The Buzz @ BC

Transition from fee-for-service to value-based models.

Brillstein and McAdoo discuss how health plans and systems are adapting to value-based care pressures and what innovation looks like going forward.

Outlines ways to meaningfully involve payers in specialty-focused value-based models beyond basic cost-cutting.

Details operational refinements and lessons learned as the initial collaborative care model moves into its second phase.

Introduces a digital oncology classification system that identifies care and cost variation to support value-based delivery.

Brillstein and Dr. Kosinski emphasize how mutual respect between payers and clinicians is foundational to effective value-based models.

Describes a jointly developed framework aligning incentives across stakeholders to improve outcomes and manage costs.

A webinar discussion on expanding access to behavioral health, integrating care, and leveraging technology and value-based models to meet rising mental health and SUD needs.

Explores how attribution complexities pose barriers for digital-first entrants like Amazon Care in value-based settings.

Lili Brillstein discusses early challenges and emerging trends in adopting value-based care and how stakeholders can better align around outcomes.

An updated conversation highlighting how value-based care models evolved through 2021, including lessons learned and new collaborative approaches.

Brillstein explains the shift from fee-for-service to episode-based payment and what it takes for health systems to successfully transition.

A broad conversation covering Brillstein’s experience advancing value-based care, from operational design to real-world implementation.

This episode focuses on whole-person care, arguing that value-based models must move beyond transactional services to support patients holistically.

Brillstein discusses applying value-based principles to orthopedic care, focusing on episodes of care, data, and cross-stakeholder collaboration.

Outlines the structural, cultural, and operational barriers that slow the shift to value-based payment, despite its long-term advantages.

Explores how value-based models must integrate social determinants to address root causes of poor outcomes and improve equity.

Highlights why oncology is uniquely complex for value-based care due to rapid innovation, high-cost therapies, and complex treatment patterns.

Brillstein clarifies key differences between episodes of care and bundled payments, emphasizing how episode models drive accountability and outcomes.

Discusses how technology, providers, and payers can work together to enhance coordination, reduce fragmentation, and improve outcomes under value-based care.

Discusses the national recognition of Horizon’s Episodes of Care, led by Lili Brillstein, and key impacts on healthcare delivery. Horizon BCBS NJ Article

Discusses the unique challenges of applying value-based principles to oncology amid rapid innovation and high costs.

Examines how the pandemic accelerated the need for flexible, patient-focused value-based care models.

Presents a collaborative model for chronic conditions focused on multidisciplinary coordination, shared data, and proactive care.

Encourages stakeholders to abandon adversarial habits and embrace collaboration as value-based care expands.

Argues that value-based agreements must center accountability around patients through transparency and patient-focused metrics.

Makes the case that shifting market and clinical pressures make this the ideal moment to adopt value-based models.

Explains how episode-of-care models can support coordinated, accountable care for oncology and chronic conditions.

Emphasizes the role of standardized clinical pathways in reducing variation and strengthening episode-based care models.

Argues that trust, transparency, and respect are essential for successful payer–provider value-based partnerships.

Identifies traits of effective value-based care partners and how stakeholders can build stronger team-based relationships.