of work that goes into data integration."

23:14 What is a hybrid CIN model?

25:22 Encore! EP206 with Ashok Subramanian.

26:53 "Everyone is sitting around the table proactively."—Stacey

29:37 What kind of structure could move the Medicare market quickly?