Episódios
-
Roy Bejarano sits down with Rachel Winokur, CEO and Founder of TailorCare, to discuss how her risk-based musculoskeletal care model is reshaping patient-centered care. With a background in healthcare investment, payer strategy, and care delivery, Rachel shares her journey from Aetna and Bright Health to launching TailorCare, a company dedicated to optimizing MSK treatment pathways for better patient outcomes and lower costs.
This conversation dives into how care coordination, data-driven decision-making, and provider-patient engagement are essential for success in risk-based healthcare. Rachel also highlights the limitations of existing value-based models, the role of predictive analytics, and the future of innovative therapies like GLP-1s and stem cells.
Timestamps:[00:01] Introduction to Rachel Winokur and her career spanning Aetna, Bright Health, and TailorCare[04:47] The evolution of risk-based musculoskeletal care and why it remains an untapped opportunity[08:12] Challenges in Medicare Advantage and value-based models – misaligned financial incentives and fragmented care[14:36] The importance of real-time data access and claims transparency in patient management[22:57] How TailorCare’s risk-based navigation model improves patient outcomes and reduces unnecessary procedures[33:18] The role of predictive analytics and provider quality data in care coordination[39:09] How musculoskeletal care impacts patient mobility, function, and behavioral health[45:32] The potential impact of GLP-1s and stem cell therapies in orthopedic careKey Takeaways:Risk-Based Care Requires Smarter Coordination – TailorCare bridges payer incentives and provider decision-making to create cost-effective, high-quality MSK care pathways.Predictive Analytics is a Game Changer – Using claims data, patient history, and utilization patterns, TailorCare proactively navigates patients toward optimal treatment options.Care Fragmentation Leads to Poor Outcomes – Without structured guidance, MSK patients often go through unnecessary imaging, procedures, or delayed interventions, increasing costs and worsening health.Patients Need More Engagement & Support – TailorCare’s licensed physical therapists act as navigators, providing evidence-based guidance to ensure better outcomes and patient satisfaction.Connect with the Guest:Website: TailorCare
LinkedIn: Rachel Winokur
About Rachel Winokur:Rachel Winokur is a healthcare entrepreneur and executive with deep expertise in payer strategy, risk-based care models, and healthcare investment. She has led major initiatives at Aetna and Bright Health, driving value-based care adoption and primary care integration. As the Founder & CEO of TailorCare, she is revolutionizing musculoskeletal care by optimizing treatment pathways, improving patient engagement, and reducing unnecessary medical spend.
Healthcare, Patient-Centered Care, Healthcare Leadership, Roy Bejarano, Healthcare Innovations, Value-Based Care, Musculoskeletal Health, Risk-Based Models, Medicare Advantage, Care Coordination, Population Health, Digital Health, TailorCare, Healthcare Economics, Rachel Winokur
-
Roy Bejarano sits down with Victor Schmerbeck, CEO of Emerus, to discuss the evolution of neighborhood hospitals, how health systems are shifting their care models, and the role of private equity in modernizing healthcare delivery.
In this episode, Victor explains how Emerus has partnered with 12 major health systems, developing 40+ neighborhood hospitals to improve patient access, care coordination, and efficiency. He shares insights on why hospitals are decentralizing, the financial structure of these partnerships, and why smaller hospitals reduce costs while improving outcomes. This discussion is essential for healthcare executives, payers, and investors looking to understand the future of hospital-at-home models, outpatient expansion, and MSO partnerships.
Timestamps:[00:02] Introduction to Victor Schmerbeck and his leadership journey at Emerus[01:53] The evolution of Emerus – from emergency care to health system partnerships[05:02] Neighborhood hospitals vs. micro-hospitals – the shift to community-based care[12:56] How neighborhood hospitals act as hubs, improving patient flow and referrals[18:17] Why only 150+ neighborhood hospitals exist today and the case for expansion[24:46] Hospitals are shifting towards performance-focused, cost-effective care[33:13] The role of payers & value-based care in small-format hospital success[44:10] How private equity supports hospital MSO partnerships and future growthKey Takeaways:Health Systems Are Decentralizing – Large hospitals are shifting to smaller, community-based neighborhood hospitals to increase access, lower costs, and improve care coordination.MSO-Hospital Partnerships Drive Efficiency – Through white-label partnerships, Emerus helps health systems operate efficient, high-quality neighborhood hospitals, reducing readmissions and length of stay.Neighborhood Hospitals Fill a Critical Gap – Positioned between urgent care and tertiary hospitals, these facilities reduce ER overcrowding and streamline specialty referrals.Private Equity Is Fueling Healthcare Innovation – Investors like Welsh Carson play a key role in funding operational improvements, driving focus, and expanding care models.Connect with the Guest:Website: Emerus
About Victor Schmerbeck:Victor Schmerbeck is the CEO of Emerus, the nation’s largest operator of neighborhood hospitals. With extensive experience in healthcare investment, operations, and system partnerships, he has led Emerus’ expansion to 40+ hospitals in collaboration with 12 major health systems. Under his leadership, Emerus has helped health systems increase access, reduce costs, and modernize acute care delivery.
-
Estão a faltar episódios?
-
A conversation with Kyle Frye, CEO of Cortechs.ai, a market leader, and innovator in medical technology solutions. Discover how the Company is transforming neurology, radiology, and oncology with state-of-the-art medical imaging, leveraging clinical data and machine learning to empower physicians in making more accurate and timely diagnostic decisions.
-
Elizabeth Fowler, Ph.D., J.D., led the CMS Innovation Center, driving advancements in value-based care and innovative payment models for Medicare, Medicaid, and CHIP. She’s also a key figure behind landmark healthcare reforms, including the Affordable Care Act.
-
Senator Richard Burr, the longtime senator from North Carolina, is renowned for chairing the Senate Intelligence Committee, co-authoring the Pandemic and All-Hazards Preparedness Act (PAHPA), opposing the Affordable Care Act (ACA), advancing medical innovation, and strengthening U.S. biodefense, healthcare, and intelligence policies, leaving a significant legacy in public health and national security.
-
David L. Katz, MD, is a specialist in Internal Medicine, Preventive Medicine/Public Health, and Lifestyle Medicine – globally recognized for expertise in chronic disease prevention, health promotion, and nutrition. He has roughly 250 peer-reviewed publications and has authored 19 books.
-
Anthony Milonas is the CEO of Ascend Aesthetics Partners, a company involved in the aesthetics industry, particularly focusing on medical aesthetics and skincare. Ascend Aesthetics Partners partners with practices in the aesthetic sector to help them grow and optimize their operations. Under Milonas's leadership, the company seeks to leverage expertise and resources to enhance service offerings and operational efficiency for its network of medical aesthetic practices.
Milonas has extensive experience in leadership roles, particularly in areas like healthcare and business development. His background includes working in senior positions in various healthcare-related companies, with a focus on driving growth, scaling businesses, and improving patient outcomes.
Ascend Aesthetics Partners is part of a broader trend in the aesthetics industry, where private equity and strategic partnerships help smaller aesthetic practices thrive by providing access to resources, marketing, and operational support.
-
SCALE CEO conversation on the state of US Healthcare (an entrepreneurs perspective), with Mark Cuban, former Dallas Mavericks majority owner, former Shark, and more recently co-founder of Cost Plus Drugs, a company with a mission to transform the US drug market.
-
Web Golinkin’s lifelong quest has focused on increasing the accessibility and affordability of reliable health information and basic healthcare, from America’s Health Network, to RediClinic, Health Dialog and FastMed CEO of six companies over the past 35 years, he also co-founded and chaired the Convenient Care Association, has been widely covered in the national media, and has spoken at numerous healthcare conferences.
Web is a magna cum laude graduate of Harvard College. He grew up in New York City and Long Island, but has lived in Houston since 1988, so he is almost a Texan. A longtime marathon runner, he also enjoys tennis and golf—as long as he can walk and carry his bag. Web has been married to the same extraordinary woman for 38 years, and they have two amazing sons who make him proud every day.
-
Emi Gal is the founder and CEO of Ezra, an AI company pioneering the use of full-body MRI to detect cancer as early as possible. He is a software engineer and entrepreneur passionate about healthcare and longevity. Emi started his first company, Brainient, during his first year at university and spent the following 10 years building it into one of the leading ad-tech companies in Europe. Brainient (now called Teads Studio) was acquired by Teads in September 2016.
-
Mark Jamilkowski is CFO, Chief Actuary & Co-Founder at Evry Health.
Mark is an experienced healthcare leader with a passion for solving complex issues with practical solutions and bottom-line results. He has an intense desire to change healthcare delivery for the betterment of all and is energized by considering “what is possible” and collaborative dialog. Mark is a co-founder of a start-up and has assisted other start-ups as well as industry giants translate strategic initiative into successful execution. Mark helps clients with such initiatives as value based contracting and population health analytics, identifying competitive and operational challenges, assessing alternative business strategies, and measuring key success metrics. Mark has worked with companies to re-align processes to achieve market and product strategic objectives.
Mark is a motivating leader and mentor who excels at guiding others to achieve professional and personal growth.
-
Yates Lennon, MD, MMM, currently serves as the President and Chief Transformation Officer for CHESS Health Solutions
He is nationally known for his work in quality, previously serving on the American Medical Group Association (AMGA) Quality Leadership Council and presently on the National Association of Accountable Care Organization’s Quality Committee. Dr. Lennon’s background includes 23 years as a practicing OB/ GYN and a Diplomat of The American Board of Obstetricians and Gynecologists. He served as Chief Quality Officer for Cornerstone Health Care before joining CHESS in 2018 as Chief Transformation Officer. Dr. Lennon assumed the role of President in 2021. He has a deep understanding of practice transformation and how to engage physicians and their staff.
-
Lancer Seaman is a healthcare CIO with over 30 years of experience, including about 15 years as head of security at multiple organizations
His career began at Innovative Health Systems, where he transitioned from sales to software development. This company was eventually sold to 3M.
Following this, Lancer joined Practice Management Partners, an MSO that managed over 60 medical practices nationwide, ranging from large practices with 40-50 locations to smaller ones with just one or two doctors. Their primary focus was on IT management, billing, and helping doctors run their practices efficiently.
The organization was later sold to NextGen Healthcare, an EMR vendor, where Lancer worked for four years before moving to Rothman Orthopedics. At Rothman, he helped expand the organization from eight to 42 locations over five years. He played a key role in building a data-driven platform to optimize operations, which was eventually marketed and sold.
Eight months ago, Lancer left Rothman Orthopedics and has been working with SCALE since then, continuing his impactful work in the healthcare sector.
-
Alan Cooper
Alan’s has over 25 years of experience in the area of strategic organizational transformation, with a specific focus on organization development (OD), leadership development, customer experience, change management, teambuilding/collaboration, organizational capacity, and human capital/HR. Dr. Cooper has had extensive experience working with numerous healthcare organizations ranging in size from single practitioner offices to large health systems providing consulting services. His work is consistently aligned with an overarching emphasis on the achievement of an organization’s strategic mission.
-
Jonathan Kron Chief Information Officer with several years experience in hospital and health care IT systems
Jonathan’s strong focus on organizational performance, cost control, and operational excellence utilizing Lean Six Sigma methodologies to improve quality, increase efficiency, reduce costs, ensure compliance and manage risk across the enterprise. Information Technology professional with Data Center (Vendor Governance), Risk Analysis/Mitigation & Quality Improvement Expertise coupled with exceptional analytical skills utilized to identify root cause of problems within an organization
-
Eric Rogers CEO, Founder of Palm Vascular Centers
Palm Vascular Centers owns and operates Outpatient Based Labs that specialize in the advanced treatment of Peripheral Arterial Disease as well as other vascular issues.
-
David Drzewiecki Chief Executive Officer of Absolute Dental
Forward-thinking, self-motivated individual with proven track record within several positions and industries including healthcare, distribution, manufacturing, and retail. Decisively operates as a hands-on experienced consultant, balanced with strategic vision and strong leadership values. Leverages analytics and a strong technical background to understand the details for planning, execution and implementation. Passion for building high performance teams, has mentors from various industries and strives to motivate and nurture others.
-
Andrew Mintz Chief Executive Officer Pinnacle Fertility
Changing the way fertility is offered to patients through setting the standard for outcomes, innovative operational processes, advanced use of technologies and creating an inclusive environment in which people want to work.
-
Amir Dan Rubin
is a distinguished healthcare executive renowned for his transformative leadership in innovative healthcare delivery. As the former CEO of One Medical, a membership-based primary care practice, Rubin spearheaded its national expansion, increased its membership base, and successfully led the company to a public offering in January 2020.
Rubin’s impressive career includes pivotal roles in leading healthcare organizations. He served as President and COO of UnitedHealth Group’s Optum and as CEO of Stanford Health Care, where he championed the integration of advanced technology and patient-centered care. His expertise lies in healthcare transformation, innovation, and leveraging digital tools to enhance patient experiences.
Rubin holds an MBA from Stanford University, an MHA from the University of Michigan, and a Bachelor’s degree in Economics from the University of California, Berkeley. His contributions have significantly impacted how healthcare organizations utilize technology to provide more accessible and patient-focused care.
- Mostrar mais
