Neal (Neal Shah)
speaker
107 appearances
1 recordings
1 series
first heard Jun 2026
last heard 30 Jun
Neal (Neal Shah)’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.
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On that contractual point, maybe we could talk about that too, because
That is something that I've seen as a huge difference for these demonstration models as compared to some of the more permanent Medicare uh reimbursement methodologies.
Um, is that there's a lot of downstream contractual relationships.
Um, and and some of the fundamental kind of payment models um are really structured by multiple types of private entities in these.
voluntary contractual relationships as opposed to kind of a pair um
you know, re governmental reimbursement type of relationship that is more typical of the Medicare program, for example.
Yeah, absolutely.
And you know, so it's it's interesting.
We've we've seen a lot of these concepts proliferating out there.
I I think one big example is attribution, for example, in the ACO world, where you know, how do you decide which Medicare patients belong to a particular ACO in terms of the ACO having responsibility for managing or or being accountable for their
not health status and and spending.
A lot of those concepts have now moved to Medicare Advantage, the MIPS program, you know, other other parts of um the overall healthcare payment landscape.
Um I'm wondering, you know, CMMI, it's been around for fifteen years at this point.
It is um influential in so many different areas of the healthcare system.
What has the response been so far?
You know, what what kinds of um
positive and negative responses, you know, have been out there in the provider and and regulated community as a whole.
Yeah, absolutely.
I mean, there's always pros and cons.
Um, I guess the other thing I would say that I see that
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