In this podcast we’re spotlighting Carle Health, a leading vertically integrated health system serving over 3 million people across Central Illinois. At Lumeris, we’re proud to partner with Carle Health on their journey toward value-based care transformation, enhancing care delivery and outcomes across their communities. In the podcast we have two dynamic leaders:
First, we have John Hesse, Vice President of Strategy & Business Development for Carle Health’s Central and West Regions. John leads strategic growth, physician acquisition, and service line development while overseeing Carle Health Physician Partners, the system’s Clinically Integrated Network.
We’re also joined by Jenny Drury, Director of Carle Health Physician Partners. She leads a CIN of over 1,500 clinicians and manages their ACO, covering nearly 30,000 Medicare beneficiaries. With over 17 years of experience in value-based care, Jenny is passionate about enhancing care coordination and driving collaborative healthcare innovation.
Stay tuned for an insightful conversation on how Carle Health is advancing value-based care through bold strategies and a transformative partnership with Lumeris.
Bookmarks
01:30 Introduction to our guests, John Hesse and Jenny Drury.
05:00 Carle Health’s journey in value-based care.
06:30 How the partnership with Lumeris will improve physician performance.
07:30 Establishing best practices during a phase of rapid growth.
08:30 A mission of trust.
10:30 Placing trust in new data systems.
12:30 Empowerment through value-based care.
15:00 Overcoming the data starvation through data aggregation and advanced AI capabilities.
18:15 Physician engagement strategies for VBC transformation.
20:30 Effective governance that supports physicians.
21:30 Creating a culture of accountability.
23:30 The importance of transparency in the financial performance of care delivery.
24:30 Quality improvement initiatives and the KPIs that support accountability.
25:30 The role of patient accountability in value-based care.
27:30 How Carle Health is positioning itself beyond vertical integration.
29:30 Managing the dichotomy of VBC vs. FFS in a vertically integrated network.
32:30 The importance of storytelling in leading an organizational transformation.
38:00 Behavioral health integration.
42:00 Parting thoughts on achieving health equity in rural communities.