Healthy Outcomes: A Baker Tilly Podcast: Recent Episodes
Baker Tilly
Healthy Outcomes, a podcast series from Baker Tilly, discusses hot topics in the healthcare industry. This podcast series brings together Baker Tilly’s team of Value Architects™ and other healthcare industry leaders to talk about issues and opportunities that can help your organization win now, and anticipate tomorrow.
On this episode of Healthy Outcomes, our host Mark Ross interviews Marco Damiani, Brett Friedman and Patrick Yu. Marco is the Chief Executive Officer of AHRC New York City, a leading nonprofit organization supporting over 15,000 people annually under the guiding principle of equity for people with disabilities. Brett is a health care partner at Ropes & Gray LLP. Brett advises clients at the forefront of the health care industry in areas such as government insurance programs, digital health, accountable care and value-based payments, and regulatory compliance. Patrick is a Principal at Baker Tilly US, LLP and serves as the firm’s leader for the behavioral health sector.
Topics of discussion include:
- The Evolving Behavioral Health Landscape Post-Pandemic
- Workforce Challenges and Innovations in Behavioral Health
- Behavioral Health Integration with Primary Care
- Private Equity and Investment Trends in Behavioral Health
- Regulatory and Reimbursement Shifts: What’s on the Horizon?
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On this episode of Healthy Outcomes, our host Mark Ross interviews Margaret Johnson, Senior Director and Senior Living Sector Lead at Fitch Ratings. Together, Mark and Margaret discuss various topics related to senior services, with a focus on Life Plan Communities (LPCs) across the U.S.
- Report issued by Fitch titled “U.S. Not-For Profit Life Plan Communities Outlook 2025”
- Fitch’s perspective on operating results for LPCs in 2024 and year-to-date 2025
- Impact of fluctuations in real estate prices on LPCs and the rating process
- Key credit drivers in the rating process for LPCs
- Key financial ratios for LPCs
- Key strategies expected to be executed by LPCs in the next 3-5 years
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On this episode of Healthy Outcomes, our host Mark Ross interviews Lisa McCracken, Head of Research and Analytics at the National Investment Center for Seniors Housing & Care (NIC). Together, Mark and Lisa discuss major trends shaping the future of senior housing across the U.S.
Topics of discussion include:
- The upcoming NIC Conference in Austin, TX, from September 8-10, 2025
- Occupancy trends and demand for senior housing and skilled nursing
- Differences in occupancy levels between Continuing Care Retirement Communities (CCRC) and those facilities that are not part of CCRCs
- Impact of construction costs, interest rate environment, inflation, etc. on new senior housing inventory and construction starts for senior housing
- Current state of workforce challenges and future projection of shortage in direct care workforce for senior housing and skilled nursing
- Differences between for-profit and not-for-profit developers and owners relative to decision-making processes, etc. related to new projects
- Value of collaboration between providers to improve the overall health of the senior services sector
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On this episode of Healthy Outcomes, our host Mark Ross interviews Dr. Kate Goodrich, Chief Medical Officer at Humana. Together, they discuss the transformative potential of value-based care, senior-focused healthcare innovation, and more.
Topics of discussion include:
- The benefits of value-based care over the traditional fee-for-service model
- How this approach improves patient outcomes and provider satisfaction
- The ways that specific brands are leading this innovative charge
- Encouraging results from Humana's partnership with Harvard University in studying senior-focused primary care models
- How investing more in primary care leads to more savings
- The benefits to a team-based care approach
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On this episode of Healthy Outcomes, host Mark Ross interviews Norris James, Senior Manager at Baker Tilly’s Risk Advisory Practice, specializing in Enterprise Risk Management (ERM) and board governance. With over two decades of experience, Norris has helped multiple clients adopt Governance practices that have enabled them to build a reputable image, healthy culture, organizational sustainability, and trust.
Topics of discussion include:
- The definition of ERM and leading class ERM characteristics
- Identifying, prioritizing and managing risks in the healthcare provider setting
- Leveraging ERM to facilitate the achievement of both performance objectives and strategic objectives
- How an ERM strategy can help a healthcare provider protect sensitive and private data, both its own data and patient-related data
- How an ERM strategy can contribute to patient safety
- ERM’s linkage to maintaining financial stability
- Steps a healthcare provider can take to implement an ERM initiative that is appropriate for their organization
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On this episode of Healthy Outcomes, our host Mark Ross interviews Celia Van Lenten, Principal with the law firm of Miles & Stockbridge. Together, they discuss several hot topics related to the healthcare regulatory environment, such as mergers and acquisitions (M&A) and more.
Topics of discussion include:
- M&A activity in the healthcare provider sector and related regulatory perspectives.
- Healthcare staffing-related regulatory developments.
- The ongoing evolution of artificial intelligence and thoughts on a legal framework that healthcare providers should be aware of when they evaluate their use of AI-enabled technology.
- The reasons for the increase in occurrences of cyber breaches in the healthcare industry and what healthcare providers should be doing to be better prepared to handle one.
- Futuristic thoughts related to the regulatory environment and regulatory scrutiny that healthcare providers will likely be subject to.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Kevin Holloran, Senior Director at Fitch Ratings, an international credit rating agency based out of New York and London. Together, they discuss the ongoing challenges in the industry and other topics affecting the credit ratings of hospitals and health systems.
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On this episode of Healthy Outcomes, our host Mark Ross interviews David Gregory, a recently retired Principal in Baker Tilly’s Healthcare Practice, who has had a distinguished career spanning over 30 years. His journey began in the late 1980s as an Operations Manager at NYU Langone Medical Center. In the early 1990s, he transitioned to Prudential Healthcare, where he served as a Manager working with healthcare delivery systems. In 1993, David entered the consulting field with Presscott Associates, a firm that provided services across the entire healthcare continuum, including providers, payers, and life sciences companies. Presscott was acquired by Baker Tilly in 2013, where David continued his consulting career until his retirement.
Together, they discuss several topics related to the overall healthcare environment, with a focus primarily on healthcare providers.
Specific topics of discussion include:
- Significant healthcare developments over the past 30+ years
- Key challenges facing healthcare provider organizations in the future
- Major opportunities for healthcare provider organizations in the future
- Advice for healthcare leaders navigating challenging times
- Beyond healthcare: David's thoughts on what he’s most looking forward to in the next chapter of his life
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On this episode of Healthy Outcomes, our host Mark Ross interviews Ed Ricks, a director in Baker Tilly’s Healthcare Solutions Practice. Ed is a former Healthcare System CIO and COO. Together, they discussed several topics related to the overall healthcare environment with a significant lean towards IT related matters.
Specific topics of discussion include:
- The impact of recent ransomware and information security breaches related to healthcare provider organizations.
- How healthcare systems are responding to decrease the impact of these events.
- The current state of healthcare IT
- How healthcare systems can optimize their IT environment
- Healthcare M&A activity and if it hast resulted in improved efficiencies
- What Ed misses and doesn’t miss about being in the role of CIO at a healthcare system organization.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Krista Pankop, Partner and Leader of Baker Tilly’s Not-for-Profit Practice and Behavioral Health Practice. Together they discuss topics and issues addressed during the April 2024 National Council for Mental Wellbeing Conference (NATCON).
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On this episode of Healthy Outcomes, our host Mark Ross interviews Riley Newsome, Director within Baker Tilly’s Transaction Advisory Services Practice. Together they discuss merger and acquisition activity in the healthcare space, including the current state of M&A markets, the factors that are driving transactions right now, and what's on the horizon for 2024.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Andrew Donahue, Director of Healthcare Finance Policy at the Healthcare Financial Management Association (HFMA). Together, Mark and Andrew discuss the pivotal issues at the heart of healthcare finance such as inflation, the implications of demographic shifts on the sector, and more, and how these issues are impacting hospital and health systems nationwide.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Margaret Johnson, senior director and the senior living sector lead at Fitch Ratings, an international credit rating agency. Together, Mark and Margaret discuss various issues related to Life Plan Communities, the US Not-for-Profit Life Plan Communities Outlook Report for 2024, what drives Fitch’s rating process, and more.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s leader of diversity, inclusion and belonging, Shane Lloyd. Together, Mark and Shane discuss the importance of diversity, equity and inclusion (DEI) in the healthcare sector and ways organizations can successfully implement DEI strategies.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Beverly Asper, a director in Baker Tilly’s senior services consulting practice. Together, they discuss affiliation activity in the senior services sector and the reasonings why not-for-profit organizations look to merge, acquire and/or affiliate with other candidates.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Jack Dwyer, owner and Chairman of the Board of Capital Funding Group, a leader in the healthcare and multifamily financing industry, providing creative and holistic solutions for facilities nationwide, with a focus on long-term care and assisted living. Together, they discuss various healthcare and healthcare financing related topics, as well as the work that Jack and his wife, Nancy, are doing with The Jack and Nancy Dwyer Workforce Development Center
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s Heather Herc, director, and Brad Gummig, senior manager. Together, they discuss the importance of data in healthcare and how healthcare leaders can utilize it to drive data-driven decision making.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s Keith Hutcheson, Partner, and Brian Restivo, Director in Baker Tilly’s acute care reimbursement practice. Together, they discuss the final rule issued by the Centers for Medicare & Medicaid Services (CMS) for the federal fiscal year (FY) 2024 related to the hospital inpatient prospective payment system (IPPS) which will become effective Oct. 1, 2023. In addition, they discuss the proposed outpatient prospective payment system (OPPS) rule which will become effective Jan. 1, 2024.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Stephanie Dorwart, CEO of ALTIUS Healthcare Consulting Group. Together, Mark and Stephanie talk about leadership development, organizational structure, workforce optimization and the influence of technology in healthcare organizations.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Francesca Muterspaw, CEO of Simple Solution Consulting. Together, they discuss home and community-based services (HCBS) and what healthcare organizations need to know about home and community-based services.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Sherri Faber, president and CEO of 340B Compliance Partners. Together, they discuss the 340B Drug Pricing Program (340B Program), a federal government program created in 1992 that requires pharmaceutical manufacturers to provide outpatient pharmaceuticals to eligible healthcare providers and covered entities at discounted prices.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s Michelle Reay, senior manager and Kevin Coonan, principal in our healthcare solutions practice. Together, the three of them discuss the No Surprises Act, which intends to protect patients from unexpected medical expenses when receiving out-of-network care, and the effect this legislation is having on both healthcare providers and payers across the country.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Dr. Tony Reed, senior vice president, and chief quality, safety and experience officer at Inspira Health. Together, the two discuss the current environment of the healthcare industry, issues faced by health systems, and what is on the horizon for this upcoming year and beyond.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s Keith Hutcheson, Partner, and Brian Restivo, Senior Manager in Baker Tilly’s acute care reimbursement practice. Together, the three of them discuss the proposed rule issued in April 2023 by the Centers for Medicare & Medicaid Services (CMS) for federal fiscal year (FY) 2024 related to the hospital inpatient prospective payment system (IPPS).
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On this episode of Healthy Outcomes, our host Mark Ross interviews Flint Brenton, CEO of Syntellis Performance Solutions, a leading provider of enterprise performance management software, data, and intelligence solutions for the healthcare, higher education, and financial institutions sectors. Together, Mark and Flint discuss the pain points currently faced by the healthcare industry, what’s on the horizon for 2023, and how organizations can prepare for and adapt to challenges they might face moving forward. So press that play button and join us for another insightful episode of Healthy Outcomes, brought to you by Baker Tilly.
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On this episode of Healthy Outcomes, presented by Baker Tilly, host Mark Ross is joined by Toni Pergolin, the President and CEO of Bancroft, one of the largest human services providers in New Jersey and the Greater Philadelphia region. Together, Mark and Toni discuss some of the current challenges faced by behavioral health organizations and nonprofits, her book “Too Important to Fail: Leadership Lessons for Nonprofits,” and she even dispels some of the common myths about nonprofits too. So join us for an informative conversation on this episode of Healthy Outcomes, brought to you by Baker Tilly.
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On this episode of Healthy Outcomes, presented by Baker Tilly, host Mark Ross sits down with Jeff Krull, a Partner in Baker Tilly’s Risk Advisory Practice, and a leader in providing cybersecurity related services to our Healthcare Provider clients, as well as organizations outside the healthcare sector. Together, Mark and Jeff talk about some of the areas that most healthcare organizations struggle with when it comes to cybersecurity, how to mitigate the risk of cyber attack, and more. So join us for an insightful conversation on this episode of Healthy Outcomes, brought to you by Baker Tilly.
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On this episode of Healthy Outcomes, presented by Baker Tilly, host Mark Ross is joined by the Co-Founder and former CEO of the National Investment Center for Seniors Housing & Care, Robert Kramer. Robert is currently a strategic advisor to NIC and he recently launched a new organization called Nexus Insights. In other words, he is a thought leader and innovator in the senior housing and care sector. Together, Mark and Robert discuss some of the largest industry challenges for senior housing and care providers today, as well as the key role innovation plays in a company's success. So join us for an enlightening conversation and wonderful episode of Healthy Outcomes, brought to you by Baker Tilly.
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On this episode of Healthy Outcomes, presented by Baker Tilly, host Mark Ross is joined by Fitch Ratings Senior Director, Kevin Holloran. Fitch Ratings is an international credit rating agency based out of New York City and London – investors use their ratings as a guide when making certain investment related decisions. Together, Mark and Kevin discuss Fitch’s recent report, “U.S. Not-For-Profit Health Systems Outlook 2023,” as well as the biggest issues impacting healthcare systems today, core credit drivers for hospital related organizations, and more. So join us for another insightful episode of Healthy Outcomes, brought to you by Baker Tilly.
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On this episode of Healthy Outcomes, presented by Baker Tilly, host Mark Ross is joined by President and CEO of Fellowship Senior Living, Brian Lawrence. Fellowship Senior Living is a not-for-profit senior services organization that currently has operations in various parts of New Jersey, with a vision to transform the aging experience and empower all those they serve to live their best life, to the fullest. Together, the pair talk about M&A activity in the senior services sector, specifically some of FSL’s recent successes in the M&A space, as well as the reasons for those successes. So join us for another thoughtful episode of Healthy Outcomes, brought to you by Baker Tilly.
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On this episode of Healthy Outcomes, presented by Baker Tilly, host Mark Ross speaks with Executive Vice President of Policy at PHI, Robert Espinoza. PHI seeks to transform eldercare and disability service as the nation’s leading authority on the direct-care workforce. Together, the two discuss how to professionalize and elevate direct-care workers, how to approach the challenge of recruiting and retaining those workers, and what advice Robert has for post-acute care workers. Don’t miss this insightful episode of Healthy Outcomes, brought to you by Baker Tilly.
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On this episode of Healthy Outcomes, presented by Baker Tilly, host Mark Ross is sitting down with the Director of Senior Living Research & Development at Ziegler, Lisa McCracken. Ziegler is one of the leading investment banking firms in the senior services sector in the US, and Lisa is at the forefront of cultivating positive change within the industry. Together, the pair discuss challenges experienced by senior services providers in 2022, what’s on the horizon for 2023, as well as the impact that the rising interest rate environment and construction costs are having on capital project planning. Don’t miss this insightful episode of Healthy Outcomes, brought to you by Baker Tilly.
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Listen to our Healthy Outcomes podcast episode for a discussion about the Office of Inspector General’s (OIG) current work plan, the OIG’s seven elements for an effective compliance program, and compliance related best practices.
Listen to our Healthy Outcomes podcast episode for a discussion about corporate compliance as it relates to healthcare providers.
Listen to our Healthy Outcomes podcast episode for a discussion about managed care contracting.
Listen to our Healthy Outcomes podcast episode for a discussion about the Inflation Reduction Act and its effect on healthcare provider organizations.
Listen to our Healthy Outcomes podcast episode for a discussion about RedDot and the value that RedDot can bring to healthcare provider organizations across the US.
Listen to our Healthy Outcomes podcast episode for a discussion about the role of the CFO in the healthcare provider industry and how organizations can efficiently evolve and adapt.
On this episode of Healthy Outcomes, our host Mark Ross interviews Kayla Flint, principal, and Kevin Gardner, director, on the Baker Tilly Digital team, about digital transformation as it relates to healthcare providers.
On this episode of Healthy Outcomes, our host Mark Ross interviews Steve House, a managing director in Baker Tilly’s healthcare information technology practice, about the hospital-at-home care delivery model.
On this episode of Healthy Outcomes, our host Mark Ross interviews Nate Voss, a principal with Baker Tilly Capital. In part two of this two-part series, Ross and Voss discuss how healthcare providers can use New Markets Tax Credits (NMTCs) to expand their services to low-income communities.
Listen to our Healthy Outcomes podcast episode for a discussion about updates to the skilled nursing facility (SNF) and health systems final rule.
On this episode of Healthy Outcomes, our host Mark Ross interviews Gary Pezzano, the President and CEO of LeadingAge PA, about various topics relevant to senior services providers.
On this episode of Healthy Outcomes, host Mark Ross interviews Jim Bodine, executive vice president at HJ Sims, about the state of the senior services financing markets and the impact that current market conditions have on capital investment and related financing strategies.
Topics of discussion include:
- Primary issues being faced by senior living providers, including occupancy and workforce issues, and how they are currently being exacerbated by inflation and a rising interest rate environment
- The state of the senior services financing markets
- The impact of current market conditions on capital investment (e.g., new projects, reinvestment in current physical plant, etc.) and financing strategies (e.g., bank versus bond financing for not-for-profit organizations, etc.)
- What can be expected throughout the next 12-24 months as it relates to the senior services financing markets
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s leader of diversity, inclusion and belonging, Shane Lloyd, about diversity, equity and inclusion (DEI) as it relates to healthcare provider entities.
Topics of discussion include:
- How DEI is defined within a healthcare provider context and how DEI is connected to social determinants of health and health equity.
- What differentiates healthcare provider entities from other industry sectors as it relates to DEI.
- The impact that DEI strategies can have on recruitment and retention efforts and population health.
- Common DEI initiatives deployed by healthcare providers to move DEI strategies forward, and how to effectively prioritize initiatives.
- The importance of having team members that are diverse and representative of the populations they serve, across a variety of functional roles and levels, and how diversity can improve patient care and outcomes.
- The importance of staying disciplined and consistent with DEI initiatives.
- The importance of developing appropriate metrics to measure progress and success.
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On this episode of Healthy Outcomes, our host Mark Ross interviews Todd Carpenter, the managing partner of Baker Tilly’s real estate advisory practice, as well as Brent Maier, the national leader of Baker Tilly’s real estate valuation practice. In part one of this two-part series, Ross, Carpenter and Maier discuss trends within the real estate market that are affecting healthcare providers.
Topics of discussion include:
- The continued shift of inpatient care to outpatient facilities and a hospital’s role in the future provision of healthcare
- Demographic trends and the demand for senior housing and services
- The importance of adding amenities to facilities to enhance the user experience
- Analyzing alternate uses of undeveloped or underutilized real estate, including land (e.g., workforce housing, non-healthcare uses)
- The structure of sale-leaseback transactions and how these transactions can benefit both healthcare providers and capital partners
- The impact that COVID-19, inflation and rising interest rates are having on real estate valuations and cap rates
- The importance of effective capital planning and prioritizing capital projects
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Major topics and themes discussed at NatCon 2022
On this second episode of our two-part behavioral health Healthy Outcomes series, our host Mark Ross continues his discussion from the first episode about the major themes discussed at NatCon 2022. In particular, Krista Pankop, Melissa Hicks and Michael Wascura dive deeper into their discussion about certified community behavioral health clinics (CCBHCs) and other hot topics impacting behavioral health providers.
Topics of discussion include:
- Challenges behavioral health organizations might face when trying to meet the financial and clinical requirements to become a CCBHC
- The importance of recording data and achieving quality measures
- Different ways behavioral health organizations can receive funding, including through private equity investments
- New models focusing on prevention rather than treatment
- How allocation of additional government funding can help advance the behavioral health sector
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s acute care reimbursement leader, Keith Hutcheson, about proposed changes to Medicare reimbursement rates and methodologies for FY 2023. Ross and Hutcheson also talk about some of the financial issues hospitals are experiencing.
Topics of discussion include:
- Proposed Medicare IPPS rate change for FY 2023
- The importance of accurately reporting uncompensated care so that hospitals can receive their fair share of Medicare’s predetermined pool of funds
- Medicare’s rural hospital programs that are scheduled to sunset after Sept. 30, 2022 (e.g., Medicare Dependent Hospital, Low Volume Designation, etc.)
- CMS’ methodology for calculating GME payments
- Low Wage Index Policy, and the permanent cap on any decrease in a hospital’s Wage Index
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On this episode of Healthy Outcomes, our host Mark Ross interviews Krista Pankop, the leader of Baker Tilly’s behavioral health practice, as well as senior managers Melissa Hicks and Michael Wascura about the major themes at NatCon 2022. In part one of this two-part series, Pankop, Hicks and Wascura discuss issues facing the behavioral health industry that were addressed at this leading behavioral health conference.
Topics of discussion include:
- Increased demand for behavioral health services and its impact on workforce capacity
- Reimbursement streams for funding and subsidizing the increase in demand of behavioral health services
- Increases in certified community behavioral health clinics (CCBHCs) and how they are funded
- Financial reporting and compliance best practices for CCBHCs and other behavioral health entities
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On this podcast episode of Healthy Outcomes, our host Mark Ross interviews President and CEO of United Methodists Communities, Larry Carlson, about the impact that COVID-19 has had, and continues to have, on senior services providers. Ross and Carlson also talk about the importance of establishing great relationships and transparency between CEOs, organizational leaders, board members and other stakeholders. Carlson also shares information related to United Methodist Communities’ innovative memory care model that is currently being developed. Finally, Carlson provides some advice and counsel to current CEOs and future leaders in the senior services sector.
Topics of discussion include:
- The impact that the coronavirus has had on senior services providers
- Relationships between CEOs, boards, members of leadership, etc.
- United Methodist Communities’ innovative memory care model currently being developed
- Practical advice and tips to current senior living CEOs and leaders
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On this podcast episode of Healthy Outcomes, our host Mark Ross interviews HFMA’s Senior Vice President, Rick Gundling, about several challenges facing healthcare providers. In addition to laying out the upcoming obstacles that are most concerning to healthcare leaders, Ross and Gundling discuss changes to care delivery models, including how and where care is being administered. Also discussed are the current issues with addressing the shortage of qualified workers within the industry – both patient-facing and back-office staff – and how advances in technology and automation can help address this problem.
Topics of discussion include:
- The top operational concerns for healthcare providers
- Changes in facility volume and delivery of care
- Workforce shortages, turnover and burnout
- Advances in technology to increase efficiency, productivity, and the quality and delivery of care
- Health equity, social determinants of health (SDOH) and access to care
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On this podcast episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly Capital managing director Michael Demers about merger and acquisition (M&A) trends within the healthcare industry throughout 2020 and 2021. In addition to giving context about how the coronavirus pandemic and other factors have caused changing fluctuations in transactions, Ross and Demers discuss their predictions of what M&A activity will look like in 2022 and beyond, as well as what buyers and sellers are looking for when looking to acquire or be acquired.
Topics of discussion include:
- Healthcare M&A transaction volume in 2020 and 2021
- The coronavirus’ impact on healthcare investment opportunities
- Trends and demographic changes that are influencing healthcare transactions
- Healthcare M&A multiples
- Expectations about healthcare M&A activity in 2022 and beyond
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On this episode of Healthy Outcomes, our host Mark Ross interviews Baker Tilly’s David Gregory about value-based care (VBC) in today’s healthcare environment. In addition to discussing some of the basics relative to VBC, Mark and David discuss the investments healthcare providers need to make and the core business capabilities healthcare providers must have to ensure a higher rate of success with VBC arrangements.
Topics of discussion include:
- What healthcare providers can do to ensure a higher rate of success with VBC arrangements
- How healthcare providers can assess their readiness for VBC arrangements with downside risk
- What VBC means to healthcare providers across the care continuum
- The importance of the EMR system, and how the EMR system, when optimized, can help providers better manage/measure their VBC arrangements
- Challenges faced by providers seeking to expand their participation in VBC arrangements
- The future state of VBC
On this episode of Healthy Outcomes, host Mark Ross interviews guest Joe Loiacono, Partner, CPA at Baker Tilly, about private equity investments in healthcare provider entities. Loiacono details how investments in private healthcare capital have more than tripled since 2015, and shares what that means for specific sectors, including telehealth. Loiacono also speaks about private equity investment in the healthcare industry, as well as the growth of IT solutions and data in the healthcare industries.
Topics of discussion include:
- Trends in private equity investments in the healthcare provider industry
- Challenges private equity firms face when investing in healthcare
- Impacts that the coronavirus pandemic has had on investing in healthcare entities
On this episode of Healthy Outcomes, host Mark Ross interviews Jeff Krull, Partner, CPA, CISA at Baker Tilly, to discuss the role of the CIA Triad (Confidentiality, Integrity, and Availability) when it comes to cybersecurity in the healthcare industry. Krull explains why healthcare organizations may be challenged with attracting and retaining the necessary cybersecurity resources, especially in the age of telehealth and remote work. He also details exactly what ransomware is and how it works, shares why healthcare organizations are a favorite target for ransomware attacks, and more.
On this episode of Healthy Outcomes, host Mark Ross interviews Baker Tilly partner Mark Laccetti about how internal audit can mitigate risk for healthcare organizations. Laccetti also breaks down the chain of command and organizational structure when it comes to internal audits, and details how internal audits respond to disruptive external forces that can negatively impact healthcare providers.
Topics of discussion include:
- An overview of internal audit
- A rundown of the expansive list of risks that modern healthcare organizations face
- The three different options for staffing an internal audit department
- How internal audit departments have gone from a best practice to a must-have for healthcare organizations
- The value, function, process and impact of a risk assessment in support of an internal audit
In response to these unprecedented times, not-for-profit (NFP) behavioral health organizations have been receiving a myriad of funds from federal or state coronavirus relief programs. With such a high volume of relief programs, it may be difficult for organizations to stay up to date with where the money is coming from and the compliance requirements associated with it.
Listen to this informative Healthy Outcomes podcast episode as industry specialists discuss current behavioral health funding programs and what to do after receiving your money. Topics of discussion include:
- Managing and staying organized with grants and federal funds
- Understanding federal, state and local funding (e.g., Paycheck Protection Program (PPP), Provider Relief Funds, etc.)
- Addressing common challenges and how to stay up to date with compliance requirements
- Clarifying the new broadened definition of beneficiaries
- Understanding the scope for your auditor
It is critical that healthcare providers to be fairly compensated by payers and managed care organizations (MCOs) if they are to remain financially sustainable. While many factors in managed care contracts have a financial impact on compensation, there are also many nonfinancial terms to consider.
Listen to this informative Healthy Outcomes podcast episode as our leading industry specialists answer and discuss common questions surrounding managed care. Learning objectives of today's episode include:
- Understanding price transparency implementations for regulation compliance
- Understanding the future and payer coverage of telehealth in response to Covid
- Reviewing the industry's response to new but expensive technologies and drugs
- Discussing ways to improve the financial performance of employee medical groups
This episode discusses COVID-19's impact on senior service providers and ways to strategically plan for the future.
It is critical for healthcare providers to be fairly compensated by payers and managed care organizations (MCOs) if they are to remain financially sustainable. This podcast episode discusses the many factors in managed care contracts that have a financial impact on compensation as well as the nonfinancial terms organizations should consider.
Today it is more important than ever to accurately and completely document the care provided to patients. Physicians not accurately documenting what they do can lead to revenue being left on the table due to improper coding. A properly functioning clinical documentation integrity (CDI) process not only produces incremental revenue, but also positively impacts quality outcome scores, CMI, physician productivity and value-based care initiatives.
Listen to this informative Healthy Outcomes podcast episode with our Baker Tilly host, David Gregory. Key takeaways from this discussion include:
- An overview of CDI opportunities seen in the field
- Lessons learned from proper and improper coding and documenting of services provided
- Practical tips and solutions for CDI best practices
This episode discusses cost containment and process efficiencies for hospital and health system emergency departments.
This episode discusses discusses utilizing the operational efficiency ratio and process effectiveness ratio to enhance revenue cycle throughput.
This episode discusses the process effectiveness ratio (PER), a performance optimization service, and how to use analytics and Automated Insights to formulate more meaningful solution plans.
This episode discusses natural language generation (NLG) software and how utilizing tools such as Automated Insights by Wordsmith can help healthcare provider organization make actionable decisions to improve their revenue cycle performance.
This episode discusses the employee performance ratio (EPR), a calculation of an employee’s productivity AND effectiveness.
This special edition episode of Healthy Outcomes engages hospital and health system C-Suite executives about how organizations can become, or remain financially sustainable through 2021 and beyond.
This episode discusses how healthcare leaders can help elevate staff performance through leadership development and software implementation.
This episode discusses emerging technologies and work-from-home solutions for healthcare providers and its impact on revenue cycle performance.