Shows
The CarePayments PodWhat are D-SNPs? And Why Should You Care?Episode 115: What are D-SNPs? And Why Should You Care?Dual Eligible Special Needs Plans - D-SNPs are specifically for individuals who are "dually eligible" for both Medicare and Medicaid.This episode of The CarePayments Pod breaks down Dual Eligible Special Needs Plans (D-SNPs), explaining why this essential form of Medicare Advantage is a critical trend for integrated care. D-SNPs are designed for "dual eligibles"—individuals who qualify for both Medicare and Medicaid—by providing a single, coordinated door for all their services, which simplifies processes and improves care access for vulnerable consumers. The discussion covers the p...
2025-12-0109 minThe CarePayments PodNEW EBOOK - Paying For Outcomes: The Value-Based RevolutionNEW EBOOK FROM The VBP Blog - Eight Years of Advocacy, Policy Impact, and Action in Value-Based Payment brings together nearly a decade of insights from XtraGlobex’s advocacy-first approach to healthcare reform. Download Your FREE Copy of the New VBP EBook HERE: https://www.thevbpblog.com/the-vbp-book/Guided by lead researcher and editor Cathryn Hilliard, this book explores how value-based payment (VBP) is reshaping Medicaid, long-term services and supports (LTSS), and managed care. Drawing from rigorous research, policy analysis, and frontline advocacy, it examines whether VBP truly delivers on its promises of equity, sustainability, and...
2025-10-2701 minThe CarePayments PodInnovation, Strategy, and Advocacy Combining To Increase Community-Based Services with Dyann Roth, CEO of InglisEpisode 114: Innovation, Strategy, and Advocacy Combining To Increase Community-Based Services with Dyann Roth, CEO of InglisThis episode delves into the necessary coordination between policy innovation, organizational strategy, and advocacy to successfully expand community-based care services. The discussion, which features Dyann Roth, CEO, explores how to leverage integrated, outcome-focused approaches to transition individuals from institutional care to community-based supports. This strategy is presented as essential for enhancing the quality of life for consumers while simultaneously driving greater cost-efficiency and achieving successful metrics within value-based payment models.Welcome to The CarePayments Podcast - A quick-hitting informative...
2025-10-0912 min
Health Futures with Host Bob RothHome as the Center of Care: Insights from Fady SahharOn Health Futures: Taking Stock in You, Bob Roth speaks with advocate and operator Fady Sahhar about what it will take to care for America’s rapidly aging population. They explore why home must be the center of care, the “dignity of risk,” and how families can thrive with the right supports. Topics include the caregiver workforce, value-based care, payer–provider collaboration, ADA/home modifications, and fast-moving assistive and smart-home tech, from remote monitoring to creative fixes like 3D-printed parts. Practical, hopeful, and focused on solutions that keep people safe, independent, and engaged at home.#HealthFutures #FadySahhar #AgingInP...
2025-09-1944 minThe CarePayments PodAligning Waiver Programs with Advocacy with Dr. Janet Williams of Minds Matter LLCEpisode 113: Aligning Waiver Programs with Advocacy with Dr. Janet Williams of Minds Matter LLCFady sits down for a discussion with and Dr. Janet Williams, the founder of Minds Matter LLC and a national advocate for people with brain injuries. Dr. Williams shares her journey, which began in the 1980s, and discusses the success of the brain injury waiver program in Kansas, which she helped develop. The program is based on the principle of "nothing for me without me" and provides all services in the person's own home and community, with no waiting list. She highlights that...
2025-08-2915 minThe CarePayments PodReal Innovations In Value-Based Payments in the Home Health Arena with Dr. Michael P. Johnson of BAYADA Home Health CareEpisode 112: Real Innovations In Value-Based Payments in the Home Health Arena with Dr. Michael P. Johnson of BAYADA Home Health CareDr. Michael P. Johnson from Bayada Home Healthcare joins Fady Sahhar for a discussion about innovations in value-based payments within the home healthcare sector. He emphasizes the need for "emotional alignment" with clinicians, shares a successful case study called "Directly Home," and discusses the challenge of transitioning to longitudinal care management. Dr. Johnson concludes by highlighting the importance of using a framework of structure, process, and outcomes to improve patient care.Welcome to The...
2025-08-1415 minThe CarePayments PodThe Future of Care at Home and Medicare Opportunity Is Now! with Bob Roth of Cypress Homecare SolutionsThe CarePayments Pod 111: The Future of Care at Home and Medicare Opportunity Is Now! with Bob Roth of Cypress Homecare SolutionsFady sits down with Bob Roth, the managing partner and co-founder of Cypress Home Care Solutions. He discusses his personal journey into the home care industry after his mother's heart attack and the founding of his company. He highlights industry challenges, such as a changing population demographic and the high cost of care, and explains how his company uses technology and machine learning to improve efficiency and monitor clients' safety at home. Roth also...
2025-07-3117 minThe CarePayments PodWhat Are The Challenges of Consumers Enrolling in Medicaid? w/ Andrew Segal of ANSEGA Health SolutionsEpisode 110: What Are The Challenges of Consumers Enrolling in Medicaid? with Andrew Segal CEO of ANSEGA Health SolutionsAndrew Segal, CEO of ANSEGA Health Solutions, joins Fady Sahhar, President of XtraGlobex, for a discussion on the challenges consumers face with Medicaid enrollment. The episode highlights the complexities of the process, including confusing applications and documentation, and shares a personal story to emphasize the need for a more user-friendly system. Listeners will also learn about potential solutions for states, such as simplifying processes, using technology, and improving customer support to enhance access to care for vulnerable populations.
2025-07-1614 min
Home Care HindsightI Overcomplicated Medicare Advantage (And Found a Simple Fix That Worked) — Fady SahharFady Sahhar, a disability advocate and home care strategist with decades of experience, unveils how Medicare Advantage is reshaping home care—and why agencies must rethink caregiver training to thrive. In this eye-opening conversation with host David Knack, Fady shares: Why 750+ Medicare Advantage plans now cover home care (and how to tap into this growing market). The "lifetime value" mindset shift that turns clients into long-term partners. How peer coaching solves EVV resistance and caregiver retention challenges. Fady also reveals common cultural blindspots when expanding into new markets, the underrated power of back-office customer service, and wh...
2025-07-0137 minThe CarePayments PodWhat Are PACE Programs? How Do They Support Dual-Eligibles? w/ John KoehnThe CarePayments Pod 109 - What are PACE Programs? and How Do They Support Dual-Eligibles? w/ John Koehn, SVP of InnovAgeWelcome to The CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex. Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for millions of individuals who qualify for both Medicare and Medicaid. John Koehn is the Senior Vice President of External Affairs of InnovAge. Among other duties he oversees all government relations activ...
2025-06-1714 minThe CarePayments PodThe CarePayments Pod #108 - As MLTSS Increases, So Do The Challenges of Implementing ItThe CarePayments Pod #108 - As MLTSS Increases, So Do The Challenges of Implementing ItThe CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex. Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for millions of individuals who qualify for both Medicare and Medicaid. You can find more information on Dual-Eligibles at www.dualeligiblehq.com Created by www.xtraglobex.comYou can find more information on Dual-Eligibles at w...
2025-06-0513 minThe CarePayments Pod107 - How Can Real-time Data Improve Outcomes? with Stephen Vaccaro of HHAeXchangeThe CarePayments Pod Episode #107 - How Can Real-time data Improve Outcomes? with Stephen Vaccaro of HHAeXchange.Welcome to The CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex. Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for millions of individuals who qualify for both Medicare and Medicaid. Stephen Vaccaro serves as President at HHAeXchange, the leading provider of homecare management solutions for providers, managed care organizations, and state Medicaid agencies, where he...
2025-05-1216 minThe CarePayments Pod106 - What's the Latest on Electronic Data Platforms?The CarePayments Pod Episode #106 - What's the Latest on Electronic Data Platforms? EVV? Why are they important?Welcome to The CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex. Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for millions of individuals who qualify for both Medicare and Medicaid. You can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpbl...
2025-04-3008 min
The CarePayments Pod105 - How Does Fragmentation Impact Dual-Eligibles Creating Barriers?The CarePayments Pod Episode #105 - How Does Fragmentation Impact Dual-Eligibles Creating Barriers? How Can We Change It? Welcome to The CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex. Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for millions of individuals who qualify for both Medicare and Medicaid. You can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpblo...
2025-04-2309 min
The CarePayments Pod104 - How Does Managed Care Impact Dual-Eligibles?The CarePayments Pod Episode #104 - How Does Managed Care Impact the Dual-Eligible population? How does that affect home care? Welcome to The CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex.You can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpblog.comCreated by xtraglobex.comYou can find more information on Dual-Eligibles at www.dualeligiblehq.com
2025-04-1614 min
The CarePayments Pod103 - Why Do MCOs Want Preferred Provider Networks? VBP?The CarePayments Pod Episode #103 - Why do MCOs want Preferred Provider Networks? How does that relate to Value-Based Payments (VBP)? The CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex.You can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpblog.comCreated by xtraglobex.comYou can find more information on Dual-Eligibles at www.dualeligiblehq.com Th...
2025-04-1011 min
The CarePayments Pod101 - What Are Value-Based Payments? - The CarePayments PodThe CarePayments Pod Episode #101 - What are Value-Based Payments? A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex.You can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpblog.comCreated by xtraglobex.comYou can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpblog.comCreated by xt...
2025-03-2511 min
The CarePayments Pod102 - Who Are Dual-Eligible Consumers? - The CarePayments PodThe CarePayments Pod Episode #102 - Who are Dual-Eligible Consumers? Why do we care? A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex.You can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpblog.comCreated by xtraglobex.comYou can find more information on Dual-Eligibles at www.dualeligiblehq.com The Value-Based Payments Blog is available for free at www.vbpblog.com
2025-03-2510 min